DMR329409 R00 ACR Phantom WKSHT For Accreditation R53

Guidance for Collecting ACR Accreditation Phantom Data
Release 5.3 & newer
Philips Healthcare
This document is made available to the AAPM as a guide for medical physicists collecting ACR
accreditation phantom data on Philips MRI systems Intera, Achieva, Ingenia, & Panorama HFO.
For more detailed information, please refer to the Philips Instructions for Use (IFU) for each system. This
document and the information it contains is intended for guidance only and for use with phantoms only.
Philips assumes no responsibility for data collected, for obtaining ACR accreditation, or for any system
damage while performing testing or collecting phantom data.
For the lastest ACR Phantom test guidance worksheets and ExamCards, please contact Philips Service.
Guidance for Collecting ACR Accreditation Phantom Data. Disclaimer: This material is not intended to substitute or replace the Operating Manual or Instructions for Use.
Page 1
FAQ
1 Phantom Setup1,2
1.1 Air bubbles in phantom- Does air bubbles in the phantom interfere with the measurement?
Yes, check phantom for air bubbles, if present, replenish fluids or send back.
1.2 Is it mandatory to use the Philips Phantom holder?

Not mandatory, but makes positioning the phantom much easier.
1.3 Is it important to level the phantom?

Yes, use a non-ferrous miniature level to ensure rotation is level. If this is not done, planning the scan will be more complicated.
1.4 How far should the phantom be pushed into the coil?
Push the ACR phantom gently toward the head direction of the coil until reaches a mechanical stop against the head coil. If this is not done, the first
slices may result in poor SNR.
1.5 Do we need to place cushions between the phantom and head coil?
Yes, this will help to reduce vibration & movement.
2 Slice Setup3,4,5
2.1 Where can I find Philips ACR ExamCard, or can I make my own ExamCards(EC)?
The Philips ACR EC can be found on InCenter, and this EC has been tested to ensure it is compliant to the ACR guidelines. Contact Philips Service
organization (FSE/Call Center) for the latest version of the EC. We would happy to load the EC onto your system.
You can use own EC, however, we highly recommend using the Philips ACR EC.
2.2 Why are there no images generated by the first two scans?
The first two scans are used to help the user have the system and phantom in the correct setup and disengage the posterior coil.
There will be no images generated by these scans, Ignore any error messages generated by this scan.
2.3 How do I make small changes in angulation for proper sagittal slice placement?
In the EC, go to Offc/Ang tab, and manually enter Stack offset (RL) or Angle (FH) for very small changes.
2.4 Tip for positioning axial slices

Concentrate on positioning slice 8 through the center of the lower-most LCD. Slices 9-11 should be very close to the center of the other LCDs. (red
arrows below see 2.5 also)
2.5 Is it necessary for the Slice 11 to bisect the 45o wedges,

It is more important that slice 8 be centered on the lower most LCD. (see Detail of Alignment)
Tip: Although this may appear to be only a slight adjustment in positioning the impact may be significant for the Low-Contrast Detectability Test.
3 Center Frequency6,7
3.1 Why can't I find the updated Center Frequency?

The Center Frequency will not be updated unless PostProc Tab- Prep Phase=Full on the sequence in the ExamCard. (It is already set correctly on all
ACR ExamCard found on InCenter)
3.2 When should I look to find the Center Frequency?

The best (easiest) time to capture the information is when one of the ACR ExamCard sequences is running.
After a new patient is registered, it is a tedious process to find Center Frequency (procedure described in Center Freq Tab)
4 Transmit Gain6,7
4.1 When should I look to find the Transmit Gain (ds=drive scale)?
The best (easiest) time to capture the information is when one of the ACR EC sequences is running.
After a new patient is registered, it is a tedious process to find Transmit Gain (procedure described in TX Gain Tab)
5 Table Position Accuracy3,7,8
5.1 Why does my TPA test fail?

It has been determined that this test fails due to inaccurate positioning of the Light Visor on the edge of the grid portion of the phantom. (see figure
below)
View from Top
6 Geometric Accuracy7,9,10
6.1 I'm having difficulty determining the edge of the phantom, what do I do?
Under the viewing menu, turn off display interpolation, this will make the edge easier to determine.
6.2 Does the window width and level effect the measurement?
Yes, When measuring the Geometric Accuracy it is critical to first set the mean signal value. (see instructions on Geometric Accuracy Tab)
7 High Contrast Resolution7,11,12
7.1 I can see two of the dots connected, is that OK?

Dots can be connected, as long as the individual dots can be identified to pass the test.
7.2 I used the ACR EC, and this test still fails?
Please check the software version of this EC to make certain it matches your system version.
8 Slice Thickness Accuracy3,7,13
8.1 I cannot see the Slice Thickness Accuracy inserts?

Change the window/level and zoom in to the center of the image. If needed zoom to maximum.
8.2 How do I determine the edge of the slice thickness accuracy inserts, when it is often shaped with a peak?
Choose the starting/ending points of your measurement at the center of the largest peak.
8.3 Where do you place the for the initial signal intensity measure?
Make sure that the drawn ROI does not contain the edges of the slice thickness accuracy insert, by zooming in the image. The ROI should be
towards the center of the inserts and the width should be within the insert. (see fig below)
9 Slice Position Accuracy3,7,14
9.1 Why does the slice position accuracy fail?

In most cases, ensure that slice 8 is centered on the lower most LCD. (see instructions on Slice Setup Tab, Detail of Alignment)
Even minor changes in slice position, can have a major effect on this test.
9.2 How do you draw the window ROI?

Draw a rectangular ROI as shown in the figure.
Bars
9.3 How do you determine left and right bar, and which side should I measure?
The side of the bar that is protruding downwards is the side to be measured, and image orientation determines right or left.
If one side of the bar is measured, the other side of the bar is entered as 0.
Right Bar
10 Image Intensity Uniformity3,7,15
10.1 Where do place the Large ROI (19,500mm2)?

The large ROI should be clearly within the phantom fluid, and as centered as possible in the phantom.
10.2 Where do I place the smaller ROIs (100mm2)?

The smaller ROIs are determined by the intensity of the signal, but must be always within the large ROI limit.
10.3 Can the smaller ROI touch the large ROI boundary?
You can place the small ROI on the edges of the large ROI, but can not cross the large ROI boundary.
11 % Signal Ghosting7,16
11.1 Where do place the Large ROI (19,500mm2)?

The large ROI should be clearly within the phantom fluid, and as centered as possible in the phantom.
11.2 Where do I place the smaller ROIs (1000mm2)?

The smaller ROIs have to be placed within the boundary of the image. Adjust WW/WL to visualize the shutter of the image, and make sure the ROI is
within the shutter boundary.
12 Low Contrast Detectability3,7,12,17
12.1 How do I count the spokes?

Count from the 1 o'clock position moving clockwise until until you are unable to determine all 3 dots in the spoke
Spoke #1
12.2 What would be the possible reasons for failure of this test?
Ensure that slice 8 is centered on the lower most LCD. (see Detail of Alignment)
Even minor changes in slice position, can have a major effect on this test.
12.3 Am I allowed to adjust the WW/WL in order to see the spokes?
Adjusting the WW/WL is permitted
13 Why do I see bright spots on the edge of the scanner (Spurious Echo artifact) seen when scanning ACR Phantom 3,18
13.1 Spurious echo artifacts can be visualized on T1-W sequences (ACR T1-Sag, ACR T1-Axial) when non-Philips ACR EC is utilized.
ACR T1 Axial
Modified Spin Echo parameter= no
Spurious echo artifacts clearly diminished on T1-W sequences (ACR T1-Sag, ACR T1-Axial) utilizing Philips ACR EC with Modified Spin
13.2
Echo parameter = yes.
ACR T1 Axial ACR T1 Sagittal
Modified Spin Echo parameter= yes Modified Spin Echo parameter= yes
ACR T2Axial
Modified Spin Echo not possible
References:
1. Clinical Education ACR Guidance Document, Clinical Guide, 4522 962 80251, Nov 2011, updated May 2013, pages 4-5.
2. Instructions for Use (IFU) R4.1, agvol1_us pgs. 22-23.
3. All pictures are property of Philips Healthcare.
4. Phantom Test Guidance for the ACR MRI Accreditation Program (06/2005), page 6.
5. Clinical Education ACR Guidance Document, Clinical Guide, 4522 962 80251, Nov 2011, updated May 2013, page 6.
6. Clinical Education ACR Guidance Document, Clinical Guide, 4522 962 80251, Nov 2011, updated May 2013, page 27-30.
7. Philips Service Document, 4522 981 36903, January 4, 2010.
8. ACR Weekly MRI Equipment Quality Control for Large Phantom Form, June 12, 2015.
9. Phantom Test Guidance for the ACR MRI Accreditation Program (06/2005), page 7-9.
18. Dresner, Mohner, Stimulated Echoes in ACR Images, October 2012, pages 1-12.
Guidance for Collecting ACR Accreditation Phantom Data
Release 5.3 & newer
Philips Healthcare
ACR Phantom Exam Cards are available on Incenter MR Download Area:

To obtain the most up-to-date ACR Phantom test guidance worksheets and Exam Cards, please contact
your Philips Field Service Engineer (FSE) or the Philips Customer Care Service Center at 1-800-722-9377.
Color Legend for this workbook

Needs to be filled Calculated value Specification Pass Fail
Site Contact Information

Site: RSSCM Kencana Date: 1/21/2020
System type: Ingenia 3.0T Site ID: Kencana
Tested by: user Software Release: R5.6.1
ACR Phantom #: JMxxxx
Comments: test aCR
Site: Site Name (name)

Address (address 1)
(address 2)
City, ST (city, ST)
(tel.)
Customer Customer Name (name)

Contact: Title (Title)
Contact phone number (tel.)
Field Service (name)

Engineer: (tel.)
Overview ACR Accreditation Test Results1
Center Frequency (Hz) 127.763528

Tx Gain for RF amp 1 and 2 (RF amp 2 applies to 3T only) 0.8244 0.8263
Table position Accuracy (mm) -1.75
Geometric Accuracy Fail
High Contrast Spatial Resolution Pass
Slice Thickness Accuracy Pass
Slice Position Accuracy Pass
Image Intensity Uniformity Fail
% Signal Ghosting Pass
Low Contrast Object Detectability Pass
Comments: Place Test Results comments here
References:
Panorama HFO
Intera 1.5T
Intera 3.0T
Achieva 1.5T
Achieva 3.0T
Achieva dStream 1.5T
Achieva dStream 3.0T
Ingenia 1.5T
Ingenia 3.0T
Ingenia CX 1.5T
Ingenia CX 3.0T
Ingenia Ambition
Ingenia Elition
Multiva
Prodiva
Guidance for Collecting ACR Accreditation Phantom Data. Disclaimer: This material is not intended to substitute or replace the
Ingenia: Setup of ACR Phantom1 FAQ
Alignment of the ACR Phantom in the head coil is critical; Special attention must be paid to avoid tilting and rotation of the phantom.
Tip: Refer to ACR Guidance Document; (4.2- Positioning ACR Phantom in head coil) for further details.
(1) The NVC/ACR Phantom Holder can be utilized to quickly position the ACR Phantom.
(2) Remove the padded liner from the inside the Ingenia Head base coil and place the NVC/ACR phantom holder into the coil.
NVC/ACR Phantom Holder2 Ingenia Head Base Coil w/ ACR Holder2
(3) Place the ACR phantom into the holder (as shown in the photo below) with the nose section on top and chin facing foot end of the table.
(4) Place the anterior portion (head top) of the coil until there is a click sound to ensure the coil is properly engaged
(5) Push the ACR Phantom gently toward the head direction of the coil until reaches a mechanical stop (from the head coil).
Slide Phantom
Mechanical Stop
(6) Use a non-ferrous miniature level to ensure rotation is level
Rotate phantom until level

(7) Place gray sponge pads as shown to reduce vibration & movement:
Between coil top & phantom: 2 x Small pads
View from Top
Verify phantom is still level
(8) Laser light on very edge of center white grid structure.
View from Top
(9) Use the Travel to Scan plane button (UIM) to setup to isocenter
B. Raise the tumble switch to the ’Up/In’ position and hold it until the area of interest lies upon the illuminated line
UIM
A. Press the 'Light visor' button once to switch on the light visor
C. Press and hold the ’Travel-to-scanplane’ button for about 2 seconds, until the
green light flashes
References:
1. Clinical Education ACR Guidance Document, Clinical Guide, 4522 962 80251, Nov 2011, updated May 2013, pages 4-5.
2. Instructions for Use (IFU) R4.1, agvol1_us pgs. 22-23.
Phantom Setup1,2 FAQ
A. Positioning ACR Sagittal Locator on ACR Phantom

Proper slice positioning on the ACR Phantom is critical.
(1) For proper sagittal slice placement, select Axial Survey with Phantom Grid.
Tip: To better define center line: Under Viewing Tab, select Interpolate
(2) Move and/or Angle slice as needed to position slice through the middle of the center grid line.
Tip: Manually enter Stack offset (RL) or Angle (FH) under Offset/Angle Tab for very small changes.
3-plane Survey3
SAG COR AX
Detail of alignment3
Page 11
B. Positioning Axial Slices on ACR Phantom
Proper slice positioning on the ACR Phantom is critical.
(1) It is important to align slices 8-11 with the Low Contrast Discs (LCDs).
(2) At the same time, verify that the center circle of the FOV is still positioned in the center of the phantom.
Alignment with Low Contrast Discs (LCDs)3
(3) Concentrate on positioning slice 8 through the center of the lower-most LCD. Slices 9-11 should be very close to the center of the other LCDs. (red arrows bel
(4) Slice 11 may not bisect the 45o wedges, it is more important that the slice 8 be centered on the lower-most LCD. (see Detail of Alignment)
Tip: Although this may appear to be only a slight adjustment in positioning the impact may be significant for the Low-Contrast Detectability Test.
Detail of Alignment with LCDs3
References:
1. Phantom Test Guidance for the ACR MRI Accreditation Program (06/2005), page 6.
3. All MR images and pictures are property of Philips Healthcare.
Guidance for Collecting ACR Accreditation Phantom Data. Disclaimer: This material is not intended to substitute or replace the Operating Manual or Instruction
Page 12
Center Frequency FAQ
How to find Center Frequency & Transmit Gain/Attenuation in order to complete the ACR Data Form for Weekly MRI
Equipment Quality Control. For more detailed information, please refer to Philips Instructions for Use (IFU).
Test Procedure:1,2
1. Center Frequency is determined for each sequence. This optimization is done in the F0 preparation phase, where an
initial coarse tune is followed by an optimized fine tune. The number of iterations will vary depending on shim
preparation phases and ease of tuning the sample. Preparation phases and available tabs will vary depending on the
Prep Phase Parameter setting under the (Post Processing Tab).
2. Ensure Prep Phase = full (Post Processing Tab) on all ACR Phantom sequences.
3. While the ACR sequence is running, on the Main Menu, choose Examination, then Data Monitoring. (Fig. 1)
4. Next, the window will display the preparation phases of the currently running sequence. (Fig. 2)
Note: You must review this page prior to the next sequence beginning, or you will be forced to use a different method to
obtain the needed CF information. (see addendum 1)
a. Click: F0 tab at top (orange circle & arrow)
b. Move Frame Slider: to last iteration (i.e. 1/1, 2/2, 6/6, etc.) (white arrow & circle)
c. Note: that in the bottom window you will see in yellow writing (red line & arrow)
res. freq. ( 63 870 xxx Hz for 1.5T) or (128 xxx xxx Hz for 3.0T).
d. res. freq. is the resonant frequency (Center Frequency) for this sequence, and is the number entered on
ACR Data Form for Weekly MRI Equipment Quality Control column #4 CF.
Fig. 1- Data Monitoring3

Fig. 2- Data Monitoring Display3
Addendum 1: Steps for Accessing Data Monitoring on Sequences Previously Acquired1,2

1. Note: This procedure cannot reliably obtain the needed information for sequences older than 1 week.
2. You must first know the Date & Time of the sequence of interest. Bring up the image in Image Viewing, note the date
& time in the Extended Image Information window (Fig. 3)
3. From the Main Menu, choose System, then Display Task Bar or alternatively press the
Windows button on the keyboard to activate the Windows Task Bar.
4. Click: Start > All programs > Accessories > Windows Explorer
This will activate Windows Explorer which should default to My Documents (E:\Export); if not navigate to (E:\Export)
5. Double Click: Data Monitoring Folder to open
a. Select View from the menu and select Details
b. Click the Date Modified tab 2 times to sort by date (black arrow)
c. This will place the most recent file at the top
6. Note: The File Name will include the date & time which will match that previously found in the Extended Image
Information window. (Fig. 4)
7. Double Click: The matching file which will open the Data Monitoring Application.
8. Follow the previously described steps for determining Center Frequency (CF).
Fig. 3- Image Viewing > Extended Image Information3
Year Month Day 24hr Time

Fig. 4- Sample Data Monitoring files3
Results:
Scan Center Frequency (Hz)
ACR LOCALIZER
ACR-T1 Axial 127.763528
ACR-T2 Axial
References:
Transmit Gain/Attenuation FAQ
How to find Center Frequency & Transmit Gain/Attenuation in order to complete the ACR Data Form for Weekly MRI
Equipment Quality Control. For more detailed information, please refer to Philips Instructions for Use (IFU).
Test Procedure:1,2
Transmit Gain/Attenuation is determined for each sequence. In order to excite the hydrogen proton, the power of the
RF Amplifier must be modified per sequence to properly provide 90o & 180o RF pulses. This optimization is done in two
closely linked preparation phases, Pickup Coil (PU) power determination and Power Optimization (PO) on the Philips
software. Note: Tx Gain/Attn is reported in the 2nd iteration of the Pickup Coil (PU) determination.
Steps for 1.5T or Single Transmit 3.0T

a. Click: PU tab at top (orange circle & arrow)
b. Move Frame Slider: 2/2 (white arrow & circle)
c. Note: that in the top window you will see in yellow writing (red line & arrow)
xmit 1: [iter 1], gain 0.0562, ds 1.2295
d. ds is the abbreviation for drive scale (Transmit Gain/Attn) for this sequence, and is the number entered on
ACR Data Form for Weekly MRI Equipment Quality Control column #5 Tx Gain/Attn.
Steps for 3.0T Multi-Transmit

a. Click: PU tab at top (orange circle & arrow)
b. Move Frame Slider: 2/4 for transmit 1 & 4/4 for transmit 2 (white arrow & circle)
c. Note: that in the top window you will see in yellow writing (red line & arrow)
xmit 1: [iter 1], gain 0.0562, ds 1.2295 xmit 2: [iter 1], gain 0.xxxx, ds 0.xxxx for 2nd RF Amp
d. Note: Since there are 2 RF amplifiers on the 3.0T multi-transmit system, there are 2 drive scales.
Therefore see 4 iterations, Frame 2/4 [xmit 1] & 4/4 [xmit 2] are the actual drive scales (Transmit Gain) used
for the sequence.
*Please defer to your ACR site physicist to determine if it is necessary to report both numbers.
e. ds is the abbreviation for drive scale (Transmit Gain/Attn) for this sequence, and is the number entered on
ACR Data Form for Weekly MRI Equipment Quality Control column #5 Tx Gain/Attn.
Fig. 1- Data Monitoring3

Fig. 3- 3T Multi-Transmit Data Monitoring Display3

Addendum 1: Steps for Accessing Data Monitoring on Sequences Previously Acquired 1,2
1. Note: This procedure cannot reliably obtain the needed information for sequences older than 1 week.
2. You must first know the Date & Time of the sequence of interest. Bring up the image in Image Viewing, note the date
& time in the Extended Image Information window (Fig. 4)
3. From the Main Menu, choose System, then Display Task Bar or alternatively press the
Windows button on the keyboard to activate the Windows Task Bar.
4. Click: Start > All programs > Accessories > Windows Explorer
This will activate Windows Explorer which should default to My Documents (E:\Export); if not navigate to (E:\Export)
5. Double Click: Data Monitoring Folder to open
a. Select View from the menu and select Details
b. Click the Date Modified tab 2 times to sort by date (black arrow)
c. This will place the most recent file at the top
6. Note: The File Name will include the date & time which will match that previously found in the Extended Image
Information window. (Fig. 5)
7. Double Click: The matching file which will open the Data Monitoring ApplicatioN.
8. Follow the previously described steps for determining Center Frequency (Tx Gain).
Fig. 4- Image Viewing > Extended Image Information3

Year Month Day 24hr Time
Fig. 5- Sample Data Monitoring files3
Results:
Scan Xmit 1 Xmit 2 (3T only)
ACR LOCALIZER
ACR-T1 Axial 0.8244 0.8263
ACR-T2 Axial
References:
Table Position Accuracy FAQ
How to find Table Position Accuracy in order to complete the ACR Data Form for Weekly MRI Equipment Quality
Control. For more detailed information, please refer to Philips Instructions for Use (IFU).
Test Procedure:1,2
1. Perform the ACR T1-Sagittal sequence on the ACR Phantom.
2. Place the ACR T1-Sagittal scan into one of the Planning Viewports (Fig. 1)
3. Next, utilizing the ACR T1-Axial sequence, position the crosshairs of the center slice (slice#6) to the position of the
laser landmark (very edge of the grid portion of the phantom). see close-up screengrab below (Fig. 2)
4.Select the “Offc/Ang” Tab on ACR T1-Axial sequence, and locate the Stack Offcenter value for F/H direction (example
below: FH=3.79mm) (Fig. 1, red arrow & box)
5. Document this value for the Table Position Accuracy Test (ACR Spec=+/- 5mm)
6. The ACR T1-Axial stack slice positions, as well as all other subsequent Axial sequences, should then be properly
placed prior to image collection.
Fig. 1- Off/Ang Tab, FH Offset3

Fig. 2- Zoom of ACR-T1 Axial Slice#6 placement for Table Position Accuracy measurement3
Results:
Scan Table position accuracy (mm):
ACR-T1 Axial -1.75
References:
1. ACR Weekly MRI Equipment Quality Control for Large Phantom Form, June 12, 2015.
Guidance for Collecting ACR Accreditation Phantom Data. Disclaimer: This material is not intended to substitute or replace the Operating Manua
Geometric Accuracy Test FAQ
Mean Signal Value: 1,2

Setting Window & Level- The display window and level settings can affect the apparent location of the edges of the
phantom and thus cause errors in the length measurements.
To avoid these errors1, the following procedure should be followed:
1. Display ACR Sag Localizer on the Revew Tab in Tab All Views format (1-on-1).
2. Click on the Viewing dropdown, Image information, then select Maximum.
3. At the lo118wer center of the viewing portal, click on Window Width and enter W=1.
4. Adjust Window Level (middle mouse) until image is 50% white/50% black (examples: Fig. 1 - 3).
5. Enter the Window Level value (example: L=1818) into the Window Width/Level Value Table under column
(Mean Value).
6. Repeat steps (1-6) above for ACR T1 Ax (Slice #1 & Slice #5).
Fig. 1- ACR Sag Localizer4 Fig. 2- ACR T1 Ax (Slice #1)4 Fig. 3- ACR T1 Ax (Slice #5)4
Window Width/Level Values Table3:

Scan Slice /Echo Mean Value Window Width (W) Window Level (L)
ACR LOCALIZER Slice 1 / E1 1818 1818 909
ACR-T1 Axial Slice 1 / E1 1818 1818 909
ACR-T1Axial Slice 5 / E1 1744 1744 872
Fig. 4- ACR T1 Ax (Slice #5)4 Fig. 5- ACR Sag Localizer4
Test Procedure: Geometric Accuracy Measurement2

1. Display ACR Sag Localizer, and ACR T1 Axial (Slice #1 & Slice #5) in the Tab All Views format (1-on-1).
2. Set the Window Width & Level for each image using values in Window Width/Level Value Table above.
(example: W= 1818, L=909).
3. Click on the Viewing dropdown, select Interpolate. Phantom edges will be more apparent.
4. To measure, click on the measurement icon on the tool bar.

5. Left click/hold to select measure starting point, move mouse to stopping point, release left click (example: Fig. 4).
6. Magnfiy images and pan to insure measurement box is centered on phantom edge (example: Fig. 5).
7. To change line color: right click on measurement line, select Color, then the appropriate shade.
8. Measure images as demonstrated by red arrows (examples: Fig. 6 - 8).
9. Enter values for each sequence in Geometric Measurement Results Table under the Measured column.
Fig. 6- ACR Sag Localizer4 Fig. 7- ACR T1 Ax (Slice #1)4 Fig. 8- ACR T1 Ax (Slice #5)4
Results: Geometric Measurements Table3:

Scan Slice /Echo Axis Measured Spec. Deviation Pass/Fail
ACR Sag Localizer Slice 1 / E1 Top-Bottom 147.0 148 -1.0 Pass
ACR-T1 Axial Slice 1 / E1 Top-Bottom 187.4 190 -2.6 Fail
ACR-T1 Axial Slice 1 / E1 Left-Right 183.8 190 -6.2 Fail
ACR-T1 Axial Slice 5 / E1 Top-Bottom 190.3 190 0.3 Pass
ACR-T1 Axial Slice 5 / E1 Left-Right 190.1 190 0.1 Pass
ACR-T1 Axial Slice 5 / E1 Diag. UL 190.6 190 0.6 Pass
ACR-T1 Axial Slice 5 / E1 Diag. UR 190.6 190 0.6 Pass
References:
Guidance for Collecting ACR Accreditation Phantom Data. Disclaimer: This material is not intended to substitute or replace the Operating M
High-Contrast Spatial Resolution Test FAQ
Test Procedure:1,2
1. Display ACR T1 Ax & T2 Ax Echo 2 (Slice #1) images in the Revew Tab on Tab All Views format (1-on-1)
(example: Fig. 1).
2. Magnify images, keeping resolution insert visible (example: Fig. 2).
3. View the UL (Upper Left) row of holes starting with the far left (1.1mm) pair (example: Fig. 2 & 3).
a. Adjust the Window Width/Level as to best distinguish the holes from one another.
b. If all 4 holes in any single row (example: Fig. 3, UL) are distinguishable, then it is resolved (Horizontally).
c. Enter a 1 if it is resolved, Enter a 0 if it is not resolved, in the Spatial Resolution Table (below).
4. View the LR (Lower Right) column of holes, again starting with the far left (1.1mm) pair.
a. Adjust the Window Width/Level as to best distinguish the holes one from another.
b. If all 4 holes in any single column (example: Fig. 3, LR) are distinguishable, then it is resolved (Vertically).
c. Enter a 1 if it is resolved, Enter a 0 if it is not resolved, in the Spatial Resolution Table (below).
NOTE: Distinguishable refers to a single Window Window/Level setting such that all 4 holes in at least one row/column
are recognizable as points of brighter signal intensity than the spaces between them. It is not required that the image
intensity drop to zero between the holes.
5. Repeat steps 1-4 above for (1.1mm, 1.0mm, 0.9mm) for both ACR T1 Ax & T2 Ax Echo 2 sequences.
a. Enter the values into the Spatial Resolution Table below.
UL
1.1 mm 1.0 mm 0.9 mm

LR
Fig. 2- Resolution Insert4 Fig. 3- Hole Array1
Fig. 1- ACR T1 Ax (Slice #1)4
Results: Spatial Resolution Table3:

Scan Slice /Echo Evaluation 1.1 mm 1.0 mm 0.9 mm Pass/Fail
ACR-T1 Slice 1 / E1 UL Hor (row) 1 1 1 Pass
ACR-T1 Slice 1 / E1 LR Ver (col) 1 1 0 Pass
ACR-T2 Slice 1 / E2 UL Hor (row) 1 1 0 Pass
ACR-T2 Slice 1 / E2 LR Ver (col) 1 1 Pass
Note: Enter a 1, when the row/collumn is resolved. Enter a 0, when the row/collumn is not resolved.
References:
Slice Thickness Accuracy Test FAQ
Test Procedure:1
Drawing ROIs
1. Display ACR T1 Ax (Slice #1) image on the Review Tab in Tab All Views format (1-on-1) (example: Fig. 1).
2. Magnify the Slice Thickness insert signal ramps, keeping slice thickness insert visible (example: Fig. 2).
3. Adjust the Window Width/Level so that the signal ramps are well visualized (example: Fig. 2).
4. To draw a rectangular ROI on the top signal ramp, click on the measurement icon dropdown
on the tool bar and select retangle.
a. Click and drag crosshair horizontally to determine length of ROI, and click to select end point.
b. Now drag crosshair vertically to determine depth of ROI, and click to select end point (example: Fig. 2).
c. Record the mean value from the ROI in the (ROI) Signal Intensity Table in the Mean: Top column.
5. For the bottom signal ramp, right click on the Top ROI and select copy from the dropdown.
a. Click and drag the copied ROI to move to the desired location in the bottom signal ramp (example: Fig. 2).
b. Record the mean from the ROI in the (ROI) Signal Intensity Table in the Mean: Bottom column.
NOTE: More than a 20% difference between Top & Bottom ROI signal values, is often due to one or both ROIs
including regions outside the signal ramps.
Setting Window to Mean Intensity Value
7. At the lower center of the viewing portal, click on Window Width and enter W=1.
8. Set Window Level equal to value calculated in (ROI) Signal Intensity Table under column WL.
Measuring Signal Ramps
9. Expand each ROI by clicking & dragging the corner marker boxes to cover each signal ramp horizonally
(example: Fig. 3).
a. Estimate the ends of the ramp where they appear scalloped or ragged.
NOTE: Often there are horizontal striations in the signal intensity of the ramps that cause the ends to appear scalloped or ragged, caused
by truncation (Gibbs) artifact, and are normal. Estimating the ends of the ramps
introduces a small source of error, but only corresponds to a tenth of a millimeter in slice thickness 1.
10. Measure the length of each signal ramp ROI, by clicking the measurement icon on the tool bar and selecting line.
a. Left click/hold to select measurement starting point, move mouse to stopping point, release left click.
11. Enter the measurements into the Distance Measurement Table under Top & Bottom columns.
12. Repeat steps 1-11 above for ACR T2 Ax Echo 2 (Slice #1).
ROIs
52
Fig. 2- ACR T1 Ax (Slice #1)3 ROI Placement in signal ramps

Slice Thickness Insert
Ramps
Fig. 3- ACR T1 Ax (Slice #1)3 Measurement of signal ramps
Region of Interest (ROI) Signal Intensity Measurement Table2:

Scan Slice /Echo Mean: Top Mean: Bottom Dev. [%] Window Width (W) Window Level (L)
ACR-T1 Sl1 / E1 340.607 325.314 4.7% 1 166
ACR-T2 Sl1 / E2 331.757 323.763 2.5% 1 164
Results: Distance Measurement Table 2:

Scan Slice /Echo Top Bottom Slc Thk Spec. Pass/Fail
ACR-T1 Sl1 / E1 56.2 50.2 5.30 4.3 - 5.7 Pass
ACR-T2 Sl1 / E2 55 55 5.50 4.3 - 5.7 Pass
References:
3. All MR images property of Philips Healthcare.
Page 25
Slice Positioning Accuracy Test FAQ
Test Procedure:1
Drawing ROI
1. Display ACR T1 Ax (Slice #1 & #11) image on the Review Tab in Tab All Views format (1-on-1) (example: Fig. 1).
2. The Window Width/Level setting should be set to a level roughly half that of the signal in the bright all-water portions of
the phantom. The following procedure will help accomplish this task:
a. Draw an ROI in the all-water portion of the phantom (example: Fig. 1 Window ROI).
b. Enter the Mean Value (example: 1648.581) into the ROI Signal Intensity Table below.
c. Window Level will automatically be calculated.
Setting Window to Mean Intensity Value
5. Enter Window Level value calculated in (ROI) Signal Intensity Table under column Window Level.
Measuring Slice Position Accuracy
6. Magnify images, keeping the vertical bars within the displayed portion of the image (example: Fig. 2).
7. Draw an ROI (rectangle) across the bottom portion of the bar (example: Fig. 2).
8. Measure the vertical length of the ROI, by clicking on the measurement icon on the tool bar and selecting line.
a. Left click/hold to select measurement starting point, move mouse to stopping point, release left click.
9. Enter the measurement into the Geometric Measurement Table below under the Right or Left Bar Column indicating
which portion of the bar (right or left) was measured (example: 1.8mm).
10. Repeat steps 1-9 above for ACR T1 Ax & ACR T2 Ax Echo 2 (Slices #1 & #11).
NOTE: It is highly advisable to keep bar length difference to 4mm or less
Right Bar
Bars
Window ROI

w/rectangle ROI & distance measurement
Region of Interest (ROI) Signal Intensity Measurement Table2:

Scan Slice /Echo Mean Value Window Width (W) Window Level (L)
ACR-T1 Sl1/E1, S11/E1 1843.44 1 922
ACR-T2 Sl1/E2, S11/E2 1784.03 1 892
Results: Geometric Measurements Table2:

Scan Slice /Echo Left Bar Right Bar Offset Spec. Pass/Fail
ACR-T1 Sl1 / E1 0 1.2 1.2 5 Pass
ACR-T1 Sl11 / E1 1.8 0 -1.8 5 Pass
ACR-T2 Sl1 / E2 0 0.7 0.7 5 Pass
ACR-T2 Sl11 / E2 1.9 0 -1.9 5 Pass
Slice position of slice 11 offset should be <5 mm in order to have valid Low Contrast Resolution results 2:
Scan Slice /Echo Offset Conclusion
ACR-T1 Sl11 / E1 -1.8 Position OK
ACR-T2 Sl11 / E2 -1.9 Position OK
References:
Page 26
Image Intensity Unifomity (IIU) Test FAQ
Test Procedure1:
Drawing ROIs
2. Draw a large circular ROI (Area=19,500mm2) & center in the phantom (example: Fig. 1, Large ROI).
a. To draw a circular ROI, click on the measurement icon dropdown on the tool bar and select Ellipse.
b. Left click/hold to select starting point, drag mouse to approx 80% of phantom diameter, release left click
to select stopping point.
c. Now drag crosshair vertically to fully form a circular ROI.
d. Adjust ROI size using corner marker boxes until Area=19500mm 2 and ROI is completely circular.
3. Draw a small circular ROI (Area=100mm2), (example: Fig. 1, Small ROI).
b. Left click/hold to select starting point, release left click to select stopping point.
d. Adjust ROI size using corner marker boxes until Area=100mm 2 and ROI is completely circular.
Maximum Mean Intensity Value
a. Raise Window Level slowly until a small 100mm 2 area of bright pixels develops inside the Large ROI
(example: Fig. 2).
6. Move the small ROI (click ROI/hold/drag) to the area of bright pixels (example: Fig. 2, Insert).
7. Enter the Mean Value (example: Mean=1798.54) into the Intensity Value Table below under Max Mean column.
Minimum Mean Intensity Value

a. Lower Window Level slowly until a small 100mm 2 area of dark pixels develops inside the Large ROI
(example: Fig. 3).
9. Move the small ROI (click ROI/hold/drag) to the area of dark pixels (example: Fig. 3, Insert).
10. Enter the Mean Value (example: Mean=1612.26) into the Intensity Value Table below under Min Mean column.
11. Repeat steps 1-10 above for ACR T2 Ax Echo 2 (Slice #7).
a. To ensure the least variability, copy both large and small ROIs from ACR T1 Ax (Slice #7) image.
b. Right mouse on each ROI separately and select copy, then right mouse select paste on ACR T2 Ax Echo 2
(Slice #7).
Large ROI Large

ROI
Fig. 1- Drawing Large & Small ROIs3 Fig. 2- Maximum Intensity Value3 Fig. 3- Minimum Intensity Value3
Results: Max & Min Mean Intensity Value Table2:

Scan Slice /Echo Max.Mean Min. Mean PIU [%] Spec. Pass/Fail
ACR-T1 Sl7 / E1 2008.2 1326.7 79.6% 82.0% Fail
ACR-T2 Sl7 / E2 1873.3 1310.2 82.3% 82.0% Pass
References:
Percent (%) Signal Ghosting Test FAQ
Test Procedure1:
2. Adjust the Window Width/Level so that the FOV edges are well visualized (example: Fig. 1).
Drawing Large ROI
3. Draw a large circular ROI (Area=19,500mm2) & center in the phantom (example: Fig. 1, Large ROI) or copy
Large ROI from the previous Image Intensity Uniformity (IIU) Test.
b. Left click/hold to select starting point, drag mouse to approx 80% of phantom diameter, release left click
to select stopping point.
d. Adjust ROI size using corner marker boxes until Area=19500mm2 and ROI is completely circular.
e. Enter the Mean Value (example: Mean=1744.752) into the ROI Measurement Table under Center column.
Drawing & Copying Small ROIs
4. Draw an ellipictal ROI (Area= 1000mm2) and place on the top of the phantom, in the noise & close to the edge of
the FOV (example: Fig. 1, Top).
a. To better distinguish the measurements, select a different color for each ROI.
b. To change line color: right click on ROI, select Color, then the appropriate shade.
c. Enter the Mean Value (example: Mean=2.624) into the ROI Measurement Table under Top column.
5. For the Bottom ROI, right click on the Top ROI and select copy from the dropdown.
a. Right mouse and select paste to complete the copying ROI process.
b. Click and drag the copied ROI to match the contralateral side of the phantom (example: Fig. 1, Bottom).
c. Enter the Mean Value (example: Mean=3.936) into the ROI Measurement Table under Bottom column.
6. For the Left ROI, right click on the Top ROI and select copy from the dropdown.
b. Rotate the ROI 90o, by clicking/dragging on the ROI center marker boxes.
c. Click/drag on the Left ROI to move the rotated ROI to the left side of the phantom (example: Fig. 2, Left).
d. Enter the Mean Value (example: Mean=2.624) into the ROI Measurement Table under Left column.
7. For the Right ROI, right click on the Left ROI and select copy from the dropdown.
b. Click and drag the copied ROI to match the contralateral side of the phantom (example: Fig. 2, Right).
c. Enter the Mean Value (example: Mean=2.624) into the ROI Measurement Table under Right column.
Top
Lef Rig
t ht
Bottom
Region of Interest (ROI) Measurment Table2:
Scan Slice /Echo Center Top Bottom Left Right

ACR-T1 Sl7 / E1 1744.75 2.62 3.94 2.62 2.62
Results: Calculated Ghosting Level Table2:

Scan Slice /Echo Ghosting [%] Specifications Pass/Fail
ACR-T1 Sl7 / E1 0.038% <2.5% Pass
References:
Page 28
Page 29
Low-Contrast Object Detectability Test FAQ
Test Procedure:1,2
1. Display the slice to be scored, ACR T1 Ax & T2 Ax Echo 2 (Slices #8-11) image on the Revew Tab in Tab All
Views format (1-on-1).
2. Start with slice#11, as it has the highest contrast objects.
3. Adjust Window Width & Level to best distinguish the low-contrast spokes from the background (example: Fig. 1).
4. Counting clockwise from spoke #1 (at 1 o’clock position), count the number of complete spokes (3 holes each).
NOTE: A spoke is complete only if all 3 of its disks are discernible (example: Fig. 1, Spoke #1).
5. The number of complete spokes counted is the score for this slice.
a. Stop counting at the first incomplete spoke1.
b. Record the score in the ACR T1 & T2 Tables below.
NOTE: 3T specifications require 37 spokes or more for (Slices #8-11), below 3T require 9 spokes or more 1.
6. Repeat this procedure for both the ACR T1 Ax & T2 Ax Echo 2 (Slices #8-11).
Spoke #1
Fig. 1- ACR T1 (Slice#11)4
*It is important to verify that Overview-Results Page has proper MR System Type/Field Strength entered as this will
affect the specifications and Pass/Fail results.
Results: ACR T1 Axial (Slices 8-11) Table3:

Scan Slice /Echo Resolved Specications Pass/Fail
ACR-T1 Sl8 / E1 8
ACR-T1 Sl9 / E1 10
ACR-T1 Sl10 / E1 10 Total: >=37 Pass
ACR-T1 Sl11 / E1 10
38
Results: ACR T2 Echo 2 Axial (Slices 8-11) Table 3:

Scan Slice /Echo Resolved Specications Pass/Fail
ACR-T2 Sl8 / E2 7
ACR-T2 Sl9 / E2 10
ACR-T2 Sl10 / E2 10 Total: >=37 Pass
ACR-T2 Sl11 / E2 10
37
References:

DMR329409 R00 ACR Phantom WKSHT For Accreditation R53

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Guidance for Collecting ACR Accreditation Phantom Data

Release 5.3 & newer

1.2 Is it mandatory to use the Philips Phantom holder?

1.3 Is it important to level the phantom?

2.4 Tip for positioning axial slices

2.5 Is it necessary for the Slice 11 to bisect the 45o wedges,

3.1 Why can't I find the updated Center Frequency?

3.2 When should I look to find the Center Frequency?

5.1 Why does my TPA test fail?

View from Top

7 High Contrast Resolution7,11,12

7.1 I can see two of the dots connected, is that OK?

8 Slice Thickness Accuracy3,7,13

8.1 I cannot see the Slice Thickness Accuracy inserts?

9 Slice Position Accuracy3,7,14

9.1 Why does the slice position accuracy fail?

9.2 How do you draw the window ROI?

10 Image Intensity Uniformity3,7,15

10.1 Where do place the Large ROI (19,500mm2)?

10.2 Where do I place the smaller ROIs (100mm2)?

11.1 Where do place the Large ROI (19,500mm2)?

11.2 Where do I place the smaller ROIs (1000mm2)?

12 Low Contrast Detectability3,7,12,17

12.1 How do I count the spokes?

Modified Spin Echo parameter= no

ACR T1 Axial ACR T1 Sagittal

Modified Spin Echo not possible

Release 5.3 & newer

ACR Phantom Exam Cards are available on Incenter MR Download Area:

Color Legend for this workbook

Site Contact Information

Comments: test aCR

Site: Site Name (name)

Customer Customer Name (name)

Field Service (name)

Center Frequency (Hz) 127.763528

Comments: Place Test Results comments here

NVC/ACR Phantom Holder2 Ingenia Head Base Coil w/ ACR Holder2

(6) Use a non-ferrous miniature level to ensure rotation is level

Rotate phantom until level

View from Top

Verify phantom is still level

(8) Laser light on very edge of center white grid structure.

View from Top

A. Positioning ACR Sagittal Locator on ACR Phantom

Alignment with Low Contrast Discs (LCDs)3

Detail of Alignment with LCDs3

Fig. 1- Data Monitoring3

Addendum 1: Steps for Accessing Data Monitoring on Sequences Previously Acquired1,2

Year Month Day 24hr Time

Steps for 1.5T or Single Transmit 3.0T

Steps for 3.0T Multi-Transmit

Fig. 1- Data Monitoring3

Fig. 3- 3T Multi-Transmit Data Monitoring Display3

Fig. 4- Image Viewing > Extended Image Information3

Fig. 1- Off/Ang Tab, FH Offset3

ACR-T1 Axial -1.75

Mean Signal Value: 1,2

Window Width/Level Values Table3:

Fig. 4- ACR T1 Ax (Slice #5)4 Fig. 5- ACR Sag Localizer4

Test Procedure: Geometric Accuracy Measurement2

4. To measure, click on the measurement icon on the tool bar.

Results: Geometric Measurements Table3: