Ultrasound Quality Assurance Checklist
Table 3-10:
Performed By
System
Probe Type
Phantom Model
Acoustic Output
Gray Map
Monitor Setting
Peripheral Settings
Other Image Processing Control Settings
Baseline
Value
Test
Range
Vertical
Measurement
Accuracy
Horizontal
Measurement
Accuracy
Axial
Resolution
Lateral
Resolution
Penetration
Functional
Resolution
Contrast
Resolution
Gray Scale
Photography
–
Versana Essential
5759238-100 English Rev. 2
Ultrasound Quality Assurance Checklist (Part 1)
Probe Model
Serial Number
Gain
TGC
Table 3-11:
Tested
Hardcopy/
Value
Archived
User Guide
Date
Serial Number
Serial Number
Room Temperature
Focal Zone
Depth
(Part 2)
Image
Acceptable?
Yes/No
Quality Assurance
Service
Called
Date
(Date)
Resolved
3-61
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