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Diagnostic What?

 
Remember the good ol' days when the doctor would say, "I am sending you for an x-ray."? Well at least you had a pretty good idea of what was going to happen when you got to the x-ray department. A complete stranger was going to ask you to take off your clothes and lie on a cold hard table. The tech would twist your body into positions that you found hard to believe were possible. They might even make you drink something that tasted and looked like ground up chalk.

Things have certainly changed in the past 20 years. Now, your PCP (primary care physician) will send you to a Diagnostic Imaging Department for tests. What is a Diagnostic Imaging Department? Here at Coryell Memorial, the imaging department is made up of several different imaging modalities: radiology (x-ray), ultrasound, CT (computed tomography), nuclear medicine, mammography and MRI (magnetic resonance imaging) coming in 2008.

 
     
 
Types of Images

From the patient's point of view, radiology has not changed much over the years. However, the image being produced has improved drastically. Most people are familiar with routine x-rays. However, Coryell Memorial offers not only routine procedures but also fluoroscopic procedures. The fluoroscope allows the radiologist to see the area of interest while making the pictures. These exams include, but are not limited to UGI, small bowel and colon studies. Fluoroscopic procedures may take anywhere from 30 minutes to several hours.

Ultrasound is a painless imaging modality that produces an image by sound waves traveling through the area of interest. The sonographer will need to place a clear gel-like substance on the area and then move the transducer over your skin. Most procedures take between 30 minutes and an hour.

CT stands for computed tomography. X-ray is the source of radiation used but with the added computer technology, it shows anatomy in cross-section. You may be given something to drink prior to your exam. you may also need an IV started for the injection of a contrast agent that enhances the anatomy visualized. You will enter a small tunnel and you will be told when to breath in or out.

Nuclear medicine is where a radioactive isotope is mixed with something that will direct the dose to a particular organ. The dose may be injected by IV, taken orally or inhaled depending on the organ that needs to be visualized. The equipment picks up the radiation and produces an image of the area.

Mammography is an x-ray of the breast. Women forty years and older should have a mammogram performed yearly. This is called a screening mammogram and it takes about 20 minutes to complete. A diagnostic mammogram is for when you or your physician has found a lump in your breast or the radiologist saw something on your screening mammogram. These exams take about an hour but could be longer if the radiologist decides you might need an ultrasound. If scheduled for a diagnostic mammogram please plan on being in the Imaging Department for up to two hours.

Magnetic Resonance Imaging (MRI) is newly available at CMHS. This technology provides an enhanced way to distinguish pathologic tissue (such as a tumor) from normal tissue. The procedure is harmless to the patient.

Preparations

Any of the modalities may require that you follow special preparations the day before and/or the day of the exam. If given a preparation sheet, please follow the instructions or your exam may not be able to be completed at the scheduled time.

Your imaging exams are interpreted by a specialty physician that passed an exam to be certified by the American College of Radiology. Coryell Memorial, in conjunction with Scott & White Hospital, stores x-rays on a special computerized system. Your physician, using a password protected program, can look at your x-rays, ultrasound, and CT scan in addition to the radiologist's report on his/her computer.

Together, these various modalities will assist your physician in making a diagnosis and in the planning of your treatment.

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1507 West Main Street          Gatesville, Texas 76528          (254) 865-8251                  

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