Medical Physics Consulting Across Canada

Radiology Physics provides diagnostic medical physics and radiation safety consulting to imaging facilities across Canada, with primary service coverage in Ontario and the Greater Toronto Area. Our Canadian services are led by a CCPM-certified medical physicist with credentials in both Canada and the United States, supporting hospitals, independent health facilities, dental and oral-maxillofacial practices, veterinary facilities, chiropractic clinics, and multi-site imaging organizations.

We are part of a bi-national consulting practice, with affiliated U.S. operations under Radiology Physics LLC. This cross-border footprint allows us to support organizations with imaging operations on both sides of the border through a consistent working relationship, while bringing practical experience from Canadian and U.S. regulatory environments to each engagement.

Services for Canadian Imaging Facilities

HARP Evaluations and Ontario X-ray Compliance

In Ontario, facilities using X-ray equipment for human imaging must satisfy requirements under the Healing Arts Radiation Protection Act (HARP) and Ontario Regulation 543. We support facilities with periodic performance evaluations, radiation safety assessments, and documentation suitable for licensing, accreditation, and inspection review.

We provide:

  • Semi-annual evaluations for general radiographic, fluoroscopic, and mammographic systems, where applicable
  • Annual evaluations for dental intraoral, panoramic, cephalometric, and dental Cone Beam CT (CBCT) systems, where applicable
  • Performance testing and documentation of kVp accuracy, exposure reproducibility, half-value layer, collimation, radiation output, image quality, and scatter and leakage measurements
  • Corrective-action guidance when equipment, shielding, image quality, or documentation deficiencies are identified
  • Reports prepared for facility records, Ministry of Health review, and regulatory inspector review

We support CT and DXA quality programs, including baseline performance testing, image quality review, dose evaluation, shielding and room-design review, and corrective-action support.

CAR Mammography Accreditation Program Support

The Canadian Association of Radiologists Mammography Accreditation Program (CAR MAP) is a national accreditation framework for mammography quality and safety. We support facilities through the full accreditation lifecycle, including initial preparation, annual physicist surveys, phantom image review, technical deficiency response, corrective-action documentation, and re-accreditation cycles.

Our mammography services include:

  • Annual mammography physicist surveys
  • Digital mammography and tomosynthesis performance testing
  • Phantom image quality assessment
  • Mean glandular dose evaluation
  • AEC, compression force, detector, display, and image quality review
  • QC program review and technologist support
  • Support for CAR MAP submission packages and deficiency responses

Ontario Breast Screening Program Support

Ontario Breast Screening Program (OBSP) sites require dependable mammography quality systems, timely QC review, and clear documentation. We provide ongoing physicist support for OBSP-designated sites and facilities preparing for OBSP participation.

Our OBSP support includes:

  • Review of weekly and routine mammography QC results
  • SDNR and CNR trend review, where applicable
  • Annual physicist survey support
  • Phantom image quality review
  • Compression force and AEC performance verification
  • Corrective-action tracking and documentation
  • Support for staff education and QC workflow standardization

MRI Safety and Implant Risk Assessment Programs

MRI safety is an important operational, accreditation, and risk-management priority for imaging facilities. We help facilities develop practical MRI safety programs and provide case-specific implant risk assessments to support safe clinical decision-making.

We provide:

  • MRI safety policy and procedure review
  • Zone designation, signage, and access-control planning
  • Ferromagnetic screening protocol development
  • Acoustic noise assessment and hearing protection review
  • MRI safety audits and program gap assessments
  • Staff and patient MRI safety education
  • MRI emergency procedure review, including quench and evacuation planning
  • Device-specific MRI compatibility consultations
  • Risk-stratified assessments for complex implant, device, or retained foreign-body cases
  • Documentation suitable for the medical record
  • Support when vendor labeling is incomplete, ambiguous, or unavailable
  • Guidance on safe scanning conditions for MR Conditional devices
  • Workflow support for escalation, approval, and documentation pathways

Nuclear Medicine and Theranostics Physics

Nuclear medicine programs using radioactive materials are subject to Canadian Nuclear Safety Commission (CNSC) licensing and radiation protection obligations. These programs require specialized support distinct from general diagnostic X-ray compliance.

We provide:

  • Gamma camera quality control and performance surveys
  • SPECT and SPECT/CT performance testing
  • PET and PET/CT acceptance testing and routine QC support
  • Theranostics program support, including Lu-177, I-131, Y-90, and Ra-223 workflows
  • Laboratory commissioning support for new or renovated nuclear medicine facilities
  • Patient and staff dose assessments
  • Radiation safety audits and compliance support
  • Shielding, room-design, and workflow review for nuclear medicine and theranostics programs

Medical Display Evaluations

Diagnostic accuracy depends on consistent display performance across the imaging chain. We evaluate medical displays used for interpretation, acquisition review, and clinical decision-making.

We evaluate:

  • Diagnostic radiologist displays for mammography and non-mammography interpretation
  • Modality acquisition displays at the scanner
  • Clinical specialist displays used in cardiology, orthopedic, dental, and procedural settings
  • Displays used for clinical decision-making in PACS, enterprise viewers, and EHR environments
  • Remote and off-site diagnostic interpretation workstations, including mammography workstations where applicable
  • Conformance with applicable display quality standards and DICOM Grayscale Standard Display Function (GSDF) expectations

Acceptance Testing and Equipment Quality Control

New equipment installations, replacements, major upgrades, and detector changes should be independently evaluated before routine clinical use. Acceptance testing verifies performance specifications, establishes baseline image quality and dose metrics, and identifies deficiencies before the facility accepts the equipment.

We provide acceptance testing and equipment QC support across:

  • CT
  • MRI
  • Mammography and tomosynthesis
  • Fluoroscopy and interventional systems
  • General radiography and mobile imaging
  • Dental and CBCT systems
  • Chiropractic and veterinary radiographic systems
  • Ultrasound
  • Nuclear medicine, SPECT, PET, and hybrid systems

Independent acceptance testing helps facilities avoid accepting equipment that does not meet specification and establishes a defensible baseline for future performance comparisons.

Shielding Design and Radiation Protection Surveys

We provide radiation shielding services for new construction, renovations, relocations, room conversions, and equipment replacements.

Our shielding services include:

  • Pre-construction shielding calculations for diagnostic X-ray, CT, fluoroscopy, mammography, dental, chiropractic, veterinary, nuclear medicine, and theranostics spaces
  • Dental, veterinary, and chiropractic imaging shielding and radiation safety evaluations
  • Shielding designs aligned with applicable federal, provincial, and recognized professional guidance
  • Preparation of regulatory submission materials, where applicable
  • Post-construction shielding integrity surveys
  • Barrier evaluations for adjacent occupied spaces
  • Retrofit shielding evaluations when imaging rooms are relocated, repurposed, or upgraded

Facility Planning and Pre-Construction Consulting

Early physicist involvement in imaging facility planning can prevent expensive redesign, shielding changes, workflow inefficiencies, and regulatory delays.

We support:

  • Equipment selection and technical specification review
  • Room layout, workflow, and patient-access planning
  • Shielding and occupancy review during design
  • Coordination with architects, contractors, vendors, and facility leadership
  • Regulatory pathway planning and submission timing
  • Pre-purchase evaluation and bid review

Engaging a medical physicist during the design phase typically costs far less than correcting shielding, layout, or equipment-selection problems after construction is complete.

Radiation Safety Officer and Program Support

For facilities without in-house radiation safety resources, we provide contract radiation safety support tailored to the size and complexity of the imaging program.

Services include:

  • Radiation safety policy and procedure development
  • Dosimetry program review and management support
  • Staff radiation safety training
  • Regulatory correspondence support
  • Incident response and root cause analysis
  • Audit preparation and corrective-action tracking
  • Quality program development for multi-site organizations

Lead Personal Protective Equipment Evaluation

Protective aprons, thyroid shields, lead glasses, mobile barriers, and other protective devices require periodic inspection and documentation. We provide structured lead PPE evaluation programs with item-level documentation.

We provide:

  • Visual and fluoroscopic inspection of lead PPE
  • Pass, fail, and monitor-status documentation per item
  • Inventory reconciliation and labeling support
  • Replacement recommendations
  • Facility reports suitable for accreditation, inspection, and internal safety records

Education and Training

We provide custom education for facility staff, technologists, radiology residents, physicians, administrators, and clinical leadership.

Training topics include:

  • Radiation safety fundamentals
  • HARP and Ontario X-ray compliance
  • Mammography QC and accreditation readiness
  • MRI safety
  • Implant and device safety workflows
  • Dose optimization
  • Display QA
  • Incident response and documentation
  • Modality-specific quality control

Programs can be delivered in person, virtually, or as customized on-demand materials.

Custom Consulting and Project Work

Beyond required evaluations, we partner with facilities on specialized projects that require independent physics expertise.

Examples include:

  • Radiation incident investigations and root cause analysis
  • Pregnant worker dose assessments and accommodation planning
  • Equipment performance investigations
  • Pre-purchase equipment evaluations and competitive bid analysis
  • Pediatric imaging dose optimization
  • Multi-site quality program harmonization
  • Policy development for new imaging service lines
  • Cross-border quality and compliance program alignment

Regulatory and Accreditation Frameworks We Navigate

Canadian imaging facilities operate within a multi-layered regulatory and accreditation environment. We help facilities interpret and operationalize requirements from sources such as:

  • Healing Arts Radiation Protection Act (HARP) and Ontario Regulation 543
  • Health Canada Safety Code 35 for X-ray equipment in large medical radiological facilities
  • Health Canada safety guidance for dental, mammography, and veterinary imaging, where applicable
  • Canadian Nuclear Safety Commission (CNSC) regulations for nuclear medicine, PET, radioactive materials, and theranostics
  • Ontario Ministry of Health licensing and inspection processes
  • Integrated Community Health Services Centres Act, 2023 requirements and applicable Ontario community surgical and diagnostic centre licensing frameworks, where applicable
  • Canadian Association of Radiologists accreditation programs, including CAR MAP, CT, MRI, and diagnostic imaging accreditation pathways
  • Ontario Breast Screening Program quality expectations
  • Ministry of Labour, Immigration, Training and Skills Development expectations related to occupational dose and worker safety
  • Recognized professional guidance for display QA, shielding design, MRI safety, and modality-specific quality control

Where We Serve

Our Canadian service base is in the Greater Toronto Area, with affiliated team presence in Wisconsin and Texas in the United States. This structure supports rapid response across southern Ontario and project-based availability across Canada.

Cities and regions we routinely serve include:

  • Mississauga, Toronto, Brampton, Oakville, Milton, Burlington, and Hamilton
  • Vaughan, Markham, Richmond Hill, Etobicoke, North York, and Scarborough
  • Kitchener-Waterloo, Cambridge, Guelph, London, and Barrie
  • Project-based engagements across Ontario and other Canadian provinces

Credentials

  • CCPM-certified in Diagnostic Radiological Physics
  • CCPM-certified in Mammography
  • MQSA-qualified in the United States for cross-border consistency
  • State licensure in Wisconsin, Illinois, and Texas
  • Member, Canadian Organization of Medical Physicists (COMP)

Get in Touch

If your facility needs medical physics support, or if you would like to discuss a specific project, please contact us. Initial consultations are available at no cost.

Email: info@radiologyphys.com

Phone: (832) 350-8423