From the Department of Radiology, University Hospital Basel, Petersgraben 4, Basel 4031, Switzerland (T.H., E.M.); Siemens Healthineers, Forchheim, Germany (R.K., M.L., M.P.); Building Management, University Hospital Basel, Basel, Switzerland (T.W., D.M., A.C.); and School of Life Sciences, University of Applied Sciences and Arts Northwestern (FHWN), Muttenz, Switzerland (M.D., R.L., D.B.).
Radiology. 2020 Jun;295(3):593-605. doi: 10.1148/radiol.2020192084. Epub 2020 Mar 24.
Background Awareness of energy efficiency has been rising in the industrial and residential sectors but only recently in the health care sector. Purpose To measure the energy consumption of modern CT and MRI scanners in a university hospital radiology department and to estimate energy- and cost-saving potential during clinical operation. Materials and Methods Three CT scanners, four MRI scanners, and cooling systems were equipped with kilowatt-hour energy measurement sensors (2-Hz sampling rate). Energy measurements, the scanners' log files, and the radiology information system from the entire year 2015 were analyzed and segmented into scan modes, as follows: net scan (actual imaging), active (room time), idle, and system-on and system-off states (no standby mode was available). Per-examination and peak energy consumption were calculated. Results The aggregated energy consumption imaging 40 276 patients amounted to 614 825 kWh, dedicated cooling systems to 492 624 kWh, representing 44.5% of the combined consumption of 1 107 450 kWh (at a cost of U.S. $199 341). This is equivalent to the usage in a town of 852 people and constituted 4.0% of the total yearly energy consumption at the authors' hospital. Mean consumption per CT examination over 1 year was 1.2 kWh, with a mean energy cost (±standard deviation) of $0.22 ± 0.13. The total energy consumption of one CT scanner for 1 year was 26 226 kWh ($4721 in energy cost). The net consumption per CT examination over 1 year was 3580 kWh, which is comparable to the usage of a two-person household in Switzerland; however, idle state consumption was fourfold that of net consumption (14 289 kWh). Mean MRI consumption over 1 year was 19.9 kWh per examination, with a mean energy cost of $3.57 ± 0.96. The mean consumption for a year in the system-on state was 82 174 kWh per MRI examination and 134 037 kWh for total consumption, for an energy cost of $24 127. Conclusion CT and MRI energy consumption is substantial. Considerable energy- and cost-saving potential is present during nonproductive idle and system-off modes, and this realization could decrease total cost of ownership while increasing energy efficiency. © RSNA, 2020.
背景
在工业和住宅领域,人们对能源效率的意识不断提高,但直到最近,医疗保健领域才开始关注这一问题。
目的
测量大学医院放射科中现代 CT 和 MRI 扫描仪的能耗,并估算临床运行过程中的节能和成本节约潜力。
材料与方法
为 3 台 CT 扫描仪、4 台 MRI 扫描仪和冷却系统配备千瓦小时能耗测量传感器(2Hz 采样率)。分析 2015 年全年的能耗测量值、扫描仪日志文件和放射信息系统,并将其划分为扫描模式,如下:净扫描(实际成像)、活动(机房时间)、空闲、系统开启和系统关闭状态(无待机模式)。计算每次检查和峰值能耗。
结果
对 40276 名患者进行成像的总能耗为 614825 千瓦时,专用冷却系统的能耗为 492624 千瓦时,占 1107450 千瓦时总能耗的 44.5%(成本为 199341 美元)。这相当于一个拥有 852 人的城镇的使用量,占作者所在医院全年总能耗的 4.0%。1 年内每台 CT 检查的平均能耗为 1.2 千瓦时,平均能源成本(±标准差)为 0.22 美元±0.13 美元。1 年内 1 台 CT 扫描仪的总能耗为 26226 千瓦时(能源成本 4721 美元)。1 年内每台 CT 检查的净能耗为 3580 千瓦时,与瑞士一个两人家庭的使用量相当;然而,空闲状态的能耗是净能耗的四倍(14289 千瓦时)。1 年内的平均 MRI 能耗为每次检查 19.9 千瓦时,平均能源成本为 3.57 美元±0.96 美元。MRI 检查时系统开启状态下的年平均能耗为每台 82174 千瓦时,总能耗为 134037 千瓦时,能源成本为 24127 美元。
结论
CT 和 MRI 的能耗相当大。在非生产性空闲和系统关闭模式下存在可观的节能和成本节约潜力,这一认识可以降低总拥有成本,同时提高能源效率。
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