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Medical Imaging

Thanks to technological advances in digital imagery, we're able to produce medical images with stunning detail and clarity. More importantly, these high-resolution images provide physicians with the necessary tools to offer exceptional patient care. Whether it's the early diagnoses of heart disease, the early detection of cancer, or an injury assessment, patients benefit from today's imaging technology.

Advanced medical imaging includes:

Mammography

Mammography is an x-ray exam of the breast. We provide digital mammography at both the hospital and KDH Medical Office Building, adjacent to the hospital. Digital mammography is the gold standard for high resolution images that helps physicians accurately read and evaluate mammograms.

Mammography can be performed as a screening exam or a diagnostic exam. Screening exams can be done annually on women age 40 and above who are not having any symptoms or issues in the breast - and can be scheduled by the patient.

To schedule a screening mammogram, call our medical imaging schedulers at 812.801.0440 or 812.801.0686. Many appointment times are available, including some evening appointments.

Diagnostic exams are performed on patients who have a symptom or issue in their breast. The patient’s physician or provider must order this type of mammogram.

The best protection against breast cancer is early detection. Mammography can assist in detecting breast cancers early throughroutine screening mammograms, routine self-breast exams, and routine provider checkups.

For more information about the benefits of mammography contact your physician or provider.

Ultrasound

Ultrasound uses sound waves rather than x-rays to acquire images. Ultrasound can be used to evaluate many organs of the body. Most commonly, ultrasound is used to evaluate the liver, gallbladder, breast, thyroid, reproductive organs, and kidneys. Ultrasound can also be used to assist during biopsies and with localization of fluids in the body.

Ultrasound is routinely used on pregnant patients to assess the health of their unborn child.

KDH has new Samsung ultrasound equipment that provides superior resolution. Of special interest is the amazing 4D ultrasound capability with this system! 4D ultrasound displays a 3D image in live time.

4D Ultrasound for Babies

Parents-to-be are excited to meet their baby! Now, expectant parents can view incredible images of their baby before he or she is born thanks to this amazing technology. For an upfront fee of $125, patients can have their own OB 4D ultrasound experience! Up to 10 family members and friends can be invited to share in this 4D OB Ultrasound where images are displayed on a large flat screen television. 3D images are taken by the technologist and put on a disc for the parents to take home with them.

Please note:
OB 4D Ultrasound is not a diagnostic exam; it is for entertainment purposes only. Insurance does not cover OB 4D Ultrasound exams; they are self-pay only.
There are occasional limitations with OB 4D Ultrasound exams. For example, sometimes the baby’s position, amniotic fluid, or gestational age may affect the outcome of the images.

OB 4D Ultrasound exams can be scheduled by callingour medical imaging schedulers at 812-801-0440 or 812-801-0686.Please note that you do not have to be a patient at KDH to take advantage of this special offer. For optimal imaging, OB 4D Ultrasound exams should be scheduled between 27 and 30 weeks of gestation. (Twin pregnancies should be scheduled between 24 and 26 weeks of gestation.)

With the exception of OB 4D Ultrasound exams, all other ultrasound examinations must be scheduled through your provider. For more information about ultrasound, please contact your provider.

MRI

MRI (Magnetic Resonance Imaging) utilizes a strong magnetic field rather than x-rays to acquire images. MRI is a popular imaging tool due to the excellent resolution and detail it can provide. While an MRI can beused to evaluate many structures in the body, it is most commonly used to evaluate the brain, spine, abdomen, joints, and other soft tissue structures of the body such as ligaments, tendons, muscles, and arteries.

Technology
KDH has a 1.5 Tesla GE Optima 450W MRI unit which provides superior resolution.

There are many contraindications associated with MRI. You will be thoroughly screened by your provider and again by the technologist performing your exam in order to keep you safe.

MRI exams can be scheduled directly through your provider. For additional informationabout MRI exams, please contact your physician or provider.

CT (CAT) scan

CT (Computed Tomography) utilizes x-rays to create a cross-sectional image of the anatomy being examined so that doctors can view one layer of anatomy at a time.

Technology
KDH has a 64 slice GE Lightspeed scanner which provides excellent resolution and enables a quick examination time. CT is a very popular imaging tool due to the detail provided in the images. It is used often to assess potential head injuries or strokes. It can also be used to localize or detect blood clots in the lungs, kidney stones, appendicitis and tumors. CT scans are frequently performed for evaluation of the head, face, neck, chest, abdomen, pelvis, spine, and extremities.

CT exams can be scheduled directly through your provider. For more information about CT examinations, please contact your provider.

PET scan

A PET (Positron Emission Tomography) Scan is an imaging test that allows your provider to check for diseases in your body. The scan uses a special “dye” that has radioactive tracers which are injected into a vein in your arm. Your organs and tissues absorb the tracers and then imaging is performed. By identifying body changes at the cellular level, PET may detect the early onset of diseases such as cancer before it is evident on other imaging tests. PET is also used as a follow up tool to see how diseases like cancer are responding to treatment.

KDH is contracted with Shared Medical Services which provides us with a mobile PET scanner and PET technologists who provide PET services for our patients. Shared Medical Services utilizes the most advanced PET imagery available, providing superior resolution and detailed images. Shared Medical Services staff members are held to the same standards of excellence you would expect from any KDH employee.

PET examinations are scheduled through a provider. For more information about PET exams, please contact your provider.

Bone Density

Osteoporosis (loss of bone mineralization) can be devastating. That’s why it’s important for aging patients to complete a simple procedure known as bone density testing. A bone density test shows your provider the strength and density of your bone tissue. Catching bone loss early can help you prevent further bone loss and osteoporosis. The test is simple and non-invasive.

Technology
KDH purchased new equipment in May of 2016. We have a Hologic Verizon W unit. This is the most technologically advanced unit on the market. Bone density exams use a narrowly collimated beam of x-rays to image the spine, hip, and/or wrist area to detect osteopenia or osteoporosis. Bone density exams can also be used to assess vertebral fractures or narrowing of the vertebrae, which can be associated with osteoporosis.

Bone Density exams can be scheduled through your provider. Please contact your provider for more information regarding bone density testing.

Stereotactic Biopsies

We know how scary it can be to learn that you need a breast biopsy. We provide stereotactic breast biopsy capabilities so that our patients needing this type of service can stay close to home and be in an environment of friendly, familiar, and caring technologists and doctors who will provide quality care and service.

A stereotactic breast biopsy utilizes equipment that yields a precise needle placement for biopsy extraction of the affected tissue. The breast tissue is numbed prior to placement of the needle.

Following this minimally invasive biopsy, the patient is recovered by a registered nurse and is then allowed to leave with no restrictions!

Please note that KDH also offers ultrasound guided breast biopsies (in which a biopsy is obtained of the affected tissue under ultrasound guidance) as well as breast needle localizations (in which a needle is placed in the breast into the affected tissue and the patient is then sent to surgery for removal of the tissue).

Fluoroscopy

Fluoroscopy is a special type of x-ray that shows anatomical structures in real-time! Fluoroscopy can be performed on many organs of the body. Most commonly, fluoroscopy is ordered by a provider to evaluate the esophagus, stomach, small bowel, or colon. Barium is often used as a contrast medium to assist in visualization of these structures.

Fluoroscopic exams can be scheduled directly through your provider. For more information about fluoroscopic examinations, please contact your provider.

Nuclear medicine

Unlike conventional x-ray, in which the image forming radiation comes from an x-ray tube, nuclear medicine requires the injection of a radioactive material into the patient’s vein which is then absorbed by or taken up in the organ(s) of interest. After a specified wait time, the patient is placed under a detector that detects the organ’s molecular functioning and creates an image. Because nuclear medicine is performed at the molecular level, it can detect disease processes or fractures earlier than conventional x-ray.

Nuclear medicine can be utilized to image internal organs as well as the skeletal system.

KDH utilizes a GE Infinia Hawkeye 4 nuclear medicine system for superior quality in imaging.

Nuclear medicine studies must be scheduled through your provider. For more information on nuclear medicine, please contact your provider.

3D CTA imaging

3D CTA (Computed Tomography Angiography) Imaging is an advanced CT technique in which cross-sectional images are reformatted to create amazing 3D visualization of the anatomical structures under examination. 3D CTA examinations can be done to provide a non-invasive visualization of blockages or aneurysms in blood vessels. In addition, 3D CTA can be used to detect Peripheral Artery Disease (PAD). It can also be performed for an intricate examination of skeletal fractures. This can aid orthopedic physicians with fracture care and potential surgery. CTA exams can be used for many other applications as well. CTA exams can be scheduled directly through your provider. For more information about CTA exams, please contact your provider.

In June of 2016, KDH partnered with 3DR, LLC which is located in Louisville, KY. Prior to this partnership, KDH reformatted all of their own 3D CT images. This was a lengthy process. The partnership with 3DR allows us to send cross-sectional CT images to 3DR where they reformat the files into 3D images and send them back to us. This allows us to provide a quicker exam and report turn-around-time for all of our patients. In addition, 3DR, LLC has the latest in technology to ensure optimal quality 3D imagery.

PACS

KDH has McKesson PACS (Picture Archival Communication System) which is used to archive and retrieve all medical imaging examinations.

All imaging performed at KDH is digital in nature. Therefore, all of our imagery is computer-driven which allows for greater efficiency in obtaining images and in retrieving prior images for comparison. Digital images are seen in seconds following the exposure whereas film based images took several minutes to process.

Compared to film based imaging, digital imaging also provides superior contrast resolution, meaning that structures are more clearly delineated and separated from surrounding structures in the images. In addition, doctors can adjust the gray scale and brightness of digital images to better visualize certain structures.

C-ARMS

The c-arm is a mobile fluoroscopy unit that uses x-rays to create a real-time image. Surgeons often use c-arms during their cases that require implementation of hardware into a broken or diseased bone. The c-arm enables the surgeon to view the process in real-time during the surgery to help them ensure the accuracy and success of the procedure. The c-arm can also be used during pacemaker and infusaport surgical procedures to ensure accurate placement of the device in the patient. KDH not only utilizes c-arm imaging for a variety of surgical procedures, but also in the pain clinic during spine injections to ensure accurate placement of the injection. C-arm imagery can also be performed for various procedures in the emergency room or in the patient’s room.

We're here to help. You can reach one of our Medical Imaging team members during regular business hours at 812.801.0132. If you have specific questions about your scheduled exam, let us know or speak with your physician or provider.

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