How should imaging facilities handle quality control for CT or fluoroscopy equipment?

• A. QA only for MRI equipment.
• B. No QA; rely on vendor service calls only.
• C. Regular QA/QC testing, documentation, maintenance, and review of any deviations from acceptable performance.
• D. QA only once every ten years.

Answer: (C)

Regular, proactive QA/QC for CT and fluoroscopy is essential to keep image quality high, patient dose safe, and regulatory expectations met. A facility should run a continuous program that combines regular performance testing with thorough documentation, scheduled maintenance, and a formal review of any deviations from acceptable standards. This means performing routine checks (acceptance and periodic tests), recording results so trends can be tracked over time, keeping up with service and calibration when needed, and promptly investigating and acting on any out-of-spec findings. This ongoing approach helps catch gradual drift, ensures consistent imaging performance, and provides a clear audit trail for quality and safety.

Relying only on vendor service calls is not sufficient because it’s reactive and may miss issues between visits. QA limited to MRI ignores CT and fluoroscopy, which also require monitoring. QA conducted only once in a decade is far too infrequent to protect patients or meet professional and regulatory expectations.