Many facilities are having difficulty understanding and/or implementing the new Food and Drug Administration (FDA) Mammography Quality Standards Act (MQSA) initiative called Enhancing Quality Using the Inspection Program, or EQUIP. These new image quality regulations went into effect January 1, 2017.

While citations will not be given this year, you will need to show that you have a program in place for the evaluation of clinical images (separate from your QC documentation). Standards for the evaluation of image quality will be those that are currently used by your facility’s accreditation body, which is in most cases the American College of Radiology (ACR). This will include the 8 factors evaluated by the ACR: Positioning, Contrast, Exposure Level, Compression, Sharpness, Noise, Artifacts, and Exam ID. Together, radiologists and technologists are required to review images, provide feedback, and state corrective actions. These steps must be clearly documented. Beginning in 2018, citations will be given for those facilities who are not in compliance with new FDA MQSA regulations.

While all of this may seem ominous and daunting, these regulations reflect the mutual goal of all those involved in breast imaging: to provide the best in patient care by producing the best images possible! As such, we are here to help you achieve this goal.

If followed properly, our new MQSA EQUIP Assistance Program (MEAP) will ensure that your facility complies with the new MQSA image quality regulations, by offering the following:

  • Complete orientation for radiologists and technologists on the Enhancing Quality Using the Inspection Program (EQUIP) Initiative


  • Image evaluation session for radiologists and technologists


  • Documentation forms for state inspections


  • Positioning problem-solving session

  • Corrective action planning


  • Inspection preparation assistance and binder organization
  • On-site mammography positioning training, upon request

Contact us below for more information.