1. (1) Equipment Requirements.

   1. (a) In the event of equipment failure affecting data collection, means shall be provided to terminate the x-ray exposure automatically by either de-energizing the x-ray source or intercepting the x-ray beam with a shutter mechanism through the use of either a back-up timer or devices which monitor equipment function.
   2. (b) A visible signal shall indicate when the x-ray exposure has been terminated through the means required by R313-28-160 (1)(a).
   3. (c) The operator shall be able to terminate the x-ray exposure at any time during a scan, or series of scans, of greater than 0.5 second duration.

2. (2) Tomographic Plane Indication and Alignment.

   1. (a) Means shall be provided to permit visual determination of the location of a reference plane. This reference plane can be offset from the location of the tomographic plane.
   2. (b) If a device using a light source is used to satisfy R313-28-160 (2)(a), the light source shall provide illumination at levels sufficient to permit visual determination of the location of the tomographic plane or reference plane.
   3. (c) The total error in the indicated location of the tomographic plane or reference plane shall not exceed 5 millimeters.

3. (3) Beam-On and Shutter Status Indicators.

   1. (a) The computed tomography (CT) x-ray control panel and CT gantry shall provide visual indication whenever x-rays are produced and, if applicable, whether the shutter is open or closed.
   2. (b) Each emergency button or switch shall be clearly labeled as to its function.

4. (4) Indication of CT Conditions of Operation.

   1. (a) The CT x-ray system shall be designed such that technique factors, tomographic section thickness, and scan increment shall be indicated prior to the initiation of a scan or series of scans.

5. (5) Quality Assurance Procedures. Quality assurance procedures shall be conducted on the CT x-ray equipment.

   1. (a) The quality assurance procedures shall be in writing. Such procedures shall include, but not be limited to, the following:

      1. (i) Specifications of the tests that are to be performed, including instructions to be employed in the performance of those tests; and
      2. (ii) Specifications of the frequency at which tests are to be performed, the acceptable tolerance for each parameter measured and actions to be taken if tolerances are exceeded.
   2. (b) The parameters measured to satisfy R313-28-160(5)(a)(ii) shall include, but not be limited to, kVp, mA and reproducibility of dose appropriate to the type of CT procedures performed.
   3. (c) Records of tests performed to satisfy the requirements of R313-28-160(5)(a) and (b) shall be maintained for three years for inspection by the Division.

6. (6) Dose Calibration.

   1. (a) Radiation measurements shall be performed at least annually and after change or replacement of components which could cause a change in the radiation output.
   2. (b) The calibration of the radiation measuring instrument shall be traceable to a national standard and shall be calibrated at intervals not to exceed two years.
   3. (c) Measurements shall be specified in terms of the multiple scan average dose, using phantoms and technique factors appropriate to the type of CT procedures performed.

KEY: dental, X-rays, mammography, beam limitation

Date of Last Change: September 15, 2025

Notice of Continuation: April 6, 2026

Authorizing, and Implemented or Interpreted Law: 19-3-104; 19-6-107