Attachment 2 - Performance Work Statement 27JUL22.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

MEDICAL PHYSICS SUPPORT

At

88th MEDICAL GROUP (MDG)

WRIGHT-PATTERSON AIR FORCE BASE, OH

Wright-Patterson AFB OH Updated: 27 July 2022

Table of Contents

1. Description of Service 4

1.1. Scope 4

1.2. Diagnostic Imaging Quality Assurance Program 5

1.2.1. Test Objectives 5

1.2.2. References 5

1.2.2.1. Regulatory/Professional References 5

1.2.2.2. Consultations with Diagnostic Imaging Flight Commander 5

1.2.3. Test Equipment 6

1.2.4. Office of Primary Responsibility 6

1.2.5. Quality Assurance Reports 7

1.2.6. Mammography Quality Standards Act Compliance 7

1.2.7. Observation of QA Testing 7

1.3. Availability of Personnel 7

1.3.1. Hours of Operation 7

1.3.2. Work Schedule 8

1.3.3. Federally Observed Holidays 8

1.3.4. Inspections and Surveys 8

1.3.5. Technical Discussions 8

1.3.6. Performance Evaluation Meetings 8

1.4. Education, Training, and Professional Requirements 8

1.4.1. Diagnostic Imaging Medical Physicists 8

1.4.2. Mammography Physicists 8

1.4.3. Continuing Medical Education Requirements 9

1.4.4. Employee Qualifications 9

1.5. General Work Requirements 9

1.5.1. Quality Control Program 9

1.5.2. Point of Contact 9

1.5.3. English Language Requirement 9

1.5.4. Appearance 9

1.5.5. Professional Qualities 9

1.5.6. Changes in Personnel 10

1.5.7. Rights to Information and Reports 10

1.6. Security Requirements 10

1.6.1. Contractor Notification Responsibilities 10

1.6.2. Reporting Requirements 10

1.6.3. Conflict of Interest 10

1.6.4. Indemnification and Medical Liability Insurance 10

1.6.5. Infection Control and Safety 10

1.6.6. The Joint Commission 11

1.7 Voluntary Protection Program (VPP) 11

1.8 Service Contract Reporting (SCR) 11

2. Services Summary 12

3. Appendices 12

A. Core Medical Physics Guidelines 13 B. 88 MDG Diagnostic Imaging Equipment 14

PERFORMANCE WORK STATEMENT

FOR

MEDICAL PHYSICS SUPPORT

I. DESCRIPTION OF SERVICE

1.1. SCOPE

The Contractor shall provide a comprehensive Diagnostic Imaging Quality Assurance (QA) Program for the 88th Medical Group (also referred to as the Military Treatment Facility, or MTF, in this document) operations occurring on Wright-Patterson AFB, Ohio.

The Contractor shall provide physics services to ensure Diagnostic Imaging Quality Assurance Program shall conform to the most recent applicable American College of Radiology (ACR) and The Joint Commission (TJC) standards. The Contractor shall be able to provide Diagnostic Medical Physics services for the following modalities; computed radiography plate readers, digital radiographic systems, fixed radiographic systems, fixed radiographic-fluoroscopic systems, portable radiographic systems, fixed fluoroscopic systems, portable fluoroscopic systems, digital and stereotactic mammography imaging systems, computed tomography (CT) systems, magnetic resonance imaging (MRI) systems, diagnostic ultrasound (U/S) systems, and nuclear medicine (NM) imaging systems (gamma cameras, single photon emission computed tomography (SPECT) and positron emission tomography (PET)), and dental systems.

The Contractor shall furnish all management, labor, tools, equipment, transportation, and materials, necessary to provide medical physics services in support of 88th Medical Group, Wright-Patterson Air Force Base, Ohio. The Diagnostic Imaging Quality Assurance Program shall meet the requirements of the ACR Programs for Mammography, Stereotactic Breast Biopsy, Magnetic Resonance Imaging, Ultrasound, Barium Enema, and Nuclear Medicine. For those imaging modalities for which an ACR Accreditation Program does not yet exist, the Diagnostic Imaging Quality Assurance Program shall conform to the most recent applicable ACR and TJC standards. The Contractor shall provide physics services that comply with the Mammography Quality Standards Act in accordance with Title 21, Code of Federal Regulations, Section 900 (21 CFR 900). The contractor shall meet the medical physicist mammography requirements for licensure, board certification, education, continuing education, training, experience per “Compliance Guidance: The Mammography Quality Standards Act Final Regulations: Preparing For MQSA Inspections; Final” which is located at the following website.

http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/u cm094420.htm http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm094420.htm http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm094420.htm

1.2. DIAGNOSTIC IMAGING QUALITY ASSURANCE PROGRAM.

The Contractor shall submit to the Government a written Comprehensive Diagnostic Imaging Quality Assurance Program within 45 days of being awarded the contract. This plan will include a discussion of the purpose and importance of having a quality assurance program in regards to image quality, patient safety, staff safety, and its impact on creating a High Reliability Culture. The written program is expected to also outline items such as testing frequency of each modality (e.g. 12 +/- 2 months), estimated time to be expected for the annual physics evaluations on each modality type, the objectives/requirements/criteria of each test to be accomplished on a given modality, and the anticipated level of site technologist involvement for annual and/or routine QC (e.g. CT – 12 +/- 1 month IAW TJC Standards, estimated 3 hours needed for physics annual evaluations, HU Accuracy – accurate system HU calibration per kVp station, Technologists are responsible for ensuring daily QC is completed IAW vendor and physicist guidance). Information contained in this plan should provide a comprehensive overview of how the QA program can be expected to operate under the expertise of the Contractor while meeting the requirements set forth by the Government; the plan verbiage will be utilized to inform senior leaders on the importance of ongoing Medical Physics quality assurance efforts.

The Contractor shall ensure all Diagnostic Imaging Quality Assurance Program efforts are aligned with all applicable Defense Health Agency Administrative Instructions, Federal Regulations, TJC requirements, and ACR requirements. It will also be ensured that all technologist QA/QC meet applicable TJC requirements and adhere to any ACR standards and best practices (e.g. CT, MRI, NM QC/QA technologist procedures, documentation, performance trend analysis, etc) for all applicable modalities. For any technologist QC/QA area/modality that the contractor identifies as deficient in Quality Assurance efforts, the Contractor will provide and submit to the Government for review written procedures and forms for recording measured data. Types of medical imaging systems that might require technologist QA/QC include but are not limited to: computed radiography, fixed/portable radiographic systems, fixed radiographic-fluoroscopic systems, portable fluoroscope systems, mammography imaging systems, computed tomography (CT) systems, magnetic resonance imaging (MRI) systems, diagnostic ultrasound (U/S) systems, and nuclear medicine (NM) imaging systems. The Contractor will be responsible for ensuring the Diagnostic Imaging Quality Assurance Program (e.g. Performance Evaluation frequencies and routine QA/QC efforts) is kept current with new technology, regulations, and best practices as appropriate.

While not currently ACR accredited (except in mammography), the MTF requires the contractor to perform physics evaluations and provide technologist guidance that meet ACR requirements for each modality to maintain the MTF’s ability to more readily apply for ACR accreditation in each modality at a later date.

1.2.1. TEST OBJECTIVES. The Contractor shall deliver written Diagnostic Imaging Quality Assurance test objectives not later than 45 days from contract award to the appointed COR.

These test objectives are expected to be part of the Comprehensive Diagnostic Imaging Quality Assurance Program. The test objectives must clearly relate to accepted standards of performance and continuing and baseline performance on imaging systems covered under this contract. Tests of Diagnostic Imaging Equipment must pass either the manufacturers specifications or testing criteria commonly accepted in the fields of Diagnostic Imaging Medical Physics and Nuclear Medicine Medical Physics (e.g. ACR standards/requirements). Until Defense Health Agency Administrative Instructions are published that cover medical physics equipment performance evaluations, diagnostic imaging equipment testing must also meet requirements spelled out in AFMAN 48-148 section 8.4. In addition the contractor shall conduct any shielding designs in accordance with, AFMAN 48-148 Section 4.2 and NCRP Report No. 145 - Radiation Protection in Dentistry, NCRP Report No. 147 - Structural Shielding Design for Medical X-Ray Imaging Facilities and NCRP Report No. 151 - Structural Shielding Design and Evaluation for Megavoltage X- and Gamma-Ray Radiotherapy Facilities.

1.2.2. REFERENCES. There are a number of standard methods for the evaluation of diagnostic imaging systems. These are described in the various technical reports of the American Association of Physicists in Medicine (AAPM), the Food and Drug Administration (FDA) and the ACR. The Contractor shall have a thorough understanding of the instructions, manuals, and guidelines referenced in Appendix A “Core Medical Physics Guidelines” of the PWS.

1.2.2.1. REGULATORY/PROFESSIONAL REFERENCES. The Contractor shall utilize the most current commonly accepted references and version thereof as recommended by the regulatory and professional bodies, including: US Nuclear Regulatory Commission (USNRC), US Environmental Protection Agency (USEPA), US Food and Drug Administration (USFDA), American College of Radiology (ACR), American Board of Radiology (ABR), American Association of Physicists in Medicine (AAPM), USAF, The Joint Commission (TJC), AF Medical Service (AFMS) under USAF IG, and DOD. The Contractor shall modify the QA Program to ensure the program remains in compliance with current recommendations and regulatory requirements.

1.2.2.2. CONSULTATIONS WITH DIAGNOSTIC IMAGING FLIGHT COMMANER. The Contractor shall consult with the Diagnostic Imaging Flight Commander for questions of which reference(s) or standard(s) to follow.

1.2.3. TEST EQUIPMENT. The Contractor shall determine the needs for, specify, and provide all measurement instruments or devices to conduct proper quality assurance tests. The Contractor shall provide all test equipment to perform quality assurance tests. All such test equipment shall remain the property of the Contractor. All measurement instruments or devices shall be calibrated as recommended by the manufacturer and at the frequency required. A current calibration label shall be issued. The Contractor shall provide a copy of current calibration reports for these measurement instruments or devices, to the appointed COR within 45 days of contract award and annually thereafter. The Contractor shall furnish all specialized test equipment; such as radiation detectors, image quality phantoms and image quality tools required for compliance with ACR Accreditation Programs.

1.2.4. OFFICE OF PRIMARY RESPONSIBILITY. The Contractor shall conduct quality control tests on all diagnostic imaging equipment. The Contractor shall conduct acceptance testing of new Diagnostic Imaging equipment. The Contractor shall also conduct investigatory quality control tests to diagnose equipment problems for unacceptable image quality and/or QA/QC test result failures. The Contractor shall take corrective action to correct problem(s) and/or give the clinic clear guidance on corrective action as required. The Contractor will be responsible for ensuring system evaluations are completed within frequency requirements set forth by accrediting and/or regulatory bodies as appropriate; tracking the most recent system evaluation date and clearly communicating with the MTF on upcoming system evaluation dates for scheduling purposes.

1.2.5. QUALITY ASSURANCE REPORTS. The Contractor shall provide written reports which fully document both continuing and baseline performance of imaging systems covered under this contract. These reports shall incorporate data obtained by both the Contractor and the Government. These shall include measurement values and, in those cases where a value is outside accepted limits, shall show the value of each limit. These reports shall provide the results in plain language with recommendations for improvement, recalibration, repair or alterations of techniques, to improve image quality and/or reduce exposure to patients. When considered a standard of practice (e.g. NM/PET image quality testing screen shots included in reports), digital images and digitized test films shall be maintained by the Contractor so that each new test series and the previous series on file may be compared. At no time will the Contractor be authorized to use a USB or flash-memory temporary storage device to retrieve images from an imaging system; burning a CD-ROM is the only current approved method.

Reports must be submitted to the COR within 2 weeks of the testing completion. The COR will review tests performed and results of the tests. The Contractor shall notify in writing the COR of any malfunctioning diagnostic imaging system before the end of the workday that the test is completed. If weekend work is scheduled, the accompanying government medical physicist or radiology technologist will contact Medical Equipment Repair Center (MERC) via established MDG after-hour procedures.

1.2.6. MAMMOGRAPHY QUALITY STANDARDS ACT COMPLIANCE. The Contractor shall provide physics services to comply with the Mammography Quality Standards Act (MQSA) in accordance with Title 21, CFR 900.

1.2.7. OBSERVATION OF QA TESTING. The Contractor shall provide the assigned active duty or civilian MTF medical physicist(s) the dates and times that specific QA testing shall be performed. The Contractor shall allow MTF medical physicist(s) or Radiological Technologist(s) to accompany contractor personnel on any or all testing performed on MTF diagnostic imaging equipment for the purpose of understanding (1) what tests are conducted on individual systems, the (2) process by which the test(s) are accomplished, and (3) how the test(s) support the Quality Assurance and Quality Control Plans.

1.3. AVAILABILITY OF PERSONNEL.

1.3.1. HOURS OF OPERATION. 24/7 timeframe, government personnel will be available at time of service to grant access. If medical physics quality assurance services are required due to equipment repair, the contractor must be able to provide the requested service within 30 days of notification, per ACR standards (except for mammography, which will require a 48 hour turnaround).

1.3.2. WORK SCHEDULE. A Contractor point of contact shall work with the COR to schedule equipment testing. The Contractor shall submit work schedule changes in writing to the COR at least 48 hours in advance of the proposed change.

1.3.3. FEDERALLY OBSERVED HOLIDAYS. The Contractor is not required to provide services on Federal holidays.

1.3.4. INSPECTIONS/ TECHNICAL DISCUSSIONS. The Contractor shall be available, to discuss technical matters and equipment performance with FDA inspectors, MQSA inspectors, and TJC surveyors. The Contractor shall be notified in advance of any inspection or survey, which requires Contractor participation. The Contractor shall be required to perform additional consultation/preceptorship to support the training program of diagnostic imaging technologists as requested. Inspections/technical discussions may be required up to 8 hours per month.

1.3.5. PERFORMANCE EVALUATION MEETINGS. The Contracting Officer (CO) may request the Contractor or his representative to meet with the CO, COR, and other government personnel at least quarterly, and as often as deemed necessary. The meeting is not required to be in-person.

1.4. EDUCATION, TRAINING, AND PROFESSIONAL REQUIREMENTS.

1.4.1. DIAGNOSTIC IMAGING MEDICAL PHYSICISTS: Contractors performing medical physics testing must be qualified medical physicists for the respective modality. Certification in Diagnostic Imaging or Nuclear Medicine by the American Board of Radiology (ABR) is preferred;

however, a non-board certified medical physicist may be considered qualified to perform diagnostic surveys (except for mammography) if they have obtained a preceptor statement from a board certified diagnostic imaging medical physicist confirming that the individual has been trained and is qualified to perform surveys independently, in accordance with standards set by The Joint Commission. A copy of this preceptor statement shall be provided to and maintained by the Diagnostic Imaging Flight Commander. For mammography surveys, individuals are considered to be qualified if they satisfy the standards as specified in the Mammography Quality Standards Act (MQSA) and have forwarded all FDA-required documentation to the Diagnostic Imaging Flight Commander.

1.4.2. MAMMOGRAPHY PHYSICISTS: All medical physicists conducting surveys of Mammography facilities and providing oversight of the facility mammography quality assurance program shall meet all requirements which include the education, training, and experience contained in Food and Drug Administration, 21 Code of Federal Regulations, Part 900, Quality Mammography Standards. Documentation shall be provided upon request to Government personnel.

1.4.3. CONTINUING MEDICAL EDUCATION (CME) REQUIREMENTS. Contractor employees shall meet the American College of Radiology Standard for Continuing Medical Education. CME shall be obtained at no additional cost to the Government and shall be reported to the COR at least annually and on the first work day in January for the previous calendar year. Documentation shall be provided upon request to Government personnel.

1.4.4. EMPLOYEE QUALIFICATIONS. Contractor employee qualification shall be submitted no later than 30 calendar days after receipt of the notice of contract award, or when requested by COR.

1.5. GENERAL WORK REQUIREMENTS

1.5.1. QUALITY CONTROL PROGRAM. Contractor shall develop and maintain a quality control program to ensure medical physics support services are performed in accordance with commonly accepted civilian hospital and commercial practices. The Contractor shall develop and implement procedures to identify and prevent defective services from reoccurring.

Changes to this program will be made at no additional cost to the Government. The Contractor is solely responsible for the quality of services provided. The Contractor is also liable for the Contractor employee negligence, and any fraud, waste, or abuse. Re-performance of any work for failure to perform in accordance with the specified requirement shall be completed at the Contractor’s own expense and at no additional cost to the Government.

1.5.2. POINT OF CONTACT. The Contractor shall provide a point of contact who shall be responsible for the performance of the work Monday thru Friday between the hours of 0730 to 1630. The point of contact shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The Contractor shall designate this individual, in writing, to the Contracting Officer (CO), after contract award and before the period of performance starts on the contract. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary point of contact. If any changes occur in personnel the government will be notified in writing not later than 15 calendar days of the primary point of contact’s last day.

1.5.3. ENGLISH LANGUAGE REQUIREMENT. Contractor personnel engaged in performance of this contract shall read, understand, speak, and write English.

1.5.4. APPEARANCE. Contractor personnel shall present a neat appearance and be easily recognized as contractor employees. Contractor personnel shall display on the front of their uniform or civilian clothes legible Contractor-furnished identification media (e.g. badge) which lists the employee and company’s name. Any required MTF identification will be provided by the MTF.

1.5.5. PROFESSIONAL QUALITIES. The Contractor shall ensure contract providers under his/her supervision maintain open and professional communication with members of the MTF.

1.5.6. CHANGES IN PERSONNEL. When a change in contract employee occurs, the Contractor shall provide the COR the same qualifications required for the initial contract employee two (2) weeks prior to when the proposed change in personnel is to take place.

1.5.7. RIGHTS TO INFORMATION AND REPORTS. The Contractor shall provide reports to the Government as part of the service in accordance with the guidelines listed in Paragraph

1.0. The Contractor shall provide the Government with all processes and calculation methods by which the reported data was obtained. These documents and materials may not be used or sold by the Contractor without written permission from the Contracting Officer.

1.6. SECURITY REQUIREMENTS.

1.6.1. CONTRACTOR NOTIFICATION RESPONSIBILITIES. The Contractor shall submit a “Notification of Contract” letter to the Contracting Office for endorsement before the letter is forwarded to the 88SFS/S5SP for approval. The “Notification of Contract” must be submitted to the 88SFS/S5SP at least 24 hours prior to the issuance of base identification. The notification shall include: name, address, and telephone number of company representatives; the contract number and contracting agency; the reason for the contract (i.e., work to be performed); the location(s) of contract performance and future performance, if known; the date contract performance begins; any change to information previously provided under this paragraph.

1.6.2. REPORTING REQUIREMENTS. The Contractor shall comply with AFI 71-101, Volume-1, Criminal investigations, and Volume-2, Protective Service Matters, requirements.

Contractor personnel shall report to an appropriate Government authority any information or circumstances of which they are aware that may pose a threat to the security of DOD personnel, contractor personnel, resources, and classified or unclassified defense information. Contractor employees shall be briefed by their immediate supervisor upon initial on-base assignment and as required thereafter.

1.6.3. CONFLICT OF INTEREST. The Contractor shall not employ any person who is an employee of the United States Government, if the employment of that person would create a conflict of interest, nor shall the Contractor employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval in accordance with DOD Directive 5500.7 and Air Force policy.

1.6.4. INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE. The Contractor shall provide and maintain adequate liability insurance coverage consistent with the risks associated with the performance of all services required in accordance with FAR clause 52.228-5 “Insurance – Work on a Government Installation”.

1.6.5. INFECTION CONTROL AND SAFETY. All contract personnel shall comply with all MTF infection control and safety procedures, practices and standards. MTF policies and guidelines pertaining to these requirements will be provided to the Contractor by the Government.

1.6.6. THE JOINT COMMISSION (TJC). Contract personnel shall comply with all applicable TJC standards during the performance of this contract. MTF policies and guidelines pertaining to these requirements will be provided to the Contractor by the Government.

1.7 VOLUNTARY PROTECTION PROGRAM (VPP). Currently, the Wright Patterson AFB MTF is recognized under the OSHA Voluntary Protection Program (VPP). The Voluntary Protection Program promotes effective worksite-based safety and health. Within the VPP, management, labor and OSHA establish cooperative relationships at workplaces that have implemented a comprehensive safety and health management system. Approval into VPP is OSHA’s official recognition of the outstanding efforts of employers and employees who have achieved exemplary occupational safety and health. The plan shall identify processes and procedures used to track compliance with the Contractor’s Safety and Health Plan, and the processes and procedures used to correct violations. The Contractor shall be responsible for ensuring their employees and managers have a comprehensive understanding of VPP as well as full compliance with OSHA requirements. The Contractor shall follow the safety and health rules of the installation or VPP site. Detailed information on VPP is available on the OSHA website at https://www.osha.gov/dcsp/vpp/index.html

1.8 SERVICE CONTRACT REPORTING (SCR). This contract is subject to Service Contract Reporting. The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Air Force via a secure data collection site.

The contractor is required to completely fill in all required data fields using the following Air Force link web address: https://www.sam.gov/

Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30.

While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year.

Reporting Period: Contractors are required to input data each year. Uses and Safeguarding of Information: Information from the secure web site is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the contractor name and contract number associated with the data.

FAQ and Start Guides: FAQs and start guides are available at http://www.sam.gov/.

Contractors may direct questions to the help desk at: http://www.sam.gov/.

https://www.osha.gov/dcsp/vpp/index.html https://www.sam.gov/

2. SERVICES SUMMARY

Performance Objective PWS para. Performance Threshold

SS-1 Diagnostic Imaging Quality Assurance Program and Test Objectives (Delivery within 45 days of contract award)

a) Submitted on time

b) Complies with QA Program

1.2 Zero (0) defects within the month

SS-2 Calibration Reports for Measurement Instruments and Devices have been submitted accurately and on time (Submit within 45 days of contract award & annually thereafter)

1.2.3 Zero (0) defects within the month

SS-3 System Evaluations are completed within frequency requirements set forth by accrediting/regulatory bodies (e.g. <14 months IAW MQSA)

1.2.4 Zero (0) defects within the month

SS-4 Quality Assurance Reports have been submitted accurately and on time.

(within 2 weeks of testing date)

1.2.5 Zero (0) defects within the month

SS-5 Contractor participates in Inspections and Technical Discussions

1.3.4 Zero (0) defects within the month

SS-6 Contractor employees have received Continuing Medical Education (CME) (Annually, 1st duty day in January)

1.4.3 Annually, or as needed.

SS-7 Employees have proper credentials

1.4.4 Annually, or as needed.

3. APPENDICES

A. Core Medical Physics Guidelines B. 88 MDG Diagnostic Imaging Equipment

Appendix A: Core Medical Physics Guidelines

Fundamental USAF Instructions and Occupational Health Standards http://www.e-publishing.af.mil (see the Air Force "Departmental" Publications link)

AFMAN 40-201

AFMAN 48-148

AFMAN 48-125

AFOSHSTD 48-139

WPBAFI 40-201

MDGI 40-134

Primary American Association of Medical Physicists Reports

Report Year Title

74 2002 Quality Control in Diagnostic Radiology

93 2006 Acceptance Testing & Quality Control of Photostimulable Storage Phosphor Imaging Systems

96 2008 The Measurement, Reporting, and Management of Radiation Dose in CT

108 2006 PET and PET/CT Shielding Requirement

Reports available on the AAPM website at http://www.aapm.org/

Primary NCRP Shielding Design Guidelines

NCRP Report No. 145 - Radiation Protection in Dentistry

NCRP Report No. 147 - Structural Shielding Design for Medical X-Ray Imaging Facilities

NCRP Report No. 151 - Structural Shielding Design and Evaluation for Megavolatage X- and Gamma-

Ray Radiotherapy Facilities

Copies available for purchase at http://www.ncrp.com or http://www.ncrponline.org/

Other Medical Physics Guidance

US Food and Drug Administration for Mammography Quality Standards Act of 1994:

http://www.fda.gov/radiation-emittingproducts/mammographyqualitystandardsactandprogram/default.htm

US Nuclear Regulatory Commission for management and use of radioactive materials for medical use and radiation safety requirements, to include (but not limited to) 10 CFR Parts 19, 20, 30, 33, 35, and 71:

http://www.nrc.gov/reading-rm.html http://www.e-publishing.af.mil/ http://www.fda.gov/radiation-emittingproducts/mammographyqualitystandardsactandprogram/default.htm http://www.nrc.gov/reading-rm.html

Appendix B: 88 MDG Diagnostic Imaging Equipment Inventory as of April 2022

Category Description Manufacturer Model Location

CR Radiographic Fuji FCR XG-5000 Radiology

CR Radiographic Fuji FCR Carbon XL-II Radiology

CT Therapy Simulator Philips Brilliance Big Bore Radiation Oncology

CT CT Siemens Definition Edge Radiology

CT CT Siemens Intevo Radiology

CT PET/CT Siemens Biograph mCT Radiology

Dental CT Carestream CS 9300C Dental

Dental Pan/Ceph Planmeca Inc Promax 2D S3 Dental

Display Mammography DRWS Barco MDMC-12133 Radiology

Display Mammography DRWS Barco MDCG-5221 Radiology

Display Primary DRWS Barco MDCC-6230 Radiology

Display Primary DRWS Barco MDCC-6230 Radiology

Display Primary DRWS Barco MDCC-6230 Radiology

Display Primary DRWS Barco MDCC-6230 Radiology

Display Mammography DRWS Barco MDMC-12133 Radiology

Display Primary DRWS Barco MDCC-4130 Radiology

Display Primary DRWS Barco MDCC-6230 Radiology

Display Primary DRWS Barco MDCC-6230 Radiology

Display Primary DRWS Barco

MDRC-2221, MDCC-

6230 Radiology

Display Primary DRWS Barco (2) MDRC-2221 Radiology

Fluoroscopy Portable C-Arm GE OEC 9900 Elite Surgery

Fluoroscopy Portable C-Arm GE OEC 9900 Elite Surgery

Fluoroscopy Fixed C-Arm Philips Alura XPER FD20 Cardiac Cath

Fluoroscopy Portable C-Arm GE OEC 9900 Elite Pain Clinic

Fluoroscopy Biplane C-Arm Siemens Artis Q Surgery

Fluoroscopy O-Arm Medtronic O-Arm Surgery

Fluoroscopy Rad/Fluoro Suite Siemens Luminos Agile Max Radiology

Fluoroscopy Urology Siemens Uroskop Omnia Max Urology

Fluoroscopy Mini C-Arm Orthoscan 1000-0004 Ortho

Fluoroscopy Mini C-Arm Orthoscan 1000-0004 Ortho

Fluoroscopy Urology Siemens Uroskop Omnia Max Surgery

Fluoroscopy Portable C-Arm GE OEC 9900 Elite Surgery

Fluoroscopy Rad/Fluoro Suite Siemens Luminos Agile Max Radiology

Fluoroscopy Mini C-Arm Orthoscan 1000-0004 Ortho

Mammography 2D GE Essential Radiology

Mammography DBT Hologic Lorad Selenia Dimensions Radiology

Mammography Prone Stereo Hologic Affirm Prone 3D Radiology

Mammography DBT Hologic Lorad Selenia Dimensions Radiology

MRI 1.5T Philips Achieva Radiology

Nuc_Med SPECT Siemens Evo Radiology

Nuc_Med SPECT/CT Siemens Intevo Radiology

Nuc_Med SPECT Siemens Evo Radiology

Nuc_Med PET/CT Siemens Biograph mCT Radiology

Other Other Neoprobe N1000 Radiology

Radiographic Fixed DR AGFA DX-D600 Radiology

Radiographic Fixed DR Philips Bucky Diagnost TH Radiology

Radiographic Fixed DR AGFA DX-D 600 Radiology

Radiographic Fixed DR Siemens Luminos Agile Max Radiology

Radiographic Fixed DR Siemens Luminos Agile Max Radiology

Radiographic Portable DR Samsung GM85 Radiology

Radiographic Portable Analog GE AMX Radiology

Radiographic Portable DR Carestream DRX Revolution Radiology

Radiographic Portable DR Carestream DRX Revolution Radiology

Radiographic Fixed DR AGFA DX-D600 Radiology

Specialty DEXA GE Lunar Radiology

Ultrasound Portable Ultrasound Philips EPIQ 7G Radiology

Ultrasound Portable Ultrasound Philips EPIQ 7G Radiology

Ultrasound Portable Ultrasound Philips EPIQ 7G Radiology

Ultrasound Portable Ultrasound Philips EPIQ 7G Radiology