Performance evaluation of computed tomography scanners in Indonesia: recommendation from a nation-wide study.

In this study, an evaluation of the compliance test data from 684 computed tomography (CT)-scanners in Indonesia for the 2019-22 test period was carried out. The study was aimed to describe the performance profile of CT-scanners in Indonesia and evaluate the testing protocol. A total of 87.8% of the CT-scanners unconditionally passed the tests, 8.8% passed the tests with conditions and 3.4% failed the tests. Of the devices conditionally passed the tests, the top two causes were water CT number accuracy (45.2%) and laser position accuracy (41.9%). Meanwhile, 75.0% of the failed devices were due to failing to meet the patient dose test criteria. The failure of the test for the water CT number accuracy parameter was caused by variations in the type of phantom used in the test, where several types of phantoms did not use water as material of the homogeneity module. Failures in laser position accuracy test were caused by the passing criteria that adjust to the minimum slice thickness, so that modern CT-scanner with small detector sizes and collimations tend not to pass. On the other hand, the failure on dose aspects was due to the frequent unavailability of baseline values for comparison. Of these top three failure causes, two of them, namely the CT number and dose test parameters, have been accommodated in the latest regulation (BAPETEN Regulation No. 2/2022) with a change in the evaluation method, while for the laser position accuracy test it is recommended to alter the passing criteria to an absolute value, namely 1 mm.

Performance evaluation of stationary and mobile radiography systems in Indonesia.

An analysis and evaluation has been carried out on each test parameter contained in the compliance test of 1016 stationary and 480 mobile radiography devices compiled by the Indonesian Nuclear Energy Regulatory Agency (Badan Pengawas Tenaga Nuklir, BAPETEN) from 2019 to 2020. The data were categorised and analysed based on the devices' age to observe the correlation of performance with the age of the X-ray machine. In addition, the implementation level of the Automatic Exposure Control (AEC) system test of the stationary radiography X-ray modality is also reviewed. The results of the evaluation showed that 89.9% of the stationary radiography devices unconditionally pass the test, 5.2% are in the status of 'conditional pass' and 4.9% fail the test. On the other hand, 84.8% of mobile radiography devices unconditionally pass the test, 2.1% are in the status of 'conditional pass' and 13.1% fail the test. From the evaluation conducted, there is no observable correlation between the age of the modality and the results of the compliance test. Overall, only 9.2% of stationary radiography X-ray compliance test reports have included the AEC test since it is not a mandatory requirement of the national protocol.