D. Musculoskeletal System
PCR Guidelines in Musculoskeletal Imaging
I. INTRODUCTION TO THE PROCEDURE
· MUSCULOSKELETAL SYSTEM
· Infectious Process
· Neoplastic Process
· Metastatic Lesions
· Bone Dysplasias
· Child abuse
III. Qualifications of Personnel
· Physician : Certified Radiologist, Diplomate/Fellows/Physician-On-Training under direct supervision of Diplomate/Fellow.
· Technologist: PRC Licensed Radiographer/Radiologic Technologist/Student-on-training under direct surpervision of licensed radiographer/radiologic technologist
IV. Technical Problems
· Films Critic Approach. Films should be readable.
· Manual Dark Room Technique should be discourage
· Automatic Processing/ Laser Printing should be encourage
V. Specifications for the Performance of Examination
· Use of Protective Device is a MUST.
· Only Radiologist/Physicians who under went radiation protection certification/radiographer/radiologic technologist are allow to use fluoroscopy.
VI. Quality Control Procedures
· Grid cassettes should be use for osseous study especially for the spine and skull studies.
· Single exposure should be use in a film unless multi-formatting is available
· Bucky technique should always be use for bone study.
· The body part to be examined should be viewed in one film.
· For nasal bone study, soft tissue lateral and water’s view is required
· For Rib Cage study, AP and Oblique views.
· For Babygram, the osseous structures of the baby should be properly identified up to the phalanges.
· The report should include: name, age/sex, film number, referring physician name, name of examination, date of examination, history/case.
· Description / Remark or Impression of Radiologist. Remark or Impression is not an automatic requirement in a film report.
· Print Name of Radiologist with signature on top of it (authorize personnel can sign for the reader Radiologist only when the said Radiologist allows it)