{"id":4356,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/radiology\/"},"modified":"2025-12-29T16:06:13","modified_gmt":"2025-12-29T16:06:13","slug":"radiology","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/radiology\/","title":{"rendered":"Radiology"},"content":{"rendered":"\n<p>Radiological investigations in NHS Lothian are available at Central and Community sites. Different modalities are available at different sites \u2013 see table below for guidance.<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Site<\/strong><\/td><td><strong>Radiological Investigations Available<\/strong><\/td><td><strong>RefHelp page Guidance<\/strong><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Leith Community Treatment Centre<\/td><td>Plain x-ray and ultrasound<\/td><td>See Plain X-rays &amp; Ultrasound<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">East Lothian Community Hospital<\/td><td>Plain x-ray and ultrasound<\/td><td>See Plain X-rays &amp; Ultrasound<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Lauriston Building<\/td><td>Plain x-ray and ultrasound<\/td><td>See Plain X-rays &amp; Ultrasound<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Midlothian Community Hospital<\/td><td>Plain x-ray and ultrasound<\/td><td>See Plain X-rays &amp; Ultrasound<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Royal Hospital for Sick Children<\/td><td>Plain x-ray and ultrasound Please note that RHCYP services are for children only (aged 0 to 16) NOT adults Nuclear Medicine (GPs can\u2019t refer)<\/td><td>See Paediatric Radiology<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Royal Infirmary Edinburgh<\/td><td>Plain x-ray and ultrasound CT &amp; MRI Nuclear Medicine (GPs can\u2019t refer)<\/td><td>See Plain X-rays &amp; Ultrasound See specific Radiological and Neuroradiological pathway guidance<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Western General Hospital<\/td><td>Plain x-ray and ultrasound CT &amp; MRI Nuclear Medicine<\/td><td>See Plain X-rays &amp; Ultrasound See specific Radiological and Neuroradiological pathway guidance<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">St John\u2019s&nbsp;Hospital<\/td><td>Plain x-ray and ultrasound CT &amp; MRI Nuclear Medicine (GPs can\u2019t refer)<\/td><td>See Plain X-rays &amp; Ultrasound See specific Radiological and Neuroradiological pathway guidance<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Ordering Radiological investigations from Primary Care is usually via SCI Gateway, (some plain x-rays can be ordered via ICE <strong>for participating practices<\/strong>.)<\/p>\n\n\n\n<p>Radiological investigations can be ordered via general open access (plain x-ray and ultrasound) or via specific Radiological or Neuroradiological pathways (specific MRI investigations and specific CT investigations). GPs are also able to order Nuclear Medicine Bone Scans in specific circumstances, and DEXA scanning also.<\/p>\n\n\n\n<p>Referral for x-rays are governed by&nbsp;<a href=\"http:\/\/www.hse.gov.uk\/pubns\/books\/l121.htm\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Ionising Radiation (Medical Exposure) Regulations 2018<\/strong><\/a>&nbsp;<strong>and these are the responsibility of the Referrer.<\/strong><\/p>\n\n\n\n<p><strong>For all Radiology requests: Referrers accept responsibility for dealing with the result(s) and informing the patient as necessary.<\/strong><\/p>\n\n\n\n<p>There is a lot of helpful information for patients on the <a href=\"https:\/\/services.nhslothian.scot\/radiology\/\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Lothian Radiology<\/a> page.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Radiology Primary Care Interface Meeting<\/strong><\/h4>\n\n\n\n<p>The Radiology PCI meets quarterly to discuss Radiology issues particularly those pertinent to the interface. Primary Care are represented by an LMC representative, a GP representative (not from LMC) and a RefHelp Referrals Advisor. The meeting is chaired by Dr Stephen Glancy, Consultant Radiologist, WGH. GPs can contact any of their representatives or Dr Glancy if they have an issue they feel should be discussed at the PCI Meeting.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Contacting Radiology<\/strong><\/h4>\n\n\n\n<p><strong>By Phone<\/strong><\/p>\n\n\n\n<p><strong>PLEASE NOTE THESE NUMBERS ARE FOR PROFESSIONAL USE ONLY, THEY ARE NOT FOR PATIENTS<\/strong><\/p>\n\n\n\n<p>If GPs have any specific queries they can contact the Duty Radiologist for advice on the numbers below. (Patient department contact numbers can be found in the Plain X-rays &amp; Ultrasound section).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>WGH: GP contact number for Duty Radiologist 0131 537 2315<\/li>\n\n\n\n<li>SJH: GP contact number for Duty Radiologist 01506 524 352<\/li>\n\n\n\n<li>RIE: GP contact number for Duty Radiologist 0131 242 3572<\/li>\n\n\n\n<li>RHCYP: GP contact number for Duty Radiologist 0131 312 0120<\/li>\n<\/ul>\n\n\n\n<p><strong>By Email<\/strong><\/p>\n\n\n\n<p>The email addresses below can be used for administrative enquiries\/ expediting reports\/ changing appointments etc, but not for specific individual purely clinical questions. <strong>PLEASE NOTE THESE EMAIL CONTACTS ARE FOR PROFESSIONAL USE ONLY, THEY ARE NOT FOR PATIENTS<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>WGH: <a href=\"mailto:wgh.radiology@nhs.scot\" data-type=\"mailto\" data-id=\"mailto:wgh.radiology@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">wgh.radiology@nhs.scot<\/a><\/li>\n\n\n\n<li>WGH Mammography: <a href=\"mailto:wgh.mammography@nhslothian.scot.nhs.uk\" target=\"_blank\" rel=\"noreferrer noopener\">wgh.mammography@nhs.scot<\/a><\/li>\n\n\n\n<li>RIE: <a href=\"mailto:radiology.rie@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">radiology.rie@nhs.scot<\/a><\/li>\n\n\n\n<li>SJH: <a href=\"mailto:sjh.radiology@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">sjh.radiology@nhs.scot<\/a><\/li>\n<\/ul>\n\n\n\n<p><strong>If GPs have a query about a specific radiological report, they can also email the reporting Radiologist directly.<\/strong><\/p>\n\n\n\n<p><strong>UPDATED SG AND JB DEC 2025<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<p>Please see individual pathways and the <strong>Primary Care Management section<\/strong> of the Plain x-ray and Ultrasound page on Who to Refer<\/p>\n\n\n\n<p>Referral for x-rays are governed by&nbsp;<a href=\"http:\/\/www.hse.gov.uk\/pubns\/books\/l121.htm\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Ionising Radiation (Medical Exposure) Regulations 2018<\/strong><\/a>&nbsp;<strong>and these are the responsibility of the Referrer.<\/strong><\/p>\n\n\n\n<p><strong>For all Radiology requests: Referrers accept responsibility for dealing with the result(s) and informing the patient as necessary.<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who not to refer:<\/strong><\/h4>\n\n\n\n<p>Please see individual pathways and the <strong>Primary Care Management section<\/strong> of the Plain x-ray and Ultrasound page on Who not to Refer<\/p>\n\n\n\n<p>Please also see be aware that:<\/p>\n\n\n\n<p>For Paediatric Imaging advice please click on the link to <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/Paediatric%20Radiology\/\" target=\"_blank\" rel=\"noreferrer noopener\">Paediatric Radiology guidance<\/a><\/p>\n\n\n\n<p>Breast Lumps \u2013 All patients with suspected breast lumps, whether male or female, should be referred to the Breast Unit as per the <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/breastdisease\/breastlump\/\" target=\"_blank\" rel=\"noreferrer noopener\">Breast Lumps guidance<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How to refer:<\/strong><\/h4>\n\n\n\n<p>Please see under specific modality or pathway pages for guidance on How to Refer<\/p>\n\n\n\n<p><strong>For all Radiology requests: Referrers accept responsibility for dealing with the result(s) and informing the patient as necessary.<\/strong><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>There are currently three pathways where results suspicious for cancer will be fast tracked to the GP. The outline of these pathways is as below:<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"876\" height=\"539\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiology-USOC-pathway.png\" alt=\"Radiology USOC pathway\" class=\"wp-image-18616\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiology-USOC-pathway.png 876w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiology-USOC-pathway-300x185.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radiology-USOC-pathway-768x473.png 768w\" sizes=\"auto, (max-width: 876px) 100vw, 876px\" \/><figcaption><span class=\"media-credit\">NHS Lothian<\/span><\/figcaption><\/figure>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>\u200b&nbsp;There is a lot of helpful information for patients on the <a href=\"https:\/\/services.nhslothian.scot\/radiology\/\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Lothian Radiology<\/a> page.<\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Radio-Identification-of-non-medical-or-non-dental-healthcare-professionals-entitled-to-act-as-Referrer.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Identification of non-medical or non-dental healthcare professionals entitled to act as Referrer<\/strong><\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Radiological investigations in NHS Lothian are available at Central and Community sites. Different modalities are available at different sites &ndash; see table below for guidance. Site Radiological Investigations Available RefHelp page Guidance Leith Community Treatment Centre Plain x-ray and ultrasound See Plain X-rays &amp; Ultrasound East Lothian Community Hospital Plain x-ray and ultrasound See Plain<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3664,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[574],"class_list":["post-4356","page","type-page","status-publish","hentry","category-radiology"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/radiology\/\" rel=\"tag\">Radiology<\/a>","rttpg_excerpt":"Radiological investigations in NHS Lothian are available at Central and Community sites. Different modalities are available at different sites &ndash; see table below for guidance. Site Radiological Investigations Available RefHelp page Guidance Leith Community Treatment Centre Plain x-ray and ultrasound See Plain X-rays &amp; Ultrasound East Lothian Community Hospital Plain x-ray and ultrasound See Plain","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4356"}],"version-history":[{"count":29,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4356\/revisions"}],"predecessor-version":[{"id":26067,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4356\/revisions\/26067"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3664"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}