High Field MRI

Magnetic Resonance Imaging, commonly known as MRI, is a painless, non-invasive way to view the patient's body without using radiation. As the name suggests, the scanner produces a magnetic field. In the presence of this harmless magnetic field, the hydrogen atoms in your body act like small magnets. A combination of this magnetic field and radio frequencies provides the resonance required to produce the detailed, three-dimensional images.

An increasingly important tool is the Magnetic Resonance Angiography (MRA). The MRA has the advantage of being a non-invasive examination that is used for evaluating aneurysms, arteriovenous malformations and occlusions of the intracranial vessels, as well as for screening of atherosclerotic disease and other arterial occlusive diseases.

Our powerful High-Field MRI provides diagnostic confidence with high quality 1.5Tesla images and a range of clinical applications that can allow your physician to respond to treatment earlier than ever before.

Our Ultra-Short Bore Magnet, with the power of TimTM (Total Imaging Matrix) technology allows for flexible coil combinations that make patient repositioning virtually unnecessary thereby accelerating scanning times. The ultra-short magnet design enhances patient comfort because it permits many exams to be conducted while the patient's head is outside the magnet.

While the vast majority of people will have no difficulty being scanned with MRI, there are a few considerations, most of which have been covered already by your referring physician. You cannot be scanned if you have a pacemaker, cerebral aneurysm clips, or cochlear implants. Most implants (artificial joints, etc.) are now composed of titanium or other non-ferrous metal, but, should you have any questions regarding any possible metal in your body, which have not already been answered by your physician, please ask our staff before your visit.


Open MRI

An MRI is a painless, non-invasive way to view the patient's body without using radiation. It uses a large magnet, radio waves and a computer to produce detailed, three-dimensional images of the body that cannot be seen on conventional X-rays. Our Open MRI has a very spacious and airy design, which is ideal for people who are claustrophobic, physically challenged, senior citizens or children. Our MRI is a high performance system that delivers superior image quality while utilizing the latest clinical applications. With the Perth Amboy's serene atmosphere, unsurpassed comfort can be attained while tending to your diagnostic needs.


Computed Tomography(CT-Scan)

CT stands for Computed Tomography. This modality uses X-ray technology, and is one of the most common imaging technologies used today. When X-rays pass through your body, they are read by an array of detectors (in lieu of film) inside the scanner. Images are generated from the number and location of the detectors that the X-rays contact. Anatomy, such as bone and other calcified items, is very dense and presents as bright white on the images. Air, on the other hand, presents as dark (black) on the images. All other tissues, fluids, etc., present on the gray scale, between black and white.

A CT-Scan is utilized to help detect certain conditions that regular X-ray studies cannot diagnose. The CT-Scanner uses an X-ray source like that used in chest X-rays, however, the X-ray beam is so narrowly focused that portions of the body outside of the scanned region receive relatively little radiation. CT-Scan also provides better diagnostic evaluations than MRI in certain conditions, such as lung lesions and acute head trauma, or in certain conditions where an MRI is not advisable, such as cochlear implants, cardiac pacemakers or brain clips.

Our multi-slice CT not only provides excellent diagnostic information, but also allows for a faster scan and 3-D reconstruction time. The multi-slice capability allows for thinner slices, resulting in excellent image quality and diagnostic confidence.


Ultrasound

Ultrasonography is a method of examining parts of the body without the use of X-rays. During an ultrasound examination, a water-soluble "gel" is put on the skin and a transducer or probe is moved over the area to be scanned. Harmless sound waves pass through the area of interest and record a picture on film. The results of the ultrasonography are sent to the referring physician. The types of ultrasound exams and the patient preparation
required are described briefly below.

Patients should bring previous films or related exams and reports to their appointment. This information is very important and will expedite the report of the diagnosis back to the referring physician.

Common Ultrasound Studies

Abdominal Sonogram: for evaluation of the upper abdomen, including the gallbladder, liver, bile ducts, pancreas and spleen. Nothing taken by mouth after midnight the night before the exam. Any special medication that is currently being taken by the patient can be taken with a small amount of water.

Aorta Sonogram: for evaluation of aneurysm. Nothing taken by mouth after midnight the night before the exam.

Bladder Sonogram: for evaluation of the bladder. Adults drink three 8-ounce glasses of water 1½ hours before exam time. The patient should not void. Children require an individualized preparation. Please check with our office.

Breast Sonogram: for evaluation of women with a palpable lump or to clarify the nature of a mass seen on mammography. No prep required. Note: This exam should not be performed for patients with breast pain only.

Carotid Doppler Sonogram: for evaluation of carotid arteries. No preparation required.

Hip Sonogram: For evaluation of congenital hip dysplasia or joint effusion. No preparation required.

Pelvic Sonogram: for evaluation of pregnancy, gynecological problems, abscesses (e.g. appendiceal, diverticular, etc.) and pelvic or lower abdominal masses. This examination does not use radiation in any form and is not harmful to the reproductive organs or unborn babies.

The patient must eat breakfast the morning of the exam to help the body absorb the water and fill the bladder. The patient should drink three 8-ounce glasses of water as quickly as possible 1½ hours before the sonogram. The patient should not void until after the scan.

While having the bladder full for the examination may be uncomfortable, the examination cannot be done otherwise. The bladder must be distended to push the bowel away from the uterus and to act as a "window" for the sound waves to pass through the fluid collected in the bladder. Please note that if the bladder is not full, we may have to reschedule the appointment.

Pregnancy Sonogram: for evaluation of the pregnancy and surrounding structures. Up to 12 weeks of pregnancy, the preparation is the same as the pelvic preparation described above. After 14 weeks of pregnancy, the patient should drink two 8 ounce glasses of water as quickly as possible 1½ hours before the sonogram. The patient should not void until after the scan.

Renal Sonogram: for evaluation of masses, obstruction or calcifications. No preparation is required.

Scrotal Sonogram: for evaluation of scrotal mass or inflammation. No preparation is required.

Thyroid Sonogram: for evaluation of mass or enlargement of the thyroid gland. No preparation is required. If the patient has had any nuclear medicine scans done in this area, it is important to have those studies for this exam.

Transvaginal Sonogram (TV): for evaluation of the endometrium, early pregnancies, and gynecological problems. Any patient currently using tomaxafin or those on hormone replacement therapy should have a transvaginal ultrasound.

The TV exam is performed on a patient who has an empty bladder. If a TV exam is ordered or indicated the patient will be asked to void after the pelvic sonogram.

The sonographer will ask the patient to insert a slender probe into her vagina. The probe is covered with a sterile condom for the patient's protection. The sonographer will then take the end of the probe from the patient and gently move it from side to side. This exam should be painless although sometimes the patient may experience a slight tugging sensation.



Digital mammography

Digital mammography uses essentially the same mammography system as conventional mammography, but the system is equipped with a digital receptor and a computer instead of a film cassette. Clinical accuracy is achieved through the high resolution images which are acquired digitally and displayed immediately on the system monitor. This results in shorter examination times and significantly improved patient comfort and convenience since the time the patient must remain still is much shorter. Images may be magnified and contrast adjusted for a more accurate result.

Current AMA and FDA recommendations include an annual mammogram beginning at age 40 for the early detection of breast cancer. We understand how valuable your time is, therefore we recommend you schedule your bone densitometry with your mammography. Please obtain a prescription from your physician.


Bone Densitometry

DEXA, which stands for Dual Energy X-ray Absorptiometry, produces an intense narrow beam of radiation that quickly and precisely measures bone density. This is the most effective technique to diagnose osteoporosis, a disease which causes bones to fracture easily and effects primarily women. Your bone health is determined by the amount of bone loss recorded.

The DEXA Scan is a safe, painless, non-invasive exam. You will be positioned on the exam table and the computer will calculate your score and from this information the radiologists can diagnose whether your bones are showing signs of osteoporosis. It is recommended to have a baseline scan at 45-50 years of age.



NuCLEAR MEDICINE

Nuclear medicine is a branch of medice and medical imaging that uses radioactive isotopes (radionuclides) in the diagnosis and treatment of disease. Nuclear medicine thus relies on the process of radioactive decay. Molecular imaging may employ nuclear medical techniques when it uses radioisotopes to produce images that reflect biological processes that take place at the cellular and sub cellular level.
Nuclear medicine procedures use pharmaceuticals that have been labeled with radionuclides (radiopharmaceuticals). In diagnosis, radioactive substances are administered to patients and the radiation emitted is detected. The dose to the patient varies depending on the test, but the range is similar to x-rays and CT scans. Children receive a lower amount of radiation that is based on their weight. Usually, no special precautions need to be taken after the study and normal activity can be resumed immediately.
The diagnostic tests involve the formation of an image using a gamma camera or or other gamma detection devices in the techniques of single photon emission tomography SPECT and positron emission tomography. Imaging may also be referred to as radionuclide imaging or nuclear scintigraphy.
Nuclear medicinal tests differ from most other imaging modalities in that diagnostic tests primarily show the physiological function of the system being investigated as opposed to traditional anatomical imaging such as CT or MRI. .

Frequently Ordered Nuclear Scans

  • Bone Scans - Used for the early detection of fractures, tumors, infection and arthritis.
  • Cardiac Scans - The Muga Scan is used to evaluate the function of the heart as a pump. Myocardial perfusion is used to evaluate the coronary blood flow to the heart muscle.
  • Gallium Scan - Detects soft tissue and skeletal infections and tumors.
  • Hepatobiliary Scan - Detects acute cholecystits. May also be used to detect chronic gallbladder abnormalities.
  • Renal Scan - Evaluates kidney blood flow, urine formation and urinary obstruction
  • Thyroid Uptake and Scan - Evaluates thyroid nodules and how well the thyroid is functioning
  • Whole Body Scans - Detects remnant of functioning thyroid and thyroid cancer after surgery.

Digital X-Ray

X-rays are also available at our imaging facility and are still the most frequently employed form of radiology used to complement other diagnostic procedures. With the preferred Digital X-ray technology, radiologist can now make an accurate diagnosis with complete precision by manipulating image quality.