medical physics in the breast screening programme · nss medical physics mpe – medical physics...
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Kath Schofield & Anne McCurrach NSS Medical Physics
Medical Physics
in the Breast
Screening
Programme
COR103-012 V1
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Who we are
Anne McCurrach Deputy Lead
Mammography Physicist,
RPA & MPE
John Robertson Mammography Physicist,
RPA & MPE
Gordon Mitchell Clinical Technologist
& Product Specialist
Michael Lemmon, Clinical Technologist
& Product Specialist
John Wright Assistant Director
Facilities Services
Katherine Schofield Lead Mammography Physicist
& MPE
NSS Medical Physics MPE – Medical Physics Expert
RPA – Radiation Protection Adviser
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What we provide
Comprehensive medical physics service to
• Scottish Breast Screening Programme (SBSP)
• NSS
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Once for Scotland
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Comprehensive Medical
Physics Service
Technical quality assurance of imaging equipment
Expert professional advice on radiation safety
Training of NSS and mammography staff
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Technical quality assurance of
imaging equipment
Performing physics surveys
Setting up and oversight of user tests
Audit of performance across all units
• E.g. doses to patients / clients
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Imaging equipment
Mammography X-ray
Biopsy attachment
Reporting workstation
Ultrasound scanner
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Growth of Digital X-ray Units in Scottish
Breast Screening Programme (SBSP)
Total no.
of units
40-42
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The SBSP mobile fleet
21 X-ray units located on 20 mobile units
One double unit with pullout pod
Powered by generators and electrical hook-ups
Looked after by:
John Greig
Maintenance Engineer
Trevor Perry
Fleet Engineer
Transport Officers
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Quality Assurance Standards
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Physics QA
User QA
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Routine QA - Users
Suspension Level Remedial Level
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Routine QA - Users
AEC recalibration
Suspension Level Remedial Level
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artefact
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artefact
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Detector lifespan
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
Ag
e (
years
)
Detector Ages of Hologic Dimensions & Fuji units in Scotland
Detector 3 age
Detector 2 age
Detector 1 age
Increasing age of unit
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Routine QA - Physics
Image Quality
CDMAM test object
0.01
0.10
1.00
0.08 0.80
Th
reshold
gold
thic
kness (µ
m)
Detail Diameter (mm)
Predicted Threshold Contrast Measurements
Predicted Data
Fit to Data
Acceptable
Achievable
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0
5
10
15
20
25
0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2
Nu
mb
er
of
syste
ms
Threshold gold thickness (um)
Threshold gold thickness values for 0.1mm details
Routine QA - Physics
Acceptable Achievable
Improving image quality
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Routine QA – Physics
Patient Dose Survey 2017
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
MG
D (
mG
y)
Units by screening centre
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0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
2005 2008 2011 2014 2014 2016 2017
Mean
Do
se (
mG
y)
YEAR
Routine QA – Physics
Dose Surveys 2005 - 2017
DIGITAL
ANALOGUE
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0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
2005 2008 2011 2014 2014 2016 2017
Mean
Do
se (
mG
y)
YEAR
Routine QA – Physics
Dose Surveys 2005 - 2017
National Reference Level 3.5 mGy
Scottish Level 1.75 mGy
Proposed Reference Level 2.5 mGy
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0
1
2
3
0 1 2 3 4
Th
resh
old
go
ld t
hic
kn
ess (
um
) at
0.1
mm
MGD (mGy)
Routine QA - Physics
Achievable
Achievable
Acceptable
Acceptable
Incre
asin
g im
age q
ualit
y
Decreasing Dose
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Expert professional advice on
radiation safety
Regulatory
Compliance
Ionising Radiations
Regulations 2017
- Protecting staff &
others
- Radiation Protection
Adviser
Ionising Radiation
(Medical Exposure)
Regulations 2017
- Protecting patients
- Medical Physics Expert
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RPA Employer must consult RPA on radiation....
If in doubt just ask!
Radiation
Risk assessment
Staff Dosimetry
Radiation
incidents
New technologies /
techniques
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Room specification
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Full range of safety tests
Mechanical
Electrical
Radiation
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Mobile replacement
Next generation of trailers:
Hybrid battery / generator technology
56% reduction in carbon footprint per
mobile
Silent running
Improved sustainability
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Training of staff
Mammography staff lectures
Radiation protection training
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Summary
All aspects of equipment lifecycle
Scotland-wide approach
Close working • Screening centres
• Manufacturers
Just
ask...
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Thank you
Kath Schofield & Anne McCurrach NSS Medical Physics