The Architecture of Medical Imaging: Designing Healthcare Facilities for Advanced Radiological Diagnostic and Therapeutic Techniques | by Bill Rostenberg and Steven C. Horii | ISBN: 9780471716617. Medical Imaging Facility design. Imaging Techniques
The Architecture of Medical Imaging: Designing Healthcare Facilities for Advanced Radiological Diagnostic and Therapeutic Techniques
by Bill Rostenberg and Steven C. Horii
ISBN:9780471716617
Written in a user-friendly language that is fully understandable to healthcare planners, department heads, and executives, this book discusses the design of state-of-the-art medical imaging facilities for radiography, MRI, and CT and PET scans.
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The Architecture of Medical Imaging—Designing Healthcare Facilities for Advanced Radiological Diagnostic and Therapeutic Techniques
Foreword
Preface
How to Use This Book
Part 1 – Overview
Chapter 1 – Design Considerations for Imaging Facilities
Overview
Special Needs of Medical Imaging Facilities
Note
Chapter 2 – Forces of Change in Medical Imaging Facility Design
Overview
Historical Developments in Healthcare and Radiology
Parallel Changes in Healthcare and Medical Imaging
The Role of Imaging Today
The Forces of Change
The Cost of Construction and the Value of Quality Facility Design
The Challenge
Notes
Part 2 – Development of An Imaging Facility
Chapter 3 – Organization of a Medical Imaging Project
Overview
Strategic Planning and Master Planning
Project Team Selection
Notes
Chapter 4 – Management of the Process
Overview
The Project Team: Roles and Responsibilities
Alignment of Expectations
Communication
Project Phases
The Project Schedule
Project Budgets
Development of Construction Cost Estimates
Notes
Chapter 5 – Equipment Planning
Overview
Scope of Equipment Planning Services
Equipment Classifications
Equipment Selection Timeline
Part 3 – Imaging Techniques
Chapter 6 – Imaging Techniques
Overview
Radiography and Fluoroscopy
Radiographic Tomography
Ultrasound
Magnetic Resonance Imaging
Nuclear Medicine
Film Processing
Notes
Chapter 7 – Image Management Systems
Overview
Radiology Information Systems
Image Management Systems
The Need for Standards
What Does a PACS Do?
Integrated Systems
Planning Considerations
Information Security
Conclusion
Notes
Part 4 – Design and Planning
Chapter 8 – Design Concepts
Overview
Design Basics
Notes
Chapter 9 – Work Flow and Circulation
Overview
The Impact of Technology on Work Flow
Interdepartmental Work Flow
Work Flow Between Imaging and Outpatient Services
Work Flow Between Imaging and the Emergency Department
Work Flow Between Imaging and Surgery
Work Flow Between Imaging and Nursing Units
Intradepartmental Work Flow
Work Flow and Circulation Principles
Work Flow Variables
Corridors and Exitways
Material Management Transport Systems
Notes
Chapter 10 – Department Location and Configuration
Overview
Department Location
Location Considerations for Freestanding Imaging Facilities
Centralized Versus Decentralized Imaging Department Configurations
Department Configuration: The Functional Zone Concept
Plan Typologies
Notes
Chapter 11 – Space Requirements
Overview
Space Determinant Methodology for the Imaging Facility
Magic Numbers: Quick Formulas for Determining Facility Size
Variables Affecting Facility Size
Intelligent Numbers: Workload Analysis for Determining Facility Size
Notes
Chapter 12 – Room Design
Overview
General Considerations for Procedure Rooms
Design Considerations for Outpatient Facilities
Design Considerations for Interventional Imaging
General Considerations for Control Corridors, Control Alcoves, and Control Rooms
Universal Room Design
Digital Image Management Areas
Reading Room Design
Design Considerations for Support Spaces
Design Guidelines for Specific Types of Imaging Procedure Areas
Notes
Chapter 13 – Physical Properties Influencing Design
Overview
Imaging Equipment Size and Weight
Radiation Protection
Special Considerations for MRI Installations
Notes
Chapter 14 – Renovation Versus New Construction
Overview
Key Questions in the Decision of Construction Approach
Special Considerations for Renovation Projects
Notes
Part 5 – Trends Influencing Tomorrow’s Imaging Facilities
Chapter 15 – Imaging Beyond the Radiology Department
Overview
Imaging and Emergency Medicine
Imaging in the Intensive Care Unit
Imaging and Surgery
Imaging and Cardiology
Imaging and Oncology
Technology Docks
Notes
Chapter 16 – Future Vision
Overview
The Ever-Expanding Digital Enterprise
The Transition to Ambulatory Healthcare Delivery
The Impact of Molecular and Functional Imaging
Mandates to Reduce Medical Errors and Improve Patient and Staff Safety
Patient-Focused and Sustainable Design Strategies
Notes
Part 6 – Appendices
Appendix A – Case Studies
Appendix A-1: UCLA Westwood Replacement Hospital Non-Invasive Radiology Department
Appendix A-2: UCLA Westwood Replacement Hospital Radiology Reading Room
Appendix A-3: UCLA Westwood Replacement Hospital—Interventional Floor
Appendix A-4: Foothills Medical Centre—Intraoperative Magnetic Resonance Imaging
Appendix A-5: Brigham and Women’s Hospital Advanced Multimodal Image Guided Operating Room Suite (AMIGO)
Appendix B – American College of Radiology White Paper on MR Safety
Overview
ACR Magnetic Resonance Safe Practice Guidelines
Acknowledgments
References
Appendix 1: Personnel and Zone Definitions
Appendix 2: Safety Screening Form for MR Procedures
Appendix 3: MR Hazard Checklist
Appendix 4: Instructions for the Patients
Appendix 5: Hazard Checklist for MRI Personnel
Appendix C – Excerpt from the American Institute of Architects Academy of Architecture for Health Guidelines for Design and Construction of Hospital and Healthcare Facilities, 2001 Edition, Pages 46–52. Reproduced with permission.
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