Good Practice Guidelines for Technology Renewal and Update in Radiology (SERAM)

1 February 2022

10 steps to change your equipment seamlessly

Innovation in medical technology has been shown to improve the efficiency of clinical processes, increase the quality and safety of the patient/professional and you know that its absence implies deterioration in the quality of patient care as well as indirect care costs and complications.

If your equipment is more than 15 years old and you are considering a refurbishment, we present 10 steps to help you determine when and how to upgrade or replace obsolete equipment in a planned way that guarantees and maintains diagnostic reliability at your center at all times.

Digital transformation in hospitals. What is the current situation?

According to SERAM in the “Guide for technological renewal and updating in radiology”, 59% of the equipment installed in the centres is over 10 years old and a massive step towards digital transformation has not yet been taken, thus increasing operational and technological obsolescence. Situation that contravenes international recommendations for maintaining high levels of quality and safety for patients and professionals.

What criteria does Euratom consider unacceptable in X Ray equipment (Article 60.2, new directive 2013/59/Euratom?

According to the European Society of Radiology (ESR), every medical center should have a plan that serves as a decision-making tool for a renovation.

Now is time to act, if you find that the old equipment in your center follows some of the points indicated below:

  1. Lack of pediatric protocols.
  2. Lack of automatic dose information.
  3. Absence of a DICOM structured dose report.

Quick guide with 10 recommendations to end with te obsolescence of your equipment

  • Design your own plan for the renewal of your equipment together with the manufacturer, from the moment of installation until the end of its useful life, allowing you to be up to date with new updates or functionalities in combination with a future technological renewal plan (replacement of equipment from 5 years onwards).


  • Draw up a complete inventory of all the equipment in your center: containing the maximum information in a single document: with the date of acquisition, annual activity (in hours), work shifts, maintenance schedule, breakdown record, technological updates and other incidents.


  • Incorporate the “Life Cycle” criteria in your purchase decision: you will know how many years it is convenient to replace your equipment, based on the level of activity to which it is subjected (hourly/year exams). It should comply with the three “Golden Rules” according to COCIR:


      • At least 60% of the equipment in a centre must be younger than 5 years.
      • 30% of the equipment must be between 6 – 10 years
      • No more than 10% must be over 10 years old


  • Add also new criteria that improve healthcare & economic efficiency. Knowing that paediatric patients receive lower radiation doses with new technologies, would you accelerate the renewal? Age should not be the only criteria for renewal, but should be used together with other criteria that may accelerate your purchase decision such as: new regulations (EURATOM), new upgrades, lack of safety, productivity improvements, lack of a failure rates, maintenance problems, unavailability of spare parts, etc.


  • Ensures adequate maintenance of the equipment (according to a preventive and corrective protocol). To do this, you need the manufacturer to have a qualified and accredited technical support network that is responsible for carrying out the annual inspection, ensuring the maintenance of all the features and guaranteeing the correct use of the equipment throughout its useful life.


  • Appoint a person responsible for surveillance in your center who documents and proactively communicates safety problems and adverse effects in your center on a daily basis.


  • Assign a maintenance technician specialized in electromedicine in each center with more than 200 beds with the capacity to supervise the maintenance process, together with the control of spare parts and communicate critical incidents to the country’s health authorities in accordance with RD 1591/2007 circular.


  • Promote the continuous training of professionals. This is the key to getting the most out of the technology available in your centre. Helping to make more efficient use, streamlining workflow and improving the patient experience.


  • Involve the different health professionals in your purchase decision process. Their opinion, from the clinical point of view as well as the return on investment, is decisive since they are the true connoisseurs of real care needs.


  • Make a financing plan. There are different ways of approaching the acquisition of new technologies whose aid depends on the health system model of each country. It is necessary to develop a business model that considers renewal as a return on investment (ROI) not only as a cost.


Maintaining diagnostic reliability and safety of use is a fact that we cannot ignore.

Taking into account the increase in the number of patients and the future aging of the population, do you want to adapt your center to new healthcare needs and opportunities? New technologies have improved diagnostic resolution, allowing many diseases to be detected at earlier stages in order to treat them more quickly and effectively.

Upgrade outdated equipment and differentiate from your competitors while improving the patient experience.

Request a video-demo with our PRIMO S software, if you are looking for digital transformation with more innovation, dose reduction, high image clarity and easy export to help you make better diagnostic decisions. You will also find more information at our site.

Good Practice Guidelines for Technology Renewal and Update in Radiology (SERAM)

Challenges of the use of Artificial Intelligence in Radiology: Experience of the X-COV project.

Temporary emergency Hospital of Madrid region.