by smdi | Oct 3, 2017
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The biopsies done at Sugar Mill Diagnostic Imaging are performed by the radiologist. A needle biopsy is a sample of tissue or fluid. This procedure is referred to as a fine-needle aspiration biopsy. Another kind of biopsy performed at SMDI is a core biopsy. A piece of tissue is obtained and both types of biopsies are typically done under the guidance of ultrasound or CT with fluoroscopy. A biopsy may involve sampling of tissue or fluid. Biopsies are typically done under imaging guidance using ultrasound, CT sanning, fluoroscopy or mammography.
Preparation can vary for each patient and their specific exam. Below is a brief overview, however, please be certain of the required preparation when scheduling the exam.
All Biopsy procedures require a written prescription or referral stating the exam being ordered and the patient’s signs and symptoms indicating medical necessity of the procedure.
All patients must be have a PT and PTT (bleeding profile) within 48 hours of the biopsy.
If the patient takes blood thinners or aspirin, it must be discontinued at least 24 hours before the biopsy procedure.
After the completion of the biopsy, most patients stay at the facility anywhere from thirty minutes to two hours depending on the kind of procedure performed.
The biopsy specimen is evaluated by a pathologist. One of two labs is used depending on the patient’s insurance. It usually takes 3 or 4 days to obtain the pathology report. The report is then sent to both the referring physician and the radiologist. The pathologist bills separately. Patient’s medical insurance information is provided to the lab by Sugar Mill Diagnostic Imaging for completeness sake and accuracy.
To schedule an appointment and discuss how we can help you, contact Sugar Mill Diagnostic Imaging today or call 352-628-9900.
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After being in an auto accident you only have 14 days to be seen by a medical doctor or lose 75% of your benefits. Ask yourself- How long do I hurt before doing anything? What about repairs for my car?¬† How am I going to pay for all this? Will I be held liable and sued for damages? ¬†We don‚Äôt want you to worry. We are here to help! Our doctor will examine you, send you for imaging if necessary and direct you to the right healthcare provider and/or attorney. Let us be your first step to recovery! Making you whole again is our number one goal.
Fluoroscopy is real time imaging utilizing x-ray. Some common procedures performed with fluoroscopy are: Barium Swallow, Upper GI Series, Small Bowel Follow through, and Arthrograms.
What do doctors learn from an MRI?
Magnetic Resonance Imaging (MRI) is a safe, painless way for doctors to get a clear look at your internal anatomy. In fact, a scan may be the only way your doctor can get diagnostic information without surgery. The technology produces sharp computerized images of internal body tissues that can’t be viewed through x-rays. Doctors can request an MRI image for your brain, your knee, your spine, or just about any part of your body that needs diagnosis.
What can an MRI diagnose?
Aneurysms, stenosis, occlusions, and carotid arteries in the head and neck.
Diseases of the central nervous system, including spinal cord deterioration, tumors of the brain, and multiple sclerosis.
Condition of the heart, liver, kidney adrenal glands, male and female pelvis, and abdominal blood vessels.
Disorders of bones, knees, and joints.
Condition of cartilage, ligaments, bone, muscle, fat and menisci.
Shoulder disorders, including impingement syndrome and rotator cuff tears.
How does the procedure work?
A computer then processes the signals and generates a series of images each of which shows a thin slice of the body. The images can then be studied from different angles by the interpreting physician.
Overall, the differentiation of abnormal (diseased) tissue from normal tissues is often better with MRI than with other imaging modalities such as x-ray, CT and ultrasound.
When a contrast material is introduced to the bloodstream during the procedure, it clearly defines the blood vessels being examined by making them appear bright white.
To schedule an appointment or discuss your imaging needs, contact Sugar Mill Diagnostic Imaging today or call us @ 352-628-9900.
Ultrasound scanning, also known as sonography, uses high frequency sound waves to obtain images. The ultrasound bounces the sound waves off of parts of the body and then collects the echos as images. The sound waves produce a real time visual image and no radiation is used in any part of the process. Ultrasound scanning examines the body’s internal organs such as the heart, liver, kidneys, pancreas, gallbladder, uterus/womb and small parts such as thyroid, breast and scrotum. In addition to viewing organs, ultrasound is effective in demonstrating the carotid arteries and extremity vessels for vascular disease.
Abdomen: Nothing to eat or drink after midnight for morning appointments.
If afternoon appointment nothing to eat or drink 8 hours prior to exam.
Aorta: Nothing to eat or drink 8 hours prior to exam.
Breast: Must bring previous mammogram. No other preparation required.
Carotid: No preparation required.
Cranial: No preparation required.
Extremity: No preparation required.
Gallbladder, Liver or Spleen (limited abdomen): Nothing to eat or drink
after midnight for morning appointments. If afternoon appointment nothing to eat or drink
8 hours prior to exam.
Pelvic OB (1st Trimester) or Non OB: Drink 32oz. of water 1 ½ hours
prior to study; be finished drinking 1 hour before exam time and hold urine.
Pelvic/Transvaginal: Drink 32oz. of water 1 ½ hours prior to
study; be finished drinking 1 hour before exam time and hold urine.
Renal: No preparation required.
Renal/Bladder: Drink some fluid prior to exam (no carbonated drinks).
Testicular / Scrotum: always includes color flow: No preparation required.
Thyroid: No preparation required.
Venous Doppler: No preparation required.
Computerized Tomography (CT) uses a combination of x-ray techniques and computer technology to provide highly detailed images of internal structures. The CT scanner uses an x-ray source similar to that used to obtain ordinary chest x-rays, however, the x-ray beam is so tightly focused that portions of the body outside of the scanned region get relatively little x-ray exposure.
The CT scanner acquires multiple thin “slices” through the portion of the body requested. Depending on the part of the body scanned, between 20 and 1000 separate slices will be generated. Most studies are completed within about 15 to 20 minutes. The acquired information is processed by a computer and then made available to the radiologist for interpretation.
CT Contraindications & Screening
For certain CT studies, the use of intravenous dye (contrast) is required. Patients meeting the conditions listed below will need to have their BUN and Creatinine (blood test) measured before they can be scanned.
• over 60 years of age
• have chronic kidney disease – including nephrectomy patients
• Multiple Myeloma patients
There is usually no preparation required unless the CT scan is of the Abdomen or Pelvis. For those studies, the patient must obtain two doses of oral contrast and a prep sheet with instructions for the exam from Sugar Mill Diagnostic Imaging. After arriving at our office for the exam, the patient will receive an additional dose of oral contrast. This oral contrast improves the visualization of the gastrointestinal tract on CT studies.
CT SCAN Prep
Frequently, CT requires IV contrast for an optimum study. For those CT examinations, a non-ionic contrast agent is injected intravenously to aid in diagnosis. If the patient has a strong allergic history or has experienced a reaction to contrast material during a previous study, the patient should be pre-medicated on the day before and morning of the CT exam. The intravenous contrast (dye) evaluate the blood vessels and enhance regions of abnormality as well as demonstrate function of organs.
What Is a Bone Density Scan?
Just as in a common X-ray, a bone density scan is a painless medical test that physicians use for the diagnosis and treatment of various conditions. It involves exposing the part of the body being examined to a small amount of ionizing radiation to form pictures of the body.
Common Uses of this Procedure
A DEXA bone densitometry test is most often used to aid in the diagnosis of osteoporosis and other conditions that cause bone loss. It is also a very useful tool for evaluating the effects that treatment has had on those such conditions.
Osteoporosis is a gradual loss of calcium in the bones, which causes them to become less dense, therefore more fragile and much easier to break.
Your Physician May Order a Bone Density Test If :
-You have had X-ray’ s showing vertebral fracture
-You have been diagnosed with osteoporosis
-You are a post-menopausal woman, not on estrogen therapy
-You are a post-menopausal woman who is 5’7″ or less than 125 pounds
-You have history of or family history of smoking or hip fracture
-You have a thyroid or parathyroid condition
-You have type 1 diabetes, kidney disease, or liver disease
-You are a man with medical conditions known to cause bone loss
-You have high levels of collagen in urine specimens
How Should I Prepare?
– Women should always tell their x – ray technologist or physician if there is a possibility of pregnancy.
– If you have had a barium, CT scan, radioisotope, or if you have been injected with any contrast dye
(used for testing purposes) you should make your physician aware they may require you to wait 10 – 14 days
before your bone density procedure.
– Do not take calcium supplements for a minimum of 24 hours before your scheduled test.
– Wear comfortable clothing that is free of any metal objects and that is easy to change if you are asked to
wear a gown.
– You may be asked to remove any jewelry as well as your eyeglasses before your exam.
How Does the Procedure Work?
Specialized DEXA technology has software that calculates and display bone density measurements on a computer monitor. It makes its calculations by sending a thin invisible beam of low dose X-rays with two energy peaks through the bones and soft tissue. One peak is absorbed and measures the soft tissue and the other measures the bone. The soft tissue is subtracted from the total of the two combined and what remains is the patient’s Body mineral density.
Mammography is a special type of x-ray imaging used to create detailed images of the breasts. Mammography is still the best screening tool for detecting breast The American Cancer Society recommends a screening baseline mammogram be performed between age 35-40, then annually after the age of 40 years old cancer in its early stage. If a close relative develops breast cancer before the age of 50, screening should commence at an age ten years before the relatives age of cancer discovery.
Sugar Mill Diagnostic Imaging radiologists utilize Computed Aided Detection (CAD) when reading Mammograms. This serves as a second pair of eyes. SMDI digitizes the images and utilizes computer aided detection to search for subtle abnormalities.
When calling to make your mammogram appointment, inform the scheduler if you have had breast surgery and the location of your previous images for comparison.
Prior to your appointment, remove antiperspirant, powder, or lotion from under your arms or on the breasts.
If you have breast implants, be sure to inform us at the time of scheduling, as your exam will take approximately 20 minutes longer.
Do not schedule your mammogram for the week before your period if your breasts are usually tender during this time. Always inform the technologist if there is any possibility that you pregnant.
What is an X- Ray?
An x-ray is a medical test that physicians use to diagnosis and treat their patient’s medical conditions. It is the oldest and most commonly used form of medical testing. An X – ray is a painless and quick test for the patient to endure. It involves exposing the part of the body that is being examined to a small dose of ionizing radiation to produce pictures of the inside of the body.
X -ray is also used to diagnose various conditions of the lungs including pneumonia, tumors and changes of heart failure. It also is used to diagnose fractures and other abnormalities of bones, joint conditions, and causes of abdominal pain.
Fluoroscopy involves using X-rays to take “live” images of the body. It is typically used to examine the gastrointestinal tract such as the esophagus, stomach, small intestine and colon.
How to prepare for an X- Ray?
You may be asked to wear a gown during the procedure.
Wear clothing that is comfortable and easy to change.
Please remove any jewelry, eyeglasses or any metal objects that are covering the area to be examined.
You may be asked not to eat or drink for several hours prior to your procedure. We will give you instructions when you make your appointment.
X-rays cannot be performed during pregnancy because of the potential harms to the fetus. Women should always notify the radiology technician of any possibility of pregnancy.
How Does X-Ray Work?
X-rays are a type of radiation just like radio waves and light. The X- ray machine is positioned toward the part of the body being imaged. It then produces a small amount of radiation that passes through the body and captures an image on film or a special image recording plate.