Keywords: X-ray studies, fluorography, computed tomography, epidemiological research, statistical data


The aim of this work was to assess the current state of the X-ray diagnostic service in the Lviv region, namely, to identify existing problems and elaboration of ways to solve them.

Material and Methods. A retrospective analysis of the current state of the X-ray diagnostic service in the Lviv region was carried out in comparison with the data throughout Ukraine for 2015-2020 years. The information was received according to the data of the State Statistics Service of Ukraine.

Results and Discussion. Analysis of changes in the total number of X-ray diagnostic apparatuses in the Lviv region for 2015-2020 years showed a slight downward trend in their number. Thus, as of the end of 2020 year, the total number of such apparatuses on the balance of regional health care institutions was equal to 452 units, which is 7,38% less than in 2015year. In the Lviv region and in Ukraine as a whole, there was a decrease in the number of devices of X-ray image amplifiers (X-ray IA) ((by -10,96% and -5,28%) and fluorographs (by -23,08% and - 17,49% respectively). At the same time, there was a significant increase of angiographic apparatuses (by +66,67% and +81,54%), CT scanners (by+40,00% and +26,32%), and mammography machines (by +33,33% and +12,46% respectively). The number of carried-out diagnostic fluorograms for 1 operating apparatus in the Lviv region during the studied period was decreasing, and the same trend persisted in 2020 year as well: Тgrowth2018/2015=-5,07%, Тgrowth2020/2019=-7,64%, just like the quantity of diagnostic fluorograms for one position of a radiologist: Тgrowth2018/2015=-11,76%, Тgrowth2020/2019=-20,78%. While the number of CT per one operating device and on one position of a radiologist in the Lviv region for the last 5 years significantly increased and in 2020 year was equal to 10605 studies /1 device and 220 studies/1 physician, but only in the last year, the growth was by +29,16% and +41,03%, although the number of operating tomographs remained unchanged for the last 5 years (n=5). Such a significant positive trend is explained by intensive work of the X-ray diagnostic service during the Cоvid-19 pandemic.

Conclusions. The decreased frequency of the fluorographic and radiological studies and the increase of the number of diagnostic CT scanners in the Lviv region have been determined. A number of problems in the work of the X-ray diagnostic service have been identified, the most important of which are the significant overload of radiologists, particularly, during the Cоvid-19 pandemic and lack of modern equipment. Modern healthcare is competitive and therefore, in the conditions of today's needs, the development of the most modern visualization technologies is very important, the key of which are computed tomography and magnetic resonance imaging in the field of radiation diagnostics.


Kovalenko YuM. On security issues in radiation diagnostics. Radiological bulletin.2020;1-2(74-75):36-45. Ukrainian (Коваленко ЮМ. Щодо питань безпеки в рентгенодіагностиці. Радіологічний вісник. 2020;1-2(74-75):36-45).

On improving the organization of the radiation diagnostics and radiation therapy. Order of the HCM No 340 dated from 28.11.97. URL: Ukrainian (Про удосконалення організації служби променевої діагностики та променевої терапії. Наказ МОЗ №340 від 28.11.97. URL:

Katchur OYu. Modern methodological approaches as to assessment of the activities of the X-ray diagnostic service in the Health Care system of Ukraine. Ukraine. Health of nation. 2015;4:40-44. URL: Ukrainian (Качур ОЮ. Сучасні методологічні підходи до оцінки діяльності рентгенологічної служби в системі охорони здоров'я України. Україна. Здоров'я нації. 2015;4:40-44. URL:

Statistical data of the State Statistics service in Ukraine. URL: Ukrainian (Статистичні дані Державної служби статистики України. URL:

Gutor TG, Zaremba NI, Kovalska OR, et al. Comparative analysis of the main social health determinants of life expectancy and infant mortality in Ukraine and Poland. Wiadomosci Lekarskie. 2021;74(3 cz 2):750-755. PMID: 33843648.

Resolution of the XIІІ Congress of oncologists and radiologists of Ukraine (26-28 of May, 2016, Kyiv). URL: Ukrainian (Резолюція XIІІ З'їзду онкологів та радіологів України (26-28 травня 2016 р., Київ). URL:

Renewal of radiological equipment. Insights Imaging. 2014;5:543-546. DOI: 10.1007/s13244-014-0345-1.

Kovalenko YuM., Miroshnichenko SI. Phased modernization of X-ray equipment as the only real way to upgrade the material and technical base of the X-ray service with limited funding. Radiation diagnostics, radiation therapy. 2014; 4:63-68. Ukrainian (Коваленко ЮМ., Мірошниченко СІ. Поетапна модернізація рентгенівського обладнання як єдиний реальний шлях оновлення матеріально-технічної бази рентгенологічної служби в умовах обмеженого фінансування. Променева діагностика, променева терапія. 2014; 4:63-68).

Zimenkovsky AB, Gutor TG, Lesniak OM. Quality assessment of medical care according to data of annual reports (as exemplified by Urology Department of Municipal Non-profit Enterprise "Lviv Clinical Emergency Hospital"). Acta Medica Leopoliensia. 2021;1-2(27):83-100. DOI:

How to Cite
Shcherbata, H., & Kovalska , O. (2022). ANALYSIS OF X-RAY DIAGNOSTIC SERVICE ACTIVITIES IN LVIV REGION FOR THE PERIOD OF 2015-2020 YEARS. Acta Medica Leopoliensia, 28(1-2), 38-52.