::Departments : Clinical : Department of Radiology & Radiotherapy
        
HISTORY:
 Radiologydepartment establishedat government hospital Salem in 1953.  InitiallyX-ray unit installed in this hospital and   x-ray servicedone to the patients.
Later Ultrasound service came to the radiology department .Nowas an average 130 to 140 cases of ultrasound done daily in our hospital. Xraymamogramis done regularly throughout the year
First single slice CT scan is started in this hospital in 1997. Then onwards all types of CT scan taken to the both IP and OP patients. Now replaced with 4 slices helical CT and scanning as an average90 to 100 cases per day
24 hours CT scan service (emergency cases) available in this department
CRA and DRA courses started in this department 2008.
DRDT courses started in 2011.
  
Doppler ultrasound and high frequency ultrasound facility started in our department in 2011. Now averagely 7 to 8 cases of Doppler done
 In The year 2011 The Department of radio diagnosis shifted to the new super speciality building(PMSSY building)    Here New high quality services established for the patients service.
1.5 Tesla MRI with higher software facilities started in 2011.  It provides all newer imaging techniques and services to the patients. Averagely 17 to 18 cases (plain and contrast)of MRI daily done  here

FIRST TIME in Tamilnadu Government   medical college hospitals,  128 slice CT scan started in Department of Radio diagnosis, GMKMCH Salem in the year 2011.It provides all types of CT angiogram studies to the patients .
 
DOCTOR- TEACHING FACULTY
1. Two Assistant professors with MD qualification
2. Eight senior residents with Diploma qualification
Are available in Department
Technicians
Eight Radiographers with diploma in radiographic techniques are available
Four Dark room assistants are posted in department of radiology


Academics at Department of   Radio-diagnosis:

First CRA course was started in  2008 

First DRA course was started in  2008

First DRDT  Course started in 2011


Ultrasound training  given to the e PHC medical officers, Government hospital asst surgeons and  ESI hospital doctors  throughout the calendar year
Basic Radio-diagnosis classes taken for the Pre-final, final year M.B, B.Sstudents and
 Post graduate students (other departments) during their Radio-diagnosis posting.



 
 X-ray:SECTION
Totally 6 fixed x-ray machines are available - utilised 4 for routine X-ray and 2 for special procedure
A) Routine x-ray
 I.Fixed machines-For routine x-Ray
1.800mA with Digital radiography and PACS at PMSSY Radio-diagnosis section
2.500mA with computer Radiography and PACS at old casualty block
3.500mA for surgical ward cases at New surgical block
4.300mA for Accident & Emergency ward cases at New trauma block PMSSY



800mA with DIGITAL Radiography and PACS PMSSY


300mA with IITV (fluoroscopy)OP BLOCK ROOM 19



50mA mobile unit Room 17    60mA mobile unit room 17A

Facility utilised by about 180 to 200 (OP-80 / IP-110) patients per day as both inpatients and outpatients.  
24 hour x-ray service available for emergency cases   
II.Mobile x-rays machines 6 are available
1.150mA -  Allengers- casualty
2.150mA   - Allengers-AE ward
3.100mA-Philips- NICU
4.100mA- Philips- PACU
5.  60mA   -Stallin- Room 17A
6.  50mA   -Stallin- Room 17

above 6 machines are utilised for Bed side X-ray for the sick patients.  
 B.X-RAY SPECIALCONTRASTINVESTIGATION
FIXED MACHINE –For special procedure
1.700mA with IITV at PMSSY Radio-diagnosis section
2.300mA with IITV (Fluoroscopy) at OPD block
Following procedures are done
Barium swallow,Barium meal follow through
Barium Enema,Distal Loopogram
IVU,Ascendingurethrogram (AUG).,MCU,
T tube chalangiography
Fistulogram,Sialogram
                         - Average  5 special procedure are done per day
 
Fixed x-ray machines
1. 800mA with DIGITAL Radiography and PACS PMSSY
2. Fixed X-ray machine 700mA with IITV for special procedure -PMSSY
3.500mA with Computer Radiography and PACS old casualty
4.300mA x-ray AE WARD PMSSY
5. 300mA with IITV (fluoroscopy)OP BLOCK ROOM 19
 6.500mA x-ray machine at New surgical Block with separate dark room
 
 I B)MOBILE MACHINES
1.150mA mobile UNIT ALLENGERS - CASUALTY

2.150mA mobile UNIT ALLENGERS  AE WARD PMSSY
 I B)     Mobile x-ray machine
3.100mA Mobile Philips x-Ray machine -NICU

4.100mA Mobile Philips x-Ray machine-PACU

 I B )  Mobile x-ray machine
5.50mA mobile unit Room 17    6. 60mA mobile unit room 17A

 II) ULTRASOUND:
6 Ultrasound machines are available in Department of Radio-diagnosis
In that 5 USG machines utilized for routine scan and 1USG with Doppler for USG and Doppler
1. EsoateMylab 40
2.Logiq C2
3.Mastero -Two machines
4.Sonoray DS 50 - Two machines
As an average of outpatients 70 and inpatients 60, totally near about130 to 140patients are utilizing USG services.
USG is done for all ANTENATAL cases daily.
Call Duty Ultrasound For emergency cases done   
High frequency Ultrasound (like Breast, Scrotum, Neck, cranium , Hip)  also done to the OP and IP patients,
Master Health Check-Up
As a part of master health check-up, X-rays and USG is done daily for all the patients.


II  ULTRASOUND
1.Logiq C2 USG
2.USG SONORAY
3.USG L&T  selectra
 4.MASTERO
5.MASTERO
6 .ESOATE MYLAB 40  USG WITH DOPPLER

DOPPLER:
Daily 7 to 8patients are utilizing Doppler facility as both IP and OP
Renal Doppler,Carotid Doppler,Portal Doppler, Antenatal Doppler,Doppler exam of upper and lower limb vessels and various other procedures are done daily.
III)  CT SCANS
III-A)CT SCAN : 4slice helical CT
All type of CT scan studies done here daily  for  OP (30) and  IP (65)patients 
Emergency CT scan is done 24 hrs a day for all emergency cases
 In total we are doing CT  scan for about  90 to 110 cases per day.
  1. 4 SLICE HELICAL CT PMSSY
 
III –B) 128 SLICE CT SCAN (CT ANGIOGRAM):
We do all CTangiogram  includingCoronary Angiogram, Carotid & Cerebral Angiogram, Renal angiogram  Peripheral Angiogram,  pulmonary angiogram  and abdominal angiogram.
Advantages:
3D , MPR reconstruction images  , Faster acquisition ,   0.1 mm  slice thickness

   
 
IV) 1.5 TESLA MRI:
All types of MRI studies and Contrast MRI studies done here .Many newer sequences and imaging technigues
(Like  MRspectroscopy, MR perfusion, Cardiac MRI, Non contrast MRA, Susceptiblity  weighted images, Breast MRI, DWI with Back round suppression) available  here.
Daily 20-22 cases of MRI done here


V) MAMMOGRAM:
Mammogram is done daily for all benign and malignant lesions. It is very useful imaging service for detection and screening of carcinoma breast,
 

 
VI) INTERVENTIONAL PROCEDURES:
  • Ultrasound guided biopsies
  • Ultrasound guided aspiration
  • Ultra sound guided Thyroid and  Breast  FNAC
 
STATISTICS:
 
                          DEPARTMENT OF RD  GMKMCH
                                            2012 -2016
YEAR                                   XRAY                             MRI             CT SCAN                               USG
                  CASES FILM/EXP CON OP IP CO TOT OP IP CON TOT OP IP AN TOT DOP
  OP IP TOT                          
2012 24555 31575 56126 74879 1437 1122 1692 0 2814 6400 9834 1764 17998 8259 12414 3276 23949 1520
2013 24813 31575 57149 74156 1450 2374 1491 197 4062 7620 12200 2239 22059 13271 16962 3380 33603 1476
2014 28822 32336 65802 77873 1448 2793 1787 240 4860 9413 16565 4251 30229   13556 3230 35507 1986
2015 26497 36980 62303 45369 1268 2588 1882 400 4870 8474 16855 3404 28733 14293 15642 3492 33427 1640
2016
Upto AUG
22680 27759 50430 18843/ 82360 1030 1872 1664 220 3756 5567 14425 2071 22163 10234 12099   448 22781   635



AVERAGE YEARLY CENUS 2014
Name IP OP TOTAL
Plain X –Rays 36980 28822 65802
Ultra Sonogram 19965 13556 33521
Doppler 1680 306 1986
MRI 2993 1867 4860
CT 20565 9664 30229
128 SLICE CTANGIOGRAM 87 11 98
       
X ray Contrast         investigations 1042 406 1448
MAMOGRAM 170 103 273
       
       
Intervention 168 123 291
 
 
 AVERAGE DAILY CENSUS:
 
EQUIPMENTS UNITS AVERAGE CASES PER DAY AVERAGE CASES PER MONTH
X-RAY FIXED-6
MOBILE-7
230-250 6000-7500
SRECIAL INVESTIGATION 1 4-5 100-120
X-RAY MAMMOGRAM 1 1 15 TO 25
ULTRASOUND WITH COLOR 2+2 110-125 3000-3300
DOPPLER 1 6-8 130-160
CT
(4&128 SLICE)
2 100-110 2500-3000
MRI 1 15-20 400-500
 
 RADIATION PROTECTIVE MEASURES
Full time RSO (Radiation supervising Officer) cum Physicist posted in Radio-diagnosis department. He is taking care of Machine, Staff and Patient Radiation safety
Thermo lucent Dosimeter -TLD badges available to all staff.
Protective measures is available as per BARC specification
Lead protective screens, Lead apron, Thyroid and Gonadal Guards, Lead goggles, gloves are available


 ACADEMIC ACTIVITIES:

This department conducts Paramedical course DRDT
Hand on Ultrasound training given to the PHC medical officers, Government hospital
asst surgeons and ESI hospital doctors throughout the calendar year
Basic Radio-diagnosis classes taken for the Pre-final, final year M.B., B.S students and
 Post graduate students (other departments) during their Radio-diagnosis posting.
Prize exam for Pre-final and final year M.B., B.S students   conducted in Department of
Radio-diagnosis every year
Paramedical course: D.R.D.T 
COURSES student
   
D.R.D.T 8 per Year
   



Eligibility  
More than 50 % marks should be obtained in the Higher secondary exam ( Maths , science group)   for DRDT course
COURSE DURATION  :           
COURSES DURATION
   
D.R.D.T  2 Years
   

Selection procedure:
Selection of students for admission to DRDT course is
  • Based on the marksobtained in the Higher secondary  examination Who  have got more than 50% marks
Affiliated University:The Tamil Nadu DR. M.G.R Medical University, Chennai.
Academic Curriculum
  • Basic operations of X-ray, CT, MRI, US
  • Basic physics of XRay, Ultrasound , CT , MRI
  • Contrast investigations -Setting protocols for methods of selecting cases, performing the  procedure, Statistical correlation,  Maintenance of Records, Collection of cases for Case Records  and Post procedural care
  • Basics of Ultrasound, Doppler, Interventional Ultrasound ,
  • Basics of CT, CTAngiography
  • Basics  of Anesthesia, Sterility & drugs used in Radiology Department, Barium, Ionic & Non-ionic contrast medium, Gadolinium, Atropine, Local anesthetics IV analgesics, Vasodilator, Thrombolytic drugs, Drugs used in Resuscitation, H1 and    H2 blockers
  • MRI -Basics of MRI, Equipment handling ,
  • Student assessment -  theory examinations every fortnight
Practical Training
  • Radiographic positioning
  • Hands on training  for all type of CT and MRI studies
  • CT and MRI filming
  • 3D,MPR reconstruction images , Post  processing
  • Dark room techniques
  • Setting protocols for investigation of  the case
  • Follow-up and post procedure care in the respective ward from which the patients are sent.
  • Familiarity with contrast media, Contrast reactions, catheters, biopsy instruments.
  • Operational application of CT, MRI, Doppler and advanced applications.
  • Training also given to students in CT and MRI Technology
  • Practical training in cyclical fashion - like Barium Studies, IVP, .
 
Every day

12:15 pm to 01:15 pm

THEORY CLASSES FOR DRDT Students
  Record note  maintained by the DRDT Students
   
Every Week
FRIDAY (12 to 1 PM) -Monitoring of the Project work done by DRDT Students
Monthly Theory Exam
  • Last Saturday  - DRDT
Half yearly Clinical Exam
  • Half yearly clinical exam for DRDT students
​CMHIS (CHIEF MINISTER HEALTH INSURANSE SCHEME BENEFICIARIES DETAIL)
YEAR CT MRI 128 TOTAL AMOUNT GENERATED
2012 10 16 01     46050
2013 11 46 02   124400
2014 760 447 03 1408500
2015 1797 2329 09 6328000
2016 TILL SEP 956 1829 - 4850500

 
 
MRI /CT scan are taken with free of cost in CMHIS for OP as well as IP

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