Due to the unique design of the Parallel Rod Test Object (PRoTO) and t
he associated semi-automated analysis program, it was necessary to tes
t it extensively for precision and accuracy, and preliminarily for uti
lity, before its distribution for wider use in MRI system quality cont
rol (QC). The test object and analysis program measured the desired qu
antities reproducibly and they accurately measured predicted changes f
rom intentionally adjusted imaging system parameters, yielding sensiti
vity of the various test measures to deviation in the system operating
parameters. From a single scan of the most recent revision of the tes
t object, multiple quantitative quality control measures were obtained
throughout the scanning volume on two MR imaging systems over periods
of six and twelve months, respectively. From these and earlier trials
, an initial indication was obtained of which performance measures are
worth monitoring for QC. This experience suggests that signal-to-nois
e ratio (SNR) and distortion (including display scale) should be monit
ored but not necessarily the resolution. The latter was only found to
alter at the same time or later than other parameters such as SNR had
changed. Slice thickness was found to vary on some units and this meas
ure was also used in normalizing the SNR by voxel volume. SNR, distort
ion, and resolution measurements using field-echo sequences were less
stable than those using spin-echo sequences. Use of this QC program to
test a wide variety of image quality measures allowed timely assessme
nt of the long-term variability of the units tested. Long-term variabi
lity may become among the most important measures for comparison of sy
stem performance and maintenance. Results are still inconclusive on th
e importance of tracking measures from sequences that are potentially
most sensitive to small system misadjustments.