Good reasons to implement quality assurance in nationwide breast cancer screening programs in Croatia and Serbia: results from a pilot study
Autor: | Danijela Arandjic, Hrvoje Brkić, Dusko Kosutic, Olivera Ciraj-Bjelac, Dario Faj, Damir Štimac |
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Rok vydání: | 2009 |
Předmět: |
medicine.medical_specialty
Quality Assurance Health Care Image quality Croatia Breast Neoplasms Pilot Projects Radiation Dosage 030218 nuclear medicine & medical imaging 03 medical and health sciences Breast cancer screening 0302 clinical medicine Quantitative assessment Medicine Mammography Humans Mass Screening Radiology Nuclear Medicine and imaging Medical physics medicine.diagnostic_test business.industry Film processing Medical screening Quality control General Medicine 3. Good health Surgery mammography image quality dose quality control Dose 030220 oncology & carcinogenesis Practice Guidelines as Topic Patient dose Female business Quality assurance Serbia |
Zdroj: | European Journal of Radiology |
ISSN: | 1872-7727 |
Popis: | The purpose of this study is to investigate the need for and the possible achievements of a comprehensive QA programme and to look at effects of simple corrective actions on image quality in Croatia and in Serbia. The paper focuses on activities related to the technical and radiological aspects of QA. The methodology consisted of two phases. The aim of the first phase was the initial assessment of mammography practice in terms of image quality, patient dose and equipment performance in selected number of mammography units in Croatia and Serbia. Subsequently, corrective actions were suggested and implemented. Then the same parameters were re-assessed. Most of the suggested corrective actions were simple, low-cost and possible to implement immediately, as these were related to working habits in mammography units, such as film processing and darkroom conditions. It has been demonstrated how simple quantitative assessment of image quality can be used for optimisation purposes. Analysis of image quality parameters as OD, gradient and contrast demonstrated general similarities between mammography practices in Croatia and Serbia. The applied methodology should be expanded to larger number of hospitals and applied on a regular basis. (C) 2009 Elsevier Ireland Ltd. All rights reserved. |
Databáze: | OpenAIRE |
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