• 제목/요약/키워드: Quality assurance system

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Uncertainty Assessment: Relative versus Absolute Point Dose Measurement for Patient Specific Quality Assurance in EBRT

  • Mahmood, Talat;Ibrahim, Mounir;Aqeel, Muhammad
    • 한국의학물리학회지:의학물리
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    • 제28권3호
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    • pp.111-121
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    • 2017
  • Verification of dose distribution is an essential part of ensuring the treatment planning system's (TPS) calculated dose will achieve the desired outcome in radiation therapy. Each measurement have uncertainty associated with it. It is desirable to reduce the measurement uncertainty. A best approach is to reduce the uncertainty associated with each step of the process to keep the total uncertainty under acceptable limits. Point dose patient specific quality assurance (QA) is recommended by American Association of Medical Physicists (AAPM) and European Society for Radiotherapy and Oncology (ESTRO) for all the complex radiation therapy treatment techniques. Relative and absolute point dose measurement methods are used to verify the TPS computed dose. Relative and absolute point dose measurement techniques have a number of steps to measure the point dose which includes chamber cross calibration, electrometer reading, chamber calibration coefficient, beam quality correction factor, reference conditions, influences quantities, machine stability, nominal calibration factor (for relative method) and absolute dose calibration of machine. Keeping these parameters in mind, the estimated relative percentage uncertainty associated with the absolute point dose measurement is 2.1% (k=1). On the other hand, the relative percentage uncertainty associated with the relative point dose verification method is estimated to 1.0% (k=1). To compare both point dose measurement methods, 13 head and neck (H&N) IMRT patients were selected. A point dose for each patient was measured with both methods. The average percentage difference between TPS computed dose and measured absolute relative point dose was 1.4% and 1% respectively. The results of this comparative study show that while choosing the relative or absolute point dose measurement technique, both techniques can produce similar results for H&N IMRT treatment plans. There is no statistically significant difference between both point dose verification methods based upon the t-test for comparing two means.

가상원격교육체제의 질 관리를 위한 평가모형의 개발 (Development of Quality Assurance Model and Guiding Principles for Effective Cyber Education)

  • 안미리;김미량
    • 컴퓨터교육학회논문지
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    • 제4권1호
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    • pp.1-10
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    • 2001
  • 가상공간이 교수-학습 목적의 가능성을 인정받아감에 따라 가상원격교육체제에의 관심이 집중되고 있다. 2001년 3월 학위를 수여하는 원격대학의 정식개교를 앞두고 가상원격의 방법으로 진행되는 교육에 대한 기대가 팽배해 있는가 하면 동시에 그 교육의 질에 대한 우려가 강하게 제기되고 있는 것 또한 사실이다. 이에 본 연구는 교육의 새로운 환경으로 빠르게 성장해가고 있는 가상원격교육체제의 질을 총체적으로 관리, 평가할 수 있는 준거모형을 5개 영역으로 구분하여 개발, 제시해 보았다. 새롭게 부각되고 있는 가상원격교육체제의 질 관리를 위한 평가 준거의 정립은 매우 중요함에도 그 동안 새로운 체제를 평가할 수 있는 통합적 모형이 미비했음을 감안하면 가상원격교육체제의 평가에 이론적 기초가 되는 본 평가모형의 구안은 체제의 총체적 평가 및 질 관리에 유용한 지침을 제공해 줄 것으로 판단된다.

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Enhancing value of quality assurance rounds in improving radiotherapy management: a retrospective analysis from King Hussein Cancer Center in Jordan

  • Khader, Jamal K.;Al-Mousa, Abdelatif M.;Mohamad, Issa A.;Abuhijlih, Ramiz A.;Al-Khatib, Sondos A.;Alnsour, Anoud Z.;Asha, Wafa A.;Ramahi, Shada W.;Hosni, Ali A.;Abuhijla, Fawzi J.
    • Radiation Oncology Journal
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    • 제37권1호
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    • pp.60-65
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    • 2019
  • Purpose: The quality assurance (QA) chart rounds are multidisciplinary meetings to review radiation therapy (RT) treatment plans. This study focus on describing the changes in RT management based on QA round reviews in a single institution. Materials and Methods: After 9 full years of implementation, a retrospective review of all patients whose charts passed through departmental QA chart rounds from 2007 to 2015. The reviewed cases were presented for RT plan review; subcategorized based on decision in QA rounds into: approved, minor modifications or major modifications. Major modification defined as any substantial change which required patient re-simulation or re-planning prior to commencement of RT. Minor modification included treatment plan changes which didn't necessarily require RT re-planning. Results: Overall 7,149 RT treatment plans for different anatomical sites were reviewed at QA rounds. From these treatment plans, 6,654 (93%) were approved, 144 (2%) required minor modifications, while 351 (5%) required major modifications. Major modification included changes in: selected RT dose (96/351, 27%), target volume definition (127/351, 36%), organs-at-risk contouring (10/351, 3%), dose volume objectives/constraints criteria (90/351, 26%), and intent of treatment (28/351, 8%). The RT plans which required major modification according to the tumor subtype were as follows: head and neck (104/904, 12%), thoracic (12/199, 6%), gastrointestinal (33/687,5%), skin (5/106, 5%), genitourinary (16/359, 4%), breast (104/2387, 4%), central nervous system (36/846, 4%), sarcoma (11/277, 4%), pediatric (7/251, 3%), lymphoma (10/423, 2%), gynecological tumors (2/359, 1%), and others (11/351, 3%). Conclusion: Multi-disciplinary standardized QA chart rounds provide a comprehensive and an influential method on RT plans and/or treatment decisions.

초음파 의료영상에서 ATS 535H 팬텀을 이용한 해상력 특성 평가 (Evaluation of the Resolution Characteristics by Using ATS 535H Phantom for Ultrasound Medical Imaging)

  • 민정환;정회원;강혜경
    • 대한방사선기술학회지:방사선기술과학
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    • 제46권1호
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    • pp.15-21
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    • 2023
  • This study was purpose to assessment of the resolution characteristics by using ATS 535H Basic quality assurance (QA) phantom for ultrasound. The ultrasound equipment was used Logiq P6 (Ultrasound, GE Healthcare System, Chicago, IL, USA). And the ultrasound transducer were used Convex 4C (4~5.5 MHz), Linear 11L (10~13 MHz), Sector 3SP (3~5.5 MHz) probe. As for the noise power spectrum (NPS) comparison results by using ATS 535H Basic QA ultrasound phantom and Convex 4C, Linear 11L, Sector 3SP probe. The NPS value of the Convex 4C probe image was 0.0049, Linear 11L probe image was 0.0049, Sector 3SP probe image was 0.1422 when the frequency is 1.0 mm-1. The modulation transfer function (MTF) comparison results by using ATS 535H Basic QA ultrasound phantom and Linear 11L probe the MTF value of the 3 cm focus image was 0.7511 and 4 cm focus image was 0.9001 when the frequency is 1.0 mm-1. This study was presented characteristics of spatial resolution a quantitative evaluation methods by using ultrasound medical images for QA of ultrasound medical QA phantom. The quality control (QC) for equipment maintenance can be efficiently used in the clinic due to the quantitative evaluation of the NPS and MTF as the standard methods. It is meaningful in that it is applied mutatis mutandis and presented the results of physical resolution characteristics of the ultrasound medical image.

우리나라와 미국의 승인된 정비조직 제도 비교 (Comparison of AMO System between Korea and US)

  • 조현명
    • 항공우주시스템공학회지
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    • 제10권2호
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    • pp.27-33
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    • 2016
  • For the continued airworthiness of aviation products, aviation authority requires that every manufacturer should provide ICA(Instruction of Continued Airworthiness) to their users, and the users should follow it by themselves or using another approved maintenance agent. To reduce the cost and improve performance quality of maintenance activities, lots of users tries to outsource this job. To perform maintenance or repair of other owned air products, an air carrier and aviation maintenance companies should obtain AMO(approval of maintenance organization). It means AMO is a postulation to enter MRO(Maintenance Repair and Overhaul) market. For that, this paper discusses the comparison of requirements and procedures of AMO system between Korea and US to help understand the AMO system, and then, tries to point out what improvement should be made to Korean AMO system to be more effective, efficient and safe.

농약 이화학시험 분석기관 정도관리체계 (Quality Control System for Analytical Chemistry Laboratory of Pesticide Products)

  • 장희라;이준엽;이영주;강혜림;김찬섭;김균
    • 농약과학회지
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    • 제15권4호
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    • pp.529-544
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    • 2011
  • 분석표준화 관련 국제기관인 ISO, CIPAC 등은 농약제품 시험기관에 대한 정도관리(QC), 숙련도 시험 및 분석법 검증을 수행하기 위한 요구조건을 지침서로 제시하고 있다. 일반적으로, 숙련도 시험은 시험기관의 분석능력 평가를 위하여 시험기관간 비교시험을 바탕으로 시험기관의 수행능력과 기술능력 정도를 판단할 수 있다. 분석법 검증 절차는 정도관리(QC)에서 중요한 단계 중 하나로 특이성, 선택성, 직선성 등의 항목들이 포함되며, 대부분의 국제기관이 농약제품 중 주요성분에 대한 정량분석법에서 재현성, 정확성 및 정밀성 등을 요구하고 있다. 본 연구에서는 농약 이화학시험 분석기관의 시험연구과정 및 결과에 대한 신뢰성을 높이기 위해 국내 외 정도관리에 관한 지침서를 비교 검토하여 국제적으로 표준화된 지침서에 적합한 구체적이고, 효율적인 농약 이화학시험 분석기관의 농약분석법 검증절차 및 시험기관 정도관리 체계(안)를 제안하고자 한다.

한국 치의학 교육 평가인증제도의 현황과 발전방향 (The Present Situation and Future Direction of the Korean Dental Education Accreditation System: Present and Future)

  • 김경년;김윤진;김주아;김지연;김각균;이재일;신제원
    • 대한치과의사협회지
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    • 제53권3호
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    • pp.201-215
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    • 2015
  • The Korean Institute of Dental Education and Evaluation (KIDEE) was established in 2007 to provide the quality assurance in dental education. The KIDEE has been recognized by The Ministry of Education from Jan. 2015 for 5 years. KIDEE had accredited basic dental education programs of all 11 Korean dental schools. The dental accreditation system was introduced to encourage the improvement for dental schools, to ensure the quality of dental practice and most of all, to establish an internationally compatible system of evaluation and accreditation. The accreditation system in Korea is supported by voluntary service of many dental professionals and contribute to improve the quality of dental education program in all institutions. The accreditation by KIDEE let the students and the dentists be taught with assured education program and the all Koreans be cared by the qualified dentists. A quality education system thus provides a sufficient number of qualified dental health professionals to meet the workforce needs of the nation. Ultimately, this should result in quality oral health care for the public. Finally, by specifying the competencies of graduates, the standards will define the scope of dental practice. This may serve to define the profession of dentistry and differentiate it from other health professions, or to differentiate among the specialties in dentistry in the case of advanced dental education programs.

APQP와 DFSS를 연계한 자동차부품연구개발 단계에서 품질보증에 관한 연구 (A Study on Quality Assurance in Auto-parts Research & Development Stage with APQP and DFSS)

  • 이강인;김재휴
    • 품질경영학회지
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    • 제39권1호
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    • pp.131-140
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    • 2011
  • Today, due to the global recession car sales have been decreased rapidly and auto makers are competing continuously to expand their market share. Automakers are struggling in order to secure competitive cost and quality through continuous cost reduction and quality innovation activities to win in the competition. In this situation, auto parts makers are trying to reinforce price competitiveness by reducing COPQ (Cost Of Poor Quality) in the mass production stages by securing the quality of components in advance from the design stage through DFSS (Design For Six Sigma) activities which is 6 sigma approach in the R&D field. However, auto parts makers have been undergone various confusion, feeling difficulties to get interrelationship among various activities. Thus, this study is going to suggest approach method for much more effective R&D activities by securing interrelationship between ISO/TS 16949 system established in the auto parts industry and DFSS activities.

금형 자동측정에 의한 사상맵 생성 (A Method for Generation of Grinding Map based on Automatic Mold Measurement)

  • 정남용;조진형;오현승;이세재
    • 산업경영시스템학회지
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    • 제41권4호
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    • pp.248-255
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    • 2018
  • Ensuring the quality of molds is one of the major issues in mass production. In general, securing the quality of the molds is achieved by repeating grinding and die spotting after machining the molds based on engineer's decision. However, this heuristic method is affected by the engineer's skill and working environment. Therefore, a lot of time and resources are needed in order to ensure quality. In this study, ensuring the quality of molds using grinding map which is generated using automatic measurement is proposed. An automatic measuring system based on CMM (Coordinate Measuring Machine) is developed for measuring the molds. This system generates the measurement path automatically using the 3D CAD model of products. CAD (ComputerAided-Design), CAM (Computer-Aided-Manufacturing), and CAQ (Computer-Aided-Quality) technology is integrated using DMIS (Dimensional Measuring Interface Standard) format in the automatic measuring system. After measuring the molds, a grinding map is generated using the gap between the CAD model and measured values of mold. The grinding map displays the machining tendency and the required amount of grinding with values on a 3D map. Therefore, the quality of molds can be ensured with exactness and quickness based on the grinding map. This study shows that integrating the planning, measuring, and analyzing based on computer technology can solve the problem of quality assurance of mold using the proposed method, therefore the productivity can be increased.

Robust Controller Design for a Stabilized Head Mirror

  • Keh, Joong-Eup;Lee, Man-Hyung
    • International Journal of Precision Engineering and Manufacturing
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    • 제3권4호
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    • pp.78-86
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    • 2002
  • In this paper, LMI (Linear Matrix Inequality) based on H$\_$$\infty$/ controller for a lire of sight (LOS) stabilization system. It shows that the proposed controller has more excellent stabilization performance than that of the conventional PI-Lead controller. An H$\_$$\infty$/ control has been also applied to the system for reducing modeling errors and the settling time of the system. The LMI-based H$\_$$\infty$/ controller design is more practical in view of reducing a run-time than Riccati-based H$\_$$\infty$/ controller. This H$\_$$\infty$/ controller is available not only to decrease the gain in PI-Lead control, but also to compensate the identifications for the various uncertain parameters. Therefore, this paper, shows that the proposed LMI-based H$\_$$\infty$/ controller had good disturbance attenuation and reference input tracking performance compared with the control performance of the conventional controller under any real disturbances.