Monthly, Quarterly, and Semi-Annual Tests (date, initial ...
Stereotactic Breast Biopsy Quality Control Checklist
Department of Diagnostic Radiology
Site: ___________________________
Monthly, Quarterly, and Semi-Annual Tests
(date, initial and enter number where appropriate)
Year
Month
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Visual Checklist
(monthly)
Repeat Analysis
(?20%)
(Semi-annually)
Fixer (?0.05 gm/m2)
(quarterly)
Darkroom Fog (? 0.05)
(Semi-annually)
Screen-Film Contact
(Semi-annually)
Compression (25-45 lb)
(Semi-annually)
Date:
Test:
Comments:
Physician Review ____________________________________
Date: ___________________
Medical Physicist Review _______________________________
Date: ___________________
Figure 12. Monthly, Quarterly and Semi-Annual checklist for Stereotactic Breast Biopsy QC Tests.
S:\AccredMaster\SBBAP\Umbrella Testing Materials\01B Monthly Check List.doc
Revised: 8-15-13
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