Skip to main content
. 2013 Apr 9;156(3):303–309. doi: 10.1093/rpd/nct069
Type of institution
 Private
 Public
 Small
 Medium
 Large
 Total amount of X-ray rooms
Total amount of equipment in the institution
 Fixed conventional X ray
 Portable conventional X ray
 Mammography
 Tomography
 Fluoroscopy
 Processer
Number of professionals in the institution
 Medical radiologists
 Medical residents
 Technicians with radiology course
 Technicians without radiology course
 Amount of technicians with experience in radiology?
  How many with experience <2 y
  How many with experience of 2–5 y
  How many with experience of 5–10 y
  How many with experience >10 y
 Does the facility have a medical physicist?
 Is there a quality control programme implemented?
  Is it performed by the medical physicist?
  Is it performed by the technician?
  Is it performed by an external engineer?
 Is IAEA protocol used?
 Is ACR protocol used?
 Is Spanish protocol used?
 Other?
Assessment of radiological equipment
 Equipment brand
 Equipment model
 Tube brand
 Tube model
 Year of manufacture
 Installation date
 Range of kV
 Range of mA s
 Is the equipment analogical?
 Is the equipment digital?
 Automatic exposure control?
 Focal spot marked on housing?
 Is the total filtration value indicated?
 Is there an audible or luminous indication on the command console to reveal radiation emission?
 Is it possible to see and maintain contact with the patient?
 Is the luminous indication of the radiation field functioning?
Equipment maintenance
 Is there a preventive maintenance programme?
 Is it internal?
 Supplied by the manufacturer or representative?
 Supplied by an external company?
 Is there a contract?
 Maintenance frequency: biannual?
 Maintenance frequency: annually?
 Maintenance frequency: every 2 y?
 Other?
Environmental conditions of the room
 Is there air conditioning in the mammography equipment room?
 Is the air conditioning functioning?
 Does the room have reinforcement?
 Are the doors reinforced?
 Is there a luminous indicator on the door?
 Is there a radioprotection sign on the door?
Protection measures for the operator and the patient
 Is there a fixed barrier or window lead shielding?
 What material is the barrier made of?
 Are there protection aprons in the room?
 How many?
 Do technicians use a personal dosemeter?
  Is it a film dosemeter?
  Is it TLD?
 Other dosemeters?
Assessment of processing systems
 Do you use an X-ray film to obtain image?
 Do you use CR to obtain image?
 Do you use DR to obtain image?
In the case of Digital Radiology:
 Model of CR cassettes?
 Brand of CR cassettes?
 Model of DR detector?
 Brand of DR detector?
 Can the images be extracted?
 In ‘for processing’ format?
 In ‘for processing’ format?
 Brand of the workstation monitor?
 Model of the workstation monitor?
 Is the workstation monitor CRT type?
 Is the workstation monitor LCD type?
 Matrix size of workstation monitor?
 Does the software of the monitor belong to the workstation?
In the case of radiographic film
 Brand?
 Model?
 Type of screen?
 Is the process of the film manual?
 Is the process of the film automatic?
 Brand of processer?
 Model of processer?
 Developer temperature?
 Total processing time?
 Is the variation between the value of measured time and the one indicated on the equipment acceptable? (Tolerance: <±3 % with respect to the value indicated by the manufacturer)
 If you have a thermometer measure the temperature of the developer
 Is the variation between the measured value and the one indicated on the equipment acceptable? (Tolerance: ±0.5 with respect to the value indicated by the manufacturer)
 Is there evidence of stains or scratches in the films after the process?
Darkroom inspection
 Is there a ventilation system?
 Is it functioning?
 Is the floor non-slip, waterproof and anticorrosive?
 Is the room clean?
 Can you perceive a strong odour of liquid developer?
 Is there an extractor fan?
 Is the white light switch located in places where it cannot be activated involuntarily?
 Is the safety light at a distance of more than 120 cm from the surface?
 Is the power of the safety light lower or equal to 15 W?
 Are there signs of infiltration or dampness on the walls?
 Are the boxes of film in vertical position and organised?
 Are there entries of light in the darkroom?
 Are the films organised by their expiry date?
Amount of negatoscopes
 Can you observe stains at a first glance?
 Are there luminosity differences in the negatoscope?
 Is there a magnifying glass?
 Can you vary the intensity of the negatoscope?
 Can you disguise the image of the X ray?
 Can you vary the intensity of the observation room?
 If you have a photometer, measure the luminance of the negatoscope
 Is the measured value acceptable? (tolerance: luminance: 1500 cd m−2)
 Uniformity of the negatoscope
 Is the measured value acceptable? (Tolerance: Uniformity: <15 %)
 Illumination of the viewing room
 Is the measured value acceptable? (tolerance: illumination: <100 lux)