SUGGESTED QUESTIONS WHICH SHOULD BE CONSIDERED FOR THE QUESTIONNAIRE.

As radiology is an increasingly diverse specialty with protocols varying from hospital to hospital and even according to different radiologists within a hospital, a standardised questionnaire is not possible. Therefore the following questionnaire should be modified to be relevant to local practice including protocols and techniques performed and as appropriate to the staff being surveyed. Thus, not only should the relevant questions be selected, the stems may need to be modified to ensure some specialty specific answers are not included when assessing other specialties.

GENERAL QUESTIONS

Does your trust have radiology information leaflets?

Yes No Don’t know

Does your trust have intranet information with regards to patient preparation for radiology procedures?

Yes NoDon’t know

CT:

  1. A CT scan uses ionizing radiation and can create 3-D images?

True or False

  1. The CT scanner is very noisy and patients need to wear headphones to protect their ears?

True or false

  1. It is important to inform radiology staff about implantable defibrillators prior to scanning as these can be activated by the scanner

True or false

  1. A cannula is required to be inserted prior to every scan

True or false

  1. A central line is less preferable to a peripheral cannula

True or false

  1. Many patients find the CT scanner claustrophobic

True or false

  1. Fasting prior to a CT is generally required to scan the

Head

Cervical spine

Chest

Abdomen/pelvis

Limb

  1. Which of the following conditions should the radiologist know about before proceeding with a non contrast CT scan?

Allergies

Asthma

Pregnancy or date of last menstrual period when applicable

Claustrophobia

Diabetes

Hay Fever

Heart Disease

Renal Disease

  1. Which of the following conditions should the radiologist know about prior to proceeding with contrast administration?

Allergies

Severe or acute asthma

Pregnancy

Breast feeding

Diabetes

Hay Fever

Parkinson’s Disease

Renal Disease

Thyroid cancer

  1. Which of the following may be used for patient preparation for a diagnostic scan

Bowel preparation

Oral contrast

IV fluid

Aspirin

B-blockers or other rate limiting drugs

Oral Water

Paracetamol

  1. Which of the following may be administered at the time of a diagnostic scan

Iodinated contrast

Buscopan

Antibiotics

Diuretics

B-blockers or other rate limiting drugs

Adrenaline

  1. The contrast used can be nephrotoxic (damaging to the kidneys)

True or false

  1. The length of a scan of 1 body region (eg chest) is generally

<5 minutes10 minutes20minutes

  1. To minimize the risk to staff, you will be isolated in the scan room for a short period of time during which it will not be possibly to communicate with staff

True or false

  1. For paediatric patients, the parents will be offered the option to stay in the scan room

True or false

  1. Parents of paediatric patients will need to be consented for a pump injection to be used to enable good quality contrast enhanced images

True or false

  1. The following scans routinely use contrast

CT head for trauma

CT head for brain metastases

CT neck for trauma

CT neck for abscess

CT pulmonary angiogram

High resolution CT thorax

CT abdomen and pelvis for acute abdominal pain

CT KUB

CT IVU

CT peripheral angiogram for vascular disease

CT foot for fracture dislocation

ULTRASOUND

  1. An ultrasound is based on sound waves and is therefore noisy

True or false

  1. An ultrasound gel is used which may stain clothes?

True or false

  1. The following may be used as patient preparation

Fasting

Hydration to fill bladder

Oral contrast

  1. An IV injection may be used at time of scanning

True or false

  1. The following conditions may be a contra-indication to ultrasound

Renal failure

Diabetes

  1. Depending on the indication, the patients may be advised that scans may be obtained by the following routes:
  2. transabdominal
  3. transrectal
  4. transvaginal
  5. endoscopic
  6. endobronchial
  1. A scan generally lasts no longer than

5 minutes

15 minutes

30 minutes

  1. Ultrasound is good for evaluating

Possible kidney obstruction

Characterising an adrenal mass

Presence of gallstones

Whether the has been a bowel perforation

Blood flow in vessels

MRI

  1. An MRI uses a strong magnetic field

True or false

  1. The MRI is a long narrow tunnel and therefore patients who suffer from claustrophobia may not be able to undertake an MRI

True or false

  1. An MRI scan cannot be performed on patients who need oxygen therapy

True or false

  1. The following objects can prevent patients having an MRI

Cardiac pacemaker/defibrillator

Joint replacement

Cochlear implant

Coronary artery stents > 6 weeks post insertion

A stoma

Metal fragments in the eye

Aneurysm clips in the head

  1. The radiologist needs to be made aware of the following conditions should gadolinium contrast be considered

Renal failure

Chronic obstructive pulmonary disease

Myeloma

Pregnancy

  1. The scanner is noisy, but there will be a button provided that patients can press and be able to communicate with staff

True or false

  1. To minimize the impact from noise, ear protection will be provided

True or false

  1. The scan generally takes less than 10 minutes

True or false

  1. The following may be administered during a scan

Gadolinium

Iodinated contrast

Buscopan

Glucagon

Atropine or dobutamine

  1. The following scans generally require contrast

MRCP for stones in the bile duct

MRI liver for focal liver lesion assessment

MRI heart for ischaemia assessment

MR urogram

MR angiogram

It may be worth considering adding questions pertaining to conventional plain radiograph IVUs, fluoroscopy and PET-CT according to the individual hospital and staff members to be included in the survey.