Department of Radio-Diagnosis

NOTICE

Instructions for CT Scan Technicians – Case Allocation

To ensure streamlined workflow, equitable load distribution, and timely reporting of urgent studies, the following instructions are to be followed strictly while allocating CT cases:

1. JR-1 Allocation

• Head CT
• PNS
• Orbit
• CT-KUB
• NCCT Face (Trauma cases)

2. JR-2 Allocation

• CT Chest
• CT Abdomen
• CT Temporal Bone
• Musculoskeletal (MSK) CT
• CECT Neck and Face
• Routine CT Angiography

3. JR-3 Allocation

• Complex CT Neck and Face cases
• Complex Angiography cases
• Cross-checking and verification of reports
• All Indoor (IPD) CT scans, which must be reported promptly and on priority by JR-3 only

4. Mandatory Technician Instructions

• Select the triangle option and label all indoor CT cases as “Urgent” (Red colour)
• Allocate CT studies strictly to the relevant resident group as mentioned above
• Ensure that no resident is overburdened
• If a high volume of a particular type of case is generated, distribute cases among other eligible residents to maintain workload balance
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• NOTICE

• Instructions for MRI Technicians – Case Allocation

  To align reporting efficiency, priority management, and equitable workload distribution, the following MRI case allocation instructions are to be followed strictly:

  1. JR-1 Allocation

  • Support role in reporting workflow
  • Maximum of five (5) simple spine MRI cases
  • Preferably degenerative spine studies only

  2. JR-2 Allocation

  • All Brain MRI cases
  • All Spine MRI cases
  • Excluding indoor (IPD) patients

  3. JR-3 Allocation

  • All Body MRI cases
  • All Musculoskeletal (MSK) MRI cases
  • All Indoor (IPD) MRI cases, including:
  • Brain MRI
  • Spine MRI
  • Indoor cases must be reported on priority

  4. Mandatory Instructions for Indoor Patients

  • For all indoor cases, technicians must click the triangle icon and mark the case as “Urgent”, which will automatically change the case colour to Red
  • Indoor MRI cases must be allocated promptly to JR-3 only

  5. Workload Balancing

  • Allocate cases equally among residents as per the above guidelines
  • In situations of asymmetry or unusually high volume of a particular category, apply practical judgment and redistribute cases to avoid overburdening any resident.

  
  

• GENERAL SOP

  INTERVENTIONAL RADIOLOGY (IR) SECTION

  Department of Radio Diagnosis

  1. PURPOSE

  To safely perform minimally invasive image-guided procedures.

  2. SCOPE

  • IR procedure rooms
  • Image-guided biopsies and drainages

  3. APPLICABILITY

  Applicable to:

  • Patients undergoing IR procedures
  • Radiology staff

  4. GENERAL INFORMATION FOR PATIENTS

  • IR procedures are done using imaging guidance
  • Small cuts are used instead of major surgery
  • Faster recovery and less pain

  5. PATIENT IDENTIFICATION

  • Patient identity verified
  • Procedure confirmed

  6. PATIENT PREPARATION

  • Fasting required
  • Blood tests may be advised
  • Written consent obtained
  • IV line secured

  7. DURING THE PROCEDURE

  • Local anesthesia usually given
  • Patient may feel mild discomfort
  • Vital signs monitored continuously

  8. SAFETY & MONITORING

  • Sterile precautions followed
  • Emergency equipment available

  9. AFTER THE PROCEDURE

  • Observation for few hours
  • Instructions given for rest and care
  • Report any pain, bleeding, or fever

  10. REPORTING & FOLLOW-UP

  • Procedure details documented
  • Follow-up advice provided

  
  

• GENERAL SOP

  FLUOROSCOPY SECTION

  Department of Radio Diagnosis

  1. PURPOSE

  To perform real-time X-ray examinations for diagnostic and guided procedures.

  2. SCOPE

  • Fluoroscopy rooms
  • Contrast studies (barium, IV contrast)

  3. APPLICABILITY

  Applicable to:

  • Patients undergoing fluoroscopic studies
  • Radiology staff

  4. GENERAL INFORMATION FOR PATIENTS

  • Fluoroscopy provides moving X-ray images
  • Helps study swallowing, stomach, intestines, and joints

  5. PATIENT IDENTIFICATION

  • Patient identity confirmed
  • Procedure explained

  6. PATIENT PREPARATION

  • Fasting may be required
  • Remove metal objects
  • Contrast material may be given orally or through injection

  7. DURING THE PROCEDURE

  • Patient may be asked to change positions
  • Follow instructions carefully
  • Procedure may take longer than routine X-ray

  8. RADIATION SAFETY

  • Radiation kept to minimum
  • Protective measures used

  9. AFTER THE PROCEDURE

  • Drink fluids if contrast used
  • Mild constipation may occur after barium

  10. REPORTING

  • Images reviewed
  • Report issued after interpretation

  
  

• GENERAL SOP

  ULTRASOUND (USG) SECTION

  Department of Radio Diagnosis

  1. PURPOSE

  To perform ultrasound examinations safely using sound waves to visualize internal organs.

  2. SCOPE

  • Ultrasound rooms
  • Doppler studies
  • Portable ultrasound services

  3. APPLICABILITY

  Applicable to:

  • Patients undergoing ultrasound
  • Radiology staff

  4. GENERAL INFORMATION FOR PATIENTS

  • Ultrasound uses sound waves, not radiation
  • It is safe, painless, and non-invasive

  5. PATIENT IDENTIFICATION

  • Patient details are confirmed
  • Correct examination verified

  6. PATIENT PREPARATION

  Preparation depends on examination type:

  • Abdominal scan: Fasting for 6 hours
  • Pelvic scan: Full bladder
  • Other scans: No special preparation

  7. DURING THE PROCEDURE

  • Gel applied on skin
  • Probe moved over the area
  • Mild pressure may be felt

  8. AFTER THE PROCEDURE

  • Gel is cleaned
  • No side effects
  • Resume normal activities

  9. REPORTING

  • Images reviewed by radiology doctors
  • Report issued accordingly

  
  

• GENERAL SOP

  X-RAY SECTION

  Department of Radio Diagnosis

  1. PURPOSE

  To safely perform X-ray examinations and obtain clear images with minimum radiation exposure.

  2. SCOPE

  • X-ray rooms
  • Patient waiting area
  • Portable X-ray services

  3. APPLICABILITY

  Applicable to:

  • Patients undergoing X-ray examination
  • Radiology staff

  4. GENERAL INFORMATION FOR PATIENTS

  • X-ray uses a small amount of radiation to create images
  • The procedure is quick and painless
  • It helps doctors diagnose bones, chest, and other conditions

  5. PATIENT IDENTIFICATION

  • Patient name and hospital ID are confirmed
  • Correct X-ray examination is verified

  6. PATIENT PREPARATION

  • Remove metal objects (jewelry, belts, coins)
  • Wear hospital gown if required
  • Inform staff if you are pregnant or suspect pregnancy

  7. DURING THE X-RAY

  • Patient is positioned properly
  • You may be asked to hold breath for a few seconds
  • Remain still during exposure

  8. RADIATION SAFETY

  • Protective lead apron provided when required
  • Radiation exposure kept as low as possible

  9. AFTER THE PROCEDURE

  • No special care required
  • Normal activities can be resumed

  10. REPORTING

  • Images are reviewed by radiology doctors
  • Report is issued after evaluation

  
  

• GENERAL SOP

  CONTRAST ADMINISTRATION

  Department of Radio Diagnosis

  1. PURPOSE

  This SOP explains the safe use of contrast injection during radiological investigations (CT/MRI) to improve image quality while ensuring patient safety.

  2. SCOPE

  This SOP applies to:

  • CT Section
  • MRI Section
  • Patient preparation and injection areas

  3. APPLICABILITY

  This SOP is applicable to:

  • Patients undergoing contrast-enhanced scans
  • Radiology staff involved in contrast administration

  4. GENERAL INFORMATION FOR PATIENTS

  • Contrast is a special medicine given through a vein
  • It helps doctors see organs and blood vessels clearly
  • Contrast is usually safe and well tolerated

  5. PATIENT IDENTIFICATION

  • Patient name, age, and hospital ID are confirmed
  • Correct examination and contrast requirement are verified

  6. PATIENT ASSESSMENT BEFORE CONTRAST

  Before giving contrast, the patient is asked about:

  • Previous contrast allergy
  • Kidney disease
  • Diabetes
  • Asthma
  • Pregnancy or breastfeeding
  • Current medications

  7. PATIENT PREPARATION

  Fasting

  • Do not eat or drink for 4–6 hours before contrast scan (if advised)

  Consent

  • Written informed consent is taken
  • Procedure and possible side effects are explained in simple language

  Blood Tests

  • Kidney function test may be required in some patients

  8. CONTRAST ADMINISTRATION

  • Contrast is given through a small needle in the vein
  • Injection may be manual or through an injector machine
  • Patient may feel:
  • Warm sensation
  • Metallic taste in mouth
    (These are normal and temporary)

  9. PATIENT MONITORING

  • Patient is observed during and after contrast injection
  • Emergency medicines and equipment are kept ready
  • Any discomfort is immediately attended

  10. MANAGEMENT OF CONTRAST REACTION

  Mild Reactions

  • Nausea
  • Vomiting
  • Itching

  Severe Reactions (Rare)

  • Difficulty in breathing
  • Swelling of face or throat
  • Drop in blood pressure

  👉 Immediate medical treatment is provided if any reaction occurs.

  11. AFTER CONTRAST PROCEDURE

  • Patient is advised to drink plenty of water
  • Patient is observed for a short period
  • Report any delayed symptoms such as rash or breathing difficulty

  12. DOCUMENTATION

  • Contrast name, dose, and route are recorded
  • Any reaction is documented in patient records

  13. DISPOSAL & SAFETY

  • Used syringes and materials are disposed safely
  • Infection control protocols are followed

  14. REPORTING

  • Images are reviewed by radiology doctors
  • Final report is issued after proper interpretation

  
  

• GENERAL SOP

  MAGNETIC RESONANCE IMAGING (MRI SECTION)

  Department of Radio Diagnosis

  1. PURPOSE

  This SOP describes the safe and systematic conduct of MRI scans to ensure patient safety and good-quality images.

  2. SCOPE

  This SOP applies to:

  • MRI scan room
  • Patient screening and waiting area

  3. APPLICABILITY

  This SOP is applicable to:

  • Patients
  • Radiology staff involved in MRI scanning

  4. GENERAL INFORMATION FOR PATIENTS

  • MRI uses a strong magnet, not X-rays
  • The test is painless
  • The scan may take more time than a CT scan

  5. PATIENT SCREENING

  • Patients are asked questions for safety before MRI
  • Inform staff if you have:
  • Pacemaker
  • Metal implants
  • Previous surgery with metal
  • Pregnancy

  6. PATIENT PREPARATION (MRI)

  • Remove all metal items (jewelry, watch, coins, hair clips)
  • Change into hospital gown
  • Do not eat or drink if advised (especially for contrast or sedation)

  7. MRI SCAN PROCEDURE

  • Patient lies on a table that moves into the MRI machine
  • Loud sounds are produced during scanning (ear protection is given)
  • Patient must lie still for clear images
  • Scan duration is usually 20–45 minutes

  8. MRI SAFETY

  • No metal objects are allowed inside the MRI room
  • Patients are monitored during the scan
  • Emergency procedures are in place for safety

  9. AFTER THE MRI SCAN

  • Patient can return to normal activity
  • Drink water if contrast was used
  • Inform staff if feeling unwell after the scan

  10. REPORTING

  • MRI images are reviewed by radiology doctors
  • Important findings are communicated to the treating doctor

  
  

• GENERAL SOP

  COMPUTED TOMOGRAPHY (CT SECTION)

  Department of Radio Diagnosis

  1. PURPOSE

  This SOP explains how CT scans are performed in a safe, simple, and organized manner so that patients receive accurate results with minimum risk.

  2. SCOPE

  This SOP applies to:

  • CT scan area
  • Patient waiting and preparation area

  3. APPLICABILITY

  This SOP is applicable to:

  • Patients
  • Radiology staff involved in CT scanning

  4. GENERAL INFORMATION FOR PATIENTS

  • A CT scan is a special type of X-ray
  • It helps doctors see inside the body clearly
  • The scan is painless and usually quick

  5. PATIENT IDENTIFICATION

  • Patient name, age, and hospital ID are checked before the scan
  • Female patients must inform staff if they are pregnant or may be pregnant

  6. PATIENT PREPARATION (CT)

  Plain CT Scan

  • In most cases, no fasting is required
  • Follow instructions given by staff, if any

  Contrast CT Scan

  • Do not eat or drink for 4–6 hours before the scan
  • Inform staff if you have:
  • Kidney problems
  • Previous allergy to contrast injection
  • Blood test and consent may be required

  7. CT SCAN PROCEDURE

  • Patient will lie on the CT table
  • The table moves slowly through the scanner
  • The scan is painless and takes only a few minutes
  • If contrast is given, a warm feeling may be noticed (this is normal)

  8. SAFETY MEASURES

  • Radiation dose is kept as low as possible
  • Repeat scans are avoided unless necessary
  • Protective measures are used whenever required

  9. AFTER THE CT SCAN

  • Patient can eat and drink normally unless advised otherwise
  • Drink plenty of water if contrast was given
  • Inform staff immediately if there is itching, rash, or breathing difficulty

  10. REPORTING

  • CT images are reviewed by radiology doctors
  • Reports are prepared and shared with the treating doctor