The Imaging Diagnostic Service (SDI) belongs to the so-called central services of a hospital together with Laboratory, Pathological Anatomy and Pharmacy, which support the other specialties.
Its main activity consists of:
He is also part of several interdisciplinary committees where clinical cases are assessed in order to assess the attitudes to be followed.
The human team of the SDI is made up of: doctors specializing in radiodiagnosis, nurses, senior technicians in diagnostic imaging, nursing assistants, stretcher carriers and administrators, all of them in charge of one or more tasks within the different processes that make up the global activity of the service
Update date: 01.01.2024
In this section appear the professionals of the Integral Health Consortium who have authorized the display of their personal data.
Update date: 01.01.2024
They allow the so-called conventional radiology to be carried out, consisting in obtaining radiographs of any part of the body through the emission of X-rays.
Scans distributed by sections of organs and systems:
The device consists of a mobile table in the 3 axes of space and a mobile X-ray tube in the longitudinal axis, which allows, in addition to conventional radiology, to carry out dynamic radiological studies prior to the introduction of material from contrast either oral or rectal, intravenous, endocavitary or intra-articular.
Tests with oral contrast: esophagogram, esophagogastroduodenal transit, intestinal transit
Rectal contrast tests: opaque enema
Tests with intravenous contrast: intravenous urography, phlebography, arteriography
Tests with endocavitary contrast: hysterosalpingography, cystography, urethrography, fistulography
Tests with intra-articular contrast: arthrographies
It is also possible to check the permeability of structures or catheters by administering contrast through them as in trans-Kher cholangiography or pyelography for nephrostomy.
We also have a multi-function remote control that allows interventional procedures of medium complexity such as percutaneous biliary drainage or the placement of tunneling catheters for dialysis. It has videofluoroscopy that also allows dynamic studies such as the swallowing test.
Scans distributed by sections of organs and systems:
It uses X-rays. Mammograms are obtained specifically and allows interventional procedures to be carried out using the stereotaxic system such as biopsies or placement of harpoons prior to surgical intervention, and checking of surgical parts. Galactography is also carried out, which consists of the study of the pathology of the galactophorous ducts after the introduction of iodinated contrast inside them.
Scans distributed by sections of organs and systems:
It obtains images using ultrasound, which have no harmful effects, of any part of the body with limitation of bony structures and some degree of limitation with aerated digestive structures or very deep localization. The Doppler mode allows the dynamic study of flows in the vascular structures. It is used very frequently as a support for interventional procedures especially on superficial structures (fine needle punctures (FNA), coarse needle biopsies (BAG) and placement of catheters).
Scans distributed by sections of organs and systems:
It obtains images of any part of the body using an x-ray tube that rotates axially toward one or more rows of detectors while moving the table on which the patient lies. The number of detectors will determine the capabilities of CT in terms of image acquisition speed characteristics and their thicknesses. The administration of intravenous iodinated contrast increases the sensitivity and specificity of tests towards certain types of pathology. Likewise, some studies may require the administration of oral or rectal contrast or previous cleaning of the digestive tract. It is used with some frequency as an adjunct to interventional procedures (fine needle aspiration (FNA), coarse needle biopsies (BAG) and catheter placement).
Scans distributed by sections of organs and systems:
It obtains images of any part of the body with some degree of limitation regarding highly airy structures or with the presence of gas. Obtaining images is based on the different behavior of body tissues under a magnetic field when radio frequency waves are emitted. The administration of paramagnetic contrast with Gadolinium intravenously increases the sensitivity and specificity of the tests towards certain types of pathology. Likewise, some studies may require the administration of compounds orally
Scans distributed by sections of organs and systems:
Likewise, HMB and HGH have portable devices and surgical arcs for performing conventional radiology in the ICU, for admitted patients who cannot be moved to the SDI and support in the operating room.
The two acute hospitals (HMB and HGH) carry out ambulatory activity in the different modalities from Monday to Friday from 8 a.m. to 22 p.m., activity towards scheduled inpatients and on demand, and urgent activity towards inpatients and emergency rooms 24 hours a day day.
After-hours urgent CTs are reported via teleradiology.
Apart from the CSI centers themselves (HMB, HGH, Hospital Sociosanitari de l'Hospitalet, ABS Ronda Torrassa and ABS Collblanc), coverage is provided on demand at the CAE (Specialized Care Center) in Ronda Torrassa, Cornellà de Llobregat and of Sant Feliu de Llobregat. HADO (Home Hospitalization) and SEVAD (Dependency Assessment Service) are also supported.
The breast cancer screening program of the ICO of the area is also supported with the performance of around 4.000 mammograms per year.
Update date: 01.01.2024
It was good that both prescribing doctors and patients knew information about certain aspects related to the tests carried out at the SDI. The demand for these has been growing considerably in recent years, and considering that resources are limited, it is necessary to adjust the demand only when it is really justified. Each test has indications, and what is good for one patient or for the study of a certain pathology is not always good for another. Ultimately, it is the responsibility of the radiodiagnostic specialist to approve the requested tests, especially those that use ionizing radiation, due to the added risks they entail.
They are a type of electromagnetic waves that, when passing through the body, give information about the density of the tissues. The risk is that they can damage the cells and this could lead to the development of cancer. This risk is cumulative, and greater the more radiation received, so these tests should only be performed when they are fully justified. However, most tests that use ionizing radiation that are done at the SDI do so at low doses, and with very little risk of developing pathology in relation to them.
However, special care must be taken in children and pregnant patients, as they and the fetus are more radiosensitive. Pregnant women must sign an informed consent before the test is carried out.
There will be some tests that to perform or optimize will require the administration of contrast material. Contrast agents are substances that enhance the density of tissues or cavities in studies using ionizing radiation or the signal intensity in MR studies due to their chemical properties.
When ordering or performing a test with contrast, several points must be taken into account:
In the face of the need to perform an MRI, certain aspects must be taken into account:
Elements such as titanium, chromium-cobalt and copper are safe materials in MRI.
There are several tests that will require prior preparation in order to perform optimally and others that will not.
Update date: 01.01.2024
Research Participation in several clinical trials with the Neurology, Nephrology, Digestive and General Surgery services
Update date: 01.01.2024
Seminars on chest and abdomen x-rays for 4th year students of Medicine at the Hospital Clínic and 6th year at the Bellvitge University Hospital
Accreditation obtained in 2023 for the MIR training in Radiodiagnosis.
It hosts monthly rotations of MIR residents from the following specialties:
Update date: 01.01.2024
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