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What is diagnostic imaging?
The term diagnostic imaging simply means making images of structures inside the body.

For decades, this involved making an X-ray image and printing it on a piece of clear film so that doctors could see bones and shadow-like representations of other structures inside the body.

Visual observation in making a diagnosis about health problems is as old as medical practice itself. Since the invention of X-rays, doctors have been able to see inside the body and make more accurate determinations about a large number of disorders.

Today, with the help of computer technology and new ways of taking pictures inside the body, doctors are able to see much smaller structures in much greater detail.

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Why is diagnostic imaging important?
With the ability to see more detail, doctors are able to find very early indications of disease. As a result, in many cases, they can begin treatments earlier for the best possible results. This ability is saving and prolonging lives every day.

In the case of injuries, seeing more details provides valuable information about the nature and extent of damage to structures inside the body. This information leads to the best possible treatments and much better outcomes after healing.

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How are diagnostic images made?
The scientific quest to see the unseeable has brought about new ways of seeing and making images.

Well over 100 years ago, the accidental discovery of radiation showed that certain elements emit rays and atomic particles that can travel through solid objects and make a shadow graph on photographic film. However, the German physics professor Wilhelm Roentgen showed that high energy electrical discharges in a vacuum tube could produce the same kind of images. His discovery opened the door to X-ray technology and diagnostic imaging. Since different structures inside the body block or attenuate radiation in varying degrees, a shadow graph image of internal structures is made when a part of the body is placed between the radiation source and the film.

Shadow graphs on photographic film were the limit of medical imaging until new types of sensors and computer technology began to reveal more details about anatomical structures and their locations in the body. Today's medical imaging technologies have sharpened the details even more. Computed Tomography or CT imaging can produce multiple-layered shadow graphs of anatomical structures and even 3-D pictures.

Modern X-ray devices produce far better images with much lower doses of radiation.

Another development, already in use for over 20 years, involves carefully tuned radio waves and magnetism to get the nuclei of atoms inside the body to broadcast their positions so they can be plotted in a computer to form amazingly detailed pictures. MRI does not involve X-rays, and exposure to the radio waves and magnetism is not subject to exposure restrictions. Images made by MRI equipment are able to show details of the brain, nervous system, muscles, and many other types of soft tissue in the body. These pictures are very clear and reveal small details that allow us to diagnose and later to monitor and inform your doctor about changes in most abnormalities.

The newest technology involves the ability to show how and where cells in the body are metabolizing glucose. This is known as Positron Emission Tomography or PET and, until recently, was used mostly for medical research. The newest addition in our diagnostic imaging offering is the PET/CT Scanner. This equipment combines PET with CT scan information to produce images that can show the exact location and size of cancers with much greater accuracy. This imaging ability is extremely important in locating cancer and making determinations about treatment. It helps doctors to see exactly how cancer treatments are working plus how and when to modify treatments for the best possible results.

PET/CT technology is also used in investigating and helping to treat certain disorders of the heart.

Another imaging technology uses ultra-high frequency sound waves. These can also pass through solid objects. Unlike X-rays, sound waves are reflected back from embedded objects in varying degrees depending on the nature of the structure. The reflected waves are picked up by a sensor which relays the information in them to a computer where images, and even moving pictures are assembled. This technology is the basis for ultra-sound imaging now widely used in physician offices and in hospital obstetrics and cardiology departments.

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AW Goodspeed was actually the first person to make this incredible discovery in Philadelphia, on February 22, 1890. This radiograph of coins was made accidentally in his lab. Goodspeed never claimed any priority in the discovery. The plate above lay unnoticed and unremarked until Roentgen's announcement caused him to review the images.
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Wilhelm Conrad Roentgen (1845-1923)
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The famous radiograph made by Roentgen on December 22,1895.
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Radiograph of the hand of Albert von Kolliker, made at the conclusion of Roentgen's lecture and demonstration at the Wurzburg Physical-Medical Society on 23 January 1896.
How long does it take to have diagnostic images made?
Depending on the information your doctor needs, an imaging exam can take anywhere from 30 to 90 minutes. Our office will tell you how much time will be needed from the time of your appointment.
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What does insurance pay?
Insurance payments are based on the type of insurance you have and the need for your exam as described by your doctor. In some cases, the full amount of an imaging exam is covered. In most cases, the majority of the cost is covered. The exact amount will depend on the amount and conditions of your deductible amount and other factors. In a few cases, exams such as screenings for heart lung health are usually not covered by insurance.
Modern CT X-ray, rendered in 3-D, shows clear details of the spine.
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This MRI image shows details of the soft tissues in a patient's head and neck.
Merged PET and CT images clearly show the size and location of cancer tissue.
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