University College London Hospital (UCLH) is a teaching hospital in London, part of the University College London Hospital NHS Foundation Trust. It was founded in 1834, eight years after UCL (then known as the University College London as the North London Hospital in order to provide clinical training for the medical doctors. UCLH was officially opened in October 2005. It is the biggest and most ambitious hospital building project in the history of the NHS. UCLH provides many services.
This includes: Accident and Emergency, clinic for cardiology outpatients, cancer care, critical care, endocrinology, general surgery, Ophthalmology, Dermatology, General medicine, Gynaecology, Rheumatology, Orthopaedics, Paediatrics and Urology. [ 1] This project mainly focuses on what they offer in the radiology department. The department of imaging is one of the best equipped in the UK and provides a very full range of diagnostic and interventional services which include: X ray, Computer Tomography(CT), Magnetic Resonance Imaging(MRI),Ultrasound (US), Intervention radiology, Fluoroscopy and plain film X ray.
UCLH provides a comprehensive clinical service, offering a full range of procedures to both the trust and other hospitals throughout the UK. 12,000 patient studies are performed per year, using the UK’s first Positron Emission Tomography (PET), computerised tomography (CT) scanner, SPET/CT, five further SPET gamma cameras, and a bone densitometry scanner. The department also performs a range of routine tests and radionuclide therapy procedures on in-patients and out-patients using new superb facilities.
The latest imaging technology is available in the department, some of which is exclusive to the UK. [ 2] The below picture show us how the CT scan looks and how it works. Figure 1 CT scan[ 3] A CT scanner uses X ray, it is painless, and the machine takes a lot of picture of your body from different angles, these pictures are fed into a computer, and then the computer put them together to give a series of cross section or slices.
Together these cross section give a very accurate picture of where the infected part of the body and how big it is. PET scan, this is different from CT scan developed in the 1970s. It can show how the body tissues are working, as well as what they look like, PET scanner are very expensive and only a few hospital in the UK have one. A PET scan can help to show up cancer, stage a cancer and decide the best treatment for your cancer
The radiology department, also known as the x-ray or imaging department, which carries out the radiology examination of patients using a range of X-ray equipment, together with computer tomography, in this department there are radiologists which are a doctors specially trained to interpret the results and carry out some of the more complex examination, they are supported by radiographers who are highly trained to carry out many of the x ray and other imaging procedures.  Task 1 B UCLH offers patient pioneering treatment at radiology department using the latest technology.
The new 64 slice CT scanners indicate many patients who have problem with their veins and arteries can be diagnosed swiftly and accurately as outpatient, the scanners provide the doctor with a clear and detailed picture of veins and arteries using 3D rotation, this department treat solid cancer such as lung, liver or bone tumours by radiofrequency coagulation destroying the cancer tissue by local heating. Also using real time X-ray guidance, a catheter- a long thin plastic tube is inserted into an artery and guided around the body into main blood vessel supplying a cancer so the chemotherapy drugs can be delivered directly into a tumour.
It’s more efficient and highly accurate. This department has multi disciplinary team that treat many different types of common and rear cancer including head and neck cancer, gynaecology oncology, bone and soft tissue sarcomas. Surgeons are conducting techniques which could revaluations the lives of man how undergoing treatment for prostate cancer, a probe inserted in the back passage, emit sound wave to destroy cancerous tissue, the research group are hoping this will reduce side effect, such as impotence and incontinence.
A large number of cancer patient are being treated as day cases, the number has been increased by 10 per cent in the past year. According to annual review of the hospital barest cancer treatment has improved patient chance of recovery, nearly 150 patient have already benefited from the approach, intra operative radiotherapy, which delivers radiation therapy to the exact site during surgery. The department offer service to all age group and ethic group according to the service they require.
The service they give during examination have advantage and disadvantage, for instance if we take PET scan it is very safe for the patient, they do have a radioactive injection but this is a small amount and it goes away fast very quickly, some doctor tell PET scan patients that they should not have close contact with pregnant women, babies and young children for a few hours after their scan. This is because the radiation is still in the body. The advantage is that the professional or specialist can be able to identify the illness or disease and therefore patients can receive treatment that they need.
Therefore there are proven benefits in administering diagnostic radiography due to the grate amount of detail that can be gather using these techniques. [ 5] Task 2 A workplace practices o X ray o MRI scan o SPET gamma camera (2) X ray is a type of electromagnetic radiation with wavelengths of around 10-10. Produced by exposure of radiation generally recorded on a sensitive photographic film, for example with a chest X- ray normal lungs being full of air, show up on the photos as being black. Any problem with the lungs generally results in an area of reduced blackness or increased whiteness.
These days not all X- ray images will actually be recorded on film, but may be kept in digital form and shown on a computer screen. When the patients arrive first has to report to the reception in the radiology department. Once they have checked in, they will be shown where they will be collected by the radiographer, and the radiographer will explain the procedure for the examination, and show them a private cubical where they may remove the dress, then they will be asked to put on the surgical gown provided.
However if they want they may bring their own gown, and then they will be taken into the X-ray room where they will stand against a frame or flat panel detector machine and the radiographer will stand in front of the computer to take accurate photo, they will be seen and heard at all the time take a deep breath in and hold it for a few seconds. During the examination there might be a slight noise as the machine start working running, but there will be unaware of the fraction of a second when the X-ray source is active.
The process of taking the photo will last only a few minutes, but the radiographer may need to take further X-ray a different exposures or different positions. This usually takes no more then 5- 10 minutes. However there are risks involved with X-ray, but a plain x -ray uses such a small amount of radiation, equivalent to that which we all receive from the atmosphere over a period of 2 or 3 days, Which the risk is very small. Finally the film will be carried by a radiographer, but the film will be examined and reported on later by the radiologist.
Shortly after the visit a report on the finding written will send to the doctor, this make take some time to reach the referring doctor, but is normally available in less than 14 days.  (3) MRI (Magnetic Resonance Imaging) is the name given to a technique which builds up pictures of an internal cross section of the part of the body under investigation. The large machine contains a tunnel about 4 feet long, thorough which a patient lying on the attached couch can pass. It use a magnetic filed and radio waves together with an advanced computer system to build up a series of image, each one showing a thin slice of the area being examined.
These image are very detailed and can show both bones and soft tissues in the body and can therefore give a great deal of information. such as every single infected part of the bone and tissues. MRI this is an extremely safe procedure. It does not involve the use of x-ray or any radiation. The patient placed in a very powerful magnetic filed and consequently if the patient have any small pieces of metal inside the body they have to inform the radiographer as in same cases you may not be able to have the examination.
For female patient who are or might be pregnant you must make sure the doctor referring you or a member of staff in the radiology department knows as soon as possible in advance. MRI scans may not be advisable in early pregnancy unless there are special circumstances, because there is a small theoretical risk to the foetus in the first 12 weeks of pregnancy and therefore scans are not performed on pregnant women during this time.
When you arrive at the department you have to go to the reception desk in the part radiology department, after which you will be shown where to wait until collected by a radiographer other member of staff and then you may be asked to fill in a questionnaire about your health and medical history, and to sign a consent form. Shortly after this process you will be shown a private cubicle where you may be asked to take off your outer piece of clothing and remove jewellery (except your wedding ring) then you may be asked to put on the surgical gown and dressing gown provided,
Then you will be cared for by small team including a radiographer who will perform the examination and the radiologist who will look the result on the computer screen as it is happening. Ones you get into the special room and made comfortable lying on the couch, then you may be given a contrast medium which helps to produce a more detailed image. The contrast medium would be injected into a vein in your arm, which occasionally causes a warm feeling for a short while. During the scan you will find the machine very noisy and you will probably be given ear plugs or earphones.
After the radiologist/ radiographer is satisfied with the scan of each section you will be inform when a new scan is starting. After the scan is done you may put on any clothes that you have taken off. The process of taking the images on the screen usually takes about 20-30 minutes and unless you are delayed by such as emergency patients, you total time in the department is likely to be about 45 minutes. After the scan, the images will be examined further by the radiologist who will prepare a report on his or her finding. This may take some time to reach your referring doctor; it is normally less than 14 days.
 The below annotated diagram of MRI scan shows how the patient monitor during the Examination Figure 2 annotated diagram of MRI  (4) Single photon emission computer tomography (SPET) gamma camera Gamma camera allows us to Visualize function information about a patient organ or body system. Gamma camera works internal radiation is administered by means of a pharmaceutical which is labelled with a radioactive isotope, this so called radiopharmaceutical, or tracer, is either injected, ingested, or inhaled, the radioactive isotope decays resulting in the emission of gamma rays.
This gamma ray gives us a picture of what’s happening inside the patient’s body. However the components making up the gamma camera are the collimator, detector crystal, photomultiplier tube, position logic circuits and the data analysis computer. The purpose of each is briefly described below. Camera collimator, this is the first place that an emitted gamma photos encounters after exiting the body. The collimator is a pattern of holes through gamma ray absorbing material, usually lead or tungsten that allows the projection of the gamma ray image onto the detector crystal.
Scintillation detector, used in order to detect the gamma photon, a gamma ray photon interacts with the detector by means of the photoelectric, this interaction causes the release of electron which in turn interact with the crystal lattice to produce light, in a process known as scintillation. Photomultiplier tube, this receives only a very small amount of light given from the scintillation detector. Therefore at the base of the photomultiplier tube is anodes which attracts the final large cluster of electron and convert them into an electrical pulse.
Position logic, these circuits immediately follow the photomultiplier tube array and they receive the electrical impulse from the tube. This allows the position circuits to determine where each scintillation event occurred in the detector crystal. Data analysis computer, finally in order to deal with the incoming projection data and to process the image of the 3D, a processing computer is used  Figure 3 Task 2 Geiger counter experiment Aim The purpose of this experiment is to demonstrate the most penetrative particles, alpha, beta and gamma radiation with different mater.
Plane Equipment used during the practical (P2) To start the scientific investigation it is important to collect the below equipment. support Stand Aluminium Lead Gamma Alpha Beta Geiger counter Wood Measuring Ruler Source holder Method o To start the investigation, first set up the equipment on the front bench, where every student can see. o Then open the Geiger counter for ten minute to see the background radiation.
A Geiger counter is a type of particle detector that measures ionizing radiation. o Record the background radiation for one minute o After recording the background radiation, take out gamma ray from strong wood container, for safety reason hand has to be 10 centimetre away from the source to avoid radiation getting to your body, and drag the radiation source in front of the Geiger counter and record the figure. This has to be done with out using absorber.
Which are aluminium, paper and lead. o Place the gamma ray in to the box and put 30 cm aluminium between the counter and radiation source using stand. This time the figure has to be less from the first one because of aluminium absorber.
o And then using the 30 cm lead between the source and the counter record the result, this time the figure has to be more less. Using the same method but different absorber the same investigation done for alpha and beta to measure the thickens of the radiation. M2 The scientific principle of the above investigation is to know how radiation can be absorbed by different substances and penetrating properties. For example alpha radiation travels only a few centimetres in air, beta radiation travels tens of centimetres in air and gamma radiation travels many meters.
All types of radiation become less intense the further the distance from the radioactive material, as the particles or rays become more spread out. The ticker the substance the more the radiation is absorbed, therefore the above three types of radiation penetrate materials in deferent ways. Alpha radiation o Alpha radiation is the least penetrating. It can be stopped ( or absorbed) by just a sheet of paper Beta radiation o Beta radiation can penetrate air and paper. It can be stopped by a thin sheet of aluminium Gamma radiation.
o Gamma radiation is the most penetrating. Even small levels can penetrate air. Paper or thin metal. High level can only be stopped by many centimetre of lead or many metres of concrete. [ 11 ] The below picture shows us how this radioactive source absorb by different martial Figure 4  The degree to which each different type of radiation is most dangerous to the body depend on whether the source is outside or inside the body. If the radioactive source is inside the body maybe after being swallowed or breathed it could be dangerous.
For instance alpha radiation is the most dangerous because it is easily absorbed by cells, whereas beta and gamma radiation are not as dangerous because they are less likely to be absorbed by a cell and just pass through it. (2) The below table shows the result obtained from the investigation Gamma source Absorber Thickness of absorber Counted per minute With out absorber No 450 Aluminium 30 mm 165 Led 30 mm 150 Alpha source Absorber Thickness of absorber Counted per minute With out absorber No 240 Paper 2mm 146 Lead 30mm 3 Beta particle Absorber Thickness of absorber.
Counted per minute With out absorber No 5000 Aluminium 0. 3mm 1832 Aluminium 1mm 760 Aluminium 1. 6mm 12 The result of the above investigation shows how the radioactive source measured and absorbed by different material. Gamma and beta particle have high penetration power and can easily pass through out material such as lead and aluminium, these shows us beta and gamma ray is less ionising. This means it has less effect damaging the cell. Whereas alpha partial can easily stop by 2mm paper, this indicates how alpha source is dangerous to the body.
In hospital doctors they use radioactive chemical called tracers for medical imaging, radiation detectors placed outside the body detect the radiation emitted and with the aid of computers, build up an image of the inside of the body. Emitters of beta or gamma radiation are used in hospital because these types of radiation readily pass out the body, and they are less likely to be absorbed by cells than alpha radiation. Figure 5 Gamma source Figure 6 Alpha source Figure 7 Beta particle Conclusions
Form the above experiment I have done I mange to understand how radiation can be used in medical field and how radiation can be dangerous for living cells. When radiation collides with molecules in living cells it can damage them, if the DNA in the nucleus of a cell is damaged the cell may become cancerous. Alpha, beta and gamma radiation this three particles have different type of radiation; alpha radiation is the most dangerous because it is easily absorbed by cell. Beta and gamma radiation are not as dangerous because they are less likely to be absorbed by cell and usually just pass right through it.
However if the radioactive source is out side the body alpha radiation is not as dangerous because it is unlikely to reach living cells inside the body.
Reference 1. UCLH hospital http://www. uclh. nhs. uk/Our+hospitals/ 2. UClH hospital home page http://www. uclh. nhs. uk/About+UCLH/Governing+Body/home. htm 3. CT scan picture http://www. cancerhelp. org. uk/cancer_images/ct2. jpg 4. about CT scan http://www. netdoctor. co. uk/health_advice/examinations/ctgeneral. htm 5, University College London hospital annual review 2006/2007 6, PUPA private health care http://www. bupa.co. uk/ 7, about X ray http://en. wikipedia. org/wiki/X-ray http://www. colorado. edu/physics/2000/xray/index. html.
8,about MRI scan http://www. netdoctor. co. uk/health_advice/examinations/mriscan. htm http://www. nhsdirect. nhs. uk/articles/article. aspx? articleId=556 9, MRI scan diagram http://images. google. co. uk/images? q=+MRI+SCAN&svnum=10&um=1&hl=en&start=20&sa=N&ndsp=20 10. about SPET gamma camera http://www. physics. ubc. ca/~mirg/home/tutorial/intro. html http://en. wikipedia. org/wiki/Single_photon_emission_computed_tomography 11, BBC bite size home page.
http://www. bbc. co. uk/schools/gcsebitesize/science/aqa/radiation/radiocativerev3. shtml 12, diagram of radioactive source absorb by different martial BBC bite size home page Task 3 (P3) (1) The below information provide the structure and operation of the UCLH hospital.  (2) Function of each department o Accident and emergency department (A&E) :- the A&E department sees approximately 80,000 patient a year, the department divided into 4 areas; Resuscitation; Major; Minor; Paediatrics. Also there are 1 recovery for children with cardiac and invasive monitoring facilities.