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The purpose of this study is to construct boundary representation (BREP) phantom for Chinese women of childbearing age, to estimate the external radiation dose and to analyze radiation protection scheme. The BREP phantom for Chinese women of childbearing age was constructed by image segmentation, 3D reconstruction, non-uniform rational B-spline surface construction and voxelization. The photon-irradiated organ absorbed dose-conversion coefficients (DCCK) of the three female specific organs and the photon effective dose-conversion coefficient (ECCK) were calculated by Monte-Carlo method. The results showed that age, body fat-tissue thickness, direction and area of irradiation, organ location and volume all affected the dose of women specific organs when receiving medical exposure. In the case of ensuring the quality of the diagnosis, radiation protection for female specific organs can be achieved by organ dose modulation techniques and reducing exposure area or volume.

Based on ASP.NET framework, The Intelligent Estimated System for Rational Deployment of Medical Equipment (MERDIS) is designed and developed with SQL Server 2012 database and C# language. The system is used to realize the rational deployment suggestions and evaluation of medical equipment in hospitals. The system input the data of hospital medical equipment and clinical pathway into the database, and then feedback the deployment information to users which are calculated by big data information, so as to achieve the purpose of giving rational deployment of hospital medical equipment.

This study aimed to precisely evaluate organ dose and effective dose (E) obtained from a 320-multidetector-row computed tomography (CT) scanner in brain perfusion scans and to estimate the conversion factor (k) between E and dose length product (DLP). A total of 270 thermoluminescent dosemeters were implanted in a male anthropomorphic phantom to measure air kerma. The ratios of mass-energy absorption coefficients were used to convert air kerma into organ doses. The organ doses ranged from 0.01 to 150 mGy. Doses in brain, salivary glands and red bone marrow were relatively high, and dose in eye lens reached about 110 mGy. The resulting effective dose was 5.30 mSv. The resulting conversion factor k = (0.0022 ± 0.0002) mSv·(mGy·cm)−1 was not significantly different from that of 0.0021 mSv·(mGy·cm)−1 reported for head CT scan in ICRP Publication 102.

The application quality of CT/MR equipment has an important impact on clinical diagnosis. Through jointing regional equipment supervision department, quality control department, clinical using department, hospital equipment management department and manufacture service department, a 5 layers guarantee system for CT/MR equipment quality management was established to ensure the safe operation and application quality of the CT/MR equipment. After 3 years practice of the system, the application quality of CT/MR equipment has improved significantly.

The purpose of this study was to evaluate computed tomography (CT) doses in child examinees at different ages throughout the Shanghai metropolitan area. The head and body CT dose indices (CTDIs) of 50 CT scanners were tested by phantom measurements using standard imaging protocols. The values of CTDIw, CTDIvol and dose length product (DLP) were calculated and saved in a table along with the parameters of routine head and chest scans for different age groups of children and adults. The effective doses were estimated from the K-factors by age and DLP. The CTDIvol, DLP and effective dose for multi-detector row CT (MDCT) in children during routine head scans were larger than those for single-detector row CT (SDCT) and dual-detector row CT (DDCT). The CTDIvol, DLP and effective dose for MDCT and DDCT in children during routine chest scans were lower than those for SDCT. Radiation risks are higher for children in CT examinations compared to adults.

Background: The problem of inappropriate deployment of medical equipment in hospitals is a significant issue in China. The purpose of the information system for rational deployment of medical equipment (MERDIS) is to inform judgements about the efficient and rational deployment of medical equipment in hospitals. For research needs, the basic information of 52 hospitals in Shanghai and other provinces are investigated. The deployment method based on clinical pathway and deployment method based on big data are designed to support the data analysis of the system. Through the analysis of macro data, the rational deployment plan of medical equipment in a certain hospital is given. Result: Through the MERDIS system, it is convenient, accurate and intuitive to get the rational deployment plan and suggestions of different types of hospitals affected by different factors can be given conveniently, accurately and intuitively.Conclusion: The design of the MERDIS system provides the development basis for the subsequent development of medical equipment macro data management. In the process of continuous improvement and supplement of data, the software model will become more and more accurate and reliable.

The purpose of this study was to establish a specific test method for dosimetric characterization of wide-beam computed tomography (CT). For a wide beam, the dose distribution curve and the area of the curve were obtained by using pencil-like ionization chamber, a long CT dose profiler probe, a head phantom and a body phantom. The absolute dose conversion coefficient was multiplied to obtain the total integration integral of the absolute dose distribution, and then the computed tomography dose index (CTDI) value under any wide beam condition was obtained by dividing the collimation width. It was calculated that the absolute dose conversion coefficient was 1.135 under the narrow beam of 8 mm. To a 160 mm-wide beam, the value of CTDI was 7.57 mGy/100mAs after normalized in the head 80 kV CT scanning, and it was 9.80 mGy/100mAs after normalized in the body 120 kV CT scanning. The specific test method solves the problem that the previous measurement method underestimates the CTDI value.

This paper discusses the use of Medatc System for the inspection and failure statistics of hysteroscopy and laparoscopy equipment. We add up our hospital one year of hysteroscopy and laparoscopy repair failure about 200 cases, more than 20 cases of patrol inspection. The equipment is inspected by professional quality control tools. The purpose is to summarize experience, improve maintenance efficiency, reduce the risk of using instruments, and serve clinical departments well.

In order to improve the quality of medical equipment after-sales service quality and improve the quality of medical equipment maintenance, this paper discusses the establishment of an evaluation index system to evaluate the quality of ultrasonic diagnostic equipment. From the three aspects of maintenance results, maintenance process and maintenance coverage, the quality of the post-maintenance quality of hospital ultrasound diagnostic equipment manufacturers is objectively evaluated.

To explore the effect and experience of quality control circle(QCC) in quality control testing for CT scanners, the quality control circle group was set up to determine the theme of quality control circle, and the causes of the failure of the quality control testing for CT scanners were analyzed, then the corresponding corrective measures were formulated and carried out. After the activity of the quality control circle, the qualified rate of CT quality control testing in the second level 2nd Class of public hospitals and private hospitals in Shanghai increased from 40.6% to 86.1%. By conducting quality control circle activities, we found the problems existed in the quality control testing of CT scanners, and put forward many corresponding corrective measures and solutions which finally improved the qualified rate of CT quality control testing.

Through illustrating the designing of high-risk pregnancy maternal-fetal monitoring system based on the internet of things, this paper introduced the specific application of using wearable medical devices to provide maternal-fetal mobile medical services. With the help of big data and cloud obstetrics platform, the monitoring and warning network was further improved, the level-to-level administration of high-risk pregnancy was realized, the level of perinatal health care was enhanced and the risk of critical emergency of pregnancy decreased.

The purpose of this study is to assess the present situation about the overal performance quality of CT scanners from Second Level 2nd Class hospitals and private hospitals in Shanghai. The test and evaluation methods refer to Specification for Quality Assurance Test for Computed Tomography X-ray Scanners (GB 17589—2011). A total of 62 CT scanners from 59 hospitals were tested. The mean value of high-contrast resolution was 6.8 lp/cm, low contrast detectability was 2.4, CT number of water was 3.0 HU, noise was 0.43% and uniformity was 2.3 HU. In quality control tests, 20 of 62 CT scanners were qualified, and the percent of pass was only 32%. The equipment aging and lack of preventive maintenance were main reasons for performance degradation of CT scanners.

The purpose of this study is to estimate the organ and effective dose (E) from computed tomography coronary angiography (CTCA) on a 320-MDCT scanner. Radiation dose was estimated for the prospectively ECG-gated CTCA in a male phantom. A total of 451 chips of thermoluminescent dosimeter were implanted in the phantom for measuring the organ doses. The effective doses were calculated using measured organ doses and the tissue-weighting factors. The dose length product (DLP) values were recorded and used to develop the conversion coefficient k = 0.017 mSv•(mGy•cm)(-1) (E/DLP). In a 3-beat acquisition, the organ doses ranged from 0.24 to 71.55 mGy, and the doses in breast, bone surface, oesophagus, and lung were higher than 20 mGy. The effective doses in 2-beat and 3-beat acquisition were estimated to be 14.3 and 24.3 mSv. More beats of acquisition led to higher radiation dose. The reported k values for chest CT scan can be used to roughly estimate the E value from CTCA for 320 MDCT.

The objective of this work was to evaluate the impact of environmental radioactivity in Shanghai from the operation of Qinshan Nuclear Power Station (QNPS). The levels of terrestrial gamma radiation and radioactivities in the drinking water, main food and soils in the Jinshan area where is only 38 km far away from the QNPS were continuously measured in the past 19 y. Both the levels of terrestrial gamma radiation and the radioactivities in the samples were on the normal background levels. No significant changes were found before and after the running of QNPS. The annual public exposure to the terrestrial gamma radiation was estimated to be ∼0.1 mSv, and the annual exposure from intakes of (90)Sr and (137)Cs in food was ∼0.5 μSv. In the past 19 y, no significant impact on the environmental radioactivity in Shanghai was observed due to the operation of QNPS.