PROF. DR. NASIR RAZA ZAIDI Chairman / Head of Radiology Department MBBS, DMRD (Honours) FRUM (USA) FRUT (Canada) Fellow of Radiology University of Maryland (USA) Fellow of Radiology University of Toronto (Canada)

Brief History & Introduction

Department of Radiology was established in 1890. Dr Muhammad Alam was the first Head of Department when Pakistan came into being.

This department was established as Lala Ramji Dass X-Ray Extension in 1890. Initially conventional Radiography was started in this Block but with the passage of time and new advancement in the diagnostic Radiology this department achieved the present status. Now from conventional Radiography through Fluoroscopic Radiography and Ultrasound this department is catering services in Color Doppler and Computerized Tomography Scanning. Magnetic Resonance Imaging is on its way to this department.

The building comprises of 14 rooms where different Radiological equipment is installed including Conference room and Library. The Department is also equipped with latest computers, Multimedia, Overhead Projector for Seminars, Lectures and Daily Class presentations.

Fornt View of Radiology Department

The department reached from single x-ray room to present status of latest trends of Radiology by the untiring and valuable services and efforts of our worthy professors who headed this department. It is worth mentioning their names and tenure:-

1. Dr. Muhammad Alam 1947 - 1967
2. Dr. Muhammad Ibrahim 1967 -1970
3. Prof. R.A. Mian 1970 -1987
4. Prof. M.A. Jawed Siddiqui 1988 -1990
5. Prof. M. Akram Cheema 1990 -1993
6. Prof. M.A. Jawed Siddiqui 1993 -2003
7. Prof. M. Nawaz Anjum 2003 -2006
8. Dr. Khawaja Khurshid Ahmad 2006 todate

INTRODUCTION

Mission:

Competitive practice of Radiology with holistic approach, provide services to the patients through effective and efficient education of the staff, research, publications and other useful means.

Professional Values:
Professionalism, total quality and science culture, hard work, group work, discipline and respect for others, Objective oriented.

Quality Policy and Quality Objectives: To provide effective and efficient delivery of education, patient diagnostic and therapeutic services and technical expertise through competent task based management, full participation, cooperation, confidence, teamwork and innovation.

a). Education.

i). The students and trainees should be satisfied with every interaction of staff of Radiology Department/ King Edward Medical University /Mayo Hospital.
ii). All education given is aimed at improving the skills.
iii) Continuous improvement is exercised in all education programs leading to periodical revision of curriculum.
iv) Arrange logistics to run the education process.

b). Patient Care Services.

i). The patients and their attendants should be satisfied with every interaction of the staff of KEMU/MH.
ii). The opinions of the patients are valued and respected.
iii). Make all efforts to meet the needs of the patients, through institutional or community resources.

c). Diagnostic Procedures.

i). Every Procedure should be done right the first time, on time and every time.
ii). Continuous improvement and innovations should be exercised in skills, technology, material and techniques.
iii). The errors and complications must be recorded, discussed and removed immediately after first notice.
iv). Every staff member must endeavor to continuously enhance his/her competency and moral values.
v). Philosophy of division of jobs at work location and work stations is clearly understood and applied.
vi). All jobs/assignments carried are “Task Based”.

d). Staff Behaviors.

i). Every staff member must endeavor to continuously enhance his/her competency and moral value.
ii). Every staff member should be waste conscious and should strive for their elimination, including time, efforts, and money.
iii). Time keeping, uniform behavior with others and professional competence/performance should be monitored, recorded and improved.
iv). No two are equal, discipline is maintained.
v). Remember if you are not a problem solver then you are automatically considered to be problem creator.

TEACHING FACULTY

Designation, Name, Qualification

ASSOCIATE PROFESSOR Dr. Khawaja Khurshid Ahmed (MBBS (Pb) DMRD (Pb)
ASSISTANT PROFESSOR DR. Mahjabeen Masood MBBS, DMRD
Chief Consultant Radiologist Dr. Ghulam Muhammad MBBS, DMRD
APMO Dr. Shamim Akhtar Khan MBBS, DMRD
Radiologist Dr.Sarfraz Ahmad Tariq MBBS, FCPS
Radiologist Dr. Asif Khan MBBS, DMRD
Radiologist Dr. Farrukh Malhi MBBS, DMRD
Senior Registrar Dr. Sadia Iftikhar MBBS, FCPS

MEDICAL STAFF

Dr. Afshan Qureshid W.M.O.
Dr. Tahir Q.Khan M.O
Dr. Mahjabeen Tariq W.M.O
Dr. Muhammad Ali M.O.

Dr. Iftikhar M.O
Dr. Mujeeb ur Rehman M.O

Dr. Naveen Bogvi W.M.O
Dr. Salma Awais W.M.O
Dr. Mahr un nisa W.M.O
Dr. Farida Ali W.MO.

Group Photo of Medical Staff

Sitting
L – R Dr. Shamim Akhtar Khan, Dr. Mahjabeen Masood , Dr. Kh. Khurshid Ahmed, Dr. Ghulam Muhammad
Standing
L-R Dr. Sarfaraz Ahmed Sahi, Dr. Farrukh Malhi , Dr. Sadia Iftikhar , Dr. Tahir Q. Khan

LEARNING RESOURCES AND SERVICES PROVIDED

Inpatients

Introduction

patients are reffered to the Radiology Department for investigations through three work station

i). Accident & Emergency
ii). Out patients Department
iii). Shifting from different indoor clinical wards / other hospitals.

Physical Capacity

A. Building
a) Investigations Rooms
Flouroscopy room 1
Ultrasound room 1
Color Doppler 1
Conventional Radiography room 3
C.T. Scan Room 1
Computerized Radiography room 2

Total Rooms: 09 Rooms

a). Professor’s office
b). Doctors Duty office.
c). Assistant Professor office
d) Radiologist office
e). Sister Office
f). Nursing Station.
g). Library
h). Conference Room
i). Stores
j). Male Wash Room
k) Patients Toilet

B. Furniture

i. Patients Benches 05
ii. Patient Chairs 25
iii. Patients Wheel Chairs 02

Teaching Capacity

A. Indoor Department

Illuminators
Large one in the three sides of the conference room, one in each room of Professor, Associate, Assistant, Radiologist, Medical Officers

B. Nursing Station
i. Emergency Trolley that contains the following:
• Trolley with drawers
• Torch
• Laryngoscope
• Emergency medicines & disposables
ii. BP Apparatus and Stethoscope
iii. Sucker machine
iv. Oxygen cylinders with gauges

C. Ultrasound Room

Ultrasound Machine Siemens 01
Ultrasound Tosbi 01

D. Color Doppler Ultrasound Room

Color Doppler Machine Logic 5 01
Color Doppler Machine Logic 7 01

E. Computerized Tomography Scanning

Toshiba Machine C.T. Scanner(TSX 002A) 01

F. Computerized Radiography

CR System Fuji 01
CR System Agfa 01

G. Fluoroscopy Room

X-Ray Fluoroscopy Machine 01

H. Conventional Radiography

X-Ray Machines 03

I . Conference Room

Multimedia Projector One

Computer One

Slide Projector One

Over head Projector One

Video Cassette player One

Television receiver 24 inch One
Projector Screen One

Chairs (wooden) Fifty

Stock Cupboard One

J. Library

Chairs Twenty
Wooden Book Almirah Six
Large Wooden table One

Functions:

Patients are reffered by Consultants through either OPD, Accident & Emergency or from other wards / hospitals. Appointment for different investigations is given by the clerk of the concerned section after consultation with the duty doctor. The emergency cases are dealt with urgently and requested investigations is done on the same day.

Work Capacity

1. Ultrasound Examination 1500/ month approximate
2. Color Doppler USG 200/ month approximate
3. Fluoroscopic Examination 600/ month approximate
4. Conventional Radiography 2700/month approximate
5. C.T. Scans 1350 / month approximate

OUT PATIENT DEPARTMENT:

Introduction

OPD works six days a week from 8.00 am to 2.00 pm. Routine x-ray examination and USG examination is done of the patient reffered from the OPD Department.

Physical Capacity

There are two x-ray machine installed in OPD X-Ray Department one in each room. One Ultrasound Machine installed in the OPD Ultrasound Room

Functions:
i) Patient is received by the receptionist who received the fee for the prescribed investigation and sends the patient to USG or X-Ray room for relevant investigations.

ii) Patient is x-rayed in the x-ray room and given half an hour time to collect x-ray films along with report.
iii) Patient reffered to ultrasound room is received by the charge nurse and ultrasound is done by duty doctor and report is issued their and then. If the consultant opinion is required then the patient is reffered to indoor department for consultation.

LIBRARY

EDUCATION AND TRAINING

For detail for courses refer to nursing and paramedical curriculum

Undergraduate Education

For MBBS Program refer to the curriculum of MBBS.

Postgraduate Qualification (DMRD)

Two year diploma programme.

Postgraduate Major Qualification ( FCPS Radiology, M.D. Radiology)

For educational program refer to the curriculum

B.Sc. Imaging Technology

1. Case presentation by PGs Daily

2. Joint clinico- radiological conference by Neurology, Neurosurgery and Radiology department in the Radiology Department. Every Thursday

CONTINUOUS MEDICAL EDUCATION

Department of Radiology in collaboration with the Radiological Society of Pakistan is running monthly CME program on the last Sunday of every month

RESEARCH AND PUBLICATIONS
PUBLICATIONS OF THE FACULTY
DURING THE LAST THREE YEARS

1. Usefulness of CT Scan in Managing Blunt Renal Trauma
Annals of King Edward Medical University, July – Sept. 2006
2. Doppler Evaluation of solid Breast lesion, Is RI is Helpful ?
Annals of King Edward Medical University, April – June 2006.
3. Is it always DVT. Sonographic evaluation of unilateral leg swelling. Annals of KEMC, July-September 2005.

PROPOSED PROJECTS TO BE CONDUCTED IN THE RADIOLOGY DEPARTMENT

1. C.T. in inflammatory gut pathologies.
2. Role of fat stranding in a CT abdomen- inflammatory lesion vs malignant lesion.

3. Liver Biopsy Vs Doppler ultrasound for Liver fibrosis in Hepatitis C patients .

4. Doppler in Hepatitis C proven patients.

5. Orbital sonography in patients with ocular trauma.

6. Conventional Myelography vs CT myelography – which is better .

7. Liver fibrosis – Ultrasound scoring system Vs Color Doppler, correlation with Liver Biopsy.

8. HRCT densitometry & characterization of lung nodules.

9. HRCT petrous bones in cases of unilateral ear discharge.

10. Characterization of thyroid nodule on Doppler ultrasound – correlation with nuclear scan.

11. Ultrasound eye in pediatric patients with unilateral visual loss .
12. Testicular Doppler for intratesticular solid masses.
13. HRCT Vs Contrast enhanced CT Chest in Characterizing Solitary lung nodules.

PROJECTS IN HAND BEING CONDUCTED IN THE DEPARTMENT OF RADIOLOGY

1. Frequency of Different Patterns on HRCT in interstitial lung diseases
2. Role of Ultrasonography, Mammography and Scintimammography in assessment of breast cancer, confirm by histopathology
3. Comparison of C.T. and Ultrasound Findings in Abdominal Tuberculosis
4. Comparison of TVS with Saline hystero-sonography in Diagnosis of Dysfunctional Uterine bleeding .
5. Comparison of Doppler Ultrasound with FNAC in Diagnosing thyroid nodule.
6. Radiological bone age estimation from long bones of lower limb.
7. Diagnosis of Renal stones CT Vs IVU.

Services for Earthquake Hit Area

On October 8, 2005, 8.50 PST, a magnitude occurred in Paksitan, Afghanishtan, and India. The earthquake epicenter was located 1000 kilometers north-northeast of Islamabad, along a fault associated with the Indian subcontinent moving northward at a rate 40 mm per year colliding with the Eursian continent.

The 2005 earthquake is arguably the most debiliatating natural disaster in Pakistan’s history, Pakistan administered Kashimir known as Azad Jammu & Kashmir, and the Easten Districts of the North West Frontier Province bore the full force of the earthquake in terms of numbe rof lives lost, injuries sustained, and destruction of infrastrucre and economic assets.

According to Government of Pakistan figures, as of November 3, approximately 73,000 people had died and more than 70,000 had been severely injured or disabled. Over 2.8 million persons have been left without shelter and it is estimated that about 2.3 million person are without adequate food.

A nation united characterizes the strong civil society response throughout Pakistan and among expatriates living abroad. Doctors from Radiology department, also served the suffering people in three units, especially made for such patients in emergency department for couple of months.

Complete Brief of Radiology Department with Images