Saxsons Group

Radiopharmacist's Notes · Vexcal AV03

Three tiers of dose-calibrator QA — daily, monthly, annual.

The radiopharmacist owns the daily constancy. The physicist owns the monthly linearity and the annual NIST-traceable accuracy review. Three columns — what each tier does, who does it, and where the result lands in the AERB inspection dossier.

Three lanes of the dose-calibrator QA programme

Daily constancy on the left, monthly linearity / drift check in the middle, annual NIST-traceable accuracy on the right.

Daily — radiopharmacist (before morning list)

  • Power the calibrator and let the chamber warm up (typically 15–30 min)
  • Insert the long-lived constancy source (Co-57 or Cs-137) at the standard geometry
  • Acquire the constancy reading; compare to the expected decay-corrected activity
  • Action: pass if within ±5 % of expected; out-of-tolerance triggers re-measurement and SOP escalation
  • Log the reading in the daily QA register; source returned to its shielded holder

Source: AERB Safety Code for Nuclear Medicine Facility; site SOP.

Monthly

Monthly — physicist / RSO

  • Linearity test across the clinical activity range — Tc-99m decay method or shielded-attenuator method
  • Check geometry-correction factors against the standard reference vial / syringe
  • Inspect QA log for daily-constancy trend across the month
  • Action: drift toward ±5 % limit triggers source-side check (decay correction) and instrument-side check (electronics, chamber)
  • Sign-off entered in the monthly QA register; flagged drift escalates to vendor service

Source: AAPM TG-181 / TG-211 PET-NM QA guidance; AERB Safety Code.

Annual — physicist (full accuracy test)

  • NIST-traceable accuracy test against the full QA reference-source set (Co-57, Co-60, Cs-137, Ba-133)
  • Reading must match each source certificate within ±10 % (typical action threshold)
  • Energy-response check across the clinical photon-energy span
  • Full QA report compiled — daily constancy trend, monthly linearity, annual accuracy
  • Report archived for the AERB facility inspection dossier and NABH / JCI accreditation file

Source: AERB Safety Code for Nuclear Medicine Facility; NIST-traceable QA reference sources.

Scope of this page

The cadence and action thresholds above align with AERB Safety Code expectations and AAPM TG-181 / TG-211 guidance. Exact site SOP — who signs off, what the action register looks like, the recovery path after an out-of-tolerance reading — should be authored against the site's QA programme document, not adopted verbatim from this page.