Breast cancer is the most prevalent cancer among women in the U. S., with over 175,000 new cases and 45,000 breast cancer related deaths occurring annually.
Mammography Quality Standards Act of 1992 (MQSA) was enacted to establish uniform, national quality standards for mammography quality assurance. Key elements of the MQSA are the requirements of each facility to (a) obtain accreditation by an FDA approved accrediting body, (b)meet quality standards for personnel, equipment, and quality assurance, (c) employ regular quality control practices including performance of an annual survey by a qualified medical physicist, (d) document compliance with MQSA requirements, and (e) undergo annual inspection.
ACR program serve as the model for the statutory accrediting body. A 21 question survey prepared by the ACR was sent to most medical physicists who perform evaluations of mammographic units.510 physicists said that they will meet 1996 qualification guidelines of certification. A sufficient number of certified medical physicists will be available to provide required annual performance evaluations of all mammography units in the U. S.. It is the problem that Japan and U. S. are extermely different in the number of medical physicists.
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