Imaging

Part B – Health Facility Briefing & Design
Medical Imaging Unit
International Health Facility Guidelines

Version 6, October 2022
Table of Contents
160 Medical Imaging Unit – General ............................................................................................... 3

1 Introduction ............................................................................................................................................... 3
Description .................................................................................................................................................. 3
2 Functional and Planning Considerations ............................................................................................... 3
Operational Models ..................................................................................................................................... 3
3 Unit Planning Models ................................................................................................................................ 4
Functional Zones ......................................................................................................................................... 4
4 Functional Relationships.......................................................................................................................... 9
External Relationships................................................................................................................................. 9
Internal Relationships .................................................................................................................................. 9
5 Design Considerations ........................................................................................................................... 12
Construction Standards ............................................................................................................................. 12
Environmental Considerations .................................................................................................................. 13
Space Standards and Components .......................................................................................................... 13
Building Service Requirements ................................................................................................................. 15
Infection Control ........................................................................................................................................ 16
6 Schedule of Equipment and Furniture .................................................................................................. 17
7 Standard Components of the Unit ......................................................................................................... 18
Standard Components .............................................................................................................................. 18
Non-Standard Components....................................................................................................................... 18
8 Schedule of Accommodation ................................................................................................................. 19
9 Future Trends .......................................................................................................................................... 30
10 Further Reading....................................................................................................................................... 30
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Health Facility Guidelines © TAHPI Part B: Version 6, 2022 Page 2
Medical Imaging Unit – General
160 Medical Imaging Unit – General

1 Introduction
Description
Medical Imaging, usually referred to as radiography, is the branch of medicine where health
professionals take various images of body parts for diagnostic investigations or therapeutic
purposes.
Depending on the level of service and the clinical service plan, the Unit may also provide
diagnostic screening (general x-ray and fluoroscopy), ultrasound, mammography, bone
densitometry, computed tomography (CT), magnetic resonance imaging (MRI) or interventional
radiographic procedures such as angiography.
The general Medical Imaging Unit may be co-located with or incorporate other specialties
including Nuclear Medicine, and Oncology - Radiotherapy Units in a fully integrated imaging suite.
2 Functional and Planning Considerations

Operational Models
Hours of Operation
The Medical Imaging Unit will normally operate 24 hours per day, seven days per week. Smaller
units may operate on a long day basis with an after-hours emergency service, depending on the
health facility’s operational policy.
Models of Service
The Medical Imaging Unit may be provided as:
▪ A single unit managed and operated by the hospital or polyclinic or medical centre
▪ A main facility with satellite units located for ease of patient access under the management
of the hospital
▪ An independente privately owned and operated facility within a hospital, known as a “Radio-
Diagnostic Centre”, providing a service to all hospital units and sharing support areas with
the hospital
▪ A stand-alone off-site service; smaller hospitals and clinics that cannot justify a full Medical
Imaging Unit, may consider access to off-site specialist services
▪ A small component of a facility such as a Dental Surgery
Diagnostic Imaging services can be provided in a variety of health facilities including Hospitals,
Day Surgery Centres, Diagnostic Centres with other diagnostic specialties, and Outpatient care
facilities such as polyclinics, medical centres and dental clinics. Interventional imaging may only
be performed in a hospital-based setting.
The general Medical Imaging Unit within a hospital may be arranged in a variety of models,
depending on the hospital’s clinical services plan that may include:
▪ A comprehensive unit located adjacent to the Emergency Unit and with good functional links
to Outpatient Units
▪ A unit integrated with Nuclear Medicine & Oncology-Radiotherapy, or even more
sophisticated units such as Proton therapy units
▪ A centralised Unit with satellite imaging services for Emergency Unit, outpatient ultrasound,
intraoperative imaging, cardiac angiography (Catheter Laboratories) or other interventional
imaging specialties
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3 Unit Planning Models
The planning of a Medical Imaging Unit will be dependent on the imaging specialties to be
included and the operational model adopted.
The location of Medical Imaging within a hospital is important for easy access by emergency
patients, ambulant patients and inpatients. The Medical Imaging Unit should ideally be located on
the ground floor with direct access to the Emergency Unit (EU) unless satellite imaging is provided
within the EU.
The relative location of Outpatients Unit should be considered in the planning stage due to the
volume of outpatient referrals to the Unit. Refer to Functional Relationships in this section for ideal
internal relationships to be considered during the planning stages.
Functional Zones
The Medical Imaging Unit may consist of the following Functional Zones depending on the Clinical
service plan of the Unit and the services to be provided:
▪ Entry/ Reception areas incorporating:
- Reception desk for patient registration and to act as an access control point
- Waiting for a range of occupants including children, families, elderly, and patients with
limited mobility
- Consult room for patient assessment and review
- Amenities – toilets, vending areas for refreshments
- Offices and workstations for Unit management and clerical functions
▪ General X-Ray and Screening areas:
- General and digital X-ray rooms
- Screening (Fluoroscopy rooms)
- Patient Change cubicles associated with each x-ray room
- Access to patient amenities
- Support areas including patient bed bays, handwashing bays, storage for linen, supplies
▪ Dental/ Oral imaging:
- OPG Room
- Sub-waiting facilities
▪ CT Scanning including:
- CT Scanning rooms
- Control, reporting and computer module equipment rooms
- Patient Change cubicles associated with each scanning room
- Patient Holding Bays and Sub waiting areas
- Access to patient amenities
- Support Rooms including bays for Linen, Handwashing, Clean & Dirty Utility rooms,
Store rooms, Staff Workstation, Scrub-up for Interventional Procedures
▪ Ultrasound including specialty rooms such as paediatric and interventional
▪ Mammography rooms including interventional rooms
▪ Angiography/ Digital Subtraction Angiography (DSA) with:
- Scanning, control, reporting and computer module equipment rooms
- Anaesthetic induction rooms (optional)
- Patient Change cubicles associated with each scanning room and Waiting areas
- Patient Holding and Recovery bed bays
- Support Rooms including bays for Linen, Handwashing, Clean & Dirty Utility rooms,
Store rooms, Staff Workstation, Scrub-up for Interventional Procedures
▪ MRI suite with:
- Scanning, control, reporting and computer module equipment rooms
- Anaesthetic induction rooms (if paediatric MRI is performed)
- Patient Change cubicles associated with each scanning room
- Sub-waiting area with access to patient toilets
- Patient Holding and recovery bed bays
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- Support facilities including bays for Linen, Handwashing, Resuscitation trolley, Clean &
Dirty Utility rooms and Store rooms
▪ Bone Densitometry Room (optional)
▪ Shared Support Areas including:
- Cleaner’s room/s
- Communications room
- Storerooms for files, stationery, general consumables
▪ Staff Office and Reporting areas:
- Offices for Unit Director, Senior Radiologist/s, Senior Radiographer/s, Nurse Manager/
Supervisor
- Workstations for clerical staff, PACS technical staff, general imaging staff
- Staff Amenities including Staff Room, Change Rooms with Showers, Toilets, Lockers
- Meeting Rooms
- Reporting Room (unless individual offices are provided in privacy)
These functional zones are described briefly below.
Entry/ Reception/ Waiting Areas

The Reception is the receiving hub of the unit where patients are first registered and should
therefore ensure the security of the entire department through access control. Patient registration
may include a booking and queuing system for effective management of patient bookings.
Waiting areas may be divided into separate male female areas to meet cultural requirements and
will require convenient access to public amenities. The Waiting areas should be designed for
compliance with accessibility standards and be provided with a range of seating options for
occupants of varying mobility including bariatric patients. Waiting areas should include provisions
for prams and a play area for children. Bed waiting areas should be separated from the
ambulatory patient waiting areas for patient privacy.
X-ray, Screening and Scanning Areas
General X-ray and Fluoroscopy (Screening)

General X-ray rooms may be clustered with Fluoroscopy Screening rooms in order to share
support facilities. The General X-ray room equipment will generally include an upright bucky stand
for chest X-ray. OPG may be included in a General X-ray room where imaging equipment is not
fully utilised based on the operational policy of the facility. Additional equipment will require a
slightly larger room.
If satellite imaging rooms are not provided in the Emergency Unit (EU), a minimum of one General
X-ray room must be sized and located with rapid access for transfer of patients from Emergency
Unit. If the unit cannot be located on the ground floor with a convenient access to the EU, then as
a second-best option , it may be located over the EU with a lift connection for patient transfers.
Fluoroscopic radiographic imaging (Screening) procedures involve administration of contrast

media to the patient and the timed use of a fluoroscopic imaging system along with sequential
repositioning of the patient. The Fluoroscopy room will require a preparation room for barium
mixtures and an adjacent toilet/ shower that may be accessed from inside the room and from the
external corridor.
Fluoroscopy Screening may be combined with an Angiography room, due to the decreasing
incidence of barium usage. The room should include services for anaesthesia.
Orthopantomography (OPG)
OPG is an orbital (panoramic) X-ray of the upper and lower jaws, displaying teeth on a single film,
used in dental, trauma, and facio-maxillary services. This equipment may be incorporated into a
General X-ray room or within the Dental Unit.
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Computerised Tomography (CT Scanning)

CT Scanning uses X-ray and computer technology to create detailed digital images, both two and
three dimensional. CT scanning equipment consists of a rotating ring inside a gantry with a sliding
table for the patient. Multiple images are taken in slices which are combined using computer
technology. The CT Scanning room will have an associated Control Room and computer
equipment room. The computer equipment may also be placed in the CT room, if a separate room
cannot be provided.
Refer to the Standard Component for CT Scanning for detailed room requirements. A Control
Room may service 2 rooms subject to patient privacy being protected. The room should include
services for general anaesthesia and be sized for interventional procedures. A bed/ trolley bay
adjacent to each room is required for staff observation of waiting patients.
If integrated with the Medical Imaging Unit all the required support such as scrub, pre-op and post-
op recover facilities must be provided.
Angiography/ Digital Subtraction Angiography (DSA)

Angiography involves x-ray imaging the inside of blood vessels using an injection of contrast
media. Simple angiography procedures such as peripheral studies can be done on fluoroscopy
equipment.
Digital Subtraction Angiography (DSA) refers to a process where contrast media is injected into a
vessel in the area being examined. Images are taken of the blood vessels before and after
injection with contrast media. The pre-contrast images are subtracted from the post contrast
images by computer resulting in clear blood vessel images.
Procedures using this type of imaging include angiography, angioplasty, arterial and venous
stents, biliary and renal artery imaging. DSA procedures are becoming less popular in favour of
CT scanning due to the ability to produce 3D images of vessels using a less invasive procedure.
Endoscopic Retrograde Choleopancreatography (ERCP)

ERCP is a procedure that uses endoscopy and fluoroscopy to diagnose and treat conditions of the
biliary and pancreatic ductal systems including removal of gall stones, insertion of stents for
strictures, repair of leaks and removal of cancer. These are gastrointestinal endoscopy procedures
that may be performed in the Medical Imaging Unit or in an Endoscopy Unit.
If integrated with the Medical Imaging Unit all the required support such as scrub, pre-op and post-op
recover facilities must be provided. Mammography
Mammography imaging or breast screening may be included for diagnostic purposes according to
the health facility’s operational policies. Mammography rooms should provide sufficient area for
interventional procedures such as needle biopsy that may require bed access and prone
positioning. If biopsy is provided, mammography should be located adjacent to an Ultrasound
Room for fine needle biopsies. Change Rooms should be accessible directly from the
Mammography room and an Interview Room will be required in close proximity.
Magnetic Resonance Imaging (MRI)

MRIs employ powerful magnets which produce a strong magnetic field that forces protons in the
body to align with that field. When a radio-frequency (RF) current is pulsed through the patient, the
protons are stimulated, and spine out of equilibrium, straining against the pull of the magnetic field.
When the radio-frequency field is turned off, the MRI sensors can detect the energy released as
the protons realign with the magnetic field, as well as the amount of energy released, changes
depending on the environment and the chemical nature of the molecules.
The location of the MRI is important to restrict access, protect the magnetic field from interference
and reduce the extent of electro-magnetic shielding required. Specifically, the MRI should be
located:
▪ With good external access for installing and servicing the equipment; this may be achieved
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through an accessible side panel

▪ Distant to any moving metal objects that may cause interference such as lifts, train rails and,
construction equipment. Ideally, keep a distance of 12 mby length from moving metallic
objects that can create a radio noice that could lead to image distortion
▪ The MRI should not be located below a helipad or next to a sub-station
Facilities required in the MRI suite include:

▪ Patient change rooms with lockers for personal property (personal property particularly items
with a metallic content must not be taken into the MRI room including watches, credit cards
and keys)
▪ An Interview Room for patient discussion
▪ Storage for equipment (non-metallic MRI compliant)
Planning and design should consider the following:

▪ Structural assessment is required to ensure the floor/ slab will accommodate the weight of
the MRI
▪ The MRI unit and the associated magnetic field must be fully contained within the room,
according to the equipment selection and specifications, that will require liaison with the
equipment supplier
▪ The MRI room will require magnetic shielding and RF shielding, to be determined in
conjunction with the equipment supplier, according to the machine specifications
▪ Anaesthetic Induction room with pediatric MRI is provided
▪ Access control is required to the MRI suite, the MRI room and the support areas within the
suite to ensure authorised entry. The required exclusion zones are divided into four stages.
Entry to each Zone will require moniroring bystaff. The 4 zones are as follows:
- Zone 1: Entrance which may be shared with general radiology
- Zone 2: Reception, Waiting which may be shared, patient screening and toilet
- Zone 3: MRI sub-waiting, patient preparation, changing room, recovery, control, and
equipment (MRI compliant) rooms
- Zone 4: MRI Scanning room
▪ Equipment and fittings in the room including emergency equipment such as fire extinguishers
and gas bottles need to be constructed of non-ferrous material
MRI equipment requires helium for cooling. Allow for helium discharge pipe to the outside (refer to
Part E Engineering Guidelines in relation to the permissible discharge)
MRI rooms are to comply with Standard Components, refer to Standard Component – MRI
Scanning Room, Room Data Sheet and Room Layout Sheet.
Ultrasound
Ultrasound is a non-invasive procedure using high frequency sound waves for diagnostic
purposes. This permits the use of ultrasound for a various type of tissue and organs and is
particularly useful in obstetrics, digestive system, renal, cardiac and vascular scanning. Ultrasound
does not use ionising radiation and does not require radiation shielding.
Ultrasound examinations may be done in the Medical Imaging unit, in specialist units or at the
patient location, as the equipment is mobile. Ultrasound imaging may involve interventional
procedures and room size may need to accommodate additional procedures and access for
patients on a bed/ trolley. Ultrasound rooms may require close access to drinking water and a
toilet for particular scanning procedures.
Bone Densitometry Room (optional)

Bone densitometry is a non-invasive procedure using a special x-ray scanning machine to
determine bone density or strength. It is used to identify those at risk of developing osteoporosis
and to monitor change in bone density.
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The room may have radiation shielding to walls and/ or glazing as advised by a Radiation
Consultant.
Support Areas
Preparation Room
The Preparation Room is provided for preparation of contrast media solutions, storage of sterile
supplies. The room should be sized to accommodate the quantity of supplies required. The
Preparation Room, if conveniently located, may serve several imaging rooms. The Preparation
Room shall comply with requirements identified in Standard Components.
Digital Imaging Processing

Picture Archiving and Communication Systems (PACS) have become one of the most popular
health care systems between 2003 and 2008. During this period, archiving media and
interpretation media changed from film based to digital imaging, which was considered as a big
breakthrough, where digital image acquisition devices have become more famous than the classic
radiology conventional systems. Therefore, once a digital image of the chest is captured, it can be
processed directly by the computer.
The digital imaging PACS is a combination of hardware and software hybrid system that is used to
acquire, store, deploy and retrieve medical images using Digital Imaging and Communications in
Medicine (DICOM) standard. The images and reports are transmitted digitally via PACS by
integrating the system with the radiology information system (RIS) and hospital information
system (HIS). This integration of PACS–RIS–HIS would eliminate the need to manually store,
retrieve and display film jackets. Earlier, most health care systems were adopting the conventional
way of storing and displaying patients’ data in hospitals, which delayed the time from imaging to
reporting of the interpretation. Providing medical stuff with information in a short period of time is
an important step in the current medical systems. Therefore, PACS is becoming a vital step and
should be included in hospitals to speed up doctors’ mission in curing patients.
Staff Areas
Offices and Workstations

Offices and workstations may be provided for the Unit Director/ Manager, Senior Radiographer,
Senior Radiologist and Nurse Manager of the Unit, located in a discreet staff accessible area. The
number of offices required will be determined by the clinical service plan, dependent on the role
and size of the unit.
Reporting Rooms
Picture Archiving Communications Systems (PACS) reporting areas will include Radiologist
workstations for viewing and reporting on procedures using diagnostics quality monitors high
resolution (LCD) on which images can be manipulated. A minimum of two linked monitors are
required, occasionally four screens are provided.
In addition to the reporting monitors, a dedicated computer will be required for access to the
Patient Information System and a system for dictating reports.
Locate reporting areas in a quiet area with ready access to the imaging rooms. Several
workstations may be located in one room but will need to be visually and acoustically separated.
The reporting area will require:

▪ Ergonomic design of the workstation to accommodate multiple monitors
▪ Adequate ventilation and temperature control to individual spaces to minimise risk of monitor
failure
▪ Individual cubicle lighting (dimmable)
▪ Acoustic measures to ensure quality of voice recordings
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Staff Amenities Areas

Staff will need access to the following:
▪ Toilets, shower and lockers
▪ Staff room with beverage facilities
▪ Meeting room/s for meetings, education and training
4 Functional Relationships
External Relationships
The Medical Imaging Unit will have a close relationship with the following:
▪ The Main Entrance of the facility
▪ Emergency Unit
▪ Critical Care Units (ICU/ CCU/ HDU)
▪ Operating Unit for intra-operative imaging
▪ Inpatients Units
▪ Outpatients Units for the volume of patients requiring diagnostic testing
▪ Radiotherapy/ Oncology for regular patient investigations associated with treatment
The optimum external relationships demonstrated in the diagrams below include:

▪ Visitors access from a main circulation corridor with a relationship to the Main Entrance
▪ Separate entry and access for inpatients, critical care units and Medical Imaging Unit
▪ Access for service units such as Supply and Housekeeping via a service corridor
According to these guidelines, Medical Imaging may be in the basement.
Internal Relationships
Internally, the Medical Imaging Unit will be arranged in functional zones. The entrance to the unit
will provide access control with a Reception. Imaging and scanning areas will be located in
clusters along with related support facilities such as holding, sub-waiting areas and change rooms
for patients. Support areas such as reporting, and processing will be located conveniently to the
imaging areas and may be shared. Staff areas may be located in a discreet and staff only
accessible area.
The Medical Imaging Unit should have a clear one-way flow of patients from entry, holding,
imaging procedures, to recovery and then exit, for both ambulant and bed/ trolley patients.
The optimum internal relationships demonstrated in the diagrams below include the following:
▪ Reception at the entrance providing access control, with Waiting and amenities
▪ Ordering of the modalities recommended:
- Ultrasound
- Mammography
- General X-ray
- Screening
- CT
- MR
- Nuclear Medicine (optional)
- Oncology- radiotherapy (optional)
▪ Imaging areas arranged into zones including general X-Ray, Fluoroscopy, CT Scanning,
Angiography and MRI
▪ Patient areas including bed bays and Recovery centrally located convenient to Interventional
and Scanning Rooms for sharing between imaging modalities
▪ Support areas located centrally to imaging rooms and adjacent to areas of need for staff and
patient convenience
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▪ If individual offices are provided, a central reporting room will not be required
▪ Staff areas located in a discreet zone at the Unit perimeter
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Functional Relationship Diagram

The key functional relationships are demonstrated in the diagram below.
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Medical Imaging Unit – General, Modular Option (with Nuclear Medicine)

Please refer to Nuclear Medicine FPU in these guidelines for further information on Nuclear
Medicine.
5 Design Considerations
Construction Standards
Special attention is to be given to the following in the design of a Medical Imaging Unit:
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▪ Structural support for equipment including equipment mounted to ceilings. Particular

consideration must be taken for MRI typically KN/ M²
▪ Level floor for equipment positioning and safe patient movement
▪ Provision for cable support trays, ducts or conduits may be made in floors, walls, and ceilings
and the impact on room space of large diameter electrical cable trays (to floors or surface
mounted on walls)
▪ Equipment ventilation
▪ Procedure timing (clocks)
▪ Task lighting/ dimming and room blackout, as required
▪ Ceiling heights shall suit the equipment to be installed, but shall not be less than 3000mm for
ceiling tube mount installations; ceilings may be higher if required
▪ A tiled ceiling may be considered for ease of installation, service, and remodelling
Standards & Codes

Radiological facilities are to comply with relevant local legislation, regulations and statutory
requirements.
Environmental Considerations
Acoustics
The design should provide acoustic performance according to the function of spaces being
provided. Acoustic separation should be provided between Offices, Meeting Rooms, Interview
Rooms and adjacent corridors to reduce transfer of noise between rooms and minimise
conversations being audible outside the room. This is particularly relevant for teleconferencing and
large meetings.
Acoustic privacy should be provided to:
▪ All imaging rooms
▪ Interview and Meeting rooms
▪ Offices and Reporting areas
Additional acoustic privacy considerations include:

▪ Waiting areas should not be located close to Offices, Meeting and Interview Room/s
▪ Staff Room/s should not be located close to public and waiting areas
Natural Light/ Lighting

The use of natural light should be optional in the Unit. Windows are an important aspect of
sensory orientation and psychological well-being of staff and patients.
Variable lighting levels should be provided in Control/ Reporting rooms, X-ray and Imaging rooms,
Angiography rooms, Ultrasound and reporting rooms, where screen visibility is required.
Privacy
Visual patient privacy is an important consideration to be addressed in the design of imaging
rooms and waiting spaces. Doors to imaging and screening rooms should be located to avoid
patient exposure to circulation areas. Change rooms should be located adjacent to imaging rooms
so that a patient is not required to cross corridors to access them. Privacy screening is required to
all Patient Bed Bays.
Space Standards and Components

Imaging rooms
The size of imaging rooms will be influenced by the following:
▪ Ease of movement in and around the room for patients, staff, equipment, bed and trolley
access
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▪ The number of staff required in and around the room to operate the equipment and support
the patient
▪ The equipment to be installed; design will need to consider the manufacturer’s
recommended room sizes but not less than the areas requires in the Schedulle of
Acomodation with this Functional Planning Unit, equipment placement and services
requirements
▪ Potential future upgrading of equipment
▪ Scanning rooms should be sized to allow a clear dimension of 920 mm around three sides of
the imaging table for patient access and transfers
Ceiling heights shall suit the equipment to be installed but shall not be less than 2800 mm for
ceiling tube mount installations; ceilings may be higher if required. The recommended ceiling
height is 3000mm.
Accessibility
Wheelchair access is required in all patient areas including Waiting, Consult and Imaging rooms.
Waiting areas should also include space and power outlets for charging electric mobility
equipment along with suitable seating for patients with disabilities or mobility aids. Waiting and
sub-waiting areas should include suitable seating and provisions for bariatric patients.
Doors
Special consideration should be given to the width and height of doorways to ensure delivery and
removal of equipment is not impeded or prevented, and that patient trolley and bed movement is
not hampered. A minimum of 1400mm clear opening is recommended for doors requiring bed/
trolley access. It should be noted that doors may also require radiation shielding.
Ergonomics/ OH&S
Design of clinical spaces including imaging rooms, bed bays and recovery areas must consider
Ergonomics and OH&S issues for patient and staff safety and welfare.
Refer to Part C – Access, Mobility, OH&S of these Guidelines for further information.
Size of the Unit

The size of the Medical Imaging Unit will be dependent on the level of service and determined by
the facility’s Service Plan and Operational Policies. Schedules of Accommodation have been
provided for typical Medical Imaging Units in a hospital at role delineation Levels 2 (less complex
services) to 6 (teaching/ research facilities).
Safety and Security

Design should consider the following issues:
▪ Access control to the unit which may be provided at Reception
▪ Zones within the unit should be organised to allow patients to access the intended area only
and prevent patients and visitors entering unrelated areas
▪ Doors to all perimeters of the Unit and offices should be lockable
▪ Rooms used for storing equipment and files and records should be lockable
▪ Meetings and functions scheduled after-hours requiring access by staff and visitors may
involve special access arrangements.
Finishes
The Medical Imaging Unit ambience should provide a calm and inviting impression. Finishes
should be selected with consideration of the following:
▪ Infection control and cleaning
▪ Acoustic properties of the materials
▪ Durability, replacement of materials
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▪ Fire safety of the materials

▪ Movement of equipment
Wall protection should be provided where bed or equipment movement occurs including corridors,
bed bays and imaging rooms.
Refer also to Part C - Access Mobility, OH&S in these Guidelines for further information on floors
and ceilings.
Curtains/ Blinds
Window treatments should be durable and easy to clean. Consideration may be given to use
double glazing with internal blinds, tinted glass, reflective glass, exterior overhangs or louvers to
control the level of lighting.
Privacy bed screens must be washable, fireproof and cleanly maintained at all times. Disposable
bed screens may also be considered.
Fixtures, Fittings and Equipment

Equipment, furniture and fittings shall be designed and constructed to be safe, robust and meet
the needs of a range of users.
Imaging equipment and the necessary services will require installation to the manufacturer’s
recommendations and specifications.
Refer to Part C - Access Mobility, OH&S of these Guidelines, the Room Layout Sheets (RLS) and
Room Data Sheets (RDS) for more information.
Building Service Requirements

Information and Communications Technology
The Medical Imaging Unit requires reliable and effective IT / Communications service for efficient
operation of the service. The IT design should address:
▪ Booking, appointment and queuing systems
▪ Patient/ clinical information systems and electronic records
▪ Picture Archiving Communications Systems (PACS) and storage for digital archives
▪ Voice/ data cabling and outlets for phones, fax and computers
▪ Network data requirements and wireless network requirements to support remote reporting
▪ Video-conferencing and tele-conferencing requirements, including connection to imaging
rooms for educational purposed
▪ CCTV surveillance if indicated
▪ Patient, staff, emergency call, duress alarms and paging systems.
▪ Communications and Server Room/s
▪ Reporting and recording systems that may include dictation or voice recognition and include
printing of reports
▪ Tele-Consultation and Tele-Radiology provision
Staff Call
Patient and Emergency Call facilities shall be provided in all patient areas (e.g. Holding bays,
Recovery bays, Preparation rooms, Change Rooms, Toilets and Imaging rooms) in order for
patients and staff to request for urgent assistance.
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The individual call buttons shall alert to an annunciator system. Annunciator panels should be
located in strategic points visible from Staff Stations and audible in Staff Rooms and Meeting
Rooms.
Heating, Ventilation and Air conditioning (HVAC)

The Medical Imaging Unit should be air-conditioned to provide a comfortable working environment
for staff and visitors. Interventional Imaging rooms may require air-conditioning equivalent to
operating room conditions, i.e. filtered and positive pressured. Rooms with heat generating
equipment may require special air-conditioning. Refer to Part E - Engineering Services in these
guidelines and to the Standard Components, RDS and RLS for further information.
Medical gases
Medical gas is that which is intended for administration to a patient in anaesthesia, therapy, or
diagnosis.
The Unit requires oxygen and suction in all patient investigation rooms, treatment rooms and
procedure rooms and patient bays. The Provision of medical air to patient recovery bays and
interventional rooms is optional.
Full anaesthetic capability is required within interventional diagnostic rooms, including systems for
the delivery of nitrous oxide and the ‘scavenging’ of gases that have been exhaled by the patient
that should not be breathed in by any medical personnel.
Refer to Part E - Engineering Services in these guidelines and to the Standard Components, RDS
and RLS for further information.
Radiation Shielding
All rooms that are used for undertaking imaging procedures require radiation shielding. A certified
physicist or qualified expert needs to assess the plans and specifications for radiation protection
as required by the relevant local Radiation/ Nuclear Safety Authorities. A radiation protection
assessment will specify the type, location and amount of radiation protection required for an area
according to the final equipment selections, the layout of the space and the relationship between
the space and other occupied areas.
The radiation protection requirements are to be incorporated into the final specifications and
building plans. Radiation requirements should be re-assessed if the intended use of a room
changes during the planning stages, equipment is upgraded, or surrounding room occupancy is
altered. Consideration should be given to the provision of floor and ceiling shielding when rooms
immediately above and below are occupied.
Infection Control
Standard precautions apply to the Medical Imaging Unit to prevent cross infection between
patients, staff and visitors. Paths of travel for inpatients should be separated from outpatients as
far as possible. Hand hygiene is important and it is recommended that in addition to hand basins,
medicated hand gel dispensers be located strategically in staff areas and circulation corridors.
Consideration should be given to separate clean and dirty workflows in all imaging/ procedure,
preparation and clean-up rooms.
Hand Basins
Hand basins will be located in each imaging/ procedure room, patient holding, recovery areas as
well as clinical support rooms including clean and dirty utilities. In holding and recovery areas the
minimum provision is one hand basin per 4 bed or chair bays.
Interventional imaging rooms such as Angiography may have an adjoining scrub facility.
Hand basins should comply with Standard Components for Bay - Handwashing. Refer to the
Standard Components, RDS and RLS of these guidelines for additional information.
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Antiseptic Hand Rubs

Antiseptic hand rubs should be located so they are readily available for use at points of care, at
the end of patient beds and in high traffic areas.
The placement of antiseptic hand rubs should be consistent and reliable throughout facilities.
Antiseptic hand rubs are to comply with Part D - Infection Control, in these guidelines.
Antiseptic Hand Rubs, although very useful and welcome, cannot fully replace Hand Wash Bays,
both are required. For further information related to Infection Control refer to Part D – Infection
Control in these Guidelines.
6 Schedule of Equipment and Furniture
This Schedule of Equipment and Furniture below lists the major equipment required for the key
rooms in this FPU.
Room/ Space Standard Room Item Qty Remarks

Code Description
genxr-i Air flowmeter 1
Oxygen flowmeter 1
General X-Ray Rack: lead apron 1
Suction adapter 1 with bracket & suction bottle
X-ray unit: general with X-ray table, control console
1
purpose and chest bucky
scrn-i Air flowmeter 1
Oxygen flowmeter 1
Screening Room Rack: lead apron 1
(Fluoroscopy) Suction adapter 1 with bracket & suction bottle
X-ray unit: with X-ray table, control console
radiography/ 1 and optional chest bucky
fluoroscopy, digital depending on operational policy
mammo-i Oxygen flowmeter 1
Rack: lead apron 1
Mammography Suction adapter 1 with bracket & suction bottle
X-ray unit: with control console and optional
1
mammography mammography chair
ctpr-i Air flowmeter 1
Injector: contrast
1
media, CT
C.T Scanning – Monitor: cardiac 1 optional mobile vital signs monitor
Procedure Room Oxygen flowmeter 2
Rack: lead apron 1
Scanning unit: CT 1
mri-42-i Air flowmeter: MRI 1
IV pole: mobile, MRI 1
Injector: contrast
1
media, MRI
MRI Scanning
Oxygen flowmeter:
Room 2
MRI
Scanning unit: MRI 1
Suction adapter:
2 with bracket & suction bottle
MRI
anpr-i similar Air flowmeter 1
Anaesthesia unit:
1
standard
with angiography table and
Angiography unit 1
control console
IV pole: mobile 1
Angiography
Injector: contrast
Procedure Room 1
media, angiography
Light: surgical 1
Monitor: cardiac 1
Oxygen flowmeter 2
Rack: lead apron 1
Services pendant:
1 optional
ceiling
International
Room/ Space Standard Room Item Qty Remarks

Code Description
ultr-i Oxygen flowmeter 1
Monitor: video,
1 optional, wall or ceiling mounted
medical-grade
Ultrasound
Table: examination,
1
ultrasound
Ultrasound scanning
1
unit: general
Warmer: gel 1
7 Components of the Unit

Standard Components
Standard Components are typical rooms within a health facility, each represented by a Room Data
Sheet (RDS) and a Room Layout Sheet (RLS).
The Room Data Sheets are written descriptions representing the minimum briefing requirements
of each room type, described under various categories:
▪ Room Primary Information; includes Briefed Area, Occupancy, Room Description and
relationships, and special room requirements).
▪ Building Fabric and Finishes; identifies the fabric and finish required for the room ceiling,
floor, walls, doors, and glazing requirements.
▪ Furniture and Fittings; lists all the fittings and furniture typically located in the room; Furniture
and Fittings are identified with a group number indicating who is responsible for providing the
item according to a widely accepted description as follows:
Group Description
1 Provided and installed by the Builder/ Contractor
2 Provided by the Client and installed by the Builder/Contractor
3 Provided and installed by the Client
▪ Fixtures and Equipment; includes all the serviced equipment typically located in the room
along with the services required such as power, data and hydraulics; Fixtures and
Equipment are also identified with a group number as above indicating who is responsible for
provision.
▪ Building Services; indicates the requirement for communications, power, Heating, Ventilation
and Air conditioning (HVAC), medical gases, nurse/ emergency call and lighting along with
quantities and types where appropriate. Provision of all services items listed is mandatory.
The Room Layout Sheets (RLS’s) are indicative plan layouts and elevations illustrating an
example of good design. The RLS indicated are deemed to satisfy these Guidelines. Alternative
layouts and innovative planning shall be deemed to comply with these Guidelines provided that
the following criteria are met:
▪ Compliance with the text of these Guidelines.
▪ Minimum floor areas as shown in the schedule of accommodation.
▪ Clearances and accessibility around various objects shown or implied.
▪ Inclusion of all mandatory items identified in the RDS.
The Medical Imaging Unit contains Standard Components to comply with details in the Standard
Components described in these Guidelines. Refer to Standard Components Room Data Sheets
and Room Layout Sheets.
Non-Standard Components
Non-Standard rooms are identified in the Schedules of Accommodation as NS and are described
below.
International
Orthopantomography (OPG) Room

The OPG imaging unit may be located in a room or bay. The room size will be dependent on the
equipment to be installed; circulation space will be required around the imaging unit. Access will
be required for patients in wheelchairs.
Room requirements will include:

▪ Radiation shielding of the space with access to lead gowns for the patient and staff
▪ Radiation warning light
▪ Patient and emergency call system
▪ A handbasin in close proximity
Processing Room
The Processing Room is an area for automatic processing equipment with sorting and viewing of
images and films. The processing area should be located with ready access to other imaging
procedure rooms and reporting rooms. This room will include:
▪ Area for processing equipment as required
▪ Storage and sorting bench
▪ Inset sink to a wet bench may be preferred
8 Schedule of Accommodation
The Schedule of Accommodation (SOA) provided in the Appendices of this FPU represents
generic requirements for this Unit. It identifies the rooms required along with the room quantities
and the recommended room areas. The sum of the room areas is shown as the Sub Total as the
Net Area. The total area comprises of the sub-total areas of these rooms plus an additional
percentage of the sub-total applied as the circulation (corridors within the Unit). Circulation is
represented as a percentage is the minimum recommended target area. Any external areas and
optional rooms/ spaces are not included in the total areas in the SOA.
Within the SOA, room sizes indicated for typical units and are organised into functional zones. Not
all rooms identified are mandatory, therefore, some rooms are found as optional in the
corresponding Remarks. These Guidelines do not dictate the size of the facilities and the SOA
provided represents a limited sample based on assumed unit sizes. The actual size of the facilities
is determined by the Service Planning or Feasibility Studies. Quantities of rooms need to be
proportionally adjusted to suit the desired unit size and service needs.
The table below shows five alternative SOA’s for role delineations 2 to 6 including typical imaging
specialties. The inclusion of imaging specialties in health facilities will be dependent on the service
plan and operational policy of the facility.
Any proposed deviations from the mandatory requirements, justified by innovative and alternative
operational models may be proposed within the departure forms included in Part A of these
guidelines for consideration by the health authority for approval.
International
Standard
ROOM/ SPACE RDL 2 RDL 3 RDL 4 RDL 5 RDL 6 Remarks
Component
Room Codes Qty x m2 Qty x m2 Qty x m2 Qty x m2 Qty x m2
Entry / Reception
recl-9-i recl-12-i recl-
Reception/ Clerical 1 x 9 1 x 12 1 x 15 1, 2 & 3 staff.
15-i
Public. May be divided
wait-10-i
into gender segregated
Waiting wait-15-i 2 x 15 2 x 20 2 x 25
areas. 1.2sqm per seat,
wait-20-i
1.5sqm w/chair.
Bay – Drinking Fountain,
bwf-1-i 2 x 1 2 x 1 Optional
1m2
Bay – Vending bvm-3-i
1 x 3 1 x 3 Optional
Machines bvm-5-i
Bay – Wheelchair bwc-i 1 x 4 2 x 4 2 x 4 3 x 4
Number dependent on
Consult/ Exam Room cons-i 1 x 14 1 x 14 2 x 14 2 x 14 volumes and patient
requirements
off-2p-i off-3p-i Clerical/ bookings; 2, 3 or
Office -Shared 1 x 9 1 x 15 1 x 20 1 x 20
off-4p-i 4 person shared office.
Transport Staff. May be
Office – Workstation off-ws-i 1 x 5.5 1 x 5.5 1 x 5.5 located adjacent to trolley
parking
Adjacent to Family
plap-10-i plap-15-i
Play Area 1 X 10 1 x 10 1 x 10 waiting 4-5 places for
plap-20-i
children.
May be divided into
Toilet – Accessible, 6m2 wcac-i 2 x 6 2 x 6 2 x 6
gender segregated areas.
May be divided into
Toilet – Public, 3m2 wcpu-3-i 2 x 3 2 x 3 2 x 3
General X-ray & Fluoroscopy (Screening) 1 room 2 rooms 4 rooms 5 rooms 8 room
General X-Ray genxr-i 1 x 35 1 x 35 2 x 35 3 x 35 4 x 35
International
Includes control area; qty

Screening Room
flou-i 1 x 36 1 x 36 1 x 36 2 x 36 of rooms to suit service
(Fluoroscopy)
plan.
Optional. For both
Interventional Screening
flou-i (similar) 1 x 45 1 x 45 1 x 45 2 x 45 vascular and Non-
Room (Fluoroscopy )
vascular procedures
Bay – Handwashing,
bhws-b-i 1 x 1 1 x 1 1 x 1 2 x 1 For patient bed bay areas
Type B
Bay - PPE bppe-i 1 x 1.5 1 x 1.5 1 x 1.5 1 x 1.5 2 x 1.5 For Lead Apron storage
Bay - Linen blin-1 1 x 2 1 x 2 1 x 2 1 x 2
Bay – Resuscitation
bres-i 1 x 1.5 1 x 1.5 1 x 1.5 1 x 1.5
Trolley
Change Cubicle – May be divided into
chpt-2-i 2 x 2 3 x 2 4 x 2 4 x 2
Patient gender segregated areas.
chpt-d-i 2 x 4 2 x 4 3 x 4 4 x 4 4 x 4
Accessible gender segregated areas.
Clean Utility clur-8-i clur-12-i 1 x 8 1 x 12 1 x 12 May be shared
Disposal, clean-up, dirty
Dirty Utility dtur-10-1 1 x 10 1 x 10 1 x 10 1 x 10 linen storage; may be
shared ,
Patient Bay – Holding, May be divided into
pbtr-h-10-i 2 x 10 4 x 10 4 x 10 4 x 10
10m2 gender segregated areas.
Preparation/ Set-up For contrast media
prep-s-i 1 x 9 1 x 9 1 x 9 1 x 9
Room (Imaging) storage and preparation
Optional; patient lockers.
prop-2-i prop-6-i
Property Bay 2 x 2 2 x 2 2 x 2 Separate Male/ Female
similar
areas.
Optional for level-2 & 3.
Waiting wait-sub-i wait-10-i 2 x 5 2 x 5 2 x 10 2 x 10 2 x 10 May be divided into
Optional May be divided
Shower – Patient -
shd-i 2 x 4 2 x 4 2 x 4 2 x 4 into gender segregated
Accessible
areas.
May be divided into
Toilet – Patient wcpt-i 1 x 4 1 x 4 1 x 4 2 x 4
International
May be divided into

Toilet – Accessible wcac-i 1 x 6 1 x 6 1 x 6 2 x 6
Locate near the entry in
Bone Densitometry boden-i 1 x 16 1 x 16 1 x the ‘Cold – Un-dosed’
16 area
Dental/Oral Radiology 1 room
Room area depends on
OPG Room n/s 1 x 7 1 x 7 1 x 7 1 x 7
equipment selected
Lead aprons, adjacent to
Bay - PPE bppe-i 1 x 1.5 1 x 1.5 1 x 1.5 1 x 1.5
imaging rooms
May be shared with
Waiting wait-sub-i 1 x 5 1 x 5 1 x 5 1 x 5
adjacent imaging areas.
C.T Scanning 1 room 2 rooms 2 rooms
C.T Scanning – Room size is dependent
ctpr-i 1 x 45 2 x 45 2 x 45
Procedure Room on equipment selected
C.T Scanning – Control May be shared between
ancrt-i similar 1 x 14 1 x 20 1 x 24
Room 2
CT Computer Room size dependant on
coeq-i 1 x 8 2 x 8 2 x 8
Equipment Room equipment selected.
C.T Scanning – One workstation/2
xrrr-i similar 1 x 9 1 x 9 1 x 9
Reporting Room scanning rooms
May be divided into
Waiting wait-sub-i wait-10-i 2 x 5 2 x 10 2 x 10
1 outside each scanning
Patient Bay – Holding,
pbtr-h-10-i 2 x 10 2 x 10 2 x 10 room. May be divided into
10m2
1 per 4 bed bays; Refer
bhws-b-i 1 x 1 1 x 1 1 x 1 to Part D Infection
Type B
Control
Bay – Linen blin-i 1 x 2 1 x 2 1 x 2 May be shared
Bay - PPE bppe-i 1 x 1.5 1 x 1.5 2 x 1.5 For Lead Apron storage
May be shared if located
bres-i 1 x 1.5 1 x 1.5 1 x 1.5 in close proximity to
Trolley
another unit
International
May be divided into

Change Cubicle – gender segregated areas.
chpt-d-i 1 x 4 1 x 4 1 x 4
Accessible, 4m2 1 cubicle per scanning
room
May be divided into
Change Cubicle – gender segregated areas.
chpt-2-i chpt-12-i 1 x 2 1 x 2 1 x 2
Patient 1 cubicle per scanning
room
Dirty Utility dtur-s-i dtur-12-i 1 x 8 1 x 12 1 x 12 May be shared
Office – Workstation off-ws-i 1 x 5.5 1 x 5.5 1 x 5.5 Optional, staff base
Property Bay, 2m2 prop-2-i 1 x 2 1 x 2 1 x 2 May be shared
Scrub-up/ Gowning,
scrb-6-i 1 x 6 1 x 6 2 x 6 May be shared
6m2
May be divided into
gender segregated areas;
Toilet –Patient wcpt-i 2 x 4 2 x 4 2 x 4
may share amenities with
adjacent imaging areas.
Ultrasound & Mammography 1 room 4 rooms 6 rooms 8 rooms
For general and
Ultrasound ultr-i 1 x 14 2 x 14 4 x 14 6 x 14
obstetrics
Optional. As required by
Ultrasound – Paediatric ultr-i similar 1 x 20 2 x 20
service plan
For Interventional
Ultrasound -
proc-20-i similar 1 x 30 2 x 30 ultrasonography
Interventional
procedures
Mammography mammo-i 1 x 16 2 x 16 3 x 16
Mammography - For symptomatic and
mam-int-i 1 x 16 2 x 16 3 x 16
Interventional needle biopsy procedures
May be shared. May be
pbtr-h-10-i 2 x 10 4 x 10 4 x 10 divided into gender
10m2
segregated areas.
1 per 4 bed bays; Refer
bhws-b-i 1 x 1 1 x 1 1 x 1 1 x 1 to Part D Infection
Type B
Control
International
May be shared with

Bay – Linen blin-i 1 x 2 1 x 2 1 x 2 1 x 2
adjacent area
bres-i 1 x 1.5 1 x 1.5 1 x 1.5 1 x 1.5 in close proximity to
Trolley
another trolley
Change Cubicle – Total of 1 per U/S or
chpt-2-i chpt-12-i 1 x 4 1 x 2 2 x 2 4 x 2
Patient Mammography room
Change Cubicle – Total of 1 per U/S or
chpt-d-i 1 x 4 1 x 4 2 x 4 2 x 4
Accessible Mammography room
Clean Utility clur-8-i 1 x 8 1 x 8 1 x 8 Optional
Dirty Utility dtur-s-i 1 x 8 1 x 8 1 x 8 Optional
Office – Workstation off-ws-i 1 x 5.5 1 x 5.5 1 x 5.5 1 x 5.5 For Sonographers
Processing dpro-i similar 1 x 6 1 x 6 1 x 10 For Mammography
For patient lockers. May
prop-2-i prop-6-i
Property Bay 2 x 4 2 x 8 2 x 8 be divided into gender
similar
segregated areas.
For Ultrasound. Within
Toilet – Patient wcpt-i 1 x 4 3 x 4 4 x 4
ultrasound room
Patient. May be divided
Toilet – Accessible wcac-i 2 x 6 1 x 6 1 x 6 2 x 6 into gender segregated
areas.
May be divided into
Waiting wait-sub-i wait-10-i 2 x 5 2 x 5 2 x 10 2 x 10
Viewing and Reporting Adjust size to suit service
xrrr similar 1 x 12 1 x 12 1 x 12 1 12
Room plan.
Angiography/ Digital Subtraction Angiography
(DSA)/ Optional Computed Tomography 1 room 2 rooms 3 rooms
Angiography (CTA)
Angiography Procedure Number of rooms to suit
anpr-i similar 1 x 55 2 x 55 3 x 55
Room service plan.
Angiography Control/ May be shared between
ancrt-i 1 x 14 1 x 14 1 x 14
Reporting Room rooms
Computer Equipment
coeq-i 1 x 8 2 x 8 3 x 8 1 per Angiography room
Room
International
Anaesthetic Induction
anin-i 1 x 15 1 x 15 1 x 15 Optional
Room
Bay – Linen blin-i 1 x 2 1 x 2 1 x 2 1 x 2 May be shared
Bay – PPE (Personal
bppe-i 1 x 1.5 1 x 1.5 1 x 1.5 For Lead Apron
Protective Equipment)
Trolley
another unit
chpt-2-i chpt-12-i 1 x 2 2 x 2 4 x 2
Patient gender segregated areas.
Change Cubicle –
chpt-d-i 2 x 4 4 x 4 4 x 4 into gender segregated
Accessible
areas.
Refer to
pbtr-h-10-i Holding/Recovery Areas
10m2
for patient bays.
Preparation/ Set-Up
prep-s-i 1 x 9 1 x 9 1 x 9
Room (Imaging)
For patients; may be
prop-2-i prop-6-i
Property Bay 2 x 4 2 x 8 2 x 8 divided into gender
similar
segregated areas.
Scrub-Up/ Gowning scrb-6-i 1 x 6 1 x 6 1 x 6 May be shared.
Store – Sterile Stock stss-12-i stss-24-i 1 x 12 1 x 18 1 x 24
Toilet – Patient wcpt-i 1 x 4 2 x 4 2 x 4 Within Angiography Suite
Patient May be divided
Toilet – Accessible wcac-i 1 x 6 1 x 6 1 x 6 into gender segregated
areas.
May be divided into
Waiting wait-sub-i wait-10-i 2 x 5 2 x 10 2 x 10
X-Ray Viewing and May be combined with
xrrr-i 1 x 12 1 x 12 1 x 12
Reporting Control room
International
May be provided at any

MRI 1 room 2 rooms 2 rooms
RDL
Room size dependant on
MRI Scanning Room mri-42-i 1 x 42 1 x 42 2 x 42
equipment selected
MRI. requirements as per
MRI Computer
coeq-8-i similar 1 x 8 1 x 8 2 x 8 manufacturers
Equipment Room,
specifications
MRI Control/ Reporting Shared between 2 MRI
ancrt-14-i similar 1 x 14 1 x 14 2 x 14
Room, 14m2 rooms
Anaesthetic Induction
anin-i 1 x 15 1 x 15 1 x 15 Optional
Room
Viewing and Reporting May be combined with
xrrr-12-i similar 1 x 12 1 x 12 1 x 12
Room Control Room.
May be shared. May be
Patient Bay - Holding,
pbtr-h-10-i 1 x 10 1 x 10 2 x 10 divided into gender
10m2
segregated areas.
Bay – Handwashing, 1 per MRI room, in close
bhws-a-i 1 x 1 1 x 1 2 x 1
Type A proximity to MRI rooms
Bay – Linen blin-i 1 x 2 1 x 2 1 x 2 May be shared
Trolley
another unit
chpt-d-i 1 x 4 1 x 4 2 x 4
Accessible gender segregated areas.
Patient lockers. May be
Property Bay prop-2-i 1 x 2 1 x 2 4 x 2 divided into gender
segregated areas.
As required, accessible to
Store - Dewar Tank n/s 1 x 6 1 x 6 1 x 6
MRI rooms
Store – Files, 8m2 stfs-8-i 1 x 8 1 x 8 1 x 8 Optional
Toilet – Accessible wcac-i 1 x 6 1 x 6 2 x 6 into gender segregated
areas.
International
May be divided into

Waiting – Sub wait-sub-i 1 x 5 1 x 5 2 x 5
Optional if centralized
Patient Holding/ Recovery Areas 4 bays 8 bays 12 bays
Holding/Recovery Area
Holding/ recovery. 2 Bays
Patient Bay – Holding, per interventional imaging
pbtr-h-10-i 4 x 10 6 x 10 8 x 10
10m2 room; May be divided into
Staff Station sstn-10-i sstn-14-i 1 x 10 1 x 10 1 x 14
Bay – Beverage bbev-op-i 1 x 4 1 x 4 1 x 4 Optional
bhws-b-i 1 x 1 2 x 1 2 x 1
Type B
Bay – Linen blin-i 1 x 2 1 x 2 2 x 2
Bay – Resuscitation May be shared if located
bres-i 1 x 1.5 1 x 1.5 1 x 1.5
Trolley close to another trolley
Consult Room cons-i 1 x 14 2 x 14 Optional
clur-s-i clur-10-i clur-
Clean Utility, 12m2 1 x 8 1 x 10 1 x 12
12-i
dtur-s-i dtur-10-i dtur-
Dirty Utility 1 x 8 1 x 10 1 x 12
12-i
Store – Equipment,
steq-10-i 1 x 10 1 x 10 2 x 10
10m2
Support Areas - Shared
Depends on facility
Bay – Mobile Equipment bmeq-4-i bmeq-6-i 1 x 4 1 x 6 2 x 6 2 x 6
requirement
Cleaner’s Room, 6m2 clrm-6-i 1 x 6 1 x 6 2 x 6
For PACS Server. Size
comm-12-i comm-20-i
Communications Room 1 x 10 1 x 12 1 x 20 1 x 30 determined by
similar
Operational Policy
Digital processing/
Digital Processing dpro-i similar 1 x 16 1 x 24 1 x 30 1 x 40 printing. As required by
service plan
Disposal Room, 8m2 disp-8-i shared 1 x 8 1 x 8 1 x 8 1 x 8 Share by the whole unit
International
Films/ CDs/ Discs. Size

Store – Files stfs-8-i stfs-20-i 1 x 8 1 x 8 1 x 12 1 x 16 1 x 20 determined by
Operational Policy
Store – General stgn-9-i 1 x 9 1 x 9 1 x 12 1 x 12 1 x 16
Laser Printing/ Digitiser;
Store – Photocopy/
stps-8-i 1 x 8 1 x 8 1 x 8 may be included in work
Stationery, 8m2
space for radiographers.
Staff Offices & Reporting Areas
Office – Single Person,
off-s12-i 1 x 12 1 x 12 1 x 12 Director
12m2
off-s9-i 1 x 9 1 x 9 2 x 9 Radiologists
9m2
off-s9-i 1 x 9 1 x 9 2 x 9 Radiographers
9m2
Office – Single Person, Nurse Manager/
off-s9-i 1 x 9 1 x 9 2 x 9
9m2 Supervisor
PACS Operation/
Office – Shared off-2p-i off-3p-i 1 x 12 1 x 15 1 x 15 Management. 2-3 person;
see Notes
2, 3 & 4 person shared
areas. May be used as a
off-2p-i off-3p-i off-
Office – Shared 1 x 12 1 x 16 1 x 20 film study/ library room;
4p-i
as required by
operational policy
Office - Workstation off-ws-i 2 x 5.5 4 x 5.5 6 x 5.5 General imaging staff
Picture Archiving Comms
Systems (PACS)
Office - Workstation off-ws-i 2 x 5.5 4 x 5.5 6 x 5.5
Reporting. Qty will
depend on service plan
May be divided into
Change – Staff (Male/ gender segregated areas.
chst-14-i 2 x 14 2 x 14 2 x 14
Female), 14m2 Includes shower/ toilets/
lockers
Meeting Room meet-9-i meet-12-i 1 x 9 1 x 9 1 x 12
Meeting Room –
meet-l-15-i meet-l-20-i 1 x 15 1 x 15 2 x 20
Medium/ Large
International
Store – Photocopy/
stps-8-i stps-10-i 1 x 8 1 x 8 1 x 10
Stationary
May be divided into
Staff Room srm-15-i srm-20-i 1 x 15 1 x 20 1 x 20
Sub Total 61.5 286 1299 1787 2333
Circulation % 35 35 35 40 40
including the centralized
Area Total 83.025 386.1 1753.7 2501.8 3266.2
holding/ recovery area
Notes
▪ Areas noted in Schedules of Accommodation take precedence over all other areas noted in the Standard Components.
▪ Rooms indicated in the schedule reflect the typical arrangement according to the sample bed numbers.
▪ All the areas shown in the SOA follow the No-Gap system described elsewhere in these Guidelines.
▪ Exact requirements for room quantities and sizes will reflect Key Planning Units (KPU) identified in the Clinical Service Plan and the Operational Policies of
the Unit.
▪ Room sizes indicated should be viewed as a minimum requirement; variations are acceptable to reflect the needs of individual Unit.
▪ Office areas are to be provided according to the Unit role delineation and number of endorsed full time positions in the Unit.
International
Medical Imaging Unit - General
9 Future Trends
Imaging is widely used as an essential adjunct to clinical assessment for diagnosis and staging of
human disease, and increasingly in the design of appropriate therapies and then monitoring
response to these treatments and has been described as one of the fastest growing healthcare
sectors in the developed world. Medical liability considerations also weigh heavily in many
decisions by physicians to utilise medical imaging if clinically warranted.
It is expected that radiation dosages will continue to drop and utilisation of imaging services will
become more efficient, with fewer healthcare resources wasted.
With the Internet, borders have blurred between the concepts of information and communication
systems, making access to data and distribution of information faster and more efficient. Mobile
and wearable media will accelerate these trends.
New energy sources—magnetic, radiofrequency, sonic, optical and nuclear—combined with fast,
dynamic, digital methods of applying and recording them, will continue to add dozens of
parameters to the imaging toolkit. Future images will be photo realistic; using all the sources of
data combined, enhanced using interactive rendering with additional details, and available
remotely at the desktop.
Future new technologies (e.g., molecular imaging) could yield rapid utilisation changes if these
provide the clinical value that has been attributed to traditional advanced imaging during its recent
boom.
Artificial Intelligence is an emerging field and operators may be consider its provisions to be built
into the ne facilities operational policies and the Al Vendors.
10 Further Reading
In addition to Sections referenced in this FPU, i.e. Part C- Access, Mobility, OH&S, Part D -
Infection Control, and Part E - Engineering Services, readers may find the following helpful:
▪ American College of Radiology (ACR) Medical Imaging: ‘Is the Growth Boom Over’ Neiman
Report Oct 2012 http://www.acr.org/Research/Health-Policy-Institute/Neiman-Report-
Index/Brief-01-Is-the-Medical-Imaging-Growth-Boom-Over
▪ Australasian Health Facility Guidelines, Part B Health Facility Briefing and Planning, Medical
Imaging - General, Rev 6 2016 refer to website
https://aushfg-prod-com-au.s3.amazonaws.com/HPU_B.0440_6_0.pdf
▪ Department of Health, Queensland Government, Australia Medical Imaging Services;
CSCFv3.2 Module Overview. Refe to website:
https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/service-
delivery/cscf/modules/default.asp
▪ NHS Estates, Department of Health Estates and Facilities Division, HBN 6 Facilities for
diagnostic imaging and interventional radiology, HMSO, London, 2001,
https://www.gov.uk/government/organisations/department-of-health
▪ RSNA Radiological Society of North America, James H. Thrall, M.D ‘Look Ahead The Future
of Medical Imaging’ Aug 2015 http://www.rsna.org/News.aspx?id=17019
▪ The Facilities Guidelines Institute, Guidelines for Design and Construction of Health Care
Facilities, 2014 refer to website: https://www.fgiguidelines.org
▪ University of Oxford, Department of Physics, Future Trends in Medical Imaging 2016; refer to
website: https://www2.physics.ox.ac.uk/events/2013/07/10/future-trends-in-medical-imaging
▪ Department of Veterans Affairs (US) Office of Facilities Management, VA Design Guide
Magnetic Resonance Imaging, 2008, refer to website:
http://www.cfm.va.gov/til/dGuide/dgmri02.pdf
▪ Agency for Science, Technology and Research, Clinical Imaging Research Centre,
Singapore, Professor David W. Townsend, PhD, FRCR (Hon) Director, lecture: Future
Trends in Medical Imaging refer to website: http://infieri-
International
Medical Imaging Unit - General
network.eu/sites/default/files/users/user270/DT_INFIERI_Lecture_Final.pdf
International

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Part B – Health Facility Briefing & Design

Medical Imaging Unit

International Health Facility Guidelines

160 Medical Imaging Unit – General ............................................................................................... 3

160 Medical Imaging Unit – General

2 Functional and Planning Considerations

3 Unit Planning Models

These functional zones are described briefly below.

Entry/ Reception/ Waiting Areas

X-ray, Screening and Scanning Areas

General X-ray and Fluoroscopy (Screening)

Fluoroscopic radiographic imaging (Screening) procedures involve administration of contrast

Computerised Tomography (CT Scanning)

Angiography/ Digital Subtraction Angiography (DSA)

Endoscopic Retrograde Choleopancreatography (ERCP)

Magnetic Resonance Imaging (MRI)

through an accessible side panel

Facilities required in the MRI suite include:

Planning and design should consider the following:

Bone Densitometry Room (optional)

Digital Imaging Processing

Offices and Workstations

The reporting area will require:

Staff Amenities Areas

The optimum external relationships demonstrated in the diagrams below include:

According to these guidelines, Medical Imaging may be in the basement.

Functional Relationship Diagram

Medical Imaging Unit – General

Medical Imaging Unit – General, Modular Option (with Nuclear Medicine)

▪ Structural support for equipment including equipment mounted to ceilings. Particular

Standards & Codes

Additional acoustic privacy considerations include:

Natural Light/ Lighting

Space Standards and Components

Size of the Unit

Safety and Security

▪ Fire safety of the materials

Fixtures, Fittings and Equipment

Building Service Requirements

Heating, Ventilation and Air conditioning (HVAC)

Antiseptic Hand Rubs

6 Schedule of Equipment and Furniture

Room/ Space Standard Room Item Qty Remarks

Room/ Space Standard Room Item Qty Remarks

7 Components of the Unit

Orthopantomography (OPG) Room

Room requirements will include:

Includes control area; qty

May be divided into

May be divided into

May be shared with

May be provided at any

May be divided into

Films/ CDs/ Discs. Size

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