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.