General Hospital of Ribeirão Preto – USPArea: 179,027.94 m2 Number of Beds: 815 Number of ICU Beds: 105 Number of Offices/Service Rooms: 569 Surgical Rooms: 36 Number of Laboratories: 23 Number of Employees: 5,962 Classrooms: 68 Conference room: 12 Number of Appointments/ Procedures in 2019: 732.121 Number of Hospitalizations in 2019: 33,932 Number of Surgeries in 2019: 26,313 Number of Deliveries in 2019: 1,645 Number of Transplants in 2019: 214 Number of Laboratory Tests in 2019: 3,340,050 Number of Specialized Exams/Procedures in 2019: 508,267
Laboratories specifically related to the program
Diagnostic Radiology Sectiono
The section has an area of 1380 m2, consisting of rooms for preparing patients for exams, and eleven exam rooms where the devices are installed, as follows: • a digital seriograph device • two appliances with tilting table • two mammography machines (tomosynthesis equipment for breast exams) • two digital radiology devices • three appliances with floating top table and Bucky stand • an analog device with x-ray crystallography digitizing • two computed radiology reader devices
Section of Angiography and Interventional Radiology
The section has an area of 110 m2, consisting of two examination rooms with their respective controls with: • a Digital Flat-Panel Detector Angiography Machine • image-intensifier angiography machine
Computed Tomography Section
The CT section has an area of 150 m2, consisting of a secretariat/schedule, a prep room and two exam rooms with two pieces of equipment: • a 16-channel multi-slice computed tomography (CT) machine, Brilliance Big Bore model with 3D structural and vascular reconstruction software • a Toshiba Aquilion PRIME 80 multi-slice CT machine, 160 channels, with vascular reconstruction software and 3D structure, as well as the capability to perform cardiac examinations/coronary CT angiography.
The section has an area of 125 m2, consisting of a secretariat/schedule, a preparation room, seven exam rooms and 10 devices, including: • 3 GE devices with color Doppler (model E9) • 1 Siemens/Acuson device with color Doppler and elastography (S2000) • 1 Philips machine with color Doppler and elastography (Epic 7 Elite) • 1 Philips device with color Doppler (HD11) • 3 GE portable devices (Logic e), equipped with transducers for intraoperative study, used both for examinations in the section and other Hospital facilities
Magnetic Resonance Section
The MR section has an area of 205 m2, consisting of a secretariat/schedule, interview rooms, recovery room, preparation room, and two examination rooms with two pieces of superconducting equipment (described below) and other 1.5 Tesla equipment in the installation phase. Equipment installed and in operation: • a 3 Tesla Magnetic Resonance (MRI) device, with 32 RF channels and high-performance dual gradient with 80 mT, model Achieva X-Series (Philips, Best, Netherlands). The equipment has an 8-channel head coil, neurovascular coil, spine, and abdomen coils. It has a special coil for brain biopsy and a coil for animals. It has software for spectroscopy, diffusion, and DTI-tractography, perfusion (T2* and ASL), and others. • a 1.5 Tesla MR device, with 16 RF channels and 80 mT high-performance dual gradient, model Achieva Nova Dual (Philips, Best Netherlands). The equipment has an 8-channel head coil, neurovascular coil, coils for spine, and abdomen, temporomandibular joint, breast, knee, wrist, and other parts.
Emergency Radiology Section
The Radiology Section of the ED has an area of 375 m2, where the following are installed: • a conventional GE digital angiography equipment • a Toshiba brand multi-slice CT machine, Aquilion PRIME 80 model, 160 channels, with vascular reconstruction software and 3D structure, as well as the ability to perform cardiac exams/coronary CT angiography. • a conventional, multi-slice, 16-channel CT scanner (Siemens, Erlangen, Germany), model Somaton Sensation • a Philips machine with color Doppler (Epic 7 Elite) • a GE portable ultrasound device (Logic e), equipped with transducers for intraoperative study, used both for examinations in the section and other Hospital facilities
The Radiotherapy Section has an area of 960 m2, including offices, reception, scheduling and planning, and treatment rooms with: • two Linear Accelerators (Primus and Oncor Siemens), with multi-blades, image portal; • three-dimensional planning system (XiO-CMS-Elekta), including intensity-modulated radiotherapy (IMRT), radiosurgery and Fractionated Stereotactic Radiotherapy (iPlanBrainLab); • Lantis-CMS management system; • Brilliance Big Bore-Philips simulator tomography; • Aquilion PRIME CT scan • GammaMed Plus High Dose Rate (HDR) brachytherapy; • complete Dual-Diode Dosimeter, ionization chamber, Matrix, solid phantoms, solid water phantoms, arrays.
More than 5 thousand treated fields/month.
This set of equipment works seven days a week, uninterruptedly, totaling more than 100 thousand annual examinations. Due to the consolidation of the tertiary/quaternary hospital in the SUS system, there was an increase in the level of complexity of the exams, with a growing increase also in the number of MRI and CT exams, radiotherapy, and interventional radiology treatments, according to the data published in the HCFMRP-USP Annual Activity Reports (https://site.hcrp.usp.br/relatorios-de-atividades/).
Laboratory of Imaging and Radiological Informatics Processing (LaPIR)
The section has an area of 100 m2, with technical staff (3 professionals with training in image analysis) and postdocs from various areas. The laboratory relies on seven workstations dedicated to advanced image and data processing, with high-performance video cards connected to the storage and distribution system of medical images and the electronic medical record system of the hospital.
There is a system of medical images storage (”picture archiving and communication system ” – PACS), developed by CCIFM, with the active participation of graduates from the Medical Physics, using free software and acting in the technological update and maintenance of the system. This system allows the storage and distribution of images used in the care of patients in the Hospital (use by all HC physicians), and it is a repository of image examinations used in the research developed in the MPCIFM program and by students and researchers from several other graduate programs. Thus, the development and maintenance allow research related to the program objectives, advanced quantitative analysis of images, artificial intelligence, case review with a specific focus, and others.
The Hospital has a clinical engineering sector, which supports the installation and maintenance of CCIFM equipment, and a computer and IT service to support the internal network of computers and the internet. The CCIFM has 3 IT professionals, two of them graduates of the program.
Library (physical and virtual)
CCIFM has an internal network, in parallel with the HCRP Intranet, which provides access to professors, students, residents, and graduates to the collection of CAPES journals, PubMed, providing immediate consultations through Tablets, smartphones, and notebooks to an extensive base of medical references, including the Up-to-Date platform.
Additionally, the USP campus in Ribeirão Preto has a Central Library/USP established in 1952. It has a physical area of 4,243 m2, serving all units, with an extensive collection and modern resources of digital accessibility through an integrated network, and employees specialized in helping students who require bibliographic surveys or copies of national and international scientific works. Its physical collection has 126,014 books, 3,375 periodicals, 111,616 scientific productions of researchers from the USP Ribeirão Preto Campus, and 19,907 theses and dissertations (http://www.bcrp.prefeiturarp.usp.br/info4-acervo.asp, acesso dia 19/03/21). It also has online access to more than 45 thousand journals through the Portal de Periódicos da Capes. Automated catalog: DEDALUS-bibliographic database of USP-allows the consultation of catalogs, books, theses, in addition to the scientific production of technical and teaching staff. Access is public on http://www.usp.br/sibi. In February 2010, the integrated library system deployed a new version of the DEDALUS administration software, allowing the management of borrowings and reservations by the user, in a restricted area, with a personal password. In March 2012, SIBi/USP launched the Integrated Search Portal, bringing together all information resources – DEDALUS, journals, and e-books in a single platform (http://www.sibi.usp.br/buscaintegrada).
Finally, the professors and the CCIFM receive six electronic journals in addition to the CAPES collection.
The areas in which the library collection is located include:
- Medicine (different specialties, including the main works in radiology and imaging diagnosis)
- Physics, with emphasis on radiation physics
- Informatics (with emphasis on health informatics)
- Quality management
The CCIFM has 2 classrooms, 8 meeting rooms, 1 library, 1 medical image processing laboratory [Laboratory of Image Processing and Radiologic Informatics (LaPIR)], in addition to classrooms and shared meetings distributed throughout the Hospital. The virtual learning environments (AVAs) available by the University are Moodle platform (USP disciplines) and the G Suite for Education platform (Google).
There are workstations for individual use (40), with image analysis software, including quantification and processing resources, in addition to workstations dedicated to magnetic resonance imaging equipment (2), computed tomography (4), angiography (2), radiotherapy (3) with advanced processing software. Moreover, there are individual stations with software available for statistical analysis (SPSS Statistics and R).
The development of the projects by the students takes place at the HCFMRP-USP, with its Ethics Committee on Research (https://site.hcrp.usp.br/comite-de-etica/), which is a collective, interdisciplinary, and independent board, with public consultation, legal advisory, and education features, designed to protect the interests of the participants in the study within ethical standards, according to the Resolution 466/12 of the National Health Council. The Ethics Committee on Human Research of the HCFMRP-USP was approved by the National Research Ethics Committee (CONEP) on 18/3/1997. On 01/7/2015, it obtained the renewal of its registration.
The infrastructure of the program is shared with the productive and innovation sector in health care through the General Hospital of Ribeirão Preto, State municipality, mainly through the maintenance of the archiving and distribution system of medical images, but also through direct and indirect contact and collaboration with national and international research groups, considering the data collection and the expertise of the program’s advisors. There is a future possibility of approaching the program with the SUPERA – Innovation and Technology Park of Ribeirão Preto, at the Ribeirão Preto Campus, which is an innovation environment, with a business incubator that promotes the exchange of knowledge in various activities (http://superaparque.com.br/).