Radiography room. X-ray room turnkey. What data and requirements are taken into account when designing X-ray rooms

Accommodation x-ray room and equipment in it is carried out on the basis of a project carried out by an organization that has a license for activities in the placement of sources of ionizing radiation (generating) and the design of radiation protection equipment.

The X-ray room, unlike other rooms of medical institutions, is not one room, but several rooms (rooms isolated from each other), each of which has its own purpose and corresponds in area to the established regulatory requirements, and also meets all other sanitary and hygiene requirements. We will focus on the latter in detail.

The X-ray room includes at least 3 isolated rooms, one of which serves as a treatment room (a room in which work is directly carried out using ionizing radiation sources), the second is a control room (a room in which the equipment that controls the IRS is located) and the third is an office doctor. Depending on destination x-ray equipment or activity specifics medical institution an x-ray room may include a darkroom, waiting room, undressing cabin, staff room, etc. ( detailed information about the types of X-ray rooms is described in the article "").

Appendix 5 to SanPiN 2.6.1.1192-03 establishes the composition and area of ​​the X-ray rooms. So, based on the information in Appendix 5 to SanPiN 2.6.1.1192-03, we give below in table 1 the area of ​​​​the procedure room with different x-ray machines, in table 2 the composition and area of ​​​​the premises of the x-ray diagnostic room, in table 3 - the composition and area of ​​\u200b\u200bthe rooms of the radiotherapy room.

Table 1

Treatment room area with different x-ray machines

X-ray machine Area, sq. m (at least)
The use of a wheelchair is envisaged Wheelchair use not included
X-ray diagnostic complex (RDC) with a full set of racks (PSSH, imaging table, imaging rack, imaging rack) 45 40
RDK with PSSH, rack of shots, tripod of shots 34 26
RDK with PSSh and universal stand-tripod, X-ray diagnostic apparatus with digital image processing 34 26
RDK with PSSh having remote control 24 16
Apparatus for X-ray diagnostics by X-ray method (image table, image stand, image stand) 16 16
Apparatus for X-ray diagnostics with a universal stand-tripod 24 14
Apparatus for close-range X-ray therapy 24 16
Apparatus for long-distance radiotherapy 24 20
Mammography machine 6
Apparatus for osteodensitometry 8

table 2

The composition and area of ​​​​the premises of the X-ray diagnostic room

The name of a room Area, sq. m
(at least)
General premises of the department (office)
Department manager's office 12
staff room 10 (+3.5 sq. m. for each additional employee)
Results Review Room (Snapshots) 6
Barium Cooking Cabin 3
expected 6
Material 8
Spare parts pantry 6
Storage room for cleaning items 3
Temporary storage room for x-ray film (no more than 100 kg) 6
Staff personal hygiene room 3
Restrooms for staff and patients 3 per cab
Computer 12
Engineering 12
X-ray room
Fluorography room for mass examinations

– procedural
- dressing room
- expected
— photo lab**
- staff room

14
6
6
6
9

Fluorography room for diagnostic images

– procedural
- control room (in the absence of a protective cabin)
— photo lab**
– dressing room*
— doctor's office (for devices with digital image processing)

14
6
6
3
9

X-ray diagnostic room using fluoroscopy and radiography (1,2 and 3 r.m.)

– procedural 1
– procedural 2
- control room
– dressing room*
— photo lab**
- doctor's office

According to the table one
according to the table one
6
3
8
9

Office of X-ray diagnostics of diseases gastrointestinal tract (1 r.m.)

– procedural
- control room
— photo lab
- toilet for patients

- doctor's office

According to the table one
6
8
3
4
9

Room for X-ray diagnostics using X-ray and / or tomography (1, 2 and 3 r.m.)

– procedural 1
- control room
– dressing room*
— photo lab**
- staff room

According to the table one
6
3
8
9

Room for X-ray diagnostics of breast diseases using mammography

– procedural
- procedural spec. methods (if necessary)
– dressing room*
— photo lab**
- doctor's office

6
8
3
8
9

Room for X-ray diagnostics of diseases of the genitourinary system (urological)

– treatment room with drain
- control room
— photo lab**
– dressing room with a daybed*
- doctor's office

According to the table one
6
8
4
9

Cabinet (box) for X-ray diagnostics of infectious departments

- vestibule at the entrance to the box (gateway at the entrance to the box)
- expected
- restroom at the expected
– procedural
- control room
— photo lab**
- doctor's office

1,5
6
3
according to the table one
6
8
9

Topometry room (radiotherapy planning)

– procedural
- control room
– barium preparation cabin
— photo lab**
- doctor's office
- restroom

According to the table one
6
3
8
9
3

X-ray operating unit
1. Block for diagnosing diseases of the heart and blood vessels

– X-ray operating room
- control room
— preoperative
– sterilization*
– room for temporary stay of the patient after the study*
— photo lab**
- doctor's office

48
8
6
8
8
8
9

2. Block for the diagnosis of diseases of the lungs and mediastinum

– X-ray operating room
- control room
— preoperative
– sterilization*
– cytological diagnostics*
— photo lab**
— picture viewing room*
- doctor's office
- nurses' room*
— staff personal hygiene room*
- storage room dirty laundry*

32
8
6
6
6
8
6
9
13
4
4

3. Block for diagnosing diseases of the urogenital system

– X-ray operating room
- control room
— photo lab**
- doctor's office
– Contrast preparation room*
- toilet for patients

26
6
8
9
5
3

4. Block for diagnosing diseases of the reproductive organs (mammary gland)

– X-ray operating room
- control room
— photo lab**
- doctor's office

8
4
6
9

X-ray computed tomography room
1. CT room for head examination

– procedural
- control room
— generator/computer
— photo lab**
- doctor's office

18
7
8
8
9

2. CT room for routine examination

– procedural
- control room
— generator/computer
— photo lab**
- doctor's office
- dressing room
- viewing

22
8
8
8
9
4
6

3. CT room for X-ray surgery

– procedural
— preoperative
- control room
— generator/computer
— photo lab**
- doctor's office
- viewing
- room for the preparation of contrast agents
- toilet for patients
- nurse's room
- engineer's room

36
7
10
8
8
9
10
5
3
12
12

* Not necessary.
** Not needed when using digital radiography and fluorography devices.

Table 3

The composition and area of ​​​​the premises of the radiotherapy room

The name of a room Area, sq. m (at least)
1. Near-distance radiotherapy room
– treatment room with 2-3 emitters 16
– treatment room with 1 emitter 12
- control room 9
- doctor's office (examination) 10
- expected 6
2. Room for long-range radiotherapy
– procedural 20
- control room 9
- doctor's office (examination) 10
- expected 6

The use of premises of a smaller area or a reduced set of premises is possible in cases where the equipment used, the organization of work, the number of personnel, etc. ensure compliance with general hygiene requirements (microclimate, bacterial contamination, sanitary and epidemiological regime, etc.).

According to the hygienic requirements of SanPiN 2.6.1.1192-03, it is advisable to place X-ray rooms centrally, as part of the X-ray department, at the junction of the hospital and the clinic. Separately, X-ray rooms of infectious diseases, tuberculosis and obstetric departments of hospitals and, if necessary, fluorography rooms of emergency departments and outpatient departments can be placed.


By general rule X-ray department (office) is not allowed to be placed in residential buildings and child care facilities. The exception is dental X-ray rooms (devices), the possibility of placing them in residential buildings is regulated by a special chapter of the rules SanPiN 2.6.1.1192-03, as well as the "Basic sanitary regulations ensuring radiation safety (OSPORB-99/2010" SP 2.6.1.2612-10 and Amendment 1 to SP 2.6.1.2612-10. It is not allowed to place dental X-ray machines with a film image sensor in residential buildings.

In dental and X-ray dental offices adjacent to residential apartments, it is allowed to place X-ray diagnostic devices with digital image processing, the total rated workload of which does not exceed 40 mA-min / week. (detailed information on this issue is set out in the article "Placement of X-ray equipment in a dental clinic").

It is allowed to operate X-ray rooms in polyclinics built into residential buildings, if the vertically and horizontally adjacent premises are not residential. It is also allowed to place X-ray rooms in an extension to residential building, as well as in basement floors, if the entrance to the X-ray department (office) is separate from the entrance to the residential building.

As stipulated in clause 3.3 of SanPiN 2.6.1.1192-03, an X-ray department serving only a hospital or only a clinic should be located in the end parts of the building. In this case, the branch should not be through. Entrances to the X-ray department for inpatients and outpatient departments are separate.

Important: by virtue of clause 3.4 of SanPiN 2.6.1.1192-03, it is not allowed:

  • Place X-ray rooms under rooms where water can flow through the ceiling (pools, showers, latrines, etc.);
  • Place the procedural X-ray room adjacent to the wards for pregnant women and children.

According to paragraph 2 of Appendix 7 to SanPiN 2.6.1.1192-03, the choice of premises that make up the X-ray room (department) is carried out by the administration of the medical institution together with the X-ray department (RRO) (or another organization similar in function to the RRO) of the region and is consistent with institution of sanitary and epidemiological supervision. At the same time, in relation to separate rooms x-ray room by a medical organization must be observed special requirements established by SanPiN 2.6.1.1192-03. However, in practice, there is no longer such approval of the selected premises with Rospotrebnadzor, and applications for approval of the location of the X-ray room are no longer submitted.


Treatment room - a specially equipped room in the X-ray room, in which an X-ray emitter is located and X-ray examinations or X-ray therapy are carried out.


According to paragraph 3.11 of SanPiN 2.6.1.1192-03, the height of the X-ray treatment room should ensure the functioning of technical equipment, for example, a ceiling mount for an X-ray emitter, a tripod, a television monitor, a shadowless lamp, etc. requires a room height of at least 3 m (2.6 meters according to the newer SanPiN 2.1.3.2630-10). The height of the radiotherapy treatment room in the case of rotational irradiation should be at least 3 m. doorways- 0.9 × 1.8 m.

Requirements for the area of ​​the procedure room, including depending on the X-ray machine, are given in tables 1, 2 and 3 above. At the same time, as stipulated in paragraph 3.9, the area of ​​​​the procedure room can be adjusted in agreement with the body exercising federal sanitary and epidemiological supervision, taking into account the following requirements:

  • Distance from the workplace of personnel for small protective screen to the walls of the room - at least 1.5 m;
  • The distance from the workplace of the personnel behind a large protective screen to the walls of the room is at least 0.6 m;
  • The distance from the swivel table-tripod or from the image table to the walls of the room is at least 1.0 m;
  • The distance from the photo rack to the nearest wall is at least 0.1 m;
  • The distance from the X-ray tube to the viewing window is at least 2 m (for mammography and dental devices - at least 1 m);
  • Technological passage for personnel between the elements of stationary equipment - at least 0.8 m;
  • The area for placing a gurney for a patient is at least 1.5 × 2 m;
  • Additional area in case of technological need to bring a wheelchair into the treatment room - 6 m 2.

In accordance with clause 3.30 of SanPiN 2.6.1.1192-03, in the procedural room, in addition to the procedural room for fluorography and X-ray surgery, it is planned to install a sink with a supply of cold and hot water. In the treatment room, designed for urological examinations, a viduar should be installed.

In the procedural room for the study of children, the presence of toys (which are washed in a soap and soda solution and disinfected) and distracting design is allowed.

Important: It is not allowed to place equipment in the procedural room that is not included in the project, as well as to carry out work that is not related to X-ray examinations.

Subscribe to us

Welcome to the section comprehensive training: design, construction/repair, obtaining permits to the x-ray room. We offer you services for the preparation, development of technological projects for x-ray rooms and laboratories at the lowest cost and within a reasonable timeframe for you, we will organize laboratory research required to obtain permits. The main activity is obtaining an act of sanitary and epidemiological examination and an expert opinion on activities in the field of the use of radiation sources, a sanitary and epidemiological conclusion, a license for generating sources of ionizing radiation with all intermediate and related procedures (preparation of deployment projects, conducting dosimetric studies, acceptance tests electrical networks of premises, measurement of physical factors, etc.). Those. a set of activities from the moment of receipt terms of reference for the design of the premises to the final stage - obtaining a license for handling generating sources.

We invite to cooperation both manufacturers (suppliers) of equipment, and owners of X-ray rooms and laboratories using X-ray machines for their own purposes:

    1. Prepare a design and working documentation for the construction of checkpoints, customs inspection zones, medical, laboratory and research centers, incl. section "Technological solutions" for the placement of X-ray equipment, with the calculation of radiation protection of workplaces and adjacent premises on the basis of the license of Rospotrebnadzor for III No. 77.99.15.002.L.000023.03.18 dated 03.23.2018

The project is required for all stationary and portable installations that are operated in premises, workshops, offices.

Examples of such settings are:

  • X-ray medical devices, incl. dental aiming, orthopantomograph, dental computed tomography, diagnostic, mobile ward, surgical, mammography, fluorography, densitometer, angiograph, computed tomography);
  • x-ray machines for the treatment of animals (veterinary medicine);
  • devices non-destructive testing for x-ray flaw detection;
  • devices for x-ray structural and x-ray spectral analysis;
  • devices for X-ray fluorescence analysis;
  • X-ray microscopes, microprobes and microanalyzers;
  • installations technological control(X-ray thickness gauges, density gauges, level gauges, separators);
  • x-ray machines for screening luggage, hand luggage, bulky cargo, postal correspondence;
  • devices for personal screening of people (X-ray human scanners);
  • linear accelerators of charged particles.

X-ray room design: initial required data, including calculation of radiation protection:

  • Information about materials and thicknesses of enclosing structures (walls, floors, ceilings, doors, etc.).
  • Plan of the premises of the BTI with the designation of the desired location of the device.
  • Information about functional purpose adjacent rooms to the treatment room vertically and horizontally, as well as adjacent territories, if any.
  • The height of the treatment room, as well as the height of the rooms adjacent to the treatment room vertically.
  • Passport for x-ray machine.
  • Any other information, the need for which arose in the process of performing work under the contract, solely for the purpose of performing design work.

The composition of the initial data can be specified in the process of developing a project for placement on x-ray equipment. If it is impossible to prepare the initial data, the designer can visit the site.

The cost of developing a project with one X-ray machine is from 30,000 rubles.

After the installation of X-ray equipment in order to subsequently obtain an expert opinion (EC) and a sanitary-epidemiological certificate (SEZ), it is necessary to test the elements of the electrical network and examine the air exchange rate for the supply and exhaust ventilation.

  1. We will carry out acceptance tests of the electrical installation of the building in the premises where X-ray machines are located. The cost of a technical report (inspection of the electrical network) of the premises - from 15,000 rubles.
  2. We will check the ventilation efficiency in the rooms where X-ray machines are located, calculate the air exchange rate for the respective rooms, based on the results of the surveys, and prepare the Survey Protocol ventilation units on the sanitary and hygienic effect with the frequency of air exchange in the premises.

The cost of the ventilation examination protocol (air exchange rate) of the premises is 15,000 rubles.

All of the above works are carried out on the basis of a SRO certificate, a license for IRS, a certificate of registration of an electrical laboratory up to 35 kV.

We will carry out the preparation and commissioning of the X-ray room on a turnkey basis, you only need to decide on the X-ray equipment that will be operated and its location in the room.

The scope of work that we provide in the process of preparing for the opening of the X-ray room:

  • X-ray equipment placement project with radiation safety calculation and subsequent approval by the authorized body;
  • Repair and construction work to ensure protection against x-ray radiation according to the agreed project. The work includes both the use of barite plaster to protect walls, floors and ceilings, as well as the installation of special X-ray protective structures and products: X-ray protective doors, X-ray protective screens, X-ray protective fences, windows and shutters.
  • Conducting tests and measurements of the electrical network and equipment with the provision of a technical report by an accredited electrical laboratory.
  • Examination of ventilation with the calculation of the level of air exchange with the provision of an appropriate protocol.
  • Registration of a package of documents for obtaining an Expert Opinion (ES) with the subsequent receipt of a Sanitary and Hygienic Conclusion (SES).

Designing, building and opening an x-ray room, as well as creating x-ray protection will be an easy task for you in cooperation with our company.

Relevance of the issue

Medicine has many modern diagnostic methods. However, this does not detract from the value of X-ray examination. X-ray methods allow studying the structure and functions of organs and systems, as well as diagnosing diseases. They have proven their value in gynecological, urological, oncogenetic, surgical practice.

The examination is carried out in a specially equipped room. He is presented with high requirements. They are approved in Appendix No. 12 to the Order of the Ministry of Health and Social Development No. 149n dated December 7, 2011 and SanPiN 2.6.1.1192-03 "Hygienic requirements for the design and operation of X-ray rooms, apparatus and X-ray examinations."

Where to open an office


It is recommended to open it on the basis of a medical institution. The Ministry of Health prohibits its placement in residential complexes, children's institutions, as well as under premises with high level humidity - swimming pools, baths, etc.

You can place an office in a clinic, which is located in a residential building. But in this case, it is necessary to equip a separate entrance, not to combine the office with living quarters and extensions to them, and also to be located on the basement floors.

If the office operates on the basis of a medical institution, it should not be located near the wards where pregnant women or newborns lie.


Established units

At least 2 employees work in the X-ray room - a doctor and an X-ray laboratory assistant.

A radiologist conducts examinations, makes conclusions on examinations, monitors and is responsible for the serviceability of the equipment, and also advises doctors on preparing patients for examinations.

The X-ray laboratory assistant prepares contrast agents and patients for the procedure, performs radiographs, tomograms and photo processing, takes part in fluoroscopy, monitors the radiation dose, and maintains documentation.

Requirements for the premises

Several rooms are allocated for the office: a treatment room, a control room (console room), a photo lab. Ideally, equip a separate room for storing film archives.

Usually, workplace the radiologist is equipped in the control room or separately.


SanPin makes requirements for each of the rooms in the office:

  • Minimum area. In the treatment room - at least 16 square meters. m, width - 3.5 m; in the control room - at least 6 sq. m;
  • Ceiling height- at least 3 m;
  • Floor. Made from insulating materials. The X-ray machine should stand on a concrete base 1 × 1 m and a thickness of 1 m 20 cm to 1 m 50 cm. The edges of the base are covered with linoleum. Floor and base levels must match;
  • Network. Single-phase 220 V. Necessarily the presence of a neutral and independent grounding, which is not connected with it;
  • Distance from concrete base to the power shield - a maximum of 3.5 m;
  • Sockets. They are installed near the workplaces of each employee in the control room. European standard sockets (220V, 10A).

The workplace of the laboratory assistant is positioned so that he sees the patient through the viewing window while taking the picture.

If the office is open in the hospital, it is necessary to allocate additional area 6 sq. m for the importation of patients on a gurney.

Security and Protection Issues

X-ray rooms belong to the 4th class radiation hazard. Therefore, SanPiN imposes strict requirements on the radiation protection of people and the environment.

To do this, the floor, windows, doors, walls, ceiling of the treatment room are finished with X-ray protective materials - barite plaster, gypsum panels, leaded materials (for example, glass and metal sheets for windows and doors).

Treatment room equipment


The main equipment that is installed in the treatment room: mobile and stationary X-ray units, orthopantomograph or dental apparatus. If necessary, install a digital radiovisiograph.

If there are 2 devices installed in the office, it is necessary to exclude their simultaneous inclusion. To do this, install a special blocker.

Important! X-ray installations must be placed so as to direct the main radiation to the main wall.

If the office does not provide a separate room for the control room, then the control panel can be placed in the treatment room, enclosing it with a protective screen.

The office needs a supply and exhaust ventilation system.

The door to the procedure room is closed from the inside, and from the outside it is equipped with a signal lamp for patients.

Additional equipment

Must be available:


  • Facilities personal protection - aprons, gloves, aprons, skirts, lead rubber collars, glasses and plates;
  • Dosimeters-radiometers. They should be checked periodically for the radiation dose that the worker may have received;
  • Furniture: screw chair, Baby chair with clamps;
  • Expendable materials: scissors, containers for disinfection.

Masks, examination gloves, paper and sanitary napkins and towels, dressings may also be required.

Photo lab equipment

List of required equipment: processor or installation for manual processing films, developing lights, negatoscopes, photo laboratory clock with a timer, a set of cassettes.

From furniture necessary cabinets for film storage and drying, expendable materials: film, barium, photoreagents.

It is necessary to provide a photo lab supply and exhaust ventilation and water supply.


Equipment of the doctor's workplace

It is equipped either in the control room or in an autonomous room.

List of required appliances: fluoroscope, negatoscope, intercom (through which the doctor gives commands to the patient while taking the picture), a video device or a viewing window for monitoring the patient.

Required furniture: workplaces for a doctor and a laboratory assistant - tables, chairs, as well as cabinets for documentation, reagents, medical clothing, medicines, a film drying cabinet.

The arrangement of a modern X-ray room includes several stages, starting with the preparation of the room itself. The planning of the office, the calculation of parameters and the technological arrangement are carried out by special services, preferably in tandem with an experienced radiologist.

The equipment of the X-ray room includes:

  • arrangement of radiation protection,
  • treatment room equipment
  • photo lab equipment,
  • equipment for the workplace of a doctor and laboratory assistant.

It is also desirable to have a separate room for storing film archives.

Arrangement of radiation protection

To provide protection from penetrating X-ray radiation, the treatment room is finished with special X-ray protective materials over the entire area: walls, ceilings and floors, doors and windows. Barite plaster for walls or special X-ray protective gypsum panels, leaded materials with a certain lead equivalent - glass and metal sheets to protect doors and windows.

Procedural equipmentrooms

The list of basic equipment for the procedure room of the X-ray room:

  • x-ray machine stationary for 2 or 3 workplaces (radiography, fluoroscopy, linear tomography),
  • ward mobile device,
  • dental x-ray machine for intraoral images or orthopantomograph,
  • digital radiovisiograph (on request).

By sanitary standards the installation of one X-ray diagnostic complex for 2 or 3 workplaces requires an area of ​​at least 6 sq. m, including the installation of an aiming dental apparatus. For additional installation orthopantomograph requires more than 8 sq. m area. For the installation and operation of the second apparatus, a room of 12 square meters is required. m.

In modern X-ray diagnostics, both film and digital X-ray systems with highly sensitive receivers are used, which improve the quality of studies and reduce the radiation load. Remote-controlled complexes are used for remote fluoroscopy, which does not require light adaptation, and also reduces the radiation load on personnel.

The digital radiovisiograph is a wireless flat panel detector in cassette format that allows you to acquire a digital image using an analog X-ray machine.

Required additional equipment:

  • mobile (screens) and individual funds leaded rubber protection, which includes: aprons, collars, gloves, skirts and aprons, hats, a set of protective plates and goggles. All personal protective equipment must have a factory marking and a lead equivalent of at least 0.3 mm,
  • individual wearable dosimeters-radiometers for individual monitoring of personnel, they are periodically changed and sent to a special laboratory (to determine the possible radiation dose received),
  • screw Chair,
  • fixing chair for examination of children (on request).

If there are two X-ray machines, a special interlock must be installed to prevent the simultaneous activation of all the equipment.

X-ray complexes are placed in such a way that the main radiation beam is directed to the main wall.

In the absence of a specially allocated room, the control panel is located behind a B-40 type protective screen.

The X-ray room must be equipped with autonomous supply and exhaust ventilation with an air exchange rate of at least 3 per hour.

The front door must be closed on the inside with a latch, and on the outside it must have signal lamp for patients.

Equipment for a photo lab and a doctor's workplace

The photo laboratory of the X-ray room should be equipped with the following equipment:

  • film processing unit manually(tankobaki) or processing machine for automatic processing of x-ray film,
  • non-actinic developing lights with red (for green-sensitive film) or green (for blue-sensitive film) light,
  • negatoscopes for viewing pictures,
  • photo lab clock with timer,
  • multiple cassette set standard sizes for film exposure
  • electric cabinet for drying the developed film,
  • x-ray film storage cabinet,
  • consumables: x-ray film, photoreagents, barium for fluoroscopy.

The photo laboratory should have cold and hot water supply, supply and exhaust ventilation.

The workplace of a radiologist is located in a separate room or combined with a control room. Equipped with:

  • personal computer with application software package,
  • fluoroscope (for viewing fluorograms),
  • negatoscope,
  • laser printer for printing digital images,
  • an intercom for transmitting commands to the patient, a video device for monitoring the patient, or a viewing window with X-ray protective glass.

To additional equipment includes furniture: chairs and tables, filing cabinets.

The placement of the X-ray room and equipment in it is carried out on the basis of a project carried out by an organization that has a license for the placement of sources of ionizing radiation (generating) and the design of radiation protection equipment.

An X-ray room, unlike other rooms in medical institutions, is not one room, but several rooms (rooms isolated from each other), each of which has its own purpose and meets the established regulatory requirements in terms of area, and also meets all other sanitary and hygienic requirements. We will focus on the latter in detail.

The X-ray room includes at least 3 isolated rooms, one of which serves as a treatment room (a room in which work is directly carried out using ionizing radiation sources), the second is a control room (a room in which the equipment that controls the IRS is located) and the third is an office doctor. Depending on the purpose of the x-ray equipment or the specifics of the activities of the medical institution, the x-ray room may include a photo lab, waiting room, dressing room, staff room, etc. (detailed information about the types of X-ray rooms is given in the article "").

Appendix 5 to SanPiN 2.6.1.1192-03 establishes the composition and area of ​​the X-ray rooms. So, based on the information in Appendix 5 to SanPiN 2.6.1.1192-03, we give below in table 1 the area of ​​​​the procedure room with different x-ray machines, in table 2 the composition and area of ​​​​the premises of the x-ray diagnostic room, in table 3 - the composition and area of ​​\u200b\u200bthe rooms of the radiotherapy room.

Table 1

Treatment room area with different x-ray machines

X-ray machine Area, sq. m (at least)
The use of a wheelchair is envisaged Wheelchair use not included
X-ray diagnostic complex (RDC) with a full set of racks (PSSH, imaging table, imaging rack, imaging rack) 45 40
RDK with PSSH, rack of shots, tripod of shots 34 26
RDK with PSSh and universal stand-tripod, X-ray diagnostic apparatus with digital image processing 34 26
RDK with PSH having remote control 24 16
Apparatus for X-ray diagnostics by X-ray method (image table, image stand, image stand) 16 16
Apparatus for X-ray diagnostics with a universal stand-tripod 24 14
Apparatus for close-range X-ray therapy 24 16
Apparatus for long-distance radiotherapy 24 20
Mammography machine 6
Apparatus for osteodensitometry 8

table 2

The composition and area of ​​​​the premises of the X-ray diagnostic room

The name of a room Area, sq. m
(at least)
General premises of the department (office)
Department manager's office 12
staff room 10 (+3.5 sq. m. for each additional employee)
Results Review Room (Snapshots) 6
Barium Cooking Cabin 3
expected 6
Material 8
Spare parts pantry 6
Storage room for cleaning items 3
Temporary storage room for x-ray film (no more than 100 kg) 6
Staff personal hygiene room 3
Restrooms for staff and patients 3 per cab
Computer 12
Engineering 12
X-ray room
Fluorography room for mass examinations

– procedural
- dressing room
- expected
— photo lab**
- staff room

14
6
6
6
9

Fluorography room for diagnostic images

– procedural
- control room (in the absence of a protective cabin)
— photo lab**
– dressing room*
— doctor's office (for devices with digital image processing)

14
6
6
3
9

X-ray diagnostic room using fluoroscopy and radiography (1,2 and 3 r.m.)

– procedural 1
– procedural 2
- control room
– dressing room*
— photo lab**
- doctor's office

According to the table one
according to the table one
6
3
8
9

Room for X-ray diagnostics of diseases of the gastrointestinal tract (1 r.m.)

– procedural
- control room
— photo lab
- toilet for patients

- doctor's office

According to the table one
6
8
3
4
9

Room for X-ray diagnostics using X-ray and / or tomography (1, 2 and 3 r.m.)

– procedural 1
- control room
– dressing room*
— photo lab**
- staff room

According to the table one
6
3
8
9

Room for X-ray diagnostics of breast diseases using mammography

– procedural
- procedural spec. methods (if necessary)
– dressing room*
— photo lab**
- doctor's office

6
8
3
8
9

Room for X-ray diagnostics of diseases of the genitourinary system (urological)

– treatment room with drain
- control room
— photo lab**
– dressing room with a daybed*
- doctor's office

According to the table one
6
8
4
9

Cabinet (box) for X-ray diagnostics of infectious departments

- vestibule at the entrance to the box (gateway at the entrance to the box)
- expected
- restroom at the expected
– procedural
- control room
— photo lab**
- doctor's office

1,5
6
3
according to the table one
6
8
9

Topometry room (radiotherapy planning)

– procedural
- control room
– barium preparation cabin
— photo lab**
- doctor's office
- restroom

According to the table one
6
3
8
9
3

X-ray operating unit
1. Block for diagnosing diseases of the heart and blood vessels

– X-ray operating room
- control room
— preoperative
– sterilization*
– room for temporary stay of the patient after the study*
— photo lab**
- doctor's office

48
8
6
8
8
8
9

2. Block for the diagnosis of diseases of the lungs and mediastinum

– X-ray operating room
- control room
— preoperative
– sterilization*
– cytological diagnostics*
— photo lab**
— picture viewing room*
- doctor's office
- nurses' room*
— staff personal hygiene room*
– storage room for dirty linen*

32
8
6
6
6
8
6
9
13
4
4

3. Block for diagnosing diseases of the urogenital system

– X-ray operating room
- control room
— photo lab**
- doctor's office
– Contrast preparation room*
- toilet for patients

26
6
8
9
5
3

4. Block for diagnosing diseases of the reproductive organs (mammary gland)

– X-ray operating room
- control room
— photo lab**
- doctor's office

8
4
6
9

X-ray computed tomography room
1. CT room for head examination

– procedural
- control room
— generator/computer
— photo lab**
- doctor's office

18
7
8
8
9

2. CT room for routine examination

– procedural
- control room
— generator/computer
— photo lab**
- doctor's office
- dressing room
- viewing

22
8
8
8
9
4
6

3. CT room for X-ray surgery

– procedural
— preoperative
- control room
— generator/computer
— photo lab**
- doctor's office
- viewing
- room for the preparation of contrast agents
- toilet for patients
- nurse's room
- engineer's room

36
7
10
8
8
9
10
5
3
12
12

* Not necessary.
** Not needed when using digital radiography and fluorography devices.

Table 3

The composition and area of ​​​​the premises of the radiotherapy room

The name of a room Area, sq. m (at least)
1. Near-distance radiotherapy room
– treatment room with 2-3 emitters 16
– treatment room with 1 emitter 12
- control room 9
- doctor's office (examination) 10
- expected 6
2. Room for long-range radiotherapy
– procedural 20
- control room 9
- doctor's office (examination) 10
- expected 6

The use of premises of a smaller area or a reduced set of premises is possible in cases where the equipment used, the organization of work, the number of personnel, etc. ensure compliance with general hygiene requirements (microclimate, bacterial contamination, sanitary and epidemiological regime, etc.).

According to the hygienic requirements of SanPiN 2.6.1.1192-03, it is advisable to place X-ray rooms centrally, as part of the X-ray department, at the junction of the hospital and the clinic. Separately, X-ray rooms of infectious diseases, tuberculosis and obstetric departments of hospitals and, if necessary, fluorography rooms of emergency departments and outpatient departments can be placed.


As a general rule, the X-ray department (office) is not allowed to be placed in residential buildings and children's institutions. The exception is dental X-ray rooms (devices), the possibility of placing them in residential buildings is regulated by a special chapter of the rules SanPiN 2.6.1.1192-03, as well as the "Basic Sanitary Rules for Ensuring Radiation Safety (OSPORB-99/2010" SP 2.6.1.2612-10 and Amendment 1 to SP 2.6.1.2612-10 It is not allowed to place dental X-ray machines with a film image sensor in residential buildings.

It is allowed to place X-ray diagnostic devices with digital image processing in dental and X-ray dental offices adjacent to residential apartments, the total nominal workload of which does not exceed 40 mA-min / week. (detailed information on this issue is set out in the article "Placement of X-ray equipment in a dental clinic").

It is allowed to operate X-ray rooms in polyclinics built into residential buildings, if the vertically and horizontally adjacent premises are not residential. It is also allowed to place x-ray rooms in an extension to a residential building, as well as in the basement floors, if the entrance to the x-ray department (office) is separate from the entrance to the residential building.

As stipulated in clause 3.3 of SanPiN 2.6.1.1192-03, an X-ray department serving only a hospital or only a clinic should be located in the end parts of the building. In this case, the branch should not be through. Entrances to the X-ray department for inpatients and outpatient departments are separate.

Important: by virtue of clause 3.4 of SanPiN 2.6.1.1192-03, it is not allowed:

  • Place X-ray rooms under rooms where water can flow through the ceiling (pools, showers, latrines, etc.);
  • Place the procedural X-ray room adjacent to the wards for pregnant women and children.

According to paragraph 2 of Appendix 7 to SanPiN 2.6.1.1192-03, the choice of premises that make up the X-ray room (department) is carried out by the administration of the medical institution together with the X-ray department (RRO) (or another organization similar in function to the RRO) of the region and is consistent with institution of sanitary and epidemiological supervision. At the same time, in relation to individual rooms of the X-ray room, the medical organization must comply with the special requirements established by SanPiN 2.6.1.1192-03. However, in practice, there is no longer such approval of the selected premises with Rospotrebnadzor, and applications for approval of the location of the X-ray room are no longer submitted.


Treatment room - a specially equipped room in the X-ray room, in which an X-ray emitter is located and X-ray examinations or X-ray therapy are carried out.


According to paragraph 3.11 of SanPiN 2.6.1.1192-03, the height of the X-ray treatment room should ensure the functioning of technical equipment, for example, a ceiling mount for an X-ray emitter, a tripod, a television monitor, a shadowless lamp, etc. requires a room height of at least 3 m (2.6 meters according to the newer SanPiN 2.1.3.2630-10). The height of the X-ray treatment room in the case of rotational irradiation should be at least 3 m. ×1.8 m.

Requirements for the area of ​​the procedure room, including depending on the X-ray machine, are given in tables 1, 2 and 3 above. At the same time, as stipulated in paragraph 3.9, the area of ​​​​the procedure room can be adjusted in agreement with the body exercising federal sanitary and epidemiological supervision, taking into account the following requirements:

  • The distance from the workplace of the personnel behind a small protective screen to the walls of the room is at least 1.5 m;
  • The distance from the workplace of the personnel behind a large protective screen to the walls of the room is at least 0.6 m;
  • The distance from the swivel table-tripod or from the image table to the walls of the room is at least 1.0 m;
  • The distance from the photo rack to the nearest wall is at least 0.1 m;
  • The distance from the X-ray tube to the viewing window is at least 2 m (for mammography and dental devices - at least 1 m);
  • Technological passage for personnel between the elements of stationary equipment - at least 0.8 m;
  • The area for placing a gurney for a patient is at least 1.5 × 2 m;
  • Additional area in case of technological need to bring a wheelchair into the treatment room - 6 m 2.

In accordance with clause 3.30 of SanPiN 2.6.1.1192-03, in the procedural room, in addition to the procedural one for fluorography and the X-ray operating room, it is planned to install a sink with a supply of cold and hot water. In the treatment room, designed for urological examinations, a viduar should be installed.

In the procedural room for the study of children, the presence of toys (which are washed in a soap and soda solution and disinfected) and distracting design is allowed.

Important: It is not allowed to place equipment in the procedural room that is not included in the project, as well as to carry out work that is not related to X-ray examinations.

Subscribe to us