NEMA XR Standard Attributes on CT Equipment Related to Dose Optimization and Management
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1 NEMA XR Standard Attributes on CT Equipment Related to Dose Optimization and Management Published by: National Electrical Manufacturers Association 1300 North 17th Street Rosslyn, Virginia Copyright 2013 by the National Electrical Manufacturers Association. All rights including translation into other languages, reserved under the Universal Copyright Convention, the Berne Convention for the Protection of Literary and Artistic Works, and the International and Pan American Copyright Conventions.
2 Page ii NOTICE AND DISCLAIMER The information in this publication was considered technically sound by the consensus of persons engaged in the development and approval of the document at the time it was developed. Consensus does not necessarily mean that there is unanimous agreement among every person participating in the development of this document. The National Electrical Manufacturers Association (NEMA) standards and guideline publications, of which the document contained herein is one, are developed through a voluntary consensus standards development process. This process brings together volunteers and/or seeks out the views of persons who have an interest in the topic covered by this publication. While NEMA administers the process and establishes rules to promote fairness in the development of consensus, it does not write the document and it does not independently test, evaluate, or verify the accuracy or completeness of any information or the soundness of any judgments contained in its standards and guideline publications. NEMA disclaims liability for any personal injury, property, or other damages of any nature whatsoever, whether special, indirect, consequential, or compensatory, directly or indirectly resulting from the publication, use of, application, or reliance on this document. NEMA disclaims and makes no guaranty or warranty, express or implied, as to the accuracy or completeness of any information published herein, and disclaims and makes no warranty that the information in this document will fulfill any of your particular purposes or needs. NEMA does not undertake to guarantee the performance of any individual manufacturer or seller s products or services by virtue of this standard or guide. In publishing and making this document available, NEMA is not undertaking to render professional or other services for or on behalf of any person or entity, nor is NEMA undertaking to perform any duty owed by any person or entity to someone else. Anyone using this document should rely on his or her own independent judgment or, as appropriate, seek the advice of a competent professional in determining the exercise of reasonable care in any given circumstances. Information and other standards on the topic covered by this publication may be available from other sources, which the user may wish to consult for additional views or information not covered by this publication. NEMA has no power, nor does it undertake to police or enforce compliance with the contents of this document. NEMA does not certify, test, or inspect products, designs, or installations for safety or health purposes. Any certification or other statement of compliance with any health or safety related information in this document shall not be attributable to NEMA and is solely the responsibility of the certifier or maker of the statement.
3 Page iii FOREWORD The first edition of this standard is intended to identify four key features of CT scanners which contribute to or help perform optimization and or management of doses of ionizing radiation while still enabling the system to deliver the diagnostic image quality needed by the physician. This standard was developed by the CT Group of the X-Ray Imaging Section of the Medical Imaging & Technology Alliance (MITA), a division of NEMA. Inquiries, comments, and proposed or recommended revisions should be submitted to the X-Ray Imaging section by contacting: Vice President Medical Imaging & Technology Alliance (MITA) 1300 North 17th Street Rosslyn, Virginia At the time of the approval of the standard, the CT group was composed of the following members: GE Healthcare Hitachi Medical Systems America, Inc. Neusoft Medical Systems USA, Inc. Neurologica Philips Healthcare Siemens Medical Solutions USA, Inc. Toshiba America Medical Systems At the time of the approval of the standard, the X-Ray Imaging section was composed of the following members: Advanced Instrument Development Inc. Agfa HealthCare Aribex, Inc. Bioptics, Inc. Capintec, Inc. CIRS Eizo Nanao Corporation EOS imaging FUJIFILM Medical Systems U.S.A., Inc. GE GE Healthcare Hitachi Medical Systems America, Inc. Hologic Inc. Konica Minolta Medical Imaging USA, Inc. Median Technologies Inc. Medtronic Navigation NeuroLogica Corporation Neusoft Medical Systems, USA, Inc. Philips Healthcare Shimadzu Medical Systems Siemens Healthcare The Phantom Laboratory Toshiba America Medical Systems Inc. Ziehm Imaging, Inc.
4 Page iv TABLE OF CONTENTS FOREWORD...iii Section 1 OVERVIEW SCOPE RATIONALE REFERENCES Normative References...1 Section 2 DETAILED INFORMATION ON ATTRIBUTES GENERAL DICOM RADIATION DOSE STRUCTURED REPORTING (RDSR) DOSE CHECK FEATURE AUTOMATIC EXPOSURE CONTROL REFERENCE ADULT AND PEDIATRIC PROTOCOLS...2 Section 3 IMPLEMENTATION OF STANDARD ATTRIBUTES MANAGING IMPLEMENTATION.... 3
5 Page 1 Section 1 OVERVIEW 1.1 SCOPE This standard identifies common computed tomography (CT) system (i.e. scanner) attributes that contribute to or help perform optimization/management of doses of ionizing radiation while still enabling the system to deliver the diagnostic image quality needed by the physician. The CT group, MITA and NEMA as a whole conveys its determination and commitment to help ensure that clinicians have the tools needed to manage the amount of radiation that is used.
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