Stereotactic Biopsy
Stereotactic Breast Biopsy is regulated by the IDPH Mammography Program. Nationwide, there are no federal rules in place for Stereotactic Breast Biopsy.
State of Iowa's Stereotactic Breast Biopsy rules are similar to requirements of the voluntary accreditation programs offered by the American College of Radiology and the American College of Surgeons.
If you or your facility will be providing Stereotactic Breast Biopsy services within Iowa, you must adhere to the Iowa Administrative Code Stereotactic Breast Biopsy Rules.
Stereotactic Biopsy Personnel
All personnel providing Stereotactic Breast Biopsy services in Iowa must meet the qualification requirements for the State of Iowa.
The following forms are helpful checklists to determine whether your personnel meet these rules. Please contact us 
if you have questions or are unsure of your personnel status.
Physicians - Radiologists
Initial Qualifications - Stereotactic Biopsy
Requalification - Stereotactic Biopsy
Physicians - Non - Radiologists
Initial Qualifications - Stereotactic Biopsy
Requalification - Stereotactic Biopsy
Radiologic Technologists
Initial Qualifications - Stereotactic Biopsy
Requalification - Stereotactic Biopsy
Medical Physicists
State of Iowa Approval Letter
Preparing for Stereotactic Breast Biopsy Inspections
The following will be verified for each stereotactic breast biopsy unit:
- Average Glandular Dose
- Beam Quality Assessment (HVL)
- AEC/Exposure Reproducibility
- kVp Accuracy and Reproducibility
- Digital Receptor Uniformity
- Phantom Image Quality
- Equipment operated from a shielded position
The facility's performance of the following Quality Assurance and Quality Control tests during the inspection period will be verified. Please have documentation representing each of these items available for the inspector:
- Quality Assurance Personnel are clearly assigned:
- Supervising Physician
- QC Technologist
- Medical Physicist
- Localization Accuracy - Daily
- Phantom Image QC - Weekly
- Visual Checklist - Monthly
- Compression QC - Semi Annually
- Medical Physicist Survey - provide a photocopy of the most recent survey for the inspector.
- Medical Records Content - the inspector will ask for report
- Medical Audit - compilation of biopsy tracking. Positive Biopsies, Negative Biopsies, Discordant Biopsies, Repeated Biopsies.
- Annual Review of Stereotactic Program by Supervising Physician
- Personnel Radiation Monitoring Badge Reports
- Equipment Service Records
- Qualification documents for each Physician who performed stereotactic breast biopsies at the facility: (remember to include all mammography qualifications for all physicians who are also mammography interpreting physicians)
- Initial Stereo Qualifications
- Iowa Medical License
- Continuing Education (3 stereo CME's in previous 36 months)
- Continuing Experience (12 stereotactic biopsy procedures every 12 months)
- Qualification documents for each Radiologic Technologist who performed mammograms at the facility: (remember to include all mammography qualifications for all technologists who are also mammography technologists)
- Initial Qualifications
- Iowa Permit to Practice
- Continuing Education (3 stereo CEU's in previous 36 months)
- Continuing Experience (12 stereotactic procedures in every 12 months)
- Iowa Approval Letter for the Medical Physicist
