Radiology

The Radiology Directorate provides a comprehensive radio-diagnostic service at the Countess of Chester Hospital and Ellesmere Port Hospital. A significant amount of work is also for patients resident outside Chester in Deeside, Wirral and Crewe.

We provide patients with high quality care, based on professional ability, working within the Radiation Code of Practice.

The Radiology service provides:

• Plain imaging
• Breast screening - national screening programme
• CT scanning
• Magnetic resonance imaging
• Nuclear medicine - radio-isotope scanning
• Symptomatic mammography
• Ultrasound scanning - abdominal, vascular & obstetric
• Vascular/Interventional service

Plain Imaging

Key contact: Alison Miller Tel: 01244 366724

Diagnostic Radiography (plain film imaging) is undertaken in the department for all outpatient clinics, GP practices, Emergency medicine and inpatients.

The plain film imaging section is one of the busiest in the department and operates 24 hours a day 7 days a week. There are 4 general X-ray rooms, 1 dental room and a further 2 fluoroscopy rooms. Radiographers work across all areas of the department and outside the department on the wards and in theatres.

The 'Plain Film Imaging' section is one of the busiest in the department and operates 24 hours a day 7 days a week.

All plain film images are now undertaken using digital radiography and the resulting images are then electronically stored on the Trust's PACS system to be available at any location within the hospital where there is access to a PC.

The department is a teaching centre with links to the University of Wales (Bangor) Department of Health Studies and the University of Liverpool and we will have under-graduate Radiography students here for the majority of the year.

Breast Screening & Symptomatic Breast Imaging

Key contact: Ruth Buckley Tel: 01244 363606

Symptomatic work is carried out on Thursdays and Fridays providing the post operative surveillance/family history mammograms whilst Monday and Tuesday offer a Fast Track service to a dedicated Out-Patient Breast Clinic.

This provides all necessary imaging with instant reporting along with ultrasound guided interventional procedures on the day. All cases which have undergone needle tests are discussed at the weekly multidisciplinary team meetings to ensure optimal management takes place.

CT Scanning Department

Key contact: Jane Gilmour Tel: 01244 365740

CT stands for Computed Tomography.

The scanner uses X-rays to produce cross-sectional images of the area to be scanned (e.g. emergency, cancer, lung, colonoscoopy, vascular). These images can be reconstructed so that images can be viewed in any plane and when necessary a 3D image can be produced.

We have 2 CT scanners at COCH. One 64-slice and one 16-slice scanner.

Fluoroscopy Service

Key contacts: Carol Adams / Shirley Houghton Tel: 01244 365094

The Countess of Chester Hospital has two fluoroscopy rooms providing a comprehensive range of services.

Diagnostic contrast studies are now mostly performed by Specialist Radiographers. These include imaging the oesophagus, videofluoroscopy swallowing, stomach, duodenum, small bowel and large bowel.

Further diagnostic studies of the Biliary tract, Genito-urinary tract, Cystograms and Hysterosalpingograms are also undertaken. A paediatric service of voiding cysto-urethrograms and upper gastro-intestinal tract imaging is also provided.

MRI Scanning (Magnetic Resonance Imaging)

Key contact: Libby Everitt Tel: 01244 365700

MRI is now well established in providing non-invasive imaging for the central nervous system, abdomen and pelvis, musculoskeletal and cancer staging. A type of MRI known as magnetic resonance angiography (MRA) can also be used to image your blood vessels.

The Countess of Chester was one of the first acute service District General Hospital's(DGH) to have an MRI Scanner. The Trusts' current scanner is a 1.5 Tesla Siemens scanner which was installed in June 2005 and features major advantages in image quality, quiet operation, shorter scans and a more open aspect than older scanners.

One of the main advantages of MRI is that unlike x-rays it does not involve exposing the body to radiation. MRI scans instead use strong magnetic fields and radiowaves to produce detailed images of inside the body.

Due to the magnetic fields all patients are required to fill in a medical safety questionnaire prior to their scan (please follow the link to find this document). A small number of patients are unable to have an MRI scan as it can disrupt the working of certain medical devices e.g. pacemakers. It is also unsuitable for patients who have brain aneurysm clips, metal fragments in the eye and some metallic implants that have been in for less than 6 weeks.

For further information regarding any questions on MRI scanning, please contact the MRI department.

Nuclear Medicine

Key contact: Hazel Robertshaw Tel: 01244 365276

A comprehensive isotopes service is available here at the Countess of Chester Hospital. Our present camera is capable of whole body imaging, SPECT and dynamic studies as well as normal static imaging. We currently offer a broad spectrum of diagnostic imaging which includes cardiac, lung perfusion, bone, thyroid, parathyroid, HIDA, labelled white cell, Mag 3 and DMSA kidney scans, lymph node and sentinel node imaging. The scanner is due to be replaced with SPECT CT in 2012.

Ultrasound

Key contact: Catalina MacDonald Tel: 01244 365274

Interventional Radiology

Key contact: Jenny Alger Tel 01244 366721

Ellesmere Port Hospital

Ellesmere Port Xray Reception Tel: 01244 362946

Situated in a small friendly community hospital which offers free parking and easy access for the physically impaired.

The Radiology Department is a compact 3-roomed unit with ensuite facilities for the barium studies. Both general ultrasound and diagnostic radiography are undertaken as well as the fluoroscopy studies.

We offer a 8.30 am - 5.00 pm, Monday-Friday, appointment and urgent same day service to the GP patients from the surrounding area including Chester, Neston, Ellesmere Port and South Wirral. Having been integrated in the latest digital PACS system installed at the COCH, we are now able to obtain image reports rapidly from Radiologists based at COCH. Inpatients and Outpatient clinics at Ellesmere Port Hospital also benefit from our PACS system. Fluoroscopy is undertaken by Specialist Radiographers supervised by Consultant Radiologists.

Radiology Key Contacts

Clinical Director

Dr R Etherington	Clinical Director	01244 365279
Mrs Julie Downs	Secretary to Clinical Lead	01244 366729

Radiology Services Manager

Mrs Linda Williams	Radiology Services Manager	01244 365264
Mrs Carole Titman	Secretary to Radiology Services Manager	01244 365163

Consultant Radiologists

Dr G Abbott	Contact Reception :- 01244 366724
Dr A Boothroyd	Contact Reception :- 01244 366724
Dr G Doyle	Contact Reception :- 01244 366724
Dr R Dwarkanath	Contact Reception :- 01244 366724
Dr R Etherington	Contact Reception :- 01244 366714
Dr S Gurudev	Contact Reception :- 01244 366724
Dr W Pilbrow	Contact Reception :- 01244 366724
Dr A Wright	Contact Reception :- 01244 366724

 Radiology Heads of Department

MRI Scanning Deputy Radiology Services Manager	Breast Imaging Services
Libby Everitt	Ruth Buckley
Superintendent Radiographer	Superintendent Radiographer
01244 365700	01244 363606
CT Scanning	Interventional Radiology
Jane Gilmour	Jenny Alger
Superintendent Radiographer	Superintendent Radiographer
01244 365740	01244 366721
Ultrasound Scanning	Fluoroscopy Services
Catalina Macdonald	Carol Adams / Shirley Houghton
Superintendent Radiographer	Superintendent Radiographers
01244 365274	01244 365094
Nuclear Medicine	Plain Imaging (COCH and EPH)
Hazel Robertshaw	Alison Miller
Superintendent Radiographer	Team Leader Plain Imaging
01244 365276	01244 366724

Administration Managers

Jennifer Turner

Radiology Office Manager

01244 366711

Leanne Mapletoft-Zgymant

PACS/RIS Administrator Manager

01244 366724

Linda Mitchell

Breast Screening Office Manager

01244 363606