[Intl_DxMedPhys] QC on Dedicated Cardiac PET/CT (IAC, TJC)

[William Sensakovic]

Thinking of 10cfr35.63

William F. Sensakovic, PhD, MRSC(MRSE), FAAPM
Chair and Assoc. Prof., Mayo Clinic (Arizona)
Founder, Telerad Physics Teaching, LLC
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From: William Sensakovic <wfsensak at outlook.com>
Sent: Thursday, January 22, 2026 5:20:21 PM
To: DxMedPhys List <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: Re: [Intl_DxMedPhys] QC on Dedicated Cardiac PET/CT (IAC, TJC)

I did not think that would be allowed. If they are drawing from a generator themselves (instead of getting unit doses from the radiopharmacy) I thought they are required to assay dose before injection. I thought you can avoid dose assay only if you use a unit dose.
Am I mistaken?

William F. Sensakovic, PhD, MRSC(MRSE), FAAPM
Chair and Assoc. Prof., Mayo Clinic (Arizona)
Founder, Telerad Physics Teaching, LLC
________________________________
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+wfsensak=outlook.com at lists.osu.edu> on behalf of Scott Fuller via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Sent: Wednesday, January 21, 2026 1:52:36 PM
To: DxMedPhys List <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: [Intl_DxMedPhys] QC on Dedicated Cardiac PET/CT (IAC, TJC)

I’m working with a facility that intends to install a Rubidium dedicated PET/CT system.  They would like to do so without installing any sort of a hot lab or dose measuring equipment as there is no intention of using anything other than Rb-82 (seems ok from a clinical perspective and all vendors involved have supported this).

My question is, does anyone have experience providing QC support for a setup such as this?  A dedication Rubidium unit that is not able to order, prepare, or store longer lived isotopes such as F-18?  I’m unsure how one would go about supporting an image quality assessment and program without, at minimum, scanning a filled phantom.

For accreditation purposes, the facility is under the umbrella of IAC and Joint Commission.  It looks like IAC provides some flexibility and will want the facility to follow manufacturer requirements.  Joint Commission provides me with a bit more confusion as to how the facility would meet the expectations.

Thanks, in advance, for any prior experiences or insights shared.

Scott
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