The video shows a walk through te operating room area at The Intervention Centre.
Main goals and objectives
The Centre has the following tasks:
1. Develop new procedures
2. Develop new treatment strategies
3. Compare new and existing strategies
4. Optimizing and development of advanced imaging techniques
5. Study the social, economic, and organisational consequences of new procedures on health care
6. Administration of radiation protection for all departments in the hospital
• MR guided intervention and surgery
• X-ray, CT, ultrasound, video guided interventions and surgery
• Robotics and simulators
• Sensor technology, data management and communication technology
• Physics in MR, CT, X-ray, US, PET and nuclear medicine
Centre 1996-2011 (click for large view)
Patient load 1996-2001
The Centre is part of the general operation room area at Oslo University Hospital, Rikshospitalet. In addition to human procedures, The Intervention Centre has approval for animal trials in the operation theatres and hybrid suites. The staff is experienced in performing animal trials. In three suites advanced imaging equip-ment is integrated in an operation room environment.
In 2007, all advanced imaging equipment was renewed. In the combined surgical and radiological suite, the conventional angiographic equipment was substituted by a Siemens Zeego system, based on robotic technology and new advances in imaging and functionality. The Intervention Centre has a research contract with Siemens and is a test site for their Zeego system. The MRI suite was completely rebuilt into a dual room suite where a Philips 3 Tesla MRI was installed in connection to a state-of-the-art Operation theater. The MRI was funded as a joint effort by the Norwegian Research Council, the University of Oslo and Rikshospitalet. In the videoscopy room all systems are equipped with Olympus HD equipment.
The multi-disciplinary staff includes 45 persons (doctors, nurses, radio-graphers, medical physicists and technologists). Four professors and two associate professors, employed at the Faculty of Medicine and the Faculty of Mathematics and natural sciences of University of Oslo (UiO) and the Department of Electronics and Telecommunication of the Norwegian University of Technology (NTNU), are included among the staff.
The Intervention Centre is organized in The Clinic for diagnostics and intervention in OUH. A National Advisory board with representatives from all universities and university hospitals in Norway and the main departments of Oslo University Hospital is giving advice to the head of department.
In order to facilitate effective management of multi-disciplinary projects, the personnel and equipment at the Centre are allocated to five sections. All projects in the Centre are allocated to one of these sections, and the project manager is reporting to one section manager. The operation rooms are managed by the unit nursing officer, reporting directly to the head of department. In 2005, OUH established a group of medical physicists specialized in diagnostic radiology, nuclear medicine and intervention. The establishment was supported by both the Southern and the Eastern Norway regional health authorities.
From 1st January 2010, the section for diagnostic physics was allocated to the Intervention Centre, providing most of the hospitals in the South-eastern health region of Norway with physic services for daily running of the radiology and nuclear medicine departments and for physics research infrastructure.
Diagnostic Physics Regional Services
21 physicists, employed on regular basis, offer a regional physicist service in the South Eastern part of Norway and are responsible for the radiation protection in Oslo University Hospital (OUS). This is the largest department of diagnostic physics in Norway.
In addition to quality assurance and radiation protection, the section is co-responsible for the daily follow-up and management of both the Regional Core Facility in Translational MRI NeuroImaging and the Regional Core Facility in PET-CT and involved in research in topics as MR-physics, CT-physics, intervention radiology, nuclear medicine including PET-CT, image processing and radiation protection. In addition, comparison studies of different modalities, optimisation of radiation protection in paediatrics, interventional radiology and internal dosimetry are also fields of research. Atle Bjørnerud is professor at the Department of Physics, University of Oslo and his group in the Section of Diagnostic Physics currently employs two post docs, 5 PhD students, 2 students from the Medical research school, and one data programmer.
Regional Physicist Service
In 2005 OUS established a group of physicists specia-lized in diagnostic radiology, nuclear medicine and intervention, serving most of the hospitals in the southeastern part of Norway. In 2011 the section had commitments at all the hospitals in OUS and also at 13 hospitals and radiological institutes at 35 locations outside OUS. Collaborating hospitals and institutes in 2011 were AHUS, Lovisenberg, Sunnås, Feiringklinikken, Glittreklinikken, Martina Hansens Hospital, Diakonhjemmet, Sykehuset Østfold, Vestre Viken avd. Ringerike, Sykehuset Telemark, Sykehuset Innlandet, ALERIS and Helsehuset Kongsberg. This is a non-profit service; the salary for physicists and traveling costs related to the work done in a hospital are paid for by the receiving hospital. To the extent that it is feasible each hospital has one contact physicist working together with radio-logist and technicians in the radiology department. Multidisciplinary teamwork is one important factor of success. The services offered are:
• System acceptance tests
– Image quality and radiation dose
• Quality assurance tests performed annually
• Multidisciplinary radiation dose versus image quality optimization projects within
• Lectures for surgical personnel using X-ray equipment
• Lectures at the radiological and nuclear medicine departments
• Dose measurements and dose estimates
• Consultancy in purchases of new radiology modalities
The economical benefits of a regional physicist service include reduced personnel needs due to recirculation of lectures, reports and knowledge between the physicists in the group. Also less measuring equipment is needed in the region due to a centralised pool of equipment. Other regional benefits are the achievement of high competence in CT, X-ray, MR, and nuclear medicine due to the exchange of experience and knowledge from different laboratories and hospitals. Technological problems are solved by experience from previous similar problems in other sites, and development of QA methods and procedures are consolidated in the group of physicists.
TThe 3rd National PhD Conference in Medical Imaging was jointly organized by the Section of diagnostic physics, The Intervention centre and the Norwegian Research School in Medical Imaging in Oslo, 21-22 November 2011. The headline was “Good science – better healthcare?” and hot topics within advanced medical imaging was in focus under the conference. ?A panel debate with deans from the faculties of Medicine and Mathematical and Natural Sciences from the Universities in Bergen, Oslo and Trondheim discussed the topic ”Good science – better healthcare – How do the universities address this issue?” In total, 114 PhD students and established scientist participated at the conference.
The section is responsible for two master courses in physics at the University of Oslo: “FYS 4760 Physics in
diagnostic X-ray” and “FYS-KJM 4740/9740 MR-theory and medical diagnostics” and one CT post educating course for radiographers at the University college of Oslo.
The section also was co-responsible for a Nordic Course in CT colonography in Oslo in 2011.
Methodology for acceptance tests and quality assurance on diagnostic modalities as MR, PET-CT, nuclear medicine, CT, fluoroscopy and X-ray were revised and further developed. In 2011 QA on 315 modalities, from all vendors at the Norwegian market, were performed.
In order to facilitate effective execution of cross-disciplinary projects, the personnel and equipment at the Centre were allocated to four sections in a matrix organisation. Each section is headed by a section manager. Each project has a project manager and the project manager reports to the section manager in charge of the project. The head of department and the section managers constitute the management group where new projects are approved. Both the equipment and the staff are available as a common resource for departments and research groups aiming at developing and quality assessment of new methods.
Visit the web page of the MedTech Test Facility at Oslo University Hospital. The Test Facility is a professional gateway for companies with new high tech equipment in need for early phase clinical trials.
English is the main language in this web portal. Some information is also available in Norwegian
The Interventional Centre receives donations to medical research. Questions related to donations can be sent to head of department professor Erik Fosse.
Author: Erik Fosse
Publisher: Det Medisinske Selskap 2007
Price: 180 kr
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