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Journal of Nuclear Medicine Technology

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OtherCONTINUING EDUCATION

ACR Accreditation of Nuclear Medicine and PET Imaging Departments

Carolyn Richards MacFarlane
Journal of Nuclear Medicine Technology March 2006, 34 (1) 18-24;
Carolyn Richards MacFarlane
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  • FIGURE 1. 
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    FIGURE 1. 

    Jaszczak Deluxe Flangeless ECT Phantom.

  • FIGURE 2. 
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    FIGURE 2. 

    Modified faceplate used with Jaszczak Deluxe Flangeless ECT Phantom for PET phantom acquisition.

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    FIGURE 3. 

    Number of units by year that have applied for accreditation (including renewals) as of 30 November 2005.

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    TABLE 1

    Requirements for Physicians

    RequirementInterpreting nuclear medicine physicianSupervising physicianNon–nuclear medicine physician interpreting cardiovascular nuclear medicine onlyPET physician
    InitialBoard certification OR ACGME-approved general nuclear medicine programBoard certification OR ACGME-approved general nuclear medicine programBoard certification and level 2 COCATS training OR (if trained before 1995) board certification and training equivalent to level 2 training OR ACGME-approved general nuclear medicine programBoard certification OR ACGME-approved general nuclear medicine program AND 20 h of continuing medical education in PET In preceding 3 y, following numbers must be met: for oncologic PET examinations, at least 80 studies must be interpreted or multiread; for brain PET examinations, at least 30 studies must be interpreted or multiread; and for cardiac PET examinations, at least 20 studies must be interpreted or multiread
    Continuing Experience15 scintigrams/mo averaged over 24 mo30 scintigrams/mo averaged over 24 mo15 scintigrams/mo averaged over 24 mo5 studies/mo averaged over 24 mo
    Continuing Education150 h every 3 y (recommended), with 15 h in nuclear medicine (recommended)150 h every 3 y (recommended), with 15 h in nuclear medicine (recommended)150 h every 3 y (recommended), with 15 h in cardiovascular nuclear medicine (recommended)150 h every 3 y (recommended), with 15 h in PET (recommended)
    • ACGME = Accreditation Council of Graduate Medical Education; COCATS = Core Cardiology Training Symposium.

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    TABLE 2

    Requirements for Technologists and Physicists

    RequirementNuclear medicine technologistsPET technologistsMedical physicist for nuclear medicineMedical physicist for PET
    InitialARRT (N) or NMTCB registered or equivalent state license OR completion of nuclear medicine training programARRT (N) or NMTCB registered or equivalent state license OR completion of nuclear medicine training programBoard certification in medical nuclear physics or radiologic physics (recommended)Board certification in medical nuclear physics or radiologic physics (recommended) AND 40 h of on-site practical experience providing physics support
    Continuing Education15 h of continuing education in nuclear medicine in preceding 3 y (recommended)15 h of continuing education in PET in preceding 3 y (recommended)150 h every 3 y (recommended), with 15 h in nuclear medicine (recommended)150 h every 3 y (recommended), with 15 h in PET (recommended)
    • ARRT (N) = American Registry of Radiologic Technologists (Nuclear); NMTCB = Nuclear Medicine Technology Certification Board.

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    TABLE 3

    Required Annual Performance Tests

    • Intrinsic uniformity
    • System uniformity
    • Intrinsic or system spatial resolution
    • Sensitivity
    • Energy resolution
    • Counting rate parameters
    • Multiple-window spatial registration
    • Formatter/video display
    • Overall system performance for SPECT systems
    • System interlocks
    • Dose calibrators (accuracy)
    • Thyroid uptake and counting systems (energy linearity, energy resolution, and χ2 test)
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    TABLE 4

    Technologist Quality Control Tests

    ProcedureFrequency
    Intrinsic or system uniformityDaily
    Intrinsic or system spatial resolutionWeekly
    Center of rotationMonthly
    High-count floods for uniformity correction for SPECT systemsAs recommended by medical physicist
    Overall system performance for SPECT systemsQuarterly
    Dose calibrators
     ConstancyDaily
     LinearityQuarterly
    Leak testSemiannually
    Thyroid uptake and counting systemsEach day of use
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    TABLE 5

    Pass Rates on First Round and Repeat Attempts,* June 2005

    CategoryTotal no. (passes and fails)No. of passesNo. of fails% Pass rate% Fail rate
    Nuclear medicine
     First round53037715371.129.9
     Attempt 21351191688.111.9
     Attempt 33301000
    PET
     First round1361092780.119.2
     Attempt 22423195.84.2
     Attempt 31101000
    • ↵* Includes units that may have withdrawn subsequently or are still in late stages of process.

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    TABLE 6

    Pass/Fail Rates for Clinical and Phantom Images During Initial Cycle

    Clinical imagesPhantom images
    Category% Passing% Failing% Passing% Failing
    Nuclear medicine9377327
    PET90109010
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    TABLE 7

    Numbers of Facilities That Have Been Accredited, That Are Currently Active, and That Are Currently Accredited

    No. of facilities or units
    CategoryNo. of applications submittedThat have been accreditedThat are currently activeThat are currently accredited
    Nuclear medicine
     Facilities370268323255
     Units817571648500
    PET
     Facilities182143179142
     Units200153190150
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Journal of Nuclear Medicine Technology: 34 (1)
Journal of Nuclear Medicine Technology
Vol. 34, Issue 1
March 2006
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ACR Accreditation of Nuclear Medicine and PET Imaging Departments
Carolyn Richards MacFarlane
Journal of Nuclear Medicine Technology Mar 2006, 34 (1) 18-24;

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ACR Accreditation of Nuclear Medicine and PET Imaging Departments
Carolyn Richards MacFarlane
Journal of Nuclear Medicine Technology Mar 2006, 34 (1) 18-24;
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  • Article
    • Abstract
    • GOALS
    • DEVELOPMENT OF NUCLEAR MEDICINE AND PET ACCREDITATION PROGRAM
    • APPLICATION
    • PERSONNEL QUALIFICATIONS
    • CLINICAL EXAMINATIONS
    • PERFORMANCE TEST AND QUALITY CONTROL
    • OUTCOMES
    • COMMON PITFALLS
    • SITE SURVEYS
    • STATISTICS
    • CONCLUSION
    • Acknowledgments
    • Footnotes
    • References
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  • Qualification of National Cancer Institute-Designated Cancer Centers for Quantitative PET/CT Imaging in Clinical Trials
  • Qualification of PET Scanners for Use in Multicenter Cancer Clinical Trials: The American College of Radiology Imaging Network Experience
  • Achieving Quality in Cardiovascular Imaging II: Proceedings From the Second American College of Cardiology-Duke University Medical Center Think Tank on Quality in Cardiovascular Imaging
  • Achieving Quality in Cardiovascular Imaging: Proceedings From the American College of Cardiology-Duke University Medical Center Think Tank on Quality in Cardiovascular Imaging
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