Stakeholder
Responsibilities
Administrators
• Schedule patients
• Document insurance
• Record payments
• Manage human resources
• Manage quality inspections
• Run the business economic aspects of the unit
Nurses
• Manage patient safety
• Perform procedures on patients that require imaging exam
Technologists
• Operate imaging hardware
• Transmit images (print or electronic) to radiologists
Physicists
• Manage safety (radiation dose) of imaging hardware
• Manage quality (resolution, calibrations) of imaging hardware and software
• Monitor continuing safety and quality of all equipment
Information technology
• Manage saving/sending of imaging studies
• Use formats like DICOM
• Manage specialized servers (PACS) to conduct high-volume traffic from technologist to radiologist
Radiologists
• Interpret images for patient care
Technologies and Equipment
The equipment in a radiology enterprise varies by size and specialized resources of the department. Table 2.2 lists the possible types of equipment possibly present in an imaging organization, as well as relative expense. This wide variety of possible modalities, and the high cost, requires that each department must choose and optimize imaging equipment to meet the clinical needs of its community and patient population. For example, some hospitals without a breast cancer screening program will not have mammography equipment. This topic of optimizing equipment for the resources of an institution and the epidemiological needs of a community is covered in greater depth in the Radiology Readiness chapter of this text.
Table 2.2
Relative expenses (investments) for imaging equipment
Modality | Relative expense |
---|---|
Radiography (X-ray) plain film | $–$$$ |
Ultrasound | $–$$ |
Mammography | $$–$$$ |
Computed tomography (CT) | $$$–$$$$ |
MRI | $$$–$$$$$ |
Nuclear medicine | $$$–$$$$$ |
Fluoroscopy for interventional procedures | $$–$$$$ |
Radiation therapy units | $$$$$ |
DXA (dual-energy X-ray absorptiometry) | $$–$$$
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