Medical Physics Consulting Across the United States

Radiology Physics LLC provides diagnostic medical physics and radiation safety consulting to imaging facilities across the United States, with primary service coverage in the Midwest, Texas, and the Gulf Coast, and project-based availability nationwide. Our U.S. services are led by a board-certified medical physicist with cross-border credentials, supporting hospitals, imaging centers, mammography facilities, dental and oral-maxillofacial practices, veterinary clinics, chiropractic offices, and multi-site imaging organizations.

We are part of a bi-national consulting practice, with affiliated Canadian operations under Radiology Physics Inc. 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 U.S. and Canadian regulatory environments to each engagement.

Services for U.S. Imaging Facilities

MQSA Mammography Surveys

Every mammography facility certified under the Mammography Quality Standards Act (MQSA) is required to undergo an annual physicist survey to maintain certification. We provide comprehensive MQSA surveys for U.S. mammography facilities, with audit-ready reporting and practical guidance for deficiency response.

Our MQSA surveys include:

  • Tube output, kVp accuracy, half-value layer, and AEC performance
  • ACR phantom image quality evaluation and dose measurement
  • Spatial resolution, artifact evaluation, and SNR/CNR assessment
  • Display QC and reading-room evaluation
  • Tomosynthesis (digital breast tomosynthesis) testing where applicable
  • Review of technologist QC records and recommendations for improvement
  • Written reports suitable for MQSA inspection and ACR re-accreditation

ACR Accreditation Support

We support facilities through every stage of ACR accreditation across modalities, including:

  • Mammography (FFDM and tomosynthesis)
  • Stereotactic breast biopsy
  • CT (diagnostic, cardiac, and lung cancer screening)
  • MRI
  • Ultrasound and breast ultrasound
  • Nuclear medicine and PET

Services include pre-accreditation audits, phantom image submission preparation and review, response to ACR deficiency notices, re-accreditation testing and documentation, and assistance with adding new units to existing accreditations.

Periodic and Annual Equipment Quality Control

We provide periodic and annual physicist QC across the diagnostic imaging suite, depending on modality, accreditation requirements, state rules, and facility policy:

  • CT (image quality, dose, ACR phantom evaluation)
  • MRI (image quality, ACR phantom evaluation)
  • Fluoroscopy and interventional systems (dose rates, image quality)
  • General radiography (output, AEC, image quality)
  • Mammography (MQSA + ACR + facility QC review)
  • Ultrasound (image quality, transducer performance)
  • Bone densitometry (DXA performance evaluation)
  • Nuclear medicine cameras, SPECT/CT, and PET/CT
  • Dental panoramic, cephalometric, and CBCT systems

MRI Safety Programs

MRI safety is a growing focus for ACR, Joint Commission, and state regulatory programs. We help facilities develop and maintain comprehensive MRI safety programs aligned with current standards.

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

Nuclear Medicine and Theranostics Physics

Nuclear medicine programs using radioactive materials are subject to Nuclear Regulatory Commission (NRC) or Agreement State licensing. We provide 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
  • Hot lab and radiopharmacy commissioning support
  • Patient and staff dose assessments
  • NRC and Agreement State compliance and audit preparation
  • Shielding, room-design, and workflow review

Medical Display Evaluations

Diagnostic accuracy depends on consistent display performance across the entire 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 AAPM TG-270, DICOM Grayscale Standard Display Function (GSDF), and ACR display performance standards

Our Chief Medical Physicist, Dr. Mosa Alhamami, is a voting member and co-author of the AAPM Medical Physics Practice Guideline MPPG 17.a: Quality Management for Mammography Review Workstation Displays, contributing directly to the national professional standard governing how mammography review workstation displays are evaluated and maintained.

Acceptance Testing and Equipment QC

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 meeting NCRP Report 147 and applicable state requirements
  • Shielding designs for CT, fluoroscopy, mammography, dental, chiropractic, veterinary, nuclear medicine, and theranostics spaces
  • Radiation safety evaluations for dental, chiropractic, and veterinary imaging clinics
  • Preparation of state radiation control program submission materials
  • 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 with NRC, state radiation control programs, and inspecting agencies
  • 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 under many state radiation control programs and accreditation frameworks.

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
  • MQSA mammography QC and accreditation readiness
  • ACR accreditation preparation across modalities
  • MRI safety
  • Implant and device safety workflows
  • Dose optimization (CT, fluoroscopy, interventional)
  • Display QA
  • Incident response and documentation
  • Modality-specific quality control
  • Board exam preparation for radiology residents (ABR Core and Certifying)

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

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

  • Mammography Quality Standards Act (MQSA) and 21 CFR 900
  • U.S. Food and Drug Administration (FDA) radiation-emitting product requirements
  • Nuclear Regulatory Commission (NRC) regulations and Agreement State frameworks
  • American College of Radiology (ACR) accreditation programs (mammography, CT, MRI, ultrasound, nuclear medicine, PET, breast ultrasound, stereotactic biopsy)
  • The Joint Commission (TJC) imaging standards, including diagnostic imaging requirements and MRI safety standards
  • State radiation control programs
  • NCRP Reports relevant to diagnostic imaging, including NCRP 147 (shielding), NCRP 168, and NCRP 184
  • AAPM Task Group reports for modality-specific quality control and safety

Requirements vary by state, modality, accreditation status, and facility type. We help facilities identify the applicable federal, state, and accreditation requirements before testing, construction, or inspection.

Where We Serve

Our team is based in three core regions — Wisconsin, Texas, and Ontario — enabling rapid response across the U.S. Midwest, Texas, and the Gulf Coast, with project-based availability nationwide.

Credentials

  • Board-certified in Diagnostic Radiological Physics
  • Board-certified in Mammography
  • MQSA-qualified for mammography services in the United States
  • Certified Radiation Expert (CRE) in Mammography, State of Ohio Department of Health
  • ACR (MRI, CT, NM/PET, US, and Stereo Breast Biopsy) Qualified Personnel
  • Dept. of Public Health, Radiation Control Program, Commonwealth of Massachusetts Registration of Services in Health Physics: Shielding Design, Diagnostic Radiology, and Mammography Medical Physics
  • Illinois Emergency Management Agency (IEMA-OHS) Diagnostic Imaging Specialist & Mammography Approval
  • Medical Physicist License, Diagnostic Radiological Physics, Texas Medical Board, State of Texas
  • Member, American Association of Physicists in Medicine (AAPM)
  • 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