Making the best Use of the Radiology Department

1
Making the best Use of the Radiology Department

• 
  
  Arun Sebastian
• Consultant Interventional Radiologist and
• Clinical lead- Radiology

2
Welcome to Colchester

• Departmental layout
• Various imaging modalities -overview
• How to get Radiologists advise?
• How to organise an urgent scan?

3
Sites

• Colchester General Hospital
• Essex county Hospital- Breast Imaging and Nuclear
  Medicine
• Clacton and Harwich

4
Sub-Specialties- CGH

• Gastro-intestinal Imaging
• Gynaecology/Pelvic Imaging
• Thoracic Imaging, Cardiac CT
• Musculoskeletal Imaging
• Nuclear Medicine/PET CT
• Vascular Imaging
• Interventional Radiology

5
Departmental Plan

• Entrance

AE
IR
MR
Offices
Nucl Med
office
X ray
Offices
D
CT
US
EAU
6
Radiology advice

• Duty Radiologist
• 0900-1100. 1500-1700 Mon- Fri
• 0900 to 1700 Mon- Fri
• Radiologist on-site until 830-900 pm.
• Please have full patient information
• Please remember to review the report if you have
  requested a test.

7
Plain films

• All non-orthopaedic films are reported
• Lateral Chest Radiograph is of extremely limited
  value
• Accurate clinical details help us a lot!

8
CT scanning-Office hours

• Please provide full clinical details- they are
  copied and stored electronically
• Consultant request only.
• Recent serum creatinine, Venflon

9
MR scanning

• Private scanner ( Alliance)
• Consultant request only
• Contraindications to MR ( see back of request
  form)
• Intracranial metallic clips
• FB in eyes
• Pacemakers (usually)
• Patients with Renal failure- Gadolinium relative
  contraindication

10
How to organise an Urgent CT or MR scan?

• Speak to the duty Radiologist.

11
Reports

• Inpatient CT, MR and US- as soon as possible
  after scan ( Same day) ( Please check
  them before you go home)
• AE/EAU- currently in about 2 days ( will improve)

12
Nuclear Medicine

• The request form has to be authorised by ARSAC
  licence holders.
• Low clinical probability for PE and normal CXR-
  VQ scan.
• CTPA for others.

13
Interventional Radiology

• Consultant request only
• Blood tests Clotting, FBC.
• If PT/APTT is high or low platelets- inform and
  discuss with Radiologist
• If a patient needs FFP/platelets and we are
  planning to infuse 4 bags- give about 2 bags on
  the ward and leave the 3rd running when
  transferring to Radiology.
• Venflon, antibiotics

14
Consultant Radiologist On call

• Consultant referrals only ( except Stroke
  Imaging- Stroke nurses)
• General Radiology On call
• Interventional Radiology On call- Vascular and
  Non-vascular ( shared with Ipswich Hospital.
  Colchester is the Vascular centre)

15
General

• The Radiologists offices are the clinical
  reporting areas. Please be mindful of that when
  you disturb them.

16
And Finally

• Any questions ?