Home Page –

1,132 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,132
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Home Page –

  1. 1. Home Page – Additional Promo Area Pain Management – (Link to pain management page) Inland Imaging may be able to help with a painful or uncomfortable condition. We offer specialized procedures to alleviate and subside specific pain. Learn more about Inland Imaging’s Pain Management options. Schedule a Screening Mammogram - (Link to mammography page) The American Cancer Society recommends women over the age of 40 schedule an annual screening mammogram. Early detection of breast cancer can greatly increase your chances of treatment of the disease and survival. Schedule your mammogram today. Cardiovascular Health - (Link to cardiovascular page) Heart disease is the number one cause of death in United States. Inland Imaging offers several procedures that may better evaluate your risk and help your doctor develop a treatment plan. Latest News CT Radiation Exposure Strictly Monitored to Minimize Risk to Patients NFL Preventive Cardiologist Says Early Detection Key to Offsetting Heart Disease Inland Imaging Expands Services to Deer Park, Washington. Inland Imaging AchievesPET/CT Accreditation Rotating Message Cardiovascular Disease How Do I know if I might be at Risk? Women’s Health Women at High Risk of Breast Cancer Should Pair their Mammogram with a Breast MRI Events Race for the Cure and the Women’s Show Three Inland Imaging Doctor’s Selected to the Area’s Best Doctor List Inland Vascular Institute Message (Link) Venous Disease: A half million people suffer from ulceration of the lower extremity as a result of longstanding venous disease. Learn more. For Physicians (Link) iSite PACS Login Username Password Go
  2. 2. Rotating Message 1 (Explain) Cardiovascular Disease – Am I at risk? Inland Imaging along with area medical professionals are taking a proactive approach to better aid in offsetting the deadly effects of cardiovascular disease in the United States. Research has shown early detection can greatly decrease the risk of heart attack or stroke. Through new imaging and screening procedures, your doctor can prescribe life saving or life prolonging assistance before a heart attack or stroke occurs. Traditionally, patients are unaware of possible vascular problems or other indicators associated with heart disease until a major health problem happens. Inland Imaging has prepared a cardiovascular protocol to educate patients of their cardiovascular health. Ask you doctor if you are interested in cardiovascular health screening. Here are general steps that Inland Imaging and your doctor can take to measure your risk: Step 1: Assess and evaluate your baseline data, family history, and current healthcare information. This includes cholesterol screening, fasting lipid profile, age and gender. The information gathered will determine if you are at risk and what potential treatment options are available. Step 2: Based on initial history, blood analysis, cardiac scoring, and patient symptoms, a cardiac intama medial thickness (IMT) ultrasound may be ordered to further evaluate your cardiac capacity and health. The arterial fibrous cap can be analyzed for architecture and stability. The IMT test can potentially ascertain arterial occlusion and the need for immediate or prophylactic surgical and pharmacologic intervention. Step 3: An early stage or late stage Cardiac CTA may be ordered based on initial evaluation in order to determine the presence of soft plaque and your heart stability. Considered by most clinicians as the gold standard for Cardiac diagnosis, the Cardiac CT provides a 3-D orientation to identify architectural anomalies and soft-plaque presence, progression, and stability. Rotating Message 2 (Explain) Women’s Health Women at High Risk of Breast Cancer Should Pair their Mammogram with a Breast MRI Based on new guidelines from the American Cancer Society, it is now suggested that women with a high risk of developing breast cancer pair their mammograms with an MRI scan. These tests together provide a greater opportunity for doctors to determine early signs of cancer. Catching these warning signs early can open the way for more accurate and less invasive treatment options, increasing the chance of patient survival. The guidelines recommend MRI screening in addition to mammograms for women who meet at least one of the following conditions: • they have a BRCA1 or BRCA2 mutation. • they have a first-degree relative (parent, sibling, child) with a BRCA1 or BRCA2 mutation, even if they have yet to be tested themselves. • their lifetime risk of breast cancer has been scored at 20% -25% or greater, based on one of several accepted risk assessment tools that look at family history and other factors. • they had radiation to the chest between the ages of 10 and 30. • they have Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley, Ruvalcaba syndrome, or may have one of these syndromes based on a history in a first-degree relative. Screening MRI is now recommended for women with a 20-25% or greater lifetime risk of breast cancer. This includes women with a strong family history of breast or ovarian cancer as well as women who were treated for Hodgkin’s disease. However, there is still conflicting evidence that would suggest MRI screening for women with dense breasts, a history of LCIS (lobular carcinoma in situ), or personal history of breast cancer.
  3. 3. In addition, a study published by The New England Journal of Medicine reported that women with breast cancer in one breast may benefit from a contralateral breast MRI. 10% of women diagnosed with breast cancer develop a tumor in the opposite breast, even though no evidence of abnormalities was found in their initial exam. In the study, 969 women underwent an MRI scan of the contralateral breast soon after being diagnosed with unilateral breast cancer. The MRI detected abnormalities in 121 patients, 30 of which that were found to have invasive breast cancer. As with all diagnostic imaging, breast MRI is not always the most accurate means of evaluating a patient. MRI screenings can result in more false-positive results than mammography, thus leading to unnecessary biopsies, increased patient anxiety, and greater risk of adverse health effects. They are about 10 times as expensive as a standard mammogram and do not have strong data to support MRI as an alternative to mammography. These factors confirm the need to carefully screen and educate patients and their referring physician before utilizing breast MRI technology. For those women that have been categorized as “average-risk” by their doctor and have symptoms, the American Cancer Society recommends scheduling an annual screening mammogram and breast exam beginning at age 40. Women with a “high-risk” of developing breast cancer should begin having alternating breast MRIs and mammograms by age 30, unless otherwise determined by the women’s doctor. MRI (Magnetic Resonance Imaging) is a powerful diagnostic tool that uses magnetic fields, not radiation, to create images of the body. The best MRI technique involves the use of a special “breast coil” to enhance the magnetic field. During a breast MRI, the patient lies still on her stomach and is administered a contrast agent via IV as the machine creates images of the body. Breast MRI is useful in: • problem solving associated with those patients that present difficult diagnostic obstacles • breast implant evaluation • screening a woman who is at high risk for cancer because of a significant family history of breast cancer or an abnormal breast cancer gene. Breast MRI is used in women who are found to have breast cancer cells in an axillary lymph node, but have no known breast mass that doctors are able to feel or see on a mammogram. In these cases, where mastectomy is typically recommended, MRI can help find the precise site of the cancer’s origin within the breast. Finding the cancer’s primary site can expand a woman’s treatment options to include lumpectomy plus radiation and mastectomy. Inland Imaging is one of few Northwest centers that offer MRI breast exams as well as breast MRI guided biopsies, as they are not readily available everywhere. Inland Imaging is gaining valuable expertise to read these tests more reliably. Dr. Florence Gin, a breast-imaging radiologist at Inland Imaging, says “The new guidelines released by the American Cancer Society and the article published by The New England Journal of Medicine serve as crucial resources for determining the use of breast MRI. We can now diagnose breast cancer earlier by utilizing both mammography and breast MRI in high risk patients.” The American Cancer Society’s new guidelines are based on studies that were published after they last revised its early detection guidelines from 2002 and 2003. The panel in 2003 concluded there was not sufficient evidence to recommend MRI scans for high risk women. The result of these studies advised women to talk with their doctor’s based on their individual case. Now, in 2007, more concise data is available to support MRI as a successful imaging tool for certain women. For more information regarding possible risk factors, mammogram screenings, and MRI breast exams, please contact Inland Imaging at 509.747.4455. Rotating Message 3 (Explain) Events Race for the Cure and the Women’s Show
  4. 4. The 4th annual Spokane Women’s Show partnered with the 3rd annual Race for the Cure on April 18-20 at the Spokane Convention Center in downtown Spokane. The show attracted over 6,000 women throughout the region seeking of information, entertainment and education. The net proceeds of the Show will help Sacred Heart replace the Women’s Health Center Coach and equip it with the latest in mammography technology. Inland Imaging radiologists read the mammography images and are major supporters of the coach. Hundreds of women stopped by the Inland Imaging booth to receive some great gifts and talk with area medical professionals. Inland Imaging staff members and medical professionals were on hand to address the latest advancements in women’s health. Rotating Message 4 (Explain) Three Inland Imaging Doctor’s Selected to the Area’s Best DoctorList Dr. Cubberley, Dr. Raabe, and Dr. Luna chosen Inland Imaging is proud to announce that three of our own distinguished doctors have been selected as one of the “Best Doctors” for 2008 as determined by a Boston-based Best Doctors Association. The issue is released yearly and features area doctors that are honored for their achievements and participation with the medical community. The March issue of Spokane/Coeur d’Alene Living Magazine lists each highlighted individual as a “best doctor.” Look for the March addition of the magazine when visiting our Inland Imaging centers. Each doctor is listed with experience and years of service. Other Inland Imaging Business Page Inland Imaging, recognized as an international business and healthcare leader, has expanded services in the Western United States and offers business services, physician staffing, investments, imaging centers, and software development. The vision of these companies directly contributes to the success of Inland Imaging’s diverse growth. Inland Imaging Investments Incorporated Inland Imaging Business Associates Inland Imaging Physician Services Inland Imaging Arizona RadWorkFlow Inland Imaging Investment Incorporated Inland Imaging Investment Inc., formed in 1984, owns and operates medical imaging and medical imaging-related businesses that are consistent with the objectives of long-term growth and provide a return on investment to its constituents and Inland Imaging Investment Shareholders. The company consists of one CEO, Steve Duvoisin, and owns percentages of Inland Imaging LLC, and Inland Imaging Arizona. Inland Imaging Investments Inc., fully owns Inland Imaging Business Associates, 2 imaging center buildings, and the Inland Imaging Business Center. Inland Imaging Business Associates Inland Imaging Business Associates is a team of skilled business professionals dedicated to the success of physicians and other health care providers through the delivery of integrated intellectual and technological business services. Formed in 1996 as an expanded entity of the Inland Imaging administrative team into its own company, Inland Imaging Business Associates started with 50 employees. The company has grown to staff over 200 and serves nearly 20 clients. The company provides business solutions for a medical practice including practice management, accounting, billing, strategic planning, finance, marketing, operations management and our fastest growing area - information technology.
  5. 5. We are expanding our presence in the West during 2007. Services Team Clients Careers Contact Us Services Inland Imaging Business Associates offers a variety of medical and business related services to medical practices. Through real time experience, we are able to assess your business problems better than traditional consulting companies that are in the business of dispensing advice. Integration of new technology to our clients' operations is nationally recognized. We offer a full range of services from full practice management to fast answers to very specific questions. We can help you with your basic business services such as billing, accounting, operations management, information systems, human resources and marketing. We can also assist you with: - Mergers between radiologists or vascular surgeons or primary care groups - Financial analysis of imaging centers and individual imaging projects - Design and implementation of complex radiology information systems - Facilitation of partnership between hospitals and radiology groups around outpatient imaging Information Systems Accounting Billing Operations Management Marketing Strategic Planning Finance Human Resources Practice Management Our practice management team has over 20 years of experience managing and growing radiology practices employing over 70 radiologists around the Northwest. Our experience includes: * Managing growth of practices * Facilitating group mergers * Managing group dynamics * Managing hospital relationships * Automating radiologist scheduling process Information Systems Our information technology team has grown dramatically in the last 10 years as the need for IT professionals in radiology has exploded. Our radiology IT experience includes: * GE/IDX Radiology Information System setup & maintenance * GE/IDX Flowcast System set-up and maintenance * PHILIPS/STENTOR PACS distributor and development partner * Responsibility for over 700,000 electronic exams each year
  6. 6. * Multi-state data and voice network setup and maintenance * 24/7 help desk * Custom Applications Development * PC setup and support systems * Data warehousing * Over 40 IT professionals on staff Accounting Our accounting team has over 20 years of radiology accounting experience. Our radiology accounting experience includes: * Setup and maintenance of Great Plain Dynamics accounting * Modality and location - specific cost accounting * Compensation analysis for radiologists * Basic accounting services including payroll, general ledger and financial statement preparation * Banking management Billing Our billing staff has been providing radiology billing for over 25 years. Our average days in receivables has been less than 50 days. Our billing experience includes: * Efficient billing of all radiology, surgery and primary care codes * Aggressive management of private pay patients * Knowledge of IDX billing systems including interfaces with hospital information systems * Certified coding experts for radiology and primary care * Fee schedule calculation and analysis * Medicare compliance oversight Operations Management Our team began managing imaging centers in 1984 and has achieved a national reputation for efficient and productive operations. Our experience includes: * Set up of new Imaging Centers * Achieving 25%-30% return on equity * Using detailed operational metrics * Developing technologies to streamline center workflow * Building construction and facilities management * Turnaround of failing imaging centers Marketing Our group has grown client volumes through use of practical marketing techniques as well as using standard public relations tools. Our team is experienced with: * Radiology marketing directed to referring physicians * Graphic design, writing and web development * Use of metrics to determine marketing effectiveness * Focus group management * Marketing plan development * Referring physician survey tools * Market Analyses o Demographic o Product / Service o Competitive
  7. 7. o Market Segmentation o Focus Groups o Physician Survey Tools * Marketing Programs o Defining marketing & advertising objectives (awareness, volume growth, new positioning, etc) o Positioning of organization / product / service o Referring physician marketing & education (CME) programs o Consumer marketing & advertising channel evaluation (reach / cost / market demographics) o Consumer advertising o Brochure & ad content development o Marketing & collateral advertising material development o Pre & post marketing / advertising metrics (volumes / $$) Strategic Planning Our team has assisted groups ranging in size from 6 physicians up to 45 physicians through careful strategic planning and execution of expansion plans. Our ability to look into the future and position our clients successfully is well established. Our abilities include: * Organizing radiology groups to deal with a challenging future * Helping radiologists understand the business side of radiology and involving them in operations. * Assisting groups to internally come to common ground * Helping physicians understand the importance of planning * Working with groups through the merger process Finance Our finance team works closely with our accounting team to use practice data to develop projections for future projects. Our finance group has experience including: * Managing banking relationship * Negotiating financing for major equipment with vendors * Providing detailed data for imaging center construction projects * Analyzing future projects for practice * Analyzing current practice operations * Assisting physicians with compensation models * Negotiating health plan contracts Human Resources Our HR group has experience including: * Establishing pay and employment policies * Employee recruiting * Employee safety and health * Benefits structures * Practice Management Team We have assembled a team of medical business professionals with strong backgrounds in practice management medical facility operations. Their knowledge is gained through yearsof experience in all aspects of starting and operating successful medical practices. Unlike most consultants, our team is responsible for practice success on a
  8. 8. daily basis. This unique perspective is invaluable when solving your healthcare business problem or managing a project. CEO (Inland Imaging Investments Inc.) – Steve Duvoisin CEO (Inland Imaging Business Associates) – John Copeland COO (Inland Imaging, LLC) – Kathleen Wilson COO (Inland Imaging Physicians Services) – Sarah Russell CFO (Inland Imaging Business Associates) – TaviLohman CAO (Inland Imaging Physician Services) – Toni Cooley CIO (Inland Imaging Business Associates) – Cole Hanford CRO (Inland Imaging Business Associates) – Dan Heibert CMO (Inland Imaging Business Associates) – Dennis Hake Corporate Compliance Officer/Contract Manager - Lindley Armiger Director of Business Development – Kevin Kirk Human Resources Director – Shari Yamane Coordinator, Patient Accounting – Sandy Nadeau Coordinator, Patient Accounting – Kristin Ankerbrand Coordinator, Patient Accounting – Colleen McCafferey Director of IT Services – Jeff Kelly PACS Manager – Mike Lent RadWorkFlow Director – April McKenna Compensation & Benefits Manager – Jennifer Johnson Design and Brand Manager – Fran Zabawa Marketing Specialist – Jason Miller RWF Director – Jeff Sund Quality Assurance Manager – Sarah Panzeri Director of RIS – Jason Koller Accounting Director – Justin Ladd CEO (Inland Imaging Investments Inc.) – Steve Duvoisin Steve started with Inland Imaging in late 1984 when Inland opened its first imaging center with six radiologists and 25 employees. His background as a CPA with an MBA has helped guide Inland through many changes in the regional health care environment. Steve has worked with the radiologists to expand Inland Imaging to 60 radiologists, five vascular surgeons and 325 employees working in four imaging centers. Steve's specialties are strategic planning, hospital relationship management, marketing and financial analysis. Contact: steve@inlandimaging.com CEO (Inland Imaging Business Associates) – John Copeland Jon led the IIBA Information Technology Services team for more than ten years. Jon's training and experience across many IT industries makes him a unique resource in any medical group's attempt to implement and operate new healthcare information technology services. The IT staff consists of approximately 32 professionals and provides application service provider (ASP) services for Stentor PACS, IDX Flowcast practice management and billing systems, IDX Imagecast Radiology Information Systems, and Allscripts Electronic Medical Record Systems. The team also provides systems integration and development, general information technology implementation, networking, pc and overall helpdesk support. Jon previously worked for a large radiology group in Sacramento, California. Prior to healthcare, he worked in IT in the biotechnology, manufacturing and distribution industries. Contact: jcopeland@inlandimaging.com COO (Inland Imaging, LLC) – Kathleen Wilson Kathleen has been an integral part of the management team of Inland Imaging since 1987 and has helped develop and implement its marketing plan. Since Kathleen joined them, she has helped Inland Imaging revenues increase by 155%.
  9. 9. She has a degree in international business and marketing from Gonzaga University and is well versed in the special marketing needs of medical practices. Contact: kwilson@inlandimaging.com COO (Inland Imaging Physicians Services) – Sarah Russell Sarah began working with Inland Imaging in 1997 after graduating from the University of Washington. She has seen the group grow from 14 radiologists to 47 radiologists, 5 vascular surgeons and 3 physician assistants and has been an integral part of managing all of the professional aspects relating to this growth. Sarah has also been very involved in the expansion of IIPS into the Seattle market where Inland now has 7 radiologists and 2 professional service contracts. She has a very clear understanding of the professional issues relating to radiology, including work flow management, staff planning and physician scheduling, client contract management and quality assurance. Contact: srussell@inlandimaging.com CFO (Inland Imaging Business Associates) – Tavi Lohman Tavi is a graduate of Washington State University where she majored in accounting. She has eight years of public accounting experience including working as an audit manager for international public accounting firms in San Francisco, Seattle and Spokane. She is responsible for the IIBA financial division which includes accounting and patient medical billing services. Accounting service includes financial statement preparation and analysis, cost accounting, accounts receivable and payable, cash and fixed asset management, payroll processing, and materials purchasing. Patient medical billing services are provided using the IDX Flowcast system and include all aspects of medical billing including CPT and diagnosis coding, charge entry, claim submission, statement processing, insurance company follow up, private pay collections, and insurance company contract review/negotiation. Contact: tlohman@inlandimaging.com CAO (Inland Imaging Physician Services) – Toni Cooley Toni brings 28 years of health care experience to the IIBA team. She holds a degree in health care administration and has most recently worked as administrative director for Providence Cancer Center in Spokane. Toni is responsible for overseeing all daily operations of the organization. She is accountable for work flow management, staff planning, client contract management, quality assurance, human resource services, and marketing. Contact: tcooley@inlandimaging.com CIO(Inland Imaging Business Associates) – Cole Hanford Chief Technology Officer. Cole has been with IIBA for over nine years. He has contributed immensely to building a five- state computer network connecting over 200 servers and 8000 users, granting instant access to over 25 terabytes of online data. His breadth of knowledge in extremely technical areas of radiology systems and networking are a great asset to Duvoisin and Associates. Additional work experience includes Ticketswest.com and adjunct professor at Gonzaga University. Contact: chanford@inlandimaging.com CRO (Inland Imaging Business Associates) – Dan Heibert Dan Hiebert is our Chief Revenue Officer responsible for payor contracting, reimbursement and data management/informatics. Dan was previously the associate administrator of the Rockwood Clinic. He joined our team in 2006, bringing with him nearly 20 years of experience in financial/data analysis. Dan has a bachelor’s degree in business administration from Eastern Washington University and is currently finishing his master’s degree in business administration from Gonzaga University.
  10. 10. Contact: dhiebert@inlandimagingbusiness.com CMO (Inland Imaging Business Associates) – Dennis Hake Dennis is responsible for developing, implementing, and overseeing the strategic marketing efforts for Inland’s operations and imaging center services in Washington, Oregon, Montana, and Arizona. He has over twenty years of sales and marketing experience in the healthcare, technology services, and manufacturing sectors. Dennis has a bachelor of business administration degree from Pacific Lutheran University. Prior to joining Inland Imaging he was the Director of Business Development, Advanced Input Systems, Coeur d’ Alene, ID Contact: dhake@inlandimaging.com Corporate Compliance Officer/Contract Manager - Lindley Armiger Lindley joined IIBA in 2000 bringing over 28 years of healthcare and healthcare systems experience. In her current role, Lindley is responsible for ongoing activities related to the organization and development of high-quality document management processes to maximize customer satisfaction. She actively assists in design, monitoring and process improvement of appropriate practices. Lindley is the HIPAA privacy official for IIBA, Inland Imaging, LLC, and Inland Imaging Associates, PS and is responsible for ongoing activities related to compliance and is part of the project implementation group for HIPAA security compliance. Contact: larmiger@inlandimaging.com Director of Business Development – Kevin Kirk Kevin is responsible for identifying, analyzing, and developing new and existing market opportunities for IIBA and its clients. Key emphasis is placed on company, service, and product market positioning and leveraging their strengths. Kevin has a bachelor's w/distinction in business administration from The George Washington University, and a master's in business administration from Dartmouth's Tuck School of Business. Prior to joining Inland Imaging he was the general manager for Pointshare and prior to that was a senior contracting representative for a major Washington state healthcare insurance carrier. Contact: k.kirk@inlandimaging.com Human Resources Director – Shari Yamane Shari Yamane is the Human Resources Director responsible for employees with Inland Imaging Business Associates and for its clients. Shari joined our team in 2006, bringing with her over 20 years of experience in the human resources field. Contact: syamane@inlandimaging.com Coordinator, Patient Accounting – Sandy Nadeau Sandy has 23 years experience in the healthcare field and is experienced in all aspects of medical billing, including capitation contracts. She attended college for three years taking health science classes including anatomy and physiology, biology and computer science. Sandy is a certified professional coder and is a member of the AAPC and INMGMA. Sandy currently leads the procedural coding and compliance department for Inland Imaging Business Associates which consists of a staff of 17. She also is involved in RVU and fee analysis for Inland Imaging Business Associates. Contact: snadeau@inlandimaging.com Coordinator, Patient Accounting – Kristin Ankerbrand
  11. 11. Kristin has worked in healthcare administration and billing capacities for various health care entities since 1987. She leads the insurance specialist team and is responsible for monitoring payer reimbursement and payer aging for over $150 million in billed claims annually. Kristin works directly with the payers to address claim-processing issues, which affect the timeliness and appropriateness of reimbursements. Contact: kankerbrand@inlandimaging.com Coordinator, Patient Accounting – Colleen McCafferey Colleen has over 22 years of experience with medical self pay collections and customer service. Colleen joined Inland Imaging Business Associates in 1993 as a collection specialist and currently leads a team of nine collectors specializing in medical collections, and five payment posters. Our emphasis is on providing outstanding customer service combined with timely reimbursement in an ever changing economic environment. Contact: cmccaffery@inlandimaging.com Director of IT Services – Jeff Kelly Jeff joined Inland Imaging Business Associates in 1998 after graduating from Eastern Washington University with a degree in management information systems. Jeff leads the team responsible for the ImageCast RIS Application, which currently has over 5,000 users throughout the Northwest. Contact: jkelly@inlandimaging.com PACS Manager – Mike Lent Mike leads the Inland Imaging Business Associates PACS (Picture Archiving and Communication System) team which provides medical imaging and distribution services to the medical communities of the Inland Northwest as well as to the Seattle, Vancouver and Portland areas. He has over 25 years experience in the areas of customer service, service management, project management and medical imaging. Contact: mlent@inlandimaging.com RadWorkFlowDirector – April McKenna April has a bachelor's degree in business management and began working at Inland Imaging Business Associates in 2000. She is responsible for the daily operations of organization as they relate to the radiology workflow software application, RadWorkFlow. April plays a key role in the successful implementation of projects, policies and procedures. Contact: amckenna@inlandimaging.com Compensation & Benefits Manager – Jennifer Johnson Jennifer is a graduate of Eastern Washington University with degrees in human resource management, general management and accounting. She has worked with Inland Imaging Business Associates for almost eight years beginning in payroll and accounting. She is currently an HR coordinator responsible for benefits and pay services including the administration of all retirement plans and all health & welfare plans. Contact: jmjohnson@inlandimaging.com Design and Brand Manager – Fran Zabawa Fran is responsible for the creative direction and design of business identity packages, collateral marketing materials, targeted advertising campaigns, continuing education programs and website content. She has more than 20 years of experience in award winning design encompassing advertising agencies, design studios, software companies and corporate departments. She earned her bachelor's in fine arts with an emphasis in graphic design from Washington
  12. 12. State University. Prior to joining Duvoisin, Fran was the art director for Inland Northwest Health Services in Spokane. Previous companies Fran has worked for include Aldus Inc. and Asymetrix Software in Seattle. Contact: fzabawa@inlandimaging.com Marketing Specialist – Jason Miller Jason coordinates and handles all press relations as well as copy writing responsibilities for Inland Imaging. He also has an interactive media creation background as both a television producer and as managing partner of a Spokane based marketing group. He is a graduate of the University of Idaho with a degree in Communication. Contact: jmiller@inlandimaging.com RWF Director – Jeff Sund Jeff was hired in early 2008 as the Product Director for Inland Imaging’s RadWorkFlow system. Mr. Sund had been the Director of International Services at Itron, Inc. prior joining Inland Imaging. He graduated from the University of Minnesota with a degree in Chemical Engineering and has over 25 years experience in technical project management, implementation, and business development. Quality Assurance Manager – Sarah Panzeri Information to come Director of RIS – Jason Koller Information to come Accounting Director – Justin Ladd Information to come *Careers (Cyber Recruiter) Inland Imaging Physician Services As clinical imaging specialists, the Inland Imaging Physicians Services goal is to provide quality diagnostic imaging professional support to our referring physicians and their patients throughout the Western United States. Our partnerships with healthcare organizations in the area are vital to our growth. Our experience and reputation have allowed us to share our vision in other regions. As a group, we are committed to the ongoing professional and personal development of our physicians and staff. We value not only the professional contribution of each of our members, but also their personal participation in our local community. RadWorkFlowLLC RadWorkFlow is an advanced software system created by Inland Imaging developers to enhance the electronic distribution of radiology and hospital information across multiple platforms. More information can be found at www.rwfllc.com Locations
  13. 13. Each Inland Imaging center was built with the patient in mind. Our goal is to ensure that a visit to one of our centers is as comfortable, clean, and as safe as possible. Every facility offers an inviting and friendly environment to better accommodate visitors. Inland Imaging invests in groundbreaking technology and reviews the standards of each piece of equipment on a regular basis. Upgrades and remodels are in constant cycle in order to keep pace with the ever-changing medical community. Spokane North Spokane South Spokane Valley Sacred Heart Medical Center Deer Park Arizona Spokane North (Holy Family Hospital) 5715 North Lidgerwood Spokane, WA 99207 509.747.4455 Hours: 6:30am – 9:00pm MRI CT General Radiology Ultrasound/Vascular Bone Densitometry Digital Mammography Spokane South (SouthCenter) 525 S. Cowley St. Spokane, WA 99202 509.747.4455 Hours: 6:00am – 8:00pm MRI CT General Radiology Ultrasound/Vascular Nuclear Medicine Spokane Valley Center 12420 East Mission St. Spokane Valley, WA 99216 509.747.4455 Hours: 6:30am – 8:00pm MRI CT General Radiology Ultrasound/Vascular
  14. 14. Bone Densitometry Digital Mammography Sacred Heart Center(Sacred Heart Doctors Building) 105 West 8th Avenue Suite 100C, 125C Spokane, WA 99204 509.747.4455 Hours: 6:30am – 8:00pm MRI PET/CT General Radiology Ultrasound/Vascular Bone Densitometry Digital Mammography Deer Park Center 702 South Park Rd. Deer Park, WA 99006 509.747.4455 Hours: 10:30am – 7:00pm MRI CT General Radiology Inland Imaging Business Center 801 S. Stevens St. Spokane, WA 99204 Phone: 509.747.4455 Fax: 509.459.0182 Hours: 8:00am – 5:00pm Gilbert, Arizona 2940 East Banner Gateway Drive Suite 150 Gilbert, AZ 85234 480.543.6900 Hours: 8:00am – 5:00pm MRI CT General Radiology Ultrasound Bone Densitometry Digital Mammography
  15. 15. Services Inland Imaging is an internationally recognized leader in medical imaging services. A specialized team of physicians and staff maintain this distinction by providing the highest level of compassion and knowledge possible, prompting reports and services to be delivered in a timely manner. Specific imaging services offered by Inland Imaging include CT, MRI, X-ray, Mammography, Nuclear Medicine, Ultrasound, Bone Densitometry, and PET/CT. Interventional Radiologists on staff are at the forefront of groundbreaking procedures and exciting new research, creating new treatment options in ontological, cardiovascular, orthopedic, and neurological disorders. Brain and Spine Women’s Health Body Injury and Orthopedics Cancer Cardiovascular Stomach and Gastrointestinal Pain Management CT MRI X-Ray Mammography Ultrasound Nuclear Medicine Bone Densitometry PET/CT Interventional Radiology Laser Treatment Brain and Spine Inland Imaging offers a wide variety of Neurological imaging services to better diagnose abnormalities, exclude the presence of disease, and evaluate injury of the brain, spine, head, and neck. Our Neuroradiologists are specially trained in the diagnostic imaging of conditions such as trauma, stroke, tumors, degenerative disorders, vascular malformations, and aneurysms. Inland Imaging physicians and staff are dedicated to providing the highest quality imaging of neurological diseases. In addition, our fellowship-trained radiologists utilize image-guided interventions to treat disease or injury. Inland Imaging works closely with clinical specialists including neurologists, neurosurgeons, spine surgeons, and head and neck surgeons. Spine Back Pain MRI Stroke Headaches Dementia Alzheimer’s Multiple Sclerosis Spine Our Neuroradiology Team offers the latest and safest techniques specializing in comprehensive screening, diagnosis, and treatment of spine disease or injury through using the following imaging procedures including Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and Myelography.
  16. 16. A CT uses a special x-ray technique to obtain multiple images from different angles and then joins them together using advanced computer technology to show 2 dimensional and even 3 dimensional images of the spine. MRI uses a combination of common radio waves and a magnetic field to obtain remarkably detailed images of the spine, including the spinal cord. MRI images of the neck and spine are clearer and more detailed than other imaging methods, enabling the detection of abnormalities that might be obscured by bone on a CT or x-ray. The purpose of a myelogram is to evaluate the spinal cord and nerve roots for displacement or compression. In most cases, myelography, is used when other studies have failed to yield enough information to confirm a diagnosis. Myelogram is excellent in evaluating the presence of arthritic bone spurs, narrowing of the spinal cord, or malformation of the spine. Spine imaging procedures can help diagnose and plan treatment options associated with a herniated disc, low back pain, neck discomfort, piriformis syndrome, radiculopathy, scoliosis, stenosis, infection, tumor detection, and spondylosis or spondylolisthesis. Like our radiologists, our highly trained staff and technologists are specially trained in orthopedic and neurological care. Inland Imaging, along with the care of your family practice doctor and other specialists, can provide advanced medical resources to better aid in your recovery. Back Pain Back pain is the second most common cause of visits to the doctor's office behind cold and flu. Neck and low back pain can be the result of multiple causes, and often requires the use medical imaging to find exact reason for the discomfort. Following a physical exam that includes an assessment of sensation, strength, and reflexes, your doctor may order various diagnostic studies to determine more precisely the nature and extent of a possible disorder. These studies may include x-ray, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), or myelogram. X-ray (or radiograph) is a painless medical test that helps physicians diagnose and treat medical conditions. Taking and x-ray involves exposing a part of the body to a small dose of radiation to produce pictures of inside the body according to degree of density. X-raysare the oldest and most frequently used form of medical imaging. A CT uses a special x-ray technique to obtain multiple images from different angles and then joins them together using advanced computer technology to show 2 dimensional and even 3 dimensional images of the spine. MRI uses a combination of radio waves and a magnetic field to obtain remarkably detailed images of the back or neck, including the spinal cord. MRI images of the neck and spine are clearer and more detailed than other imaging methods, enabling the detection of abnormalities that might be obscured by bone on a CT or x-ray. The purpose of a myelogram is to evaluate the spinal cord and nerve roots for displacement or compression. In most cases, myelography, is used when other studies have failed to yield enough information to confirm a diagnosis. Myelogram is excellent in evaluating the presence of arthritic bone spurs, narrowing of the spinal cord, or malformation of the spine. Neurological MRI The use of MRI provides diagnostic images to better detect abnormalities of the brain, neck and spine soft tissues. MRI is the most sensitive exam for brain tumors, strokes, and chronic disorders of the nervous system such as multiple sclerosis. In addition, it is a useful means of discerning brain abnormalities with dementia, and is commonly used for patients with disease of the pituitary gland and other brain disorders. MRI uses a combination of radio waves and a magnetic field to obtain remarkably detailed images of the back or neck, including the spinal cord. MRI images of the neck and spine are clearer and more detailed than other imaging methods, enabling the detection of abnormalities that might be obscured by bone on a CT or x-ray.
  17. 17. MRI is an excellent tool to diagnose bulging, degenerated, or herniated disks – frequent causes for severe lower back pain. An MR angiography (MRA) is an MRI that may be ordered to study the blood vessels and aid in the treatment of brain disorders, stroke, and blood vessel disease. After detection, patients with arterial disease can now even have treatment in the radiology department rather than undergoing surgery in an operating room. MRA can be used to screen asymptomatic patients with a family history of arterial aneurysm, a ballooning of a vessel wall, and if an aneurysm is found, it can often be treated before serious bleeding occurs. Another application of MRI technology is the use of MR spectroscopy (MRS). This technique generates a representation of the chemical composition of a region of the brain rather than producing an image. MRS is a special technique used to characterize the biochemistry of tumors, infarcts, and other pathology. It can be a useful addition to conventional MRI to distinguish tumors, strokes, and other disease. An MR venography (MRV) also utilizes MRI technology and is highly accurate in show blood flow in the veins of the head and neck. Inland Imaging also offers an open MRI machine specially designed to accommodate patients with special needs including individuals that suffer from severe claustrophobia or are too large or fragile for a conventional MRI machine. The “open” design allows for free movement around the patient and is not enclosed. Generally, an open MRI exam takes longer and does not produce the same resolution image of a standard MRI. Stroke A stroke occurs when the blood supply to a certain area of the brain is disrupted. When certain parts of the brain are denied blood flow, body function, thought processes, and communication can be affected. Stroke is the third leading cause of death in the United States and is the leading cause of disability. Reducing the risk of vascular disease can greatly decrease the likelihood of a stroke. There are two primary types of stoke, ischemic and hemorrhagic. An Ischemic stroke is the result of a blood clot or thrombus obstructing the vessel and causing lack of blood to a region of brain tissue. This tissue begins to degenerate without the necessary blood supply. A Hemorrhagic stroke is caused by bleeding into the brain by a breakage in a blood vessel. This produces too much blood for the brain tissue, leading to cellular damage. Inland Imaging Neuroradiologists have several imaging tests and their discretion to either detect the risk of a stroke or examine and provide treatment options the post-stroke symptoms. Magnetic Resonance Imaging (MRI), Computed Tomography (CT), and Vascular Ultrasound are great imaging tools to better diagnose problems associated with stroke. MRI uses a combination of radio waves and a magnetic field to obtain remarkably detailed images of the back or neck, including the spinal cord. MRI images of the neck and spine are clearer and more detailed than other imaging methods, enabling the detection of abnormalities that might be obscured by bone on a CT or x-ray. An MR angiography (MRA) is an MRI that may be ordered to study the blood vessels and aid in the treatment of brain disorders, stroke, and blood vessel disease. After detection, patients with arterial disease can now even have treatment in the radiology department rather than undergoing surgery in an operating room. MRA can be used to screen asymptomatic patients with a family history of arterial aneurysm, a ballooning of a vessel wall, and if an aneurysm is found, it can often be treated before serious bleeding occurs. Another application of MRI technology is the use of MR spectroscopy (MRS). This technique generates a representation of the chemical composition of a region of the brain rather than producing an image. MRS is a special technique used to characterize the biochemistry of tumors, infarcts, and other pathology. It can be a useful addition to conventional MRI to distinguish tumors, strokes, and other disease.
  18. 18. A CT uses a special x-ray technique to obtain multiple images from different angles and then joins them together using advanced computer technology to show 2 dimensional and even 3 dimensional images of the spine. Inland Imaging has the unique advantage of offering a CTA or Computed Tomography Angiography to visualize blood flow in arteries and veins throughout the body. This exam is used to screen patients for arterial disease and identify aneurysms or vascular malformations. CT angiography is increasingly employed in the evaluation of patients with acute stroke and produce even more detailed images than MRA. CT perfusion is a technique that evaluates blood flow to the brain and allows neuroradiologists to detect portions of the brain with impaired blood flow. The CT perfusion test is most often used in providing critical information on acute stroke patients. A vascular ultrasound may be ordered to examine blood vessel health or evaluate the presence of arterial plaque. This painless test does not submit the patient to radiation, but rather uses sound waves to generate an image of vascular structures and evaluate risk for vascular disease. In some cases, an interventional radiology procedure may be needed to treat a variety of disorders associated with stroke without surgery. Through the use of x-raysor other imaging techniques, interventional radiologists are able to open arteries when narrowed or occluded. Headaches Inland Imaging is able to offer imaging techniques to help diagnose and treat patients suffering from recurrent and painful headaches. Cluster headaches, migraines, and rebound headaches are the most common diagnoses for patients suffering from repeat headaches and are generally symptomatically diagnosed by your family caregiver. However, in extreme cases, diagnostic medical imaging may be needed to look for more severe causes of a headache. A neuroradiologist may use Magnetic Resonance Imaging (MRI), Computed Tomography (CT), and Positron Emission Tomography/CT (PET/CT) to aid diagnosing or ruling out a hematoma, brain aneurysms, meningioma (brain tumor), or brain trauma. MRI uses a combination of radio waves and a magnetic field to obtain remarkably detailed images of the back or neck, including the spinal cord. MRI images of the neck and spine are clearer and more detailed than other imaging methods, enabling the detection of abnormalities that might be obscured by bone on a CT or x-ray. An MR angiography (MRA) is an MRI that may be ordered to study the blood vessels and aid in the treatment of brain disorders, stroke, and blood vessel disease. After detection, patients with arterial disease can now even have treatment in the radiology department rather than undergoing surgery in an operating room. MRA can be used to screen asymptomatic patients with a family history of arterial aneurysm, a ballooning of a vessel wall, and if an aneurysm is found, it can often be treated before serious bleeding occurs. Another application of MRI technology is the use of MR spectroscopy (MRS). This technique generates a representation of the chemical composition of a region of the brain rather than producing an image. MRS is a special technique used to characterize the biochemistry of tumors, infarcts, and other pathology. It can be a useful addition to conventional MRI to distinguish tumors, strokes, and other disease. A CT uses a special x-ray technique to obtain multiple images from different angles and then joins them together using advanced computer technology to show 2 dimensional and even 3 dimensional images of the spine. CT perfusion is a technique that evaluates blood flow to the brain and allows neuroradiologists to detect portions of the brain with impaired blood flow.
  19. 19. A Positron Emission Tomography/CT test provides anatomical detail, such as size or location of a mass, and metabolic detail, such as cellular activity of a mass. Inland Imaging’s PET/CT scanner is one of the most powerful imaging tools available for localizing, evaluating and therapeutic monitoring of head and neck cancer. Dementia Dementia is a progressive brain dysfunction that results in limitations with daily activities and increases with advancing age. Alzheimer’s patients commonly suffer from dementia and require long term care to help aid with impaired memory and orientation dysfunctions such as concentration, proper judgment, personality changes, and impaired motor skills. In order to better diagnose and treat dementia, your primary care physician may order brain imaging tests such as Magnetic Resonance Imaging (MRI), Computed Tomography (CT), and Positron Emission Tomography/CT (PET/CT) MRI uses a combination of radio waves and a magnetic field to obtain remarkably detailed images of the back or neck, including the spinal cord. MRI images of the neck and spine are clearer and more detailed than other imaging methods, enabling the detection of abnormalities that might be obscured by bone on a CT or x-ray. A CT uses a special x-ray technique to obtain multiple images from different angles and then joins them together using advanced computer technology to show 2 dimensional and even 3 dimensional images of the spine. A Positron Emission Tomography/CT test provides anatomical detail, such as size or location of a mass, and metabolic detail, such as cellular activity of a mass. Inland Imaging’s PET/CT scanner is one of the most powerful imaging tools available for localizing, evaluating and therapeutic monitoring of head and neck cancer. Alzheimer’s More than 5 million American’s have been diagnosed with Alzheimer’s, a disease affects brain function. Alzheimer’s patients commonly suffer from dementia and require long term care to help aid with impaired memory and orientation dysfunctions such as concentration, proper judgment, personality changes, and impaired motor skills. Though there is not a cure for Alzheimer’s, treatment for symptoms combined with the professional support can make a patient live a more comfortable and productive life. In order to better diagnose and treat Alzheimer’s, your primary care physician may order brain imaging tests such as Magnetic Resonance Imaging (MRI), Computed Tomography (CT), and Positron Emission Tomography/CT (PET/CT) MRI uses a combination of common radio waves and a magnetic field to obtain digital images of the head or brain. MRI images are clearer and more detailed than other imaging methods, enabling the detection of abnormalities that might be obscured by bone on a CT or x-ray. A CT uses a special x-ray to obtain multiple images from different angles and then joins them together using advanced computer technology to show a cross section of the brain. A Positron Emission Tomography (PET/CT) test provides anatomical detail, such as size or location of a mass, and metabolic detail, such as cellular activity of a mass. Inland Imaging’s PET/CT scanner is one of the most powerful imaging tools available for localizing, evaluating and therapeutic monitoring of head and neck cancer. Multiple Sclerosis Multiple Sclerosis is a result of inflammation of the white matter of the central nervous system. Over time, destruction of myelin or the fatty covering that insulates nerve cell fibers in the brain and spinal cord begins to hamper the transmission of electrochemical messages between the brain, spinal cord, and rest of the body. When the myelin becomes damaged, neurological transmission of messages may be slowed or blocked completely, leading to diminished or lost function. The name "multiple sclerosis" signifies both the number (multiple) and condition (sclerosis, meaning scarring or hardening) of the demyelinated areas in the central nervous system.
  20. 20. To monitor or diagnose Multiple Sclerosis, your healthcare provider may order a Magnetic Resonance Imaging (MRI) test to help distinguish new plaques from old and help locate central nervous system lesions. Magnetic Resonance Spectroscopy (MRS) is a now used to investigate MS. Unlike MRI, which provides an anatomical picture of lesions, MRS yields information about the biochemistry of the brain in MS. MRI uses a combination of common radio waves and a magnetic field to obtain digital images of the head or brain. MRI images are clearer and more detailed than other imaging methods, enabling the detection of abnormalities that might be obscured by bone on a CT or x-ray. MR spectroscopy (MRS) is an application of MRI technology that generates a plot representing the chemical composition of a region of the brain rather than generating a picture. Women’s Health At Inland Imaging, we are dedicated to women’s health and offer the most advanced diagnostic imaging procedures available. Highly trained medical professionals and board-certified radiologists deliver outstanding care in a comfortable and compassionate environment. We work closely with our patients and their health care providers to provide timely and accurate results. Breast Imaging Reproductive Imaging Osteoporosis Breast Imaging Breast cancer is the second leading cause of cancer death in women today. It is estimated that one in seven women in the U.S. will develop breast cancer in her lifetime. Yet research shows the 5-year relative survival rate for those who detect their breast cancer early is 82 percent. Inland Imaging provides you and your physician with state-of-the-art technology and advanced medical expertise to gain important information about your breast health. The breast imaging procedures offered include screening and diagnostic mammography, breast ultrasound, breast biopsies, breast MRI, and PET/CT. Mammography services at Inland Imaging are accredited by the American College of Radiology (ACR) and certified by the Food and Drug Administration (FDA). Inland Imaging’s radiologists who read breast-imaging studies are board- certified physicians who specialize in diagnostic breast imaging. Our mammography technologists are dedicated mammography professionals who perform over 45,000 exams annually. A screening mammogram is an examination used for women who have no symptoms of breast problems and is performed in private by a qualified female technologist. The results of your examination are read and interpreted by a specialized radiologist. The American Cancer Society (ACS) recommends a yearly screening mammogram for all women age 40 years and older. A screening mammogram procedure does not require a referral from your doctor. If you would like to schedule a screening mammogram for yourself or receive additional information, please call 455-4455. Computer aided detection (CAD) technology reviews a patient’s film and evaluates it after the radiologist has made an initial interpretation. Studies show that CAD analysis improves the detection of early cancer by as much as eight to ten percent. If the software detects any abnormalities on the mammogram film, it marks them. The radiologist then reviews the marked areas to determine if the areas are suspicious and require further evaluation. A diagnostic mammogram is a problem-solving exam that may involve additional views of the breast and is ordered after an abnormality or symptom is found in an initial screening. The technologist who performs the exam works closely with a radiologist to determine the best images needed to aid in the breast evaluation. This work up will determine if
  21. 21. further imaging is needed, such as a breast ultrasound or breast MRI. Breast ultrasound is a noninvasive exam that uses sonar technology to determine if a suspicious area is a fluid filled cyst or a solid mass that require further testing, such as a biopsy. A breast biopsy is a tissue sampling technique used to confirm or rule out the presence of breast cancer. Breast biopsies can be surgical or non-surgical; Inland Imaging specializes in non-surgical breast biopsies. Utilizing these methods benefits patients by decreasing recovery time and reducing scarring compared with surgical excisional biopsy. Inland Imaging utilizes two primary non-surgical methods to obtain samples: ultrasound-guided core-needle breast biopsy and stereotactic breast biopsy. Ultrasound-guided core-needle biopsy is commonly used to evaluate suspicious masses within the breast, whether or not they can be felt during a clinical examination. An ultrasound probe is placed over the site and a radiologist guides a biopsy needle directly into the mass. Local anesthesia is used during this procedure as well as during stereotactic breast biopsy. Stereotactic biopsy uses a dedicated biopsy table combined with digital mammography to determine the exact biopsy location. Tissue samples are then extracted using a vacuum assisted biopsy instrument called the Mammotome™. Patients have minimal discomfort during and after the procedure and can usually resume normal activity the following day. Breast magnetic resonance imaging (MRI) is an excellent problem solving technology. It is often used to investigate breast concerns first detected with mammography, physical exam, or other imaging exams. Breast MRI has been approved by the FDAsince 1991 for use as a supplement to mammography to help diagnose breast cancer. Unlike mammography, which uses low dose x-raysto image the breast, MRI uses powerful magnetic fields and radio waves to create images of the breast. Patients undergoing a breast MRI exam lie face down on the MRI table that is specially configured so that the breasts are positioned to hang freely through two openings called breast coils. After images have been acquired and assessed with CAD, a radiologist reads and interprets the images. Biopsies may also be performed using breast MRI. MRI-guided breast biopsy is a fast, safe and easy way to find and biopsy breast abnormalities without any unnecessary surgery. Positron emission tomography (PET), combined with computed tomography (CT), is a nuclear medicine imaging technique that uses very short-lived radioactive compounds that localize in cancer cells. Typically a patient will undergo other imaging exams first before receiving a PET/CT scan. In relation to breast cancer, PET/CT is used solely in the initial staging or re-staging of cancer, and in evaluating its response to treatment. Reproductive Imaging Reproductive imaging has become an essential tool in monitoring pregnancy and fetal health and providing insight into fertility problems. Limited pelvic MRI is a non-invasive imaging technique that uses no x-raysor radiation. It produces detailed images that are often used to evaluate the benefits of surgical interventions. Symptoms such as chronic pelvic pain and dysfunctional uterine bleeding are often studied using this exam. Limited pelvic MRI can help to identify the source of these symptoms and their relationship to pregnancy complications. In women who are pregnant, ultrasound continues to be the preferred imaging method. Inland Imaging technologists who perform this examination are trained professionals who focus on the internal structures of both the mother and the baby. Through the use of ultrasound, physicians can confirm early pregnancy; evaluate the baby’s age, size, and overall health. The most common cause of hysterectomy surgery is uterine fibroid tumors. Uterine Artery Embolization (UAE) is a less-invasive, nonsurgical option that is giving many women new hope for keeping their uterus.
  22. 22. During UAE, an interventional radiologist uses a catheter to deliver a special material that blocks the blood supply to the fibroids. Your physician may advise you of this minimally invasive therapy, or suggest surgical interventions, such as hysterectomy. It is important that you discuss each option with your physician to see what is the best treatment for you. Osteoporosis Osteoporosis is a disease that causes bones to become more porous, gradually making them brittle and more susceptible to breaking. Eighty percent of those affected by osteoporosis are women. If bone densitometry is conducted at intervals of a year or more, it can be used to determine the rate of bone loss and/or monitor the effects of treatment. Bone densitometry is a safe, painless and accurate way to measure the density of bones. This testing can help your physician in making treatment decisions related to your bone status and fracture risk. This makes bone densitometry an excellent screening exam for osteoporosis. Body Injury and Orthopedics Inland Imaging provides a large set of imaging procedures to better evaluate the cause of pain or presence of body injury. Diagnostic imaging plays a very important role in providing you and your physician with information you will need to make key decisions about your health. We continually invest in the latest musculoskeletal and body imaging technology to provide patients with advanced and accurate medical resources. Orthopedics is the study of the musculoskeletal system that includes the skeleton, joints, muscles and other supporting structures such as ligaments and cartilage. Inland Imaging provides valuable diagnostic medical images for the prevention and repair of body injuries or disorders. Athletic Pain & Injury Body Injury Athletic Pain & Injury The likelihood of body injury or pain can increase with repetetive activity, athletic competition, or exercise. With an injury such as a visible dislocation or a broken bone, it's likely to be obvious that you need medical attention. However, other injuries may be less clear and will require more investigation to evaluate and confirm a diagnosis. In both cases, medical imaging can be a powerful tool for you and your healthcare provider to determine treatment options. A Magnetic Resonance Imaging (MRI) test may be ordered to help diagnose and develop treatment options for orthopedic disorders. Even after a thorough physical examination by an expert, it is often difficult to precisely diagnose a soft tissue or joint injury. MRI accurately depicts soft tissue injuries such as muscle, ligament and meniscal tears, as well as cartilage and bone injuries. Images from an MRI allow your physician to formulate a possible treatment plan. In many cases, MRI documents non- surgical injuries, such as rotator cuff tendonitis and bone bruises, sparing the patient surgery and ensuring you receive the appropriate treatment faster and more cost effectively. MRI also detects subtle bone marrow edema and architectural disturbances of the soft tissues, making it the modality of choice in the diagnosis of many other joint and bone disorders, such as bone and soft tissue tumors, infection, and avascular necrosis of bone. Another test, Computed Tomography (CT) is very useful in the diagnosis and follow up of many musculoskeletal disorders, particularly those pertaining to bone, such as fractures that cannot be seen on x-ray, healing fractures and bone tumors. Recent developments in multi slice computed tomography (MSCT) allow reconstruction of images in multiple planes as well as 3D imaging.
  23. 23. An X-ray is perhaps the most familiar type of musculoskeletal imaging test. Its most common use is in evaluating possible fractures and is also used for evaluation of arthritis or bone tumors. Nuclear imaging is often used to determine musculoskeletal pain with non-specific x-ray images to determine whether or not a bony abnormality is the source of pain. Also, this study is used often to diagnose the spread of cancer. Ultrasound is useful in evaluating soft tissue abnormalities, such as masses, tendon or muscle injuries, and the hips of infants suspected of having congenital hip dysplasia. It is most commonly used in the evaluation of rotator cuff injuries. Ultrasound images are obtained using a wand that is guided across the skin surface over the affected area. There are also a variety of needle procedures performed by radiologists to diagnose and treat musculoskeletal disorders. These include therapeutic as well as diagnostic joint aspirations and injections, bone and soft tissue biopsies, facet and epidural steroid injections and discograms. Body Injury Inland Imaging offers several tests that may assist you and your healthcare provider in assessing and developing treatment options associated with injury to your body. With an injury such as a visible dislocation or a broken bone, it's likely to be obvious that you need medical attention. However, other injuries may be less clear and will require more investigation to evaluate and confirm a diagnosis. In both cases, medical imaging can be a powerful tool for you and your healthcare provider to determine treatment options. A Magnetic Resonance Imaging (MRI) test may be ordered to help diagnose and develop treatment options for orthopedic disorders. Even after a thorough physical examination by an expert, it is often difficult to precisely diagnose a soft tissue or joint injury. MRI accurately depicts soft tissue injuries such as muscle, ligament and meniscal tears, as well as cartilage and bone injuries. Images from an MRI allow your physician to formulate a possible treatment plan. In many cases, MRI documents non- surgical injuries, such as rotator cuff tendonitis and bone bruises, sparing the patient surgery and ensuring you receive the appropriate treatment faster and more cost effectively. MRI also detects subtle bone marrow edema and architectural disturbances of the soft tissues, making it the modality of choice in the diagnosis of many other joint and bone disorders, such as bone and soft tissue tumors, infection, and a vascular necrosis of bone. Another test, Computed Tomography (CT) is very useful in the diagnosis and follow up of many musculoskeletal disorders, particularly those pertaining to bone, such as fractures that cannot be seen on x-ray, healing fractures and bone tumors. Recent developments in multi slice computed tomography (MSCT) allow reconstruction of images in multiple planes as well as 3D imaging. An X-ray is perhaps the most familiar type of musculoskeletal imaging test. Its most common use is in evaluating possible fractures and is also used for evaluation of arthritis or bone tumors. Nuclear imaging is often used to determine musculoskeletal pain with non-specific x-ray images to determine whether or not a bony abnormality is the source of pain. Also, this study is used often to diagnose the spread of cancer. Ultrasound is useful in evaluating soft tissue abnormalities, such as masses, tendon or muscle injuries, and the hips of infants suspected of having congenital hip dysplasia. It is most commonly used in the evaluation of rotator cuff injuries. Ultrasound images are obtained using a wand that is guided across the skin surface over the affected area. There are also a variety of needle procedures performed by radiologists to diagnose and treat musculoskeletal disorders. These include therapeutic as well as diagnostic joint aspirations and injections, bone and soft tissue biopsies, facet and epidural steroid injections and discograms. Cancer Nearly half of all men and a little over one-third of all women in the United States will develop cancer during their lifetimes. Today, millions of people are living with cancer or have had cancer. However, research shows the sooner a
  24. 24. cancer is found and treatment begins, the better the chances are for recovery. Imaging techniques are able to produce pictures of areas inside the body and are becoming the key to early detection. However, physicians no longer use imaging simply for detection. It can also show what is happening inside the body during and after cancer treatment. Essentially, it not only can determine the primary location of cancer, but also if the cancer has spread to surrounding areas. This aids in directing surgery and other cancer treatments, as well as evaluating tumor recurrence. At Inland Imaging, there are several different imaging technologies available to cancer patients. Each modality is designed to acquire specific information. Often an oncologist will utilize several of these technologies to get the best overall picture of a patient’s health. Breast Prostate Liver Head and Neck Abdomen Lung Pelvic Thyroid Breast Cancer Breast cancer is the second leading cause of cancer death in women today. It is estimated that one in seven women in the U.S. will develop breast cancer in her lifetime. Yet research shows the 5-year relative survival rate for those who detect their breast cancer early is 82 percent. Inland Imaging provides you and your physician with state-of-the-art technology and advanced medical expertise to gain important information about your breast health. The breast imaging procedures offered include screening and diagnostic mammography, breast ultrasound, breast biopsies, breast MRI, and PET/CT. Mammography services at Inland Imaging are accredited by the American College of Radiology (ACR) and certified by the Food and Drug Administration (FDA). Inland Imaging’s radiologists who read breast-imaging studies are board- certified physicians who specialize in diagnostic breast imaging. Our mammography technologists are dedicated mammography professionals who perform over 45,000 exams annually. A screening mammogram is an examination used for women who have no symptoms of breast problems and is performed in private by a qualified female technologist. The results of your examination are read and interpreted by a specialized radiologist. The American Cancer Society (ACS) recommends a yearly screening mammogram for all women age 40 years and older. A screening mammogram procedure does not require a referral from your doctor. If you would like to schedule a screening mammogram for yourself or receive additional information, please call 455-4455. Computer aided detection (CAD) technology reviews a patient’s film and evaluates it after the radiologist has made an initial interpretation. Studies show that CAD analysis improves the detection of early cancer by as much as eight to ten percent. If the software detects any abnormalities on the mammogram film, it marks them. The radiologist then reviews the marked areas to determine if the areas are suspicious and require further evaluation. A diagnostic mammogram is a problem-solving exam that may involve additional views of the breast and is ordered after an abnormality or symptom is found in an initial screening. The technologist who performs the exam works closely with a radiologist to determine the best images needed to aid in the breast evaluation. This work up will determine if further imaging is needed, such as a breast ultrasound or breast MRI. Breast ultrasound is a noninvasive exam that uses sonar technology to determine if a suspicious area is a fluid filled cyst or a solid mass that require further testing, such as a biopsy.
  25. 25. A breast biopsy is a tissue sampling technique used to confirm or rule out the presence of breast cancer. Breast biopsies can be surgical or non-surgical; Inland Imaging specializes in non-surgical breast biopsies. Utilizing these methods benefits patients by decreasing recovery time and reducing scarring compared with surgical excisional biopsy. Inland Imaging utilizes two primary non-surgical methods to obtain samples: ultrasound-guided core-needle breast biopsy and stereotactic breast biopsy. Ultrasound-guided core-needle biopsy is commonly used to evaluate suspicious masses within the breast, whether or not they can be felt during a clinical examination. An ultrasound probe is placed over the site and a radiologist guides a biopsy needle directly into the mass. Local anesthesia is used during this procedure as well as during stereotactic breast biopsy. Stereotactic biopsy uses a dedicated biopsy table combined with digital mammography to determine the exact biopsy location. Tissue samples are then extracted using a vacuum assisted biopsy instrument called the Mammotome™. Patients have minimal discomfort during and after the procedure and can usually resume normal activity the following day. Breast magnetic resonance imaging (MRI) is an excellent problem solving technology. It is often used to investigate breast concerns first detected with mammography, physical exam, or other imaging exams. Breast MRI has been approved by the FDAsince 1991 for use as a supplement to mammography to help diagnose breast cancer. Unlike mammography, which uses low dose x-raysto image the breast, MRI uses powerful magnetic fields and radio waves to create images of the breast. Patients undergoing a breast MRI exam lie face down on the MRI table that is specially configured so that the breasts are positioned to hang freely through two openings called breast coils. After images have been acquired and assessed with CAD, a radiologist reads and interprets the images. Biopsies may also be performed using breast MRI. MRI-guided breast biopsy is a fast, safe and easy way to find and biopsy breast abnormalities without any unnecessary surgery. Positron emission tomography (PET), combined with computed tomography (CT), is a nuclear medicine imaging technique that uses very short-lived radioactive compounds that localize in cancer cells. Typically a patient will undergo other imaging exams first before receiving a PET/CT scan. In relation to breast cancer, PET/CT is used solely in the initial staging or re-staging of cancer, and in evaluating its response to treatment. Prostate Cancer Prostate cancer develops in the small walnut-shaped gland that produces seminal fluid in males. It is one of the most common types of cancer in men, affecting about one in six men in the United States. Prostate cancer tends to grow slowly and remains confined to the prostate gland where there may not be initial harm. Some types of prostate cancer grow slowly and may need minimal or no treatment, while other types are aggressive and can spread quickly. If detected early, successful treatment of prostate cancer greatly improves. If symptoms arise or your prostate cancer screening tests come back positive, your doctor may order an imaging test to better evaluate for the most accurate means of treatment. You may also need further tests to help determine if the cancer has spread. Many men don't require additional studies and can directly proceed with treatment based on the characteristics of their tumors and the results of their pre-biopsy PSA tests. A bone scan may be ordered to take a picture of your skeleton in order to determine whether cancer has spread to the bone. Prostate cancer can spread to any bones in your body, not just those closest to your prostate, such as your pelvis or lower spine. An Ultrasound study not only can help indicate if cancer is present, but also may reveal whether the disease has spread to nearby tissues.
  26. 26. A Computed Tomography (CT) scan produces a series of detailed cross-sectional images of your body and can identify enlarged lymph nodes or abnormalities in other organs. However, a CT scan cannot determine whether the visible problems are due to cancer. Therefore, CT scans are most useful when combined with other tests. A Magnetic Resonance Imaging (MRI) test produces detailed, cross-sectional images of your body using magnets and radio waves. An MRI can help detect evidence of the possible spread of cancer to lymph nodes and bones. Inland Imaging Interventional Radiologists provide amazing new medical technologies to treat lever cancer such as radiofrequency ablation and cryoablation. In either procedure, several needle probes are inserted directly through the skin into a tumor, using a series of real-time computed tomography (CT) images to guide the probe. Magnetic resonance imaging and ultrasound sometimes are used instead of CT scans to view the procedure. Once the probe is positioned in the center of the tumor, the radiologist applies electrical heat in the form of radio waves to “vaporize” the tumor or applies cold energy to kill the abnormal tissue. Liver Cancer In the United States, cancer affecting the liver is often times metastatic cancer, which occurs when tumors from other parts of the body spread (metastasize) to the liver. Cancers that commonly spread to the liver include colon, lung and breast cancers. These kinds of cancers are treated based on where the cancer began, rather than being treated as primary liver cancers. Primary liver cancer is rarely discovered early and many times doesn't respond to current treatments. Though treatments fail to provide great improvement in the liver cancer itself, pain and other signs and symptoms caused by liver cancer can be aggressively treated to improve quality of life. If you present liver cancer symptoms, your doctor will perform several screening tests and may order additional imaging tests and procedures to better evaluate your diagnoses or treatment options. Interventional Radiologists are on staff to provide groundbreaking treatment options for individuals with lung cancer. An Ultrasound may be ordered to produce a picture of internal organs, including the liver. During the test, sound waves that are reflected from your liver and transformed into a computer image. Ultrasound provides information about the shape, texture and makeup of tumors. A Computerized Tomography (CT) scan uses X-rays to produce detailed a series of thin cross-sectional images of your body. Your doctor may also order a variation of the test, called a CT angiogram, where contrast dye is injected into a vein in your arm. CT uses X-ray technology to track the dye as it flows through the blood vessels in your liver. A CT angiogram can provide detailed information on the number and location of liver tumors. A Magnetic Resonance Imaging (MRI) creates images using a magnetic field and radio waves. The test can show images of the ducts that transport bile from the liver to the upper part of the small intestine (duodenum) as well as of the arteries and veins within the liver. Inland Imaging Interventional Radiologists provide amazing new medical technologies to treat lever cancer such as Yttrium-90 microsphere administration, where microscopic radioactive beads are injected to specially target cancer within the liver. Other interventional procedures include radiofrequency ablation and cryoablation. In either procedure, several needle probes are inserted directly through the skin into a tumor, using a series of real-time computed tomography (CT) images to guide the probe. Magnetic resonance imaging and ultrasound sometimes are used instead of CT scans to view the procedure. Once the probe is positioned in the center of the tumor, the radiologist applies electrical heat in the form of radio waves to “vaporize” the tumor or applies cold energy to kill the abnormal tissue.
  27. 27. Head and Neck Cancer Cancer that arises in the head or neck region includes the brain, nasal cavity, sinuses, lips, mouth, salivary glands, throat, or larynx (voice box). If symptoms are present or cancer tests come back positive, your doctor may order further imaging tests to better evaluate the most accurate means of treatment. You may also need further tests to help determine if or how far the cancer has spread. A Computerized Tomography (CT) scan may be ordered to produce a series of detailed images of your head or area of concern. A special contrast may be injected into your bloodstream after a few CT scans are taken. The contrast helps make tumors more visible on X-rays. A Magnetic Resonance Imaging (MRI) scan uses magnetic fields and radio waves to generate images of the head. Images produced by an MRI are particularly useful in diagnosing brain tumors. Sometimes a special contrast is injected into your bloodstream during the procedure to help distinguish cancerous areas from healthy tissue. An Angiogram test involves injecting a special dye into your bloodstream. The dye flows through the blood vessels in your brain and can be seen on an X-ray. This test helps show the location of blood vessels in and around a brain tumor. An X-ray of your head may show alterations in skull bones that could indicate a tumor. It may show calcium deposits, which are sometimes associated with brain tumors. However, a routine X-ray is a far less sensitive test than are brain scans. Other tests include magnetic resonance spectroscopy (MRS), single-photon emission computerized tomography (SPECT) or positron emission tomography (PET) scanning, help doctors gauge brain activity by studying brain metabolism and chemistry and blood flow within your brain. These scans can be combined with an MRI or CT to help doctors understand the effects of a tumor on brain activity and function, but doctors don't typically use them to make an initial diagnosis of brain tumor. Ultrasound imaging technique uses no radiation, but combines high-frequency sound waves and computer processing. Ultrasound is especially good for providing information about the shape, texture and makeup of tumors and cysts. While you relax on a bed or examining table, a wand-like device (transducer) is placed next to your head. It emits inaudible sound waves that are reflected back to the transducer (similar to sonar). Those reflected sound waves are then translated into a moving image by a computer. Abdomen Abdominal or Gastrointestinal cancers include colorectal cancer, pancreatic cancer and stomach (gastric) cancer. If symptoms are present, your doctor may order specific blood tests or a colonoscopy to better diagnose colon or abdominal cancers. Several additional imaging techniques can help your doctor detect the exact location of cancer, determine if cancer has spread, or evaluate possible treatment options. A fluoroscopy x-ray may be ordered to image the gastrointestinal or digestive system. The x-ray tests examine the gastrointestinal (GI) tract, the areas of the body from the esophagus to the rectum. These x-raysare able to detect cancers or abnormalities that occur in any portion of the GI tract. Fluoroscopy is used to better contrast the outline of the GI tract, with areas of concern appearing white on the x-ray images. It helps to visualize problem areas and can indicate difficulties with swallowing (dysphagia) or digestion, ulcerations, malignancy or structural abnormalities. A newer procedure that might be an option for detecting presence of colon cancer is virtual colonoscopy. The test uses Computed Tomography technology to scan to take pictures of the colon. The CT scan creates cross-sectional and 3-D images than can reveal polyps or other irregularities.
  28. 28. An endoscopic ultrasound may help determine whether cancer has spread into the walls of your stomach or to nearby tissues and lymph nodes. An endoscope carries a small ultrasound probe that uses high-frequency sound waves to create images of your stomach and surrounding tissues, including lymph nodes. Your doctor may order a Computerized Tomography (CT) scan to evaluate the spread of cancer outside your stomach, especially to organs such as your liver and lungs. A CT scan uses split-second computer processing and X-ray beams to produce detailed cross-sectional images of your internal organs. A Magnetic Resonance Imaging (MRI) also looks for the spread of cancer to areas outside of your stomach. Unlike a CT scan, MRI uses a powerful magnetic field and radio waves to produce cross-sectional images of your body. Another test is a Chest X-ray that checks whether cancer has spread to your lungs. An X-ray is not as sensitive as a CT scan. Lung In the United States, lung cancer is the number one cause of cancer death among men and women. Lung cancer generally starts to develop in the cells that line your lungs and may spread if not treated early. Nearly 90 percent of lung cancer cases are directly related to smoking, whether it is in smokers or those exposed to secondhand smoke. There are two major types of lung cancer based on the appearance of lung cancer cells, small cell lung cancer and non-small lung cancer. Inland Imaging offers several imaging tests to better assist your physician in deciding what treatment plan will help you most. Interventional Radiologists are also on staff to provide groundbreaking treatment options for individuals with lung cancer. Your healthcare provider may order a chest x-ray of your lungs to look for an abnormal mass or nodule based on symptoms associated with lung cancer. A Computed Tomography (CT) scan produces a series of detailed cross-sectional images of your body and can identify small lesions in your lungs. Positron emission tomography (PET), combined with computed tomography (CT), is a nuclear medicine imaging technique that uses very short-lived radioactive compounds that localize in cancer cells. Typically a patient will undergo other imaging exams first before receiving a PET/CT scan. Inland Imaging Interventional Radiologists provide amazing new medical technologies to treat lever cancer such as radiofrequency ablation and cryoablation. In either procedure, several needle probes are inserted directly through the skin into a tumor, using a series of real-time computed tomography (CT) images to guide the probe. Magnetic resonance imaging (MRI) and ultrasound sometimes are used instead of CT scans to view the procedure. Once the probe is positioned in the center of the tumor, the radiologist applies electrical heat in the form of radio waves to “vaporize” the tumor or applies cold energy to kill the abnormal tissue. Pelvic Pelvic cancers can b e characterized as bladder, uterine, ovarian and prostate cancer. It is generally referenced as any cancer that appears in the large, bony, basin-shaped cavity where the hips and legs join to the lower part of the body. With many cancers, survival of the disease increases when found early. However, in many cases the disease can be difficult to detect in its early stage because of its location and unfortunately the disease has spread before it is diagnosed. Inland Imaging offers a wide variety of imaging techniques to evaluate the presence of cancer or assist your doctor in formulating a treatment plan if you have been diagnosed with the disease.
  29. 29. Your healthcare provider may order a pelvic ultrasound, a test that uses high-frequency sound waves to produce images of the inside the body. The test is a safe, noninvasive way to evaluate the size, shape and configuration of the pelvic area. It can also detect fluid build up associated with some forms of pelvic cancer. Other imaging tests offered by Inland Imaging for pelvic evaluation include computerized tomography (CT) and magnetic resonance imaging (MRI), which both provide detailed, cross-sectional images of the inside of your body. A chest X-ray may help determine if cancer has spread to other parts of your body. Thyroid Your thyroid is a butterfly-shaped gland located at the base of your neck, just below your Adam's apple. Though the thyroid gland is small, it produces important hormones that regulate every aspect of your metabolism, from heart rate to calorie burning. Development of one or more solid or fluid-filled lumps called nodules may form in your thyroid. In many cases, these are noncancerous and do not cause any major health risks. However, a small percentage of cases come back as cancerous and can result with serious complications. Prognosis is often excellent for those that are diagnosed with thyroid cancer and can often be completely removed with surgery. An ultrasound uses high-frequency sound waves to outline the neck anatomy and detect abnormal growths. While very good at identifying whether a growth or nodule is present, ultrasound scans can't tell for sure whether it's malignant or benign. Ultrasound is safe, with virtually no complications associated with its use. A computerized tomography (CT) or magnetic resonance imaging (MRI) test may be ordered by your doctor to determine if cancer is present or evaluate if it has spread to the lymph nodes or other areas of your neck. Cardiovascular 58 million Americans have been diagnosed with one or more forms of cardiovascular disease, making coronary artery disease (CAD) the number one cause of death in the United States. More Americans die each year of heart disease than all types of cancer combined. Coronary artery disease is most commonly a result of plaque deposits in the wall of the coronary arteries. The “waxy” build up causes a narrowing of the arteries and can eventually lead to heart attack or stroke. Until recently, there were no non-invasive studies that could directly evaluate coronary arteries for the presence of atherosclerotic disease. Inland Imaging is taking the necessary steps to help your healthcare provider eradicate heart disease and reverse the deadly treads associated with it. We offer several tests that can better help your doctor measure your cardiovascular health and begin treatment if there is presence of heart disease. Cardiac CTA Calcium Scoring Coronary PET/CT MRA Cardiac MRI Vascular Ultrasound Cardiac CTA Coronary CT Angiography (CCTA) is a powerful tool used to examine the small arteries that feed nutrients to the heart muscle. Through Computed Tomography (CT) technology, we are able to visualize blood flow in the coronary arteries with greater detail than more traditional studies.
  30. 30. Advanced computer software manipulates the data into 3 dimensional (3D) images with exceptional quality. CCTA is a noninvasive procedure to examine the walls of the coronary arteries and evaluate the presence of hard and soft plaque. Information from the procedure can help your healthcare provider determine your risk of a heart attack and develop a treatment plan. If coronary disease is present following a cardiovascular screening test done by your doctor, a Coronary CT Angiogram may be ordered to help with preventive management and treatment of the disease. Those recommended for the exam include: - Patients with an intermediate to high-risk profile with no typical coronary symptoms - Patients who have had inconclusive results from a stress test - Patients with unusual symptoms for CAD, but low to intermediate risk profiles. Prior to a CCTA, avoid drinking or eating anything four hours before your exam. Do not consume anything containing caffeine or nicotine starting at midnight on the day of exam. Three hours proceeding, you will be given or prescribed 100 mg of a medication in order to lower your heart rate. You will also take one 0.4 mg tablet of sublingual nitroglycerin just prior to the exam and 80-120 cc of IV contrast. Following the CT exam, you should expect to wait an additional 15- 30 minutes for observation. The images from the test will be sent to a subspecialized coronary radiologist for review. Your physician will receive the results and determine appropriate treatment options for reducing the signs of heart disease. This may include diet and lifestyle changes, medication and/or further testing. Calcium Scoring A Calcium Scoring exam is a screening tool to evaluate coronary artery disease. The test quantifies the total load of calcified, or hardened plaque, in the coronary arteries. Results of the exam are based on the volume and density of calcified plaque and then comparing that score to a large reference population matched to a patient's age and sex. The exam can be used as a valuable tool in conjunction with other clinical risk factors such as family history, cholesterol level, and lipid profile. Results from the test can help your healthcare provider determine a treatment plane for reversing coronary artery disease. A Calcium Scoring Exam is a strong problem-solving tool for individuals considered to be at high risk for developing heart disease. The risk factors for heart disease include: - Men 40 yearsor older, women 45 or older - High cholesterol - History of smoking - High blood pressure - Family history of heart disease - High stress levels - Sedentary lifestyle If any categories apply to you, we encourage talking with your doctor about considering a Calcium Scoring exam. Individuals not recommended for the procedure include those that have had previous cardiovascular treatment or surgery, including coronary stinting, coronary bypass surgery, pacemaker placement, or valve replacement. The scan itself generally takes ten minutes and does not involve any injections or medications. Lying down on a table fully dressed, a trained staff technologist will place EKG leads on your chest. You will be asked to hold your breath for a brief period to better capture still pictures. A cardiovascular specialized radiologist from Inland Imaging will read the scan and send the results to your physician. Coronary PET/CT An efficient and noninvasive test, PET/CT serves as a powerful tool for evaluating the coronary anatomy and tissue
  31. 31. viability. PET/CT is a form of molecular imaging that has the ability to visualize and monitor processes on a cell level, providing information about possible defects or pathology transformation. PET/CT requires an ingestion or injection of a radioactive isotope that releases positrons at the cellular level. These collide with electrons creating a light pattern that can be scanned. The combination of PET and CT technology uses two ‘machines’ on a single scanner, allowing the clinician to see images at the metabolic level and uncover physical problems or anatomical abnormalities. MRA A Magnetic Resonance Angiogram of the cardiovascular system is a minimally invasive medical test that uses MRI technology and in some cases contrast material to produce pictures of major blood vessels throughout the body. The test uses a powerful magnetic field, radio waves, and a computer produce the detailed images. A computer processes the radio wave signals and generates a series of detailed images. The computer compiles the images into three-dimensional representations of the body that can be studied from many different angles on a computer monitor. During the MRA study, contrast material may be administered to generate clearly defined images of blood flow throughout specific areas of the vascular system. Cardiac MRI A Cardiac Magnetic Resonance Imaging (MRI) test is a noninvasive, painless medical procedure that helps physicians diagnose and treat cardiovascular conditions. MRI uses a powerful magnetic field, radio waves and a computer to produce detailed images of the heart and vascular system. A Cardiac MRI may be ordered by your healthcare provider to evaluate the structures and function of the heart, valves and major vessels or detect and evaluate coronary artery disease. Cardiac MRI allows radiologists and your doctor examine the size and thickness of the chambers of the heart. And determine the extent of damage caused by a heart attack or progressive heart disease. It may also be used to detect the buildup of plaque and blockages in the blood vessels. Detailed Cardiac MRI images may allow physicians to better evaluate your cardiovascular health more adequately than other imaging methods such as x-ray, ultrasound or computed tomography (CT). Vascular Ultrasound Vascular Ultrasound, also known as vascular sonography, involves the use of high-frequency sound waves to produce images of the vascular system. Ultrasound images are captured in real-time and are able to visualize internal structures, movement, and blood flow. During an ultrasound examination, a transducer is pressed against the skin and directs a stream of inaudible, high frequency sound waves into the body. As the sound waves bounce off of internal organs, fluids and tissues, images are produced through tiny changes in the sound's pitch and direction. Vascular Ultrasound is a useful tool for evaluating the body's circulatory system, identifying blockages (stenosis), blood clots, plaque or emboli. The test can also help determine whether a patient is a good candidate for angioplasty. Doppler ultrasound, a special application of ultrasound, measures the direction and speed of blood cells as they move through vessels. Computer technology collects and processes the sounds, creating graphs or pictures that represent the blood flow. It is good test to evaluate blood flow through a blood vessel, including the body's major arteries and veins in the abdomen, arms, legs and neck. Stomach and Gastrointestinal

×