Memorial Health System of East Texas

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Livingston Imaging Department

The Livingston Imaging Department is an inpatient and outpatient facility located within CHI St. Luke's Health Memorial Livingston. The imaging department is a comprehensive, state-of-the-art imaging center servicing those patients staying in patient rooms, coming into the Emergency Department or needing outpatient imaging exams. CHI St. Luke's Health Memorial Livingston also provides imaging services in a separate outpatient facility offering comprehensive imaging exams, including open MRI.

Recent imaging technology upgrades at CHI St. Luke's Health Memorial Livingston allow patients to stay close to home for most of their diagostic studies. The imaging center’s technology and equipment include Magnetic Resonance Imaging (MRI), 128-Slice Computed Tomography (CT), 4D Ultrasound, Digital Mammography, Bone Density, Cardiac Imaging Nuclear Medicine and Diagnostic Radiography (X-ray and Fluoroscopy). The recent acquisition of CHI St. Luke's Health Memorial Livingston Diagnostics, a free-standing center, allows the hospital to better serve its patients.

The Livingston Imaging Department is an all digital, film-less imaging center, utilizing the Picture Archiving and Communication System (PACS) to deliver images for interpretation and storage. Allowing for a faster report turnaround time, PACS offers physicians the opportunity to consult patients on their results much sooner.

Scheduling and admission is easy. For outpatient studies, you or your physician can schedule your appointment. Either fax your physician orders prior to exam day or bring them with you when you register. The admissions desk is located in the front lobby of the hospital. Check in by giving your name and you will be asked to be seated for a moment until the next registration clerk is available. After signing all applicable forms, a guest services escort will walk with you or push your wheelchair to the imaging department.

Patients who are temporarily staying at CHI St. Luke's Health Memorial Livingston may be brought to the department from their room. However, some equipment, such as ultrasound and x-ray, is mobile and exams can be performed in the patient rooms if needed.

MRI, CT, Ultrasound and Diagnostic Radiography have technicians on shift or on call in the event of an emergency.

Below is a brief description of each modality.

Magnetic Resonance Imaging (MRI)

Magnetic Resonance Imaging (MRI) uses a strong magnetic field and radio waves to align the hydrogen atoms in the body to see internal organ and tissue images without the use of radiation. These images show the difference between normal and diseased tissue enabling physicians to diagnose abnormalities.

MRI is a valuable tool to diagnosis conditions in the body including cancer, heart and vascular disease, stroke, breast disease, and joint and musculoskeletal disorders. Physicians use MRI scans to define anatomy and evaluate abnormalities related to head trauma, brain aneurysms and tumors, spinal cord trauma, glands and organs within the abdomen, and the structure of joints, soft tissues and bones.

Patients with a pacemaker, aneurysm clips or metal implants cannot be scanned due to the strong magnetic pull associated with the MRI. Some patients may experience claustrophobic feelings when their head is positioned inside the MRI bore. If you experience claustrophobia, please consult your physician prior to your exam date about taking a mild sedative.

Computed Tomography (CT)

The 128-Slice Computed Tomography (CT) uses x-rays to obtain multiple images from different angles around the body. As the fastest CT machine in the area, the noninvasive, painless medical test helps physicians diagnose and treat various medical conditions such as kidney, lung, liver, spine, blood diseases, cancer, tumors and cysts, as well as blood clots, hemorrhages and infections.

While CT uses X-ray technology, it is distinguished from other diagnostic imaging tools like traditional X-ray and MRI by its ability to display a combination of soft tissue (like muscles, tissue, organs and fat), bones and blood vessels all in a single image. CT imaging is useful because the tissue is seen with great clarity, making disease diagnosing much easier.

A computer processes this information to create an image showing body tissues and organs in cross-sectional views called slices. Imagine the body as a loaf of bread and you are looking at one end. As you remove each slice of bread, you can see the details of the next slice. CT scan slices are similar allowing physicians to see small areas from different views.

The Livingston Imaging Department recently introduced a 128-slice CT scan -- the only one of its kind in East Texas -- which produces results in just four minutes and gives physicians a clearer image than ever before.

Patients who are unable to complete a MRI study, due to pacemaker, defibrillator or claustrophobia, can have a CT exam. Depending on the type of CT scan ordered, you may be asked to modify your diet. Some exams require that you drink a contrast material prior to your exam. Other exams require a contrast material injection, usually in a vein in the arm. The study usually takes about 20 minutes to perform.

4D Ultrasound

Ultrasound, or sonography, uses high frequency sound waves to produce images of the fetus and internal organs.

The state-of-the-art 4D imaging system is used to help monitor and diagnose conditions in many parts of the body. Sound waves are transmitted by a transducer through the patient and reflected back when reaching the area being examined. Areas that are monitored are the growth of an unborn child, arteries, veins, liver, gallbladder, pancreas, thyroid gland, lymph nodes, ovaries, testes, kidneys, bladder and breast. Abnormal lumps in one of these organs can be determined as a tumor or fluid-filled cyst. The imaging system also assists in diagnosing gynecological issues by allowing physicians the capability to study the uterine cavity, the fallopian tubes and the ovaries in detail. It also assists in the detection of ectopic pregnancies, ovarian cysts and endometrial polyps. The 3D and 4D capabilities allow for enhanced breast imaging and elastography, a non-invasive method of detecting tumors.

Because it can be used in the most delicate conditions without major side effects, ultrasound has become one of the most popular diagnostic methods among both patients and physicians. It provides a safe, fast and relatively painless means of diagnostic imaging on an outpatient basis.

Digital Mammography

According to the National Breast Cancer Foundation, Inc.®, breast cancer incidence in women has increased from 1 in 20 in 1960 to 1 in 8 today. If detected early, the five-year survival rate for this disease exceeds 95%1. MAMMOMAT NovationDR enables physicians and clinicians to better pinpoint disease and plan treatment. The system also meets the demands of modern mammography practices like CHI St. Luke's Health Memorial by providing digital screening, diagnosis, and stereotactic biopsy capabilities—all in one system.

At 24 by 29 centimeters, the size of the MAMMOMAT NovationDR image detector allows imaging of a wider range of patient breast sizes, and its new paddle design provides easier and more comfortable patient positioning. The system enables a direct conversion of X-ray to digital information and features MammoReportPlus, a multi-modality workstation for mammography with the ability to accept Computer Assisted Diagnosis (CAD) markers from approved vendors—which helps increase cancer detection rates. MammoReportPlus provides ultra-fast, high-volume mammogram reading, permitting users to switch between eight-view mammographic studies in less than one second—improving workflow in the process.

Bone Density

A bone mineral density test, also known as a DEXA (dual-energy x-ray absorptiometry) scan, is a non-invasive and painless method to determine your bone health. The test measures how many grams of calcium and other bone mineral content are within a certain segment of bone. The higher your mineral content, the denser and stronger your bones are and less likely to break. Doctors use a bone density test to identify osteoporosis, determine your risk for fractures and monitor response to osteoporosis treatment.

Bone density is measured in the spine, wrist, and hip. These locations are the most likely to break because of osteoporosis.

The results from the scan will help your physician determine if medical supplements are necessary to increase your bone density.

Post-menopausal women over the age of 65 are recommended to have a bone density test.

The radiation exposure is minor (less than someone receives with a chest x-ray).

Nuclear Medicine

A Nuclear Medicine exam is a diagnostic procedure that uses a radioactive tracer substance and a special camera to image body and organ anatomy and function non-invasively. The Imaging Department was one of the first hospitals in the state to obtain the Symbia® S Nuclear Medicine system with high definition digital detectors that offer exceptional imaging performance and expanded clinical capabilities. Tumors, infection and other disorders can be detected by evaluating organ function. Nuclear Medicine is used to:

  • Analyze kidney function
  • Image blood flow and function of the heart
  • Scan lungs for respiratory and blood-flow problems
  • Identify blockage of the gallbladder
  • Evaluate bones for fracture, infection, arthritis or tumor
  • Determine the presence or spread of cancer
  • Identify bleeding into the bowel
  • Locate the presence of infection
  • Measure thyroid function to detect an overactive or underactive thyroid

Nuclear Medicine has become a very popular method of diagnosing and following coronary artery disease without the risk involved with cardiac catheterization. Nuclear medicine is the primary way metastatic bone disease is diagnosed.

Some scans require certain preparations prior to the appointment. Procedures involving evaluation of the stomach require the patient to arrive at the appointment with an empty stomach (NPO). Another procedure evaluating the kidneys requires the patient to drink plenty of water before the test. Your physician or the imaging center staff can give you preparation instructions for your exam.

Diagnostic Radiology – X-ray

Diagnostic radiography, also known simply as x-ray, is the oldest, most frequently used form of medical imaging. It is widely used to identify healthy and abnormal conditions in the body. X-ray imaging is fast, easy and painless. It is useful in the diagnosis and treatment of bony and soft tissue injuries, infections, and fractures. Common x-ray exams are:

  • Bone fracture, healing process or changes in bones
  • Joint dislocation, fluid build up
  • Injury or damage from infection, arthritis, abnormal bone growths or bone disease
  • Chest to evaluate lungs, heart and chest wall
  • Assist in detection and diagnosis of cancer
  • Locate foreign object

Diagnostic Radiology – Fluoroscopy

Fluoroscopy uses a continuous x-ray beam to create a sequence of images that are digitally transmitted to a high-resolution TV monitor. The body part and its motion can be seen in “real time” detail.

Fluoroscopy enables physicians to look at many body systems, including the skeletal, digestive, urinary, respiratory, and reproductive systems. Fluoroscopy is used to evaluate specific areas of the body, including the bones, muscles and joints, as well as solid organs such as the heart, lung or kidneys. Examinations and procedures that use fluoroscopy along with preparations are:

  • Intravenous Pyelogram (IVP)- You may be asked to take a mild laxative (in either pill or liquid form) the evening before the procedure. Drink extra fluids until midnight. Nothing to eat or drink from midnight until after test completed.
  • Upper Gastrointestinal (GI) Tract series – Barium Swallow - You may be asked to take a mild laxative (in either pill or liquid form) the evening before the procedure. After midnight, you should not eat or drink anything.
  • Lower Gastrointestinal (GI) Tract series – Barium Enema - You may be asked to take a mild laxative (in either pill or liquid form) and to use an over-the-counter enema preparation kit the evening before the exam and possibly a few hours before the procedure. Only clear liquids should be taken on the day before. After midnight, you should not eat or drink anything.
  • Small Bowel series - You may be asked to take a mild laxative (in either pill or liquid form) the evening before the procedure. After midnight, you should not eat or drink anything.
  • Arthrogram - Nothing to eat or drink for four hours prior to exam.
  • Voiding Cystogram - There is no preparation for this exam.
  • Hysterosalpingogram - There is no preparation for this exam.
  • Myelogram

Do not eat or drink for 8 hours before you have this test. You may need to take a laxative or have an enema before the test to empty your bowels.

Diagnostic radiography does involve some exposure to radiation. However, special care is taken during the exam to minimize exposure and maximize safety for the patient by using lead aprons or shields to block radiation when needed during the exam. The radiation dose for diagnostic radiography is about the same as the average person receives from everyday background radiation in about 10 days.

Always consult your physician on the detailed instructions to prepare for a test. Inform your physician of any medications you are taking and any allergies, especially to contrast materials. Some medications may be taken prior to an exam and others may negatively interact with your results.

Livingston Radiology Services Provided through Baylor College of Medicine

Livingston Radiology Services Provided through Baylor College of Medicine

As part of continuing efforts to integrate and partner with CHI St. Luke’s Health, Baylor College of Medicine will assume the exclusive contract to provide professional Radiology services... Continue reading