Information for Referrers

1. X-Ray Examinations

Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) 2017

The IR(ME)R 2017 legislation places specific responsibilities on organisations and individuals involved in the process of making exposures using ionising radiation. Medical Imaging Partnership is required to ensure all those involved understand the implications and their responsibilities.

Requirements:

  • Provide relevant clinical information – Accurate clinical information helps to ensure that the correct examinations, or views, are performed in order to answer the clinical question. Provision of clinical information is necessary to justify the examination and is, therefore, a legal requirement.
  • Provide sufficient information to identify the patient – The Company undertake an eight point identification check on each patient, which covers patient demographics and the examination requested, to ensure that the correct patient gets the correct examination on the correct side at the correct time. By using the full and correct information on the referral form, the patient checks and booking in process are safer and more efficient.
  • Discuss the proposed examination with the patient or guardian – As a referrer, you must discuss the proposed examination with the patient / guardian and consider the possibility of pregnancy for female patients of reproductive age.
  • Referral guidelines – the Royal College of Radiology (RCR) has published a set of clinical guidelines which is available to you on the internet at www.irefer.org.uk There are many instances where plain film radiographs provide little information of value, which are listed in the RCR Guidelines. Justification of individual requests will be based on these

Considerations:

  • Non-radiation modalities – When appropriate, refer for a radiation-free alternative e.g. ultrasound or MRI. The RCR guidelines include suggestions for appropriate imaging in many common clinical scenarios.
  • Minimisation of exposure – There are some important steps that you, as the referrer, can take to minimise radiation exposure for your patients:
    • Is the examination really necessary?
    • Will the examination really answer your clinical question? For instance, a plain film of the abdomen in acute renal colic will neither confirm nor exclude the diagnosis of renal colic and will not exclude conditions that mimic renal colic.
    • Will the results alter your management of the patient? For instance, radiographs of the coccyx after injury do not contribute to management because treatment will be the same whether or not there is evidence of coccygeal injury on the X-ray.
  • Some other examples of examinations that are often hard to justify are:
    • Skull radiographs in headache, neurological problems, suspected pituitary problems and past trauma.
    • Lumbar spine radiographs in patients aged 20 to 55 years with chronic, stable symptoms of back pain.
  • Avoidance of repetition – Has the examination been done already?
  • IV Contrast Media – Where radiological examinations require the patient to have IV contrast media, it is important that the referrer considers the creatinine blood level of ‘at risk’ patients such as the elderly and those with known renal impairment.

2. Magnetic Resonance Imaging

Requirements:

As with X-ray referrals, requests for MRI examinations must provide relevant clinical information to ensure the correct examination is performed and sufficient information to identify the patient.

Considerations:

  • Contraindications – As a referrer you must consider contraindications such as a cardiac pacemaker or pacing wire, cerebral aneurysm clip, cochlear implant, neuro / bio stimulators, any metal implants, any history of penetrating metal injury to their eyes or medical devices attached to their body. This information must be included in the referral.
  • Pregnant patients – should only be scanned after the risk and benefit of the study has been explained to them by the referrer and after consultation with a radiologist.
  • IV Contrast Media – Where radiological examinations require the patient to have IV contrast media, it is important that the referrer considers the creatinine blood level of ‘at risk’ patients such as the elderly and those with known renal impairment.

3. Ultrasound

Requirements:

Ultrasound referrals must provide relevant clinical information to ensure the correct examination is performed and sufficient information to identify the patient.

Please note that when you sign an imaging request you take the legal responsibility for the information which it contains.

We are happy to advise with any queries you may have on making a referral, please contact us by telephone: 01293 534 043 or Email: contactus@medicalimaging.org.uk

Why Choose Medical Imaging Partnership?

We empower you and your patients to choose how and where they are imaged. Our services include;

We offer 3T MRI scans at Medical Imaging London, Medical Imaging Partnership, South Manchester and Medical Imaging Partnership, Haywards Heath.

  • Prostate Imaging
  • MSK Imaging
  • Whole Body Imaging
  • Neuro Imaging

These scans are available to self pay, privately insured and NHS patients where appropriate.

We offer an unparalleled service to Urologists and Patients with reporting carried out by leading national specialist Uro-Radiologists.

About 3T MRI

Our 3T MRI scanner has more signal creating the image than noise meaning higher quality images can be produced. This is extremely beneficial to patients needing a prostate, musculoskeletal, brain or spine scan, as the images can provide a more in-depth look.

A 3T MRI also reduces the need for endorectal coils when scanning the prostate. These are replaced by surface coils which lay on top of the pelvis, improving the patient experience.

Typically, we can see a private patient within 1 – 2 working days and have their images reported and back to you 1 – 2 days after the scan has taken place.

We offer MRI scans from a range of locations to both NHS and Private Patients.

Our team are experts in their field, with all of our scans being reported by UK-based FRCR accredited Radiologists working within their sub-speciality areas of interest.

We also offer 3T MRI scans for private patients from our centres in London and Haywards Heath.

We offer X-Ray services from a range of locations to both Private and NHS patients.

Our team are experts in their field, with all of our scans being reported by UK-based FRCR accredited Radiologists

Our scans cover a comprehensive range of investigations catering to each patient as an individual.

Our team are experts in their field, with all of our scans being reported by a team of UK-based Sonographers and Radiologists.

We also offer a range of ultrasound guided procedures including musculoskeletal injections and biopsy.

Our scans cover a comprehensive range of investigations catering to each patient as an individual.

A DEXA scan is used to measure the bone mineral density of a patient.

These scans are often used to identify patients suffering with osteoporosis and effective for both sexes and all ages.

Our team are experts in their field, with all of our scans being reported by specialist Clinicians and reporting Radiographers.

Improved accessiblility/clinical safety

through an advanced IT infrastructure with true integration of clinical information and imaging studies. Full remote access to “next step” reports and key images through our online clinician portal.

Better communication

that is timely, integrated into your clinical practice and with reports that are tailored to facilitate accurate decision making.

Location

our services are available from a range of locations, giving your patients the choice.

Improved accessiblility/clinical safety

through an advanced IT infrastructure with true integration of clinical information and imaging studies. Full remote access to “next step” reports and key images through our online clinician portal.

Better communication

that is timely, integrated into your clinical practice and with reports that are tailored to facilitate accurate decision making.

Location

our services are available from a range of locations, giving your patients the choice.

About us

Medical Imaging Partnership has over 10 years experience of delivering radiology services to both the NHS and private sector.

Our team are experts in their field, specialising in radiology. They are here to help patients every step of the way, making sure their scan is as comfortable and effective as possible.

Our services are available across a range of locations. We are accredited by all of the major private medical insurers and offer a competitive self pay price.

If you have any issues referring a patient or have any questions please call our team in London on 0203 519 8998, in South Manchester on 0161 738 1740, or for all other locations on 01293 534 043 and they will be happy to assist you.

 

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