Radiology modernization

Technology and safety combined

Successfully modernizing imaging centers

The modernization of radiology departments requires the highest level of technical expertise and detailed knowledge of radiation protection. Modern imaging with CT, MRI, mammography, and digital X-ray technology places extremely complex demands on construction and technology.

As a specialized general contractor for radiology modernization in Frankfurt am Main and the surrounding area, chore bauen GmbH implements sophisticated imaging centers with the latest technology and optimal workflows—without interrupting diagnostic operations.

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At a glance

the chore approach

How does chore implement radiology renovation during ongoing operations?

In most cases, the modernization of a radiology department must take place in parallel with ongoing diagnostic operations. It is therefore essential to develop well-thought-out concepts and flexible interim solutions that enable continuous patient care to be guaranteed even during the renovation work. 

Phased modernization

A step-by-step approach minimizes operational disruptions and enables basic services to be maintained. Strategic planning of the modernization phases takes into account both technical dependencies and clinical operations.

Modalities for renewal:

  • Renovation of individual equipment rooms: enables continued operation of other modalities without loss of capacity
  • Temporary relocation to other areas: uses vacant space for temporary solutions
  • Mobile devices as an interim solution: bridging renovation periods without gaps in supply
  • Cooperation with external providers: secures diagnostic capacity through partner institutions

Infrastructure modernization:

  • Renewal of the power supply at night: avoids interruptions during peak working hours
  • Ventilation system replacement during operational breaks: use non-inspection times for critical work
  • IT migration without business interruption: transfers data step by step without system downtime
  • Step-by-step radiation protection remediation: renews shielding in sections during ongoing operation

interim solutions

Temporary solutions ensure diagnostic capacity during the restructuring phase. Mobile devices and external collaborations bridge temporary bottlenecks and guarantee continuous patient care.

Mobile radiology:

  • CT and MRI trailers for bridging: offer full diagnostics during the renovation phase
  • Mobile X-ray machines: flexible coverage of basic diagnostics
  • Temporary mammography units: ensuring screening programs continue without interruption

External collaborations:

  • Examinations in other practices/clinics: temporarily transfer patient flows to partners
  • Teleradiology for diagnosis: enables external image evaluation during internal renovation
  • Patient transport service: organizes safe transportation to alternative locations
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structural requirements

What are the structural requirements for different imaging modalities?

Each radiological imaging technique places specific structural and technical demands on the premises and infrastructure. The different modalities require customized solutions for radiation protection, equipment foundations, and technical supply.

Computed tomography (CT) - State-of-the-art diagnostics

CT technology combines high imaging speed with precise cross-sectional diagnostics and is one of the most frequently used modalities. Heavy equipment components and high energy consumption characterize the structural requirements of these examination rooms.

  • Radiation protection requirements:

    • Lead cladding in walls, ceilings, and floors: protects personnel and adjacent areas from scattered radiation
    • Radiation protection doors with automatic locks: prevent accidental access during imaging
    • Visual connections with lead glass windows: enable patient monitoring without radiation exposure
    • Dosimeter monitoring and warning systems: document radiation exposure and warn when limit values are exceeded

  • Technical infrastructure:

    • Reinforced foundations for heavy equipment: prevent settlement and guarantee geometric precision
    • Precise climate control for constant temperatures: ensures image quality through stable device conditions
    • High-power three-phase power supply: covers peak loads during X-ray exposure
    • Interference-free IT connection for image transmission: enables digital diagnosis without loss of time

  • Patient logistics:

    • Barrier-free access for wheelchairs and beds: facilitates examination of patients with limited mobility
    • Changing areas and patient preparation: create privacy and optimal preparation for examinations
    • Waiting rooms with privacy screens: respect privacy and reduce anxiety about examinations

    • Magnetic resonance imaging (MRI) - Complex shielding

    MRI systems operate with strong magnetic fields and require a room enclosure that is completely isolated from the surrounding environment. The structural implementation of these requirements presents general contractors with particular planning and technical challenges.

    Electromagnetic shielding:

    • High-frequency shielding (Faraday cage): prevents interference with image quality from external radio signals
    • Ferromagnetics-free design: eliminates dangerous attractive forces on metallic objects
    • Special bushings for media: enable supply without shielding interruption
    • Continuous shielding checks: guarantee lasting shielding effect and image quality

    Cryogenics and gases:

    • Helium recovery systems: reduce operating costs by recycling the expensive coolant
    • Quench vent systems for emergency venting: protect personnel in the event of sudden helium leakage
    • Oxygen monitoring in all rooms: warns of dangerous oxygen displacement by helium
    • Special ventilation for cryogenic gases: safely removes escaped gases

    Magnetic field management:

    • 5-Gauss line for implant wearers: protects people with pacemakers and metallic implants
    • Ferromagnetic detectors at entrances: prevent accidents caused by metallic objects in the magnetic field
    • Separate escape routes outside the magnetic field: enable safe evacuation without danger
    • Special rescue equipment (MRI-compatible): ensures emergency care in the MRI room

    Conventional X-ray diagnostics

    Despite modern cross-sectional imaging techniques, conventional X-ray diagnostics continue to form the basis of many radiological examinations.

  • Workplace ergonomics:

    • Height-adjustable X-ray tables: adapt to different body sizes and examination positions
    • Wall stands with motorized positioning: enable quick position changes without physical strain
    • Ergonomic workstations: reduce fatigue during high-frequency examinations

  • Radiation protection optimization:

    • Dose-oriented imaging techniques: minimize radiation exposure without compromising quality
    • Automatic exposure control: precisely adjusts the radiation dose to the respective body region
    • Diffuse radiation grids and apertures: improve image quality while reducing radiation dose

    • Mammography - Special Requirements

    Mammography differs significantly from other radiological procedures, both technically and in terms of patient care. Sensitivity in dealing with patients and the highest technical precision must go hand in hand here.

  • Special interior design:

    • Separate changing areas: for privacy
    • Air conditioning for patient comfort: prevents shivering and tension during admission
    • Sound insulation for a quiet atmosphere: reduces stress in the emotionally charged examination situation
    • Daylight integration to reduce anxiety: creates a pleasant atmosphere instead of clinical coldness

  • Quality assurance:

    • Constant test patterns and measuring devices: verify technical image quality on a daily basis
    • Regular calibration of devices: ensures precise early detection of even the smallest changes

      • radiation protection

      How is radiation protection implemented in radiological facilities?

      Radiation protection is a top priority in any radiology modernization project and encompasses both structural and organizational measures. Only by combining both approaches can a comprehensive safety concept for staff and patients be guaranteed.

      Structural radiation protection

      Structural measures are the first and most important barrier against ionizing radiation in radiological facilities. The correct design and implementation of shielding is based on precise mathematical specifications and must take various types of radiation into account.

      Primary protection:

      • Lead cladding according to tube voltage: dimensioned according to device parameters and workload
      • Calculated design according to DIN 6812: ensures standard-compliant shielding for all operating conditions

      Secondary protection:

      • Scattering radiation shielding: prevents radiation exposure from scattered X-rays
      • Doors and passages compliant with radiation protection regulations: eliminate weak points in room shielding
      • Visible connections with lead glass: enable patient observation without interrupting shielding
      • Floor connections and wall penetrations: prevent radiation leakage through seamless shielding

      Control areas:

      • Access controls and warning systems: prevent unintended presence during radiation exposure
      • Monitoring of local dose rate: continuously documents radiation exposure in all areas
      • Marking and signage: clearly warns of radiation hazards in accordance with legal requirements
      • Escape and rescue routes: ensure safe evacuation even from shielded areas

      Organizational radiation protection

      Even the best structural shielding only becomes effective when combined with consistently implemented organizational protective measures. Trained personnel and established workflows minimize radiation exposure for everyone involved.

      Personal protection:

      • Radiation protection clothing and dosimeters: reduce exposure and document cumulative radiation dose
      • Regular training: keep staff up to date on current protective measures
      • Dose optimization for every examination: achieves diagnostic image quality with minimal radiation exposure
      • Gonad and thyroid protection: specifically protects organs that are particularly sensitive to radiation
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      Technical requirements

      What technical building equipment do radiology departments require?

      Even the best structural shielding only becomes effective when combined with consistently implemented organizational protective measures. Trained personnel and established workflows minimize radiation exposure for everyone involved.

      Power supply and electrical engineering

      The electrical installation for radiology areas differs fundamentally from conventional medical rooms. High-performance devices such as CT and MRI not only require enormous amounts of power, but also absolute supply reliability and voltage stability.

      High-performance power supply

      • Transformers for high instantaneous power: cover load peaks during image capture without voltage drops
      • Voltage stabilization for sensitive devices: prevents image disturbances caused by mains voltage fluctuations
      • Uninterruptible power supply (UPS): ensures ongoing investigations during brief power outages
      • Emergency power for life-support systems: ensures patient safety during prolonged power outages

      equipotential bonding

      • Medical IT systems in accordance with DIN VDE 0100-710: protecting patients from dangerous leakage currents
      • Insulation monitoring in patient areas: provides early warning of insulation faults
      • Lightning protection and surge protection: protects expensive imaging equipment from damage
      • Electromagnetic compatibility (EMC): prevents mutual interference between devices

      Ventilation and air conditioning technology

      Precise climate control not only ensures the functionality of sensitive imaging equipment, but also contributes to patient comfort.

      Device cooling

      • Separate cooling for X-ray tubes: prevents overheating and extends the service life of expensive components
      • Precision climate control for MRI: keeps magnet temperature constant for consistent image quality
      • Redundant systems for reliability: guarantee cooling even during maintenance or in the event of defects
      • Energy-efficient refrigeration technology: reduces operating costs while maintaining the same cooling capacity

      indoor climate

      • Constant temperature ±2°C: prevents temperature fluctuations for patient comfort and device stability
      • Relative humidity 45-60%: optimizes conditions for personnel and equipment function
      • Draft-free airflow: increases patient comfort during the examination
      • Soundproofed air distribution: reduces noise levels for a more pleasant examination atmosphere

      Medical gases and contrast agents

      In addition to imaging technology, radiology departments require a reliable supply of medical gases and contrast agents. 

      Contrast agent injectors

      • Compressed air for high-pressure injectors: enables automatic contrast agent administration with precise dosing
      • Temperature-controlled lines for contrast agents: prevents crystallization and ensures compatibility
      • Waste disposal for contrast agent residues: prevents environmental contamination through proper disposal
      • Emergency care for contrast agent reactions: saves lives in the event of allergic reactions

      Medical gases

      • Oxygen for emergencies and sedation: ensures patient safety in the event of incidents
      • Vacuum for suction: removes secretions during aspiration or vomiting
      • Compressed air for pneumatic positioning aids: enables rapid patient positioning
      • CO₂ for special contrast examinations: expands diagnostic spectrum

        chore as a partner

        chore as a radiology specialist

        Comprehensive radiology expertise

        Over ten years of experience in the healthcare sector have shaped our understanding of the special requirements of medical facilities. This know-how flows into every planning and implementation phase.

        • All modalities: CT, MRI, X-ray, mammography
        • Radiation protection expertise: Detailed knowledge of all regulations
        • Technology integration: Complex device and IT integration
        • Project management: Coordination of all trades and deadlines

        All trades in-house

        The chore group of companies brings together all the necessary expertise:

        Absolute precision

        Radiology projects do not tolerate any compromises in terms of execution quality. That is why our work is characterized by the highest level of precision.

        • Millimeter-precise execution: Precise foundation for heavy equipment
        • Guaranteed deadlines: Reliable commitments for device installation
        • Quality assurance: Systematic checks and inspections
        • Long-term support: Maintenance and service after commissioning
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        IT systems

        How are IT systems integrated into radiology?

        Complete digitization characterizes modern radiology departments and enables efficient workflows from image acquisition to diagnosis. High-performance IT systems and intelligent software now form the backbone of all modern imaging.

        PACS and RIS integration

        Picture Archiving and Communication Systems and Radiology Information Systems connect all processes in radiological diagnostics. These systems create the basis for fully digital imaging and enable quick access to image data and findings.

        Picture Archiving and Communication System (PACS):

        • Central image storage and distribution: enables access to images from any authorized workstation
        • High-speed network for large amounts of data: transfers CT and MRI series without noticeable delay
        • Redundant storage systems: protect valuable image data from loss due to hardware failures
        • Remote access for diagnosis: enables teleradiology and night shifts from home

        Radiology Information System (RIS):

        • Appointment scheduling and patient management: optimizes capacity utilization and reduces waiting times
        • Worklist distribution to modalities: transmits examination orders directly to the devices
        • Diagnosis and documentation: accelerated diagnosis thanks to integrated speech recognition

        Artificial intelligence in radiology

        Algorithms for image analysis and pattern recognition have found their way into radiological practice in recent years. Integrating these technologies requires powerful IT infrastructures and well-designed interfaces to existing systems.

        AI-supported diagnostics:

        • Automatic image recognition and analysis: detects pathological changes and supports radiologists
        • Prioritization of critical findings: speeds up diagnosis of life-threatening conditions
        • Quality control and artifact detection: identifies technical errors before diagnosis
        • Dose optimization through intelligent protocols: reduces radiation exposure without compromising quality

        Cloud integration:

        • External AI services and updates: enables the use of state-of-the-art algorithms without local installation
        • Teleradiology and remote diagnosis: expanding expertise through supraregional cooperation
        • Backup and disaster recovery: protects data through separate storage locations
        • Compliance with data protection regulations: ensures GDPR-compliant data processing

        Requirements of the areas

        What are the specific requirements of specialized radiology departments?

        In addition to standard imaging, there are highly specialized areas of radiology with specific requirements. These specialized areas require additional technical equipment and specific structural conditions.

        Interventional radiology

        Interventional radiology combines diagnostic imaging with therapeutic procedures under image guidance.

      • Hybrid suites:

        • Combination of diagnostics and therapy: enables minimally invasive treatment without separate operating rooms
        • Sterile, surgical-like conditions: protects patients from infections during invasive procedures
        • Angiography with 3D reconstruction: visualizes vessels in three dimensions for precise catheter guidance
        • Integration of ultrasound and fluoroscopy: combines different imaging modalities for optimal visibility

      • Catheterization labs:

        • Contrast agent injectors: administer contrast agents with precise timing for optimal vascular imaging
        • Embolization material and stents: seal off bleeding or widen narrowed vessels
        • Emergency equipment for complications: enables immediate response to vascular injuries

        • nuclear medicine

        The handling of radioactive substances in nuclear medicine requires special safety precautions and structural measures. Radiation protection, contamination prevention, and safe disposal are the main focus here.

      • Radiation protection for open radiation sources:

        • Contamination protection and decontamination: prevents radioactive contamination of persons and rooms
        • Radioactive waste disposal: stores waste safely until its activity has decayed
        • Personal dosimetry and contamination checks: document radiation exposure and freedom from contamination

      • SPECT and PET centers:

        • Cyclotron for isotope production: produces short-lived radionuclides for PET examinations on site
        • Radiochemistry laboratories: synthesize specific radiotracers for various applications
        • Special transport and storage systems: handling radioactive substances safely

        • pediatric radiology

        Young patients require an age-appropriate environment and adapted examination protocols. Particular attention must be paid to optimizing radiation protection and designing rooms that are suitable for children.

      • Child-friendly design:

        • Colorful and child-friendly interior design: reduces fear of the examination
        • Play areas and distractions: reduce perceived waiting time
        • Special fixation aids: avoid repeat shots due to motion blur

      • Radiation protection for children:

        • Reduced dose protocols: minimize radiation exposure
        • Special protective clothing in children's sizes: effectively protects areas of the body that do not need to be examined
        • Avoiding repeated recordings: through child-friendly preparation and experienced staff
        • Alternative procedures without radiation (MRI, ultrasound): prefer radiation-free diagnostics where possible

          • patient pathways and workflows

          How can patient pathways and workflows in radiology be optimized?

          Well-planned patient pathways and optimized workflows reduce waiting times and increase satisfaction for everyone involved. The spatial organization of a radiology department has a significant impact on the efficiency of the entire operation.

          Efficient room organization

          A logical arrangement of functional areas minimizes walking distances and speeds up examination procedures. From the central reception area to the specialized functional rooms, each area must be optimally coordinated with the others.

          Central registration:

          • Entrance area with information and guidance: welcomes patients professionally
          • Digital appointment management: reduces waiting times through optimized examination planning
          • Barrier-free design: enables independent orientation for all patient groups

          Function rooms:

          • Changing rooms with secure storage: protect personal belongings during the examination
          • Preparation rooms for contrast agents: enable safe preparation under medical supervision
          • Monitoring rooms for follow-up observation: ensuring safety after contrast agent administration
          • Staff workrooms for diagnosis: create a focused working atmosphere for precise diagnostics

          Emergency radiology

          Emergency radiology diagnostics require special infrastructure and workflows for 24/7 operation. Rapid examination options and immediate diagnosis can be lifesaving in critical situations.

          Emergency access points:

          • Direct access for ambulances: reduces the time required for diagnostic clarification
          • Rapid CT scan for stroke: enables immediate treatment decisions during the critical phase
          • Trauma protocols for accident patients: standardizing diagnostics for multiple trauma
          • Immediate diagnosis for emergency surgeries: speeds up surgical care through rapid image interpretation

          Intensive care:

          • Mobile X-ray machines for intensive care units: avoiding risky transport of critically ill patients
          • Portable CT scanners: expanding diagnostic capabilities at the bedside
          • Ventilator-compatible positioning: enables examination without interrupting ventilation
          • Monitoring during the examination: continuously monitors vital signs

          economic aspects

          What economic factors should be considered when modernizing radiology departments?

          The modernization of radiology facilities requires significant financial investment, which must be carefully planned.

          investment planning

          Large radiological equipment is among the most expensive investments in healthcare and requires well-thought-out financing concepts.

          Equipment financing:

          • Leasing models for expensive modalities: preserve liquidity by distributing costs over the useful life
          • Cooperation between practices and clinics: sharing investment costs through joint use of equipment
          • Shared use of special equipment: enabling access to specialized technology without full utilization
          • Upgrade options for existing systems: extend service life with software and hardware updates

          Operating cost optimization:

          • Energy-efficient appliance generation: reduces electricity costs through modern technology
          • Maintenance contracts with fixed costs: calculate maintenance expenses reliably
          • Personnel deployment optimization: increases productivity through efficient work organization
          • Space and resource sharing: maximizes utilization of expensive infrastructure

          return on investment

          Despite the high costs, investments in modern radiology technology pay for themselves through increased efficiency and improved diagnostics.

          Throughput increase:

          • Faster examinations thanks to modern technology
          • Parallel post-processing and diagnosis
          • Reduction of repeat recordings
          • 24/7 operation when demand warrants it

          Quality improvement:

          • Earlier and more accurate diagnoses
          • Less invasive follow-up examinations
          • Better therapy planning
          • Higher patient satisfaction

          chore - Quality is our foundation

          Contact for your radiology project

          Are you planning to modernize your radiology department or set up a new imaging center? As a specialized general contractor for radiology projects, we are at your disposal with our comprehensive expertise.

          Contact us for a no-obligation project consultation. Our radiology specialists will work with you to develop a customized modernization concept that combines the latest technology with optimal workflows.

          Put your trust in over 10 years of healthcare expertise and specialized competence in radiation protection construction and medical technology integration. Together, we will modernize your radiology department—precisely, on schedule, and without interrupting operations.

          +49 69 6066 4500

          info@chore.de