9. PRE INSTALLATIONS SCOPE : MODILITIES PROVIDORES WITH
COORDINATION WITH CLEINT(PMO & CONSLTANT) & MAIN CONTRACTOR
CEILINGS : NOT USED FOR ELECTRICAL OR MECHNICALS SYSTEMS
(HVAC,PLUMBING ..)
WALLES & CEILING : SOUND INSULATION esp.(MRI) CLADDING
FLOORS : VINAL USING WELDING PAPERS IN THE JOINTS .
DOORS : app. WIDE 240cm & THICKNESS 4.45cm .
EQUIPMENT WEIGHT : HEAVY SOME OF THEM AROUND TONES
SHEILDING & LEADING : SHOULD BE DEPONDS ON THE TYPE ,
STRENGTH & TECHNOLOGY USED
FEAR VOBIA esp. IN MRI & CT WINGS : FIXED SCREEN IN CEILING ,
SOFT MUSIC , AMASING FINISHING ….) .
WALL HEIGHT : MIN. 3 m.
MEDICAL IMAGING DEPARTMENT
PRE INSTALLATION CONSEDRATIONS
10. 1.GENERAL X-RAY , MOBILE , PANORAMA , BMD & MAMOGRAPH
2.RADIOLOGY &FLOUROSCOPY (R&F)
3.ANGIOGRAPHY & IR (INTERVENTIONAL RADIOLOGY)
4.CT – Computed Tomography
5. U/S - ULTRASOUND
6.MRI- Magnetic Resonance Imaging
MEDICAL IMAGING
DEPARTMENTEQUIPMENT &
FASILITIES
11. 7.GAMMA CAMERA
8. SPECT ( SINGLE PHOTON EMMISION COMPUTED TOMOGRAPHY)
9. PET (POSITRON EMMISION TOMOGRAPHY(Positron (+ charge) = Anti Electron)
MEDICAL IMAGING
DEPARTMENTEQUIPMENT &
FASILITIES
12. 10. PET MRI
(POSITRON EMMISION TOMOGRAPHY W/ MAGENTIC RESONANCE IMAGING
11. PET CT
(POSITRON EMMISION TOMOGRAPHY W/COMPUTED
TOMOGRAPHY)
MEDICAL IMAGING
DEPARTMENTEQUIPMENT &
FASILITIES
13.
14. 1. USING & SPECIFICATIONS
For imaging the body organs, especially the chest and skull
and other parts of the skeleton (fractures and injuries).
Ionized rays used in imaging operations where X is meted into
force dependent on the member "of different density and the
amount of permeability and absorption.
These devices are used in addition to the emergency
department radiography.
For imaging very few (seconds).
There are risks for some patients, especially the pregnant (the
fetus).
You do not need imaging operations for special preparations or
to any other devices help.
15. The device consists of: Generator is characterized by high
energy of up to 80 000-watt and high-frequency ; CRT (Cathode
Ray Tube) &The detector which are received after the X-ray
permeability of the body of the patient.
All parts are suspended on ceiling with supports or props.
Imaging by two cases : using bed ( lying down ) and standing
up using the board so that it is receiving the scan window therein.
Device location needs special equipment and install the sealing
of the pillars to carry the device and ease of movement directions
(X, Y, Z) and rotation (TUBE).
2. USING & SPECIFICATIONS
16.
17.
18. MODILITY
SPACES - METER SQR
STNDPR.RMEQ.RMCN.RM
Radiography General (standard)17-2817-28X14
Mammography (standard)15XXX
19. WARNING SIGNS
ON X RAY DOOR
YES FOR PERGNANT
MODILITY
LEADING
WALLSDOORS
CONTROL
WINDOW
Radiography GeneralYESYESYES
MammographyNONOX
24. USING & SPECIFICATION
For imaging the body organs, especially the gut the top and bottom,
bladder and esophagus.
Imaging member while in motion and directly (real time - no recording).
Directly and fixed are shed rays to be continuous imaging process.
The patient is injected contrast media to show the user to be filmed or
through ingestion.
Imaging for longer and at greater than normal radiographic radiation.
There are risks for some patients, especially the pregnant (the fetus).
Imaging need for special operations and preparations to some assistive
devices as organs injection and monitoring of vital signs.
25.
26. USING & SPECIFICATION
These devices are used in operations Cardiac Catheterization
and Angiography and some operations that need put stends or
Catheters ..., where the device uses a multi-purpose format (C-
ARM) with bilateral levels (both sides and axial), in addition to the
fact that comics and vivid.
A key device in such operations and be one of the devices such
as electronic monitoring devices and anesthesia ....
This type of operations have radiation risk and need special
preparations .
27.
28. MODILITY
SPACES - METER SQR
STNDPR.RMEQ.RMCN.RM
RADIOGRAPHIC /Fluoroscopy (R/F)30PATIENT TOILET W/NEGATIVE PRESSURE
ANGIO / IR /HYBRID OR47471212
29. WARNING SIGNS
ON X RAY DOOR
YES FOR PERGNANT
MODILITY
LEADING
WALLSDOORS
CONTROL
WINDOW
RADIOGRAPHIC /Fluoroscopy (R/F) (standard)YESYESYES
ANGIO / IR /HYBRID ORYESYESYES
30. MODILITY
ELECTRICAL REQUIR.
LIGHTINGPOWERTYPE
RADIOGRAPHIC /Fluoroscopy(R/F) (standard)
FLUORECENT 100CF &
DIMMER 2CF380-3P 150A CBEMERGENCY
ANGIO / IR /HYBRID ORFLUORECENT 150CF &
DIMMER TO 0.7 CF380 - 3P 150A CBEMG +UPS
All the systems used to be designed to high efficiency and low cost of
consumption
Supplies the distribution unit and loads of the device by vendor and contractor
in coordination with the pre-installation sub contractor .
And fixing distribution points ... and all the electrical work, all within the pipes
to prevent noise of radio waves .
34. USING & SPECIFICATION 1
The use of X-ray technology ionized and then penetrate the
patient's body and then detect X-piercing process by the detector in all
directions.
It is taken anatomical cross-sections of the body (organ) to be filmed
and then and through special programs (soft ware ) for these sections
are assembled to form a three-dimensional image ( re constructions
image )
CT is non invasive (means that any information is taken from the
body from outside the body and not by placing a telescope or other).
The total duration of imaging almost short ( 5) minutes (duration of
exposure to radiation of no more than 30 seconds.
35.
36. USING & SPECIFICATION 2
The most widely used that accuracy and speed,
especially in many cases :
1. HYDROSEPHALUS
2. INFLAMMATION & BLEEDING
3. CYSTS & TUMOERS
4. BONE INJURY
5. SKULL & SPINE
6. BRAIN PROBLEM
37. USING & SPECIFICATION 3
Injection or inhalation of substance to show some
blood clearly may be used, so you must make some tests
for allergies or kidney function prior to the shooting.
Painless and non-security high amount of radiation
that must advance warning "and not to use it for
pregnant women.
38.
39. USING & SPECIFICATION 4
The Modality consists of:
1. GANTRY: which is a model of circular open from the middle (donut
shape).
2. Generator and detector and be within Gantry and rotate very quickly
around the body.
3. The bed and who holds the patient where the subject is inserted into
the Gantry .
4. Image display devices.
Image resolution depends on the amount of radiation and the
duration of the survey (test) and efficiency of the component parts of the
device and the software responsible for collecting information and rebuilt.
Where it is to differentiate between models : 1. The number of slides
(32, 64 128 ....) 2. Detector type 3. Gantry speed ..
43. WARNING SIGNS
ON X RAY DOOR
YES FOR PERGNANT
LEADING
WALLSDOORS
CONTROL
WINDOW
YESYESYES
44. ELECTRICAL REQUIR.
LIGHTINGPOWERTYPE
FLUORECENT 50CF & DIMMER TO 5 CF380-3P 150A CBEMERGENCY
The supplying of distribution unit and loads by the equipment
supplier in coordination with the pre-installation contractor , fix
distribution points ... and all the electrical work, all within the pipes
to prevent noise of radio waves (interference )
All the systems used to be designed to high efficiency and low
cost of consumption
47. USING & SPECIFICATIONS 1
Ultrasonography device (sonar) is a secur device of the
radiation is used where the ultrasonic waves with non-ionized &
reflected features.
Used in the study of the body's organs of anatomical terms
(size, shape & movement).
Widely used:
1. Follow-up stages of embryo development - Obstetrics and
Gynecology clinics (OBGYNE DEPT )
2. The study of the heart and blood flow - Heart Clinics(
CARDIOLOGY & VASCULAR)
3. General uses : study of the shape of kidney, liver, and in
the non-surgical Lithotripsy - Imaging Division
52. USING & SPECIFICATIONS 2
The wave Band device uses ultrasound frequencies ranging from (1 MHz – up
to 12 MHz) ;Sound band width is (4-20 kHz) human can hear.
The sound Speed inside the body is 1540 m / sec
These waves are issued through the quartz crystal and which Pizo electric
(pressure to generate an electric current produces waves and vice versa in the
reception stage.
The probe is a transmitter and receiver, as the outgoing waves are reflected
from both parts of the body, "according to the depth (distance) and intensity
(power) signal.
Reflected waves are processed in the electronic circuits and display.
It is to be the image on the three forms (two-dimensional, three-dimensional
and four dimensions).
Device gives continuous waves feature (continuous survey).
53. USING & SPECIFICATIONS 3
A device (the main unit , probes , displays , recording
devices and printers normal injection or laser)
Wave (Arrays) Types:
- LINEAR ARRAY
- CURVED ARRAY
- PHASED ARRAY
54.
55. SPACES - METER SQR
STNDPR.RMEQ.RMCN.RM
STANDARD16PATIENT TOILET W/NEGATIVE
PRESSURE
61. USING & SPECIFICATIONS 1
Depends on the presence (mount) of hydrogen ions are the most
prevalent in the body.
The magnetic field (fixed and variable) is used in the imaging process.
(0.7, 3 , 9 , ..Tesla) ... greater than the magnetic field of the earth (of 8000 -
30000) ; (1 Tesla = 10,000 Gauss) ; Its magnitude at the Earth's surface
ranges from 25 to 65 microteslas (0.25 to 0.65 gauss)..
Doughnuts shape (round cake open from center) , weight and size of the
senior.
Two types of form modality : open and close system.
It requires constant cooling, and uses liquid helium in (temperature 269 C
below zero) to the presence of (SUPER CONDUCTOR)
The design of the device in a manner so as to minimize the effect of the
magnetic field by using (ACTIVE SHIELD)
62. USING & SPECIFICATIONS 2
Safe for the patient and the user where there is no radiation, especially (for
pregnant women and children).
Procedure Time : per case is (30-45 minutes).
Sometimes the patient needs (anesthesia) and a contrast media
(intravenous).
It used in imaging the brain and soft tissues and ligaments and spine.
Painless and harmless.
Three-dimensional (with three views) ; SAGITTAL (R / L), CORONAL (F /
B), TRANSVERSE (U / D)
It needs some of the accessories (for patient) to care , such as pictures
(screen) and sounds, etc. The possible use of glasses, headsets because the
device also issues noise.
63.
64. USING & SPECIFICATIONS 3
MR suit is a four protection zones: 1.No restricted,2. restricted , 3. High
restricted ; all equal to or outside the five Gauss line And 4. Ultra
restricted ( 5 Gauss line ; 1 Gauss = 0.1 m Tesla ).
The using Radio frequencies .. so it must be protected with RF
shielding and be a device far from the noise sources as lifts or
broadcast and other communications devices.
The presence of liquid helium in the cooling process requires the
presence of the exits of helium gas (ports outside the hospital building) in
cases of liquid heating and that may lead to a severe explosion condition
they do not exist (turning the liquid into a gas) ( 1 liter liquid turn into a
700-liter gas). Scientifically called QUENCH process
65. USING & SPECIFICATIONS 4
All medical and non-medical furniture of the MR suit
(ultra restricted area ) , such as syringes , vital signs and
a blood pressure monitors ,and tables must not be of
ferrous metals, all of which must be comply w /resonance
device call : MRI COMPATABLE furniture .
All pipes , accessories, building materials .. must be
NON FERRO MAG.
All devices used must not be issued radio interference
(RF INTERFERNCES).
66.
67. SPACES - METER SQR
STNDPR.RMEQ.RMCN.RM
STANDARD30-5830-5814-359
69. ELECTRICAL REQUIR.
LIGHTINGPOWERTYPE
INDIRECT380 - 3PUPS
The supplying of distribution unit and loads by the equipment
supplier in coordination with the pre-installation contractor , fix
distribution points ... and all the electrical work, all within the pipes
to prevent noise of radio waves (interference )
All the systems used to be designed to high efficiency and low
cost of consumption
73. The use of radioisotopes in the medical field in two forms:
1. Therapeutic: the treatment of tumors by extrusion of the
tumor by radiation of the isotopes (high activity )
2. Diagnostic: imaging member while performing his job by
infusion or swallowed or inhaled radioactive isotopes after
configured for human use and be (by medium and low
activity )
INTRODUCTION
74. IMAGING BY USING ISOTOPES
Here and after injection or swallowing or inhalation of
radioactive materials by patient, the body becomes the
source of radiation; these rays resulting from the decay of
radioactive isotope.
The advantage of that so that the safe of this radioactive
isotope out of the body with time .
Radioactive isotope modality is divided into two parts,
according to reactivity, namely:
1. PET : high activity isotopes ( Positron emission
tomography)
2. GAMMA and SPECT : low activity isotopes .
75. RADIOISOTOPES MODALITY APPLICATION
I125 & I131
THYROIDE UPTAKE
SYSTEM
It calculates the
amount of thyroid
hormone (Thyroxin)
absorption
Xe133 GAMMA CAMERA /SPECT
A radiation survey of
the work of the lungs
Tc99 GAMMA CAMERA /SPECT
Liver ,spleen and
brain
FDG
Flouro. Dioxide Glucose PET TUMERS
81. 3. WASTE & DISPOSABLES MANAGEMENT
Radioactive waste decontamination
Storage unit for
radioactive
decay
Biological sewage
purification unit
Data command-control-
acquisition-analysis-
archiving unit
93. MODILITY
HEIGHT
min.
SPACES - METER SQR
STND PR.RM EQ.RM CN.RM
SPECT 3 m 37 37 x x
SPECT-CT 3 m 42 38 11.6 14
PET 3 m 37 37 x 14
PET-MRI 3 m 50 44 11.6 14
PET-CT 3 m 42 42 x x
PEM (Positron Emission
Mammography)
3 m 14 38 11.6 14
94. MODILITY
ELECTRICAL REQUIR.
PWR TYPE
SPECT 480V,3P-100A UPS
SPECT-CT 480V,3P-150A UPS
PET 480V,3P-100A UPS
PET-MRI 480V,3P-150A UPS
PET-CT 480V,3P-150A UPS
PEM (Positron Emission Mammography) 480V,3P-100A X
96. MODILITY
HVAC
TEMP HUM % AC
AIR
CHANGE/H
PRESS. EXH.
SPECT 21-24 C 45-80 Y 6 NEG. YES
SPECT-CT 21-24 C 45-80 Y 6 NEG. YES
PET 21-24 C 45-80 Y 6 NEG. YES
PET-MRI 21-24 C 45-80 Y 6 NEG. YES
PET-CT 21-24 C 45-80 Y 6 NEG. YES
PEM(Positron Emission
Mammography)
21-24 C 45-80 Y 6 NEG. YES
97. MODILITY
PLUMBING M.GASES
WATER(C/
H)
DRAIN O2 VAC AIR
SPECT √ √ √ √ √
SPECT-CT √ √ √ √ √
PET √ √ √ √ √
PET-MRI √ √ √ √ √
PET-CT √ √ √ √ √
PEM (Positron Emission Mammography) X X X X X
98.
99. MANUFACTURERES PRODUCTS
1 SIEMENS MRI , CT ,US, G-X RAY
2 GE MRI , CT ,US, G-X RAY
3 PHILIPS MRI , CT ,US, G-X RAY
4 TOSHIBA MRI , CT ,US, G-X RAY
5 HITACHI CT ,US, G-X RAY
6 AGFA CT ,US, G-X RAY
7 HOLOGIC BMD,MAMMAOGRAPH,X RAY
8 VARIAN MRI
