radiology/README.md

# Radiology & Medical Imaging Quality Management System

A comprehensive QMS template designed for radiology departments, imaging centers, and diagnostic imaging services.

## 🩻 Designed For

- **Hospital Radiology Departments** - Full-service diagnostic imaging
- **Outpatient Imaging Centers** - Freestanding radiology facilities
- **Interventional Radiology** - Image-guided procedures
- **Breast Imaging Centers** - Mammography and breast MRI
- **Nuclear Medicine** - PET, SPECT, and nuclear imaging
- **Radiation Oncology** - Therapeutic radiology services
- **Teleradiology Services** - Remote interpretation services

## 📋 Regulatory Framework

This template supports compliance with:

- **ACR** - American College of Radiology accreditation
- **The Joint Commission** - Hospital accreditation (diagnostic imaging)
- **FDA** - Medical device regulations, MQSA (mammography)
- **CMS** - Medicare imaging requirements
- **State Radiation Control** - State licensing and inspection
- **NRC** - Nuclear Regulatory Commission (if radioactive materials)
- **HIPAA** - Patient privacy and image security
- **OSHA** - Radiation worker safety
- **AAPM** - Medical physics standards
- **ACR Appropriateness Criteria** - Clinical decision support

## Repository Structure

```
├── SOPs/
│   ├── General-Radiography/   # X-ray, fluoroscopy, portable imaging
│   ├── CT-Imaging/            # CT protocols, contrast administration
│   ├── MRI-Operations/        # MRI safety, protocols, contrast
│   ├── Ultrasound/            # US protocols, transducer care
│   ├── Nuclear-Medicine/      # Radiopharmaceutical handling, imaging
│   ├── Equipment/             # QC, maintenance, calibration
│   └── General/               # Document control, training, CAPA
├── Forms/
│   ├── Patient-Screening/     # MRI safety, contrast allergy, pregnancy
│   ├── Protocol-Sheets/       # Imaging protocol documentation
│   ├── QC-Records/            # Daily QC, equipment logs
│   ├── Contrast-Records/      # Contrast administration, reactions
│   ├── Dose-Logs/             # Radiation dose tracking
│   └── Training/              # Competency assessments
├── Policies/                  # Department policies
├── Work-Instructions/         # Step-by-step procedures
└── Templates/                 # Document templates
```

## Document Numbering Convention

- **POL-XXX**: Policies
- **SOP-RAD-XXX**: General Radiography SOPs
- **SOP-CT-XXX**: CT Imaging SOPs
- **SOP-MRI-XXX**: MRI Operations SOPs
- **SOP-US-XXX**: Ultrasound SOPs
- **SOP-NM-XXX**: Nuclear Medicine SOPs
- **SOP-EQ-XXX**: Equipment SOPs
- **WI-XXX**: Work Instructions
- **FRM-XXX**: Forms and Records

## 🤖 AI-Powered Assistance

This repository includes **AtomicAI**, your radiology QMS assistant. Mention `@atomicai` in any issue or pull request to:

- Draft imaging protocol SOPs
- Create patient screening and safety procedures
- Generate equipment QC protocols
- Develop contrast administration procedures
- Create radiation dose tracking systems
- Review documents for ACR compliance

### Example Prompts

- "@atomicai create an SOP for MRI patient screening and safety"
- "@atomicai draft a CT contrast administration and reaction protocol"
- "@atomicai write a mammography quality control procedure per MQSA"
- "@atomicai create an equipment QC log for digital radiography"
- "@atomicai develop a radiation dose optimization protocol"
- "@atomicai create a portable X-ray infection control procedure"

## Getting Started

1. **Establish Safety Programs** - Implement MRI, radiation, and contrast safety
2. **Define Imaging Protocols** - Standardize protocols by exam type
3. **Set Up Equipment QC** - Daily, weekly, and monthly QC schedules
4. **Implement Dose Monitoring** - Track and optimize radiation dose
5. **Train Technologists** - Use competency assessment forms

## Key Documents to Create First

1. **MRI Safety Screening SOP** - Patient and personnel safety
2. **CT Contrast Administration SOP** - IV contrast protocols and reactions
3. **Equipment QC Procedures** - Daily QC for each modality
4. **Radiation Dose Tracking Policy** - DRL monitoring and optimization
5. **Mammography QC Program** - MQSA-required procedures
6. **Image Quality Review SOP** - Technologist quality feedback
7. **Critical Results Communication** - Urgent finding notification

## Special Considerations for Radiology

### Patient Safety
- MRI screening (implants, devices, pregnancy)
- Contrast allergy and reaction management
- Radiation dose optimization (ALARA)
- Pregnancy screening and shielding
- Pediatric dose reduction

### Equipment Quality Control
- Daily QC phantoms and tests
- Annual physics surveys
- Preventive maintenance schedules
- Calibration verification
- Service documentation

### Imaging Protocols
- Standardized protocol libraries
- Indication-based protocol selection
- Dose optimization techniques
- Image quality standards
- Protocol deviation documentation

### Regulatory Compliance
- ACR accreditation maintenance
- MQSA requirements (mammography)
- State radiation inspection preparation
- Credentialing and privileging
- Peer review programs

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*This template is maintained by AtomicQMS. For questions, open an issue in this repository.*