Imaging Department Functions

“Imaging”,
From Where To start?

• Of course from the Human Body :

Easy to visualize!

But difficult to image

Let’s try!
 Imaging Department –
The Body

• Functional Description
• Neuro System
• Blood Circulation
• Renal function
• MSK
• Etc…
• Organs:
• Brain
• Pituitary Gland
• Liver
• Stomach
• Heart etc…
 Imaging Department –
Physics of the constituants

• Aspect
• Fluid vs solid
• Density
• Soft tissue VS Bones
• Soft tissue vs other soft tissue (muscle vs fat)
• Liquid vs Soft tissue
• Etc…
• Organ’ s Function:
• Thyroid fixes Iodine
• Cardiac muscles fixes thalium
• etc…
 Imaging Department –
Goals

• Diagnosis
• Visualize anatomy
• Study dynamic processes
• Identify pathologies
• Interventions:
• Endolumen exploration
• Biopsies
• Stenting
• Embolization
 Imaging Department –
Means -1

• X-RAY
• Ionizing emissions causes biological damage
•thickness
Penetrate through tissue with a coefficient of attenuation
and atomic number
depending on

•Screen/Cassette,
Image is based on the result of penetrating beam reaching a conversion system:
II, Opto-electrical, Direct electrical
•R/F tables,
Many equipment use X-Ray as mean of imaging: Bucky Tables,
Cath-Lab,CT, mobile, C-Arm etc..
Chest stand,

• Ulrasound:
• Non invasive sound emission reflected on anatomy
• Reflected differently by the different tissues
• Image is the result of reflected beam study
•Vascular,
US is used in different specialization: General imaging, OBGYN,
MSK etc..
Cardiac,
 Imaging Department –
Means 2
• Magnetic Resonance
• Non invasive magnetic field
• Response of exited Protons in a magnetic field
• Image is the result of the signature of each proton with its lattice
• Different systems: Open/Cylindrical, 0.5T, 1T, 1.5T, 3T, 7T
• Nuclear :
• Ionizing emissions from radioactive material
• Absorbtion by certain organs of specific and selective radioactive
isotopes
• Image formation is gathered from the counting over time of the
radioactive emission events from an area (spatial)
• Imaging is closely related to the functions in organ: Gamma
Camera
• To complement functional information with anatomy Nuclear can be
coupled with other modalities: PET/CT, BrightView, etc…
 Imaging Department –
Architecture 1
• Dedicated Rooms per modality
• General imaging Ultrasound
• OBGYN ultrasound (generally in OBGYN department)
• Panoramic
• Mammography
• Bucky Table
• Radiography/ Fluoroscopy
• Angiography suite
• CT scanner
• PET-CT
• MRI
• Mixed Rooms :
• Ultrasound/Mammography
• Panoramic/Mammography
• Cath-Lab/ Angiography suite
 Imaging Department –
• Requirements per modality Architecture 2
• Area and Height
• Access Route for equipment
• Fixed Load on the Floor/Ceiling
• Leading for X-Ray modalities and RF cage for MRI
• Integrated WC for modalities using bladder filling or other
•SuiteControl Room for specific equipment such as: Remote control R/F, CT, MRI,
, PET-CT etc…(Lead Glass!)
Cath-Lab, Angio

• Technical Room for certain modalities: CT, MRI, PET-CT, CathLab etc…
• Electrical Load
• Thermal Load and A/C requirements in concerned area
• Recovery room
• Changing room
• Network connections
• Power Wall outlets
• Cabinets for Accessories
• Stretchers
• Desks
• Chairs
• Etc…
 Imaging Department –
Architecture 3
• Annexes
• Patient Admission area
• Patient waiting area
• Doctor’s offices
• Reading room
• Archive/Server room
• Secretary room
• Transcriptionist room
• Staff changing room
• Staff Gathering room
• WCs for staff
• Etc…
 Imaging Department –
Architecture 4
• WorkFlow
• Patient workflow:
• privacy
• comfort
• security
• Staff circulation:
• efficiency
• personalized treatment
• Modality and room layout:
• efficiency
• security
 Imaging Department –
Conclusion: Key to success
• Look to the whole picture examine all aspects and workout
every detail.