Whether you need a preventive screening study or a diagnostic test to address your healthcare concerns, you can expect high-quality service and accurate results at MISH Hospital and Clinics.
MISH has a full range of testing modalities that include:
• CT Scan
• MRI 3Tesla
• Bone Density Scan
- MISH Radiologists are board-certified
- All MISH Radiology Technicians are ARRT Registered
- All MISH Radiology Technicians are licensed in the state of Kansas
- A preliminary study report is available the same day of testing
- The Radiologist will talk to your doctor that day when critical results are found
- CT and MRI tables are reinforced to accommodate larger weights up to 650 lbs
- CT and MRI bores are wider to accommodate shoulder widths up to 72 cm
- We are happy and able to assist patients with the need for mobility assistance and other special needs
- We are often able to schedule same-day study appointments
- Digital copies of your tests are available on demand
Doctors use imaging testing to make pictures (images) of the inside of your body. All tests use some form of energy (x-rays, sound waves, radioactive particles, or magnetic fields) through your body to create an image. Imaging tests can be used in many ways. They can look for cancer, find abnormalities to explain patient symptoms, help determine if treatment is working, and look for the cause of an obstruction, fever or pain.
Imaging tests are only part of the process of a diagnosis plan and/or treatment regimen. A complete work-up includes your medical history (the doctor asking questions about your symptoms and risk factors), a physical exam, and blood work (or other lab tests or testing modalities).
Digital advancements in technology streamline the reporting process, resulting in efficient and timely communication between our diagnostic team, your primary care physician and any specialists involved in your care. Digital images of your tests can be placed on a DVD for your own records or to take to another health care facility.
Please access the Radiology Forms page for preparatory forms and instructions to help you prepare for your tests.
INTRODUCTION: computed tomography (CT or CT scan) utilizes fast X-rays to capture dozens of “slices” through your body in a rapid sequence. A computer then can generate different views as well as 3D images for the radiologist to look at. MISH’s 128 multi-slice CT scanner allows for shorter exam times and significantly less radiation exposure. The CT has a weight limit of 650lbs and bore size width of 72cm to accommodate wide shoulders and larger weights.
CT scans show a slice, or cross-section, of the body. The image shows your bones, organs, and soft tissues more clearly with more detail than standard x-rays. The ability to manipulate the computer image allows radiologist a better understanding of what is being seen by looking at it from many different angles.
Any questions you might have are answered at the time of scheduling and information and instructions about the test(s) are available in the PATIENT RESOURCE tab under radiology on the menu bar above.
WHAT TO EXPECT
Most CT scanning only takes a few minutes, but your stay can take anywhere from 10 to 30 minutes, depending on what’s being scanned. It depends on how much of your body your doctors want to look at and whether contrast dye is used. It often takes more time to get you into position and give the contrast dye than to take the pictures. After the test, you may also be asked to wait while the results are looked at to see if more pictures are needed.
You may be asked to change out of your clothing. During the test, you will lie on a table which moves through a donut-shaped scanner. You will be in the exam room alone, but you can talk to the CT technologist, who can see and hear what’s going on. Depending on the reason for your exam, your scan may require the use of an oral or IV contrast. Oral contrast is used to highlight the digestive tract, while IV contrast helps visualize blood vessels and organs. If oral contrast (by mouth) is required for your test - you may have to wait for 2 hrs before the CT can be performed. It can take 2 hrs for the contrast to work its way thru your digestive track so that your entire GI track will be visible on the test. If IV contrast is required an IV will be placed in your arm thru which the contrast will be infused by a pump.
Please let your technologist and doctor know if you have a known allergy to iodine, seafood or contrast dye. Additionally, alert your doctor and our staff if you are pregnant or think there is any chance you could be pregnant or breastfeeding. Contrast agents can cause an allergic reaction. Possible reactions include rash, wheezing, shortness of breath, itching or facial swelling that can last up to an hour. These symptoms usually are mild and they most often go away on their own, but they can sometimes signal a more serious reaction that needs to be treated. Be sure to let your radiology technologist and your health care team know if you notice any changes after getting the contrast dye. In rare cases, people can have a severe allergic reaction that causes low blood pressure or trouble breathing and requires treatment right away. The IV contrast dye can also cause kidney problems. This is rare, and it’s more common in someone whose kidneys already don’t work well. If you need a scan with contrast dye, your doctor will first do a blood test to check your kidney function. You may also get extra fluids in an IV to help your kidneys get rid of the dye safely.
INTRODUCTION: like CT scans, MRI is an advanced medical imaging technique that creates cross-section pictures of your insides. Unlike CT, MRI uses strong magnetic fields instead of radiation to make the images. An MRI scan can take cross-sectional slices (views) from many angles. MRI creates pictures of soft tissue parts of the body that are sometimes hard to see using other imaging tests. MRIs are especially helpful in diagnosing soft-tissue injury or disease in the spine, joints, blood vessels, organs, and brain.
MRI is commonly used to diagnose or evaluate:
• Degenerative disorders (bone, joint, and spine)
• Fractures not visible with X-ray
• Herniated discs
• Neck and back pain
• Tears or other injuries to tendons, ligaments, and muscles
• Spinal cord trauma
• Abdominal and pelvic tumors
Because MRI uses a strong magnetic field, you will be asked to leave certain items outside of the scan room, including your wallet, keys, cell phone, watch, hearing aids, jewelry, and other items that could interfere with the magnet. Do not bring credit cards or other items with magnetic scanning strips with you into the exam room – the magnet could wipe out the information stored on them.
Please alert our staff if you have a pacemaker, drug infusion device, or other metal in your body. If you are pregnant or think there is any chance you could be pregnant.
Any questions you might have are answered at the time of scheduling and information and instructions about the test(s) are available in the PATIENT CORNER tab under radiology on the menu bar above.
WHAT TO EXPECT
When undergoing an MRI scan, you will lie down on a movable flat table. The technologist may use straps or pillows to make you comfortable and help keep you from moving. The table then slides into a long cylinder. The part of your body that is being looked at will be in the center of the cylinder. The part of your body that’s being scanned may feel a little warm during the test, this is normal and nothing to worry about.
The test is painless, but you have to lie still inside the cylinder. You may be asked to hold your breath or keep very still during certain parts of the test. The machine may make loud, thumping, clicking, and whirring noises, much like the sound of a washing machine, as the magnet switches on and off. Our staff will have you wear earplugs and offer you music to block the noise out during the test and make you more comfortable. It’s important to stay very still while the images are being made, which can take a few minutes at a time. Tell the technologist if you need to move or take a break. MRI scans usually take between 45 and 60 minutes, but can sometimes take up to 2 hours. After the test, you may be asked to wait while the pictures are checked to see if more are needed.
Some people become very uneasy and even panic when lying inside the MRI scanner. If being in an enclosed space (long cylinder) is a problem for you or you have claustrophobia, you might need to take medicine to help you relax while in the scanner. Talking with your doctor, or technologist, or getting a tour of the MRI machine before the test can help. You will be in the exam room alone, but you can talk to the MR technologist, who can see and hear what’s going on, music can also play to help you relax.
Before the test, you will be asked to undress and put on a gown or other clothes without zippers or metal. People can be hurt in MRI machines if they take metal items into the room . Be sure to remove any metal objects you can, like hair clips, jewelry, dental work, and body piercings. Before the scan, the technologist will ask you if you have any metal in your body. Some metallic objects will not cause problems, but others can. If you have any of these implants, you should not even enter the MRI scanning area unless told to do so by a radiologist or technologist who knows you have:
• An implanted defibrillator or pacemaker
• Clips used on a brain aneurysm
• A cochlear (ear) implant
• Metal coils put inside blood vessels
Also be sure the technologist knows if you have other permanent metal objects, such as surgical clips, staples, screws, plates, or stents; artificial joints; metal fragments (shrapnel); tattoos or permanent makeup; artificial heart valves; implanted infusion ports; implanted nerve stimulators; and so on. You may need to have an x-ray to check for metal objects if there is any doubt. The technologist will have you complete a screening form with a list of metal objects that we have to be made aware of. Bring all ID cards that you were given with an implant or device insertion.
Some tests require use of a contrast material before imaging. If contrast is to be used, you may have IV put into a vein in your arm so the contrast can be given or you may have to swallow it. The contrast material used for an MRI exam is called gadolinium. Let the technologist know if you have any kind of allergies or have had problems with any contrast used in imaging tests in the past. Gadolinium, the contrast material used for MRI, can cause a special complication when it’s given to patients on dialysis or who have severe kidney problems, so it’s rarely given to these patients. Your doctor will discuss this with you if you have severe kidney problems and need an MRI with contrast.
The use of MRI during pregnancy has not been well studied. MRI is usually not done in the first 12 weeks of pregnancy unless there’s a strong medical reason to use it.
INTRODUCTION: ultrasound (also called sonography) utilizes high-frequency sound waves, not x-rays . An ultrasound machine creates images called sonograms by giving off high-frequency sound waves that go through your body. As the sound waves bounce off your organs and tissues, they create echoes, that can be seen on a computer screen. Ultrasound is very good at getting pictures of some soft tissue diseases that do not show up well on x-rays. Ultrasound is also a good way to tell fluid-filled cysts from solid tumors because they make very different echo patterns. Ultrasound does not use X-ray or radiation, so it's not harmful to the body or during pregnancy.
Ultrasound images are not as detailed as those from CT or MRI scans. Ultrasound cannot tell a benign (not cancer) tumor from one that is cancer. Its use is also limited in some parts of the body because the sound waves cannot go through the air (such as in the lungs) or through bone.
Doctors often use ultrasound to guide a needle to do a biopsy (taking out fluid or small tissue samples to be looked at under a microscope). The doctor looks at the ultrasound screen while moving the needle and can see the needle moving toward and into the tumor.
Special ultrasound machines, known as Doppler flow machines, can show how blood flows through vessels. This is helpful because blood flow in tumors is different from that in normal tissue. Some of these machines make color pictures. Unlike other forms of blood vessel imaging, color Doppler studies do not use contrast agents. Color Doppler has made it easier for doctors to find out if cancer has spread into blood vessels, especially in the liver and pancreas.
Any questions you might have are answered at the time of scheduling and information and instructions about the test(s) are available in the PATIENT RESOURCES tab under radiology on the menu bar above.
WHAT TO EXPECT
For the exam, you will lie on a stretcher and an ultrasound technologist (or sonographer) will place an ultrasound probe against your skin. The technologist will put a gel on your skin and move the transducer over the area. The gel both lubricates the skin and helps conduct the sound waves. The gel feels cool and slippery. The gel is used on your skin to help obtain better images. The sonographer watches the images live and captures them for a radiologist to review.
For most ultrasounds, no preparation is needed, but it depends on what’s being studied. Your doctor or nurse will give you instructions about any steps to take before your test. An ultrasound usually takes 20 to 30 minutes. The length of time depends on the type of exam and how hard it is to find any changes in the organs being studied. Ultrasound is a very safe procedure with a low risk of complications.
INTRODUCTION: x-ray, also called radiography, is the most common form of medical imaging. An X-ray machine sends particles through your body, and images are recorded on a computer or film. Dense structures (bone, metal, or contrast material) will appear white. Less dense structures will appear as shades of gray. Air will appear black. X-rays are painless. MRI and CT scans often give better pictures than x-rays. Still, x-rays are faster, easy to get, and cost less than other scans. Any questions you might have are answered at the time of scheduling and information and instructions about the test(s) are available in the PATIENT CORNER tab under radiology on the menu bar above.
WHAT TO EXPECT
Usually, x-rays are taken by an x-ray technologist. You will undress to expose the part of the body that will be x-rayed, removing jewelry or other objects that might interfere with the image. You may be given a gown or drape to wear. You will be asked to sit, stand, or lie down, depending on what part of the body will be x-rayed. Your body is put up against a flat box that holds the x-ray film. The technologist then moves the machine to aim the beam of radiation at the right area. You may have special shields put over parts of your body near the area being x-rayed so that they are not exposed to the radiation. Usually, the technologist leaves the room to operate the machine by remote control. Your exposure to the x-ray is very brief—usually less than a second. You may hear a buzzing or clicking sound while the machine is working.
Other than removing metal objects that might interfere with the picture, no special preparation is needed before having a standard x-ray.
Contrast studies provide some information that standard x-rays cannot. Due to advances in technology, many X-ray contrast studies once used for diagnosis are being replaced by other methods, such as CT or MRI scans. During an x-ray contrast study, you get a dose of a contrast material that outlines, highlights, or fills in parts of the body so that they show up more clearly on an x-ray. The contrast material may be given by mouth, as an enema, as an injection, or through a catheter (thin tube) put into various tissues of the body. For most of these tests, the images can be captured either on x-ray film or by a computer.
Alert our staff if you are pregnant or think there is any chance you could be pregnant, or if you have allergies to contrast, shellfish or iodine.
CHEST X-RAY. For a chest x-ray, often 2 views are taken. First, you stand with your chest against the x-ray film and the image is taken from the back. Your arms will be at your side. Then often a side view is taken with your arms either above your head or in front of you. The technologist will tell you when to take a deep breath and hold still. For a chest x-ray in people who can’t stand, the film is placed in the back of them and the picture is taken from the front. Abdomen x-ray. During an abdominal (belly) x-ray, you lie down on a table. You may be asked to change position or sit up if more than one view is needed. Again, you will need to hold your breath and lie still while the picture is taken quickly. After the exposure, the technologist will come back to the room to move the machine out of the way, remove any protective shields, collect the film, and help you back to the changing room where you can get dressed.
Diagnostic fluoroscopy is a dynamic x-ray. Fluoroscopy utilizes live x-ray (continuous x-rays) to diagnose certain conditions, diseases, or to visualize moving structures or evaluate the function of structures. The amount of radiation a patient is exposed to during continuous x-ray is greater. The exams most commonly performed include:
• Barium enema & barium swallow
• Small bowel series
• Upper GI series
• Video swallow
Each exam requires very specific preparation–sometimes 24 hours or more in advance of your procedure. Preparation for a contrast study depends on the test. You may be asked not to eat anything or to prepare in other ways before the test. Any questions you might have are answered at the time of scheduling and information and instructions about the test(s) are available in the PATIENT CORNER tab under radiology on the menu bar above.
Alert our staff if you are pregnant or think there is any chance you could be pregnant.
WHAT TO EXPECT
Lower GI series (barium enema):
This x-ray study is used to look at the lining of the colon (large intestine) and rectum.
Your food may be restricted for a few days before the test. Laxatives and/or enemas are used to clean out the colon. For the test, you lie secured on a table, and a series of x-rays is taken. Then liquid barium is put into your colon through a small, soft tube placed in your rectum. The liquid feels cool. More images are taken while the table tilts you into different positions. You have to lie still and hold your breath as each image is taken. After the test, you can go to the toilet to pass the barium solution out of your bowels. (It may take a few days until it’s all out. Your stool may be drier, harder, and light colored during this time). To get clearer pictures, a “double-contrast” exam is often done. This exam uses a smaller amount of thicker barium liquid. After the barium is in, air is put into your bowel. This can cause a sense of fullness and discomfort, along with an urge to empty your bowels.
The test can be uncomfortable. Some patients have abdominal (belly) cramping. Many patients find the test makes them tired. The barium contrast material will make your stools a light color for a few days after the test and may cause constipation.
Upper GI series:
This test is used to study the lining of the esophagus (swallowing tube), stomach, and the duodenum (first part of the small intestine). You will probably be asked to not eat or drink for 8 to 12 hours before the exam. As with the lower GI series, you lie on a tilting table while a series of x-rays are taken. You will need to swallow a barium mixture a few times during the test. (In some cases, substances other than barium are used.) You might also be asked to swallow baking soda crystals to create gas in your stomach. Sometimes pictures are taken a few hours later so the doctor can see the small intestine (it takes time for the barium to move from the stomach to the small intestine). This is called a small bowel follow through. After the test, you may be given a laxative to speed up getting the barium out of your body.
The barium mixture has the thickness of a milkshake and tastes chalky. Baking soda crystals can cause gas and belching. After the test, your stools will be a light color for a few days, and you may be constipated.
Tell your doctor if you could be pregnant or are breastfeeding before having any of these tests.
DEXA BONE DENSITY
A bone density test (also called DEXA bone density) uses X-ray measurements of your bones to determine how much calcium and other minerals are in your bones. The test helps your health care provider detect osteoporosis and predict your future risk of fractures.
WHAT TO EXPECT
You will be asked to lie down on a table and lay still. During the scan, you will be exposed to a very small amount of radiation–less than the amount needed to perform a chest X-ray. The exam is painless and only takes a few minutes. Your health care provider will use the report to determine treatment options if needed. Alert our staff if you are pregnant or think there is any chance you could be pregnant.