Our Siemens Espree open 1.5 MRI machine allows high quality images while accommodating claustrophobic patients without the need for sedation. This scanner also allows us to perform your procedure in a timely manner. Some MRI examinations require an IV contrast injection. Pertinent patient history must be obtained prior to entering examination room. Some MRI examinations require special preparation prior to your arrival; ImageCare staff will notify you of any preparations when you schedule your appointment.
COMPUTERIZED AXIAL TOMOGRAPHY
(CAT Scan /CT Scan)
A CAT scan uses radiation and a computer to produce cross-sectional views of all parts of the body. The images are created as the body part being scanned is moved slowly through a large, donut-shaped x-ray machine.
IV contrast may be required if vascular structures need to be evaluated. For abdomen/pelvis CAT scans, patients may be required to drink some contrast prior to the examination. Some CAT Scan examinations require special preparation prior to your arrival; ImageCare staff will notify you of any preparations when you schedule your appointment. If you would like to complete to complete your paperwork prior to your visit, please download the CAT Scan Screening Form.
An ultrasound, also known as a sonogram, is an image produced using sound waves. This type of imaging can capture the structure of organs and the flow of blood through blood vessels. ImageCare offers abdomen/pelvic, thyroid, kidney, carotid, and DVT vascular examinations of the extremities via ultrasound. We also conduct invasive procedures performed under ultrasound guidance, including thyroid and liver biopsies.
Preliminary lab procedures must be performed prior to some examinations. Patients may require someone to drive them home after the procedures. ImageCare staff will notify you of any preparations when you schedule your appointment.
Routine diagnostic x-rays are performed daily without an appointment. Patient examinations are rendered on a “first come, first served” basis and are served from 8:00am to 4:30pm. An order from the referring physician must be presented at the time of examination. No preparations are required for routine x-rays.
DEXA BONE SCANS
A Dexa Scan is the most commonly used test to evaluate a person’s bone mineral content. This examination requires less radiation than routine a x-ray. It is one of the most accurate ways to diagnosis osteopenia, osteoporosis or fractures associated with these diseases. This test does not require any special preparation. Patients should wear loose clothing with no metal accessories for this procedure. If you would like to complete your screening form prior to you appointment, please download the Bone Density Screening Form.
A fluoroscopic exam uses ionizing radiation to evaluate internal organs and capture “live” images. Fluoroscopy is most often used to render barium enemas and upper GI exams. Fluoroscopic exams are performed by a radiologist. These procedures require “special preparations” prior to the day of the examination; ImageCare staff will notify you of any preparations when you schedule your appointment.
Interventional radiography is a growing area in the radiology field. By utilizing imaging guidance, the radiologist is allowed to localize areas of interest with minimal patient discomfort. These invasive procedures may in some instances allow the patient to avoid surgical procedures. Invasive procedures performed at ImageCare:
- Epidural Steroid injections
- Sacro-iliac joint injections
- Facet injections
- Selective nerve root blocks
- PICC Lines
- Tunnel Dialysis Catheters
- IVC Grams
- IVC filter Placements
Screening mammograms are regular annual mammograms performed when patients are asymptomatic. A report is sent to the referring physician and a letter is mailed to the patient. ImageCare will call you if your mammogram is abnormal and additional imaging is required. We recommend you perform a monthly breast self-exam; download a breast exam shower card (pdf).
We must receive an order from a referring physician for all examinations. Medicare patients should make sure their examination is performed one year after their last exam. Check with your insurance carrier prior to your procedure to make sure annual mammograms are covered by your plan.
Diagnostic mammograms are mammograms required for patients who experience abnormal symptoms, such as a lump in the breast or under the arm, or nipple discharge. Contact your physician’s office if you experience these symptoms.
On the day of your examination, a radiologist will review your mammogram films. The radiologist will review your test results with you and let you know if other procedures are necessary to make a complete diagnosis. Your results will be forwarded to your referring physician.
DIGITAL BREAST TOMOSYNTHESIS
ImageCare is proud to announce that we are able to offer our patients the newest technology in Mammography called Digital Breast Tomosynthesis, commonly referred to as DBT (or 3-D). Digital Breast Tomosynthesis creates multiple images of your breast tissue. This type of imaging allows the radiologists to see greater detail and helps reduce the impact of overlapping breast tissue. This process is performed at the same time as the regular mammogram, on the same machine. All women may benefit from DBT; however the benefit is greater in women with dense breast tissue because it can “mask” cancers and/or lead to false positive reports. Breast density is a measure used to describe the proportion of the different tissues that make up a woman’s breast. To determine your breast density, you can contact your physician’s office or if you have had a previous mammogram at ImageCare, we will be able to tell you if you meet the criteria for dense breasts. If you have any questions please do not hesitate to speak with a representative at our office.
BREAST ULTRASOUND PROCEDURES
Breast ultrasound examinations are sometimes necessary to correlate with mammograms to allow the radiologist to make a confirmed diagnosis. Ultrasound is sometimes preferred in diagnosing young adults who have not reached the recommended age for mammograms. An ultrasound also assists the radiologist in the diagnosis of cystic nodules in the breast tissue.
If you are referred by a physician for a consultation or second opinion with Dr. Cupples, it is important that your most recent mammograms are available at the time of your appointment. To find contact information for your physician, click here.
When a simple cyst becomes painful and irritating, a radiologist can aspirate the fluid. This process uses an ultrasound for guidance. The fluid is aspirated and sent for cytology testing, if necessary. A cyst aspiration is considered an invasive procedure and requires the patient to sign a consent form.
If a breast nodule looks suspicious, the radiologist will recommend a breast biopsy. This procedure is considered invasive and requires a patient’s consent. Your biopsy results will be available the following day unless additional pathology information is requested. We will call you with the results. Results will also be sent or phoned in to the referring physician’s office. Some nodules present as benign, but a biopsy may be recommended for a conclusive diagnosis. If you require a biopsy, it is important to avoid taking blood thinners or aspirin for 3-5 days prior to the procedure.