Services
Tristate IMG continuously strives to offer patients a full spectrum of the most state-of-the-art services and innovative treatment options. We are dedicated to providing our patients with the highest quality imaging services in a supportive and comfortable environment.
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General Radiology
Use of painless electromagnetic waves to create x-ray images, including Fluoroscopy – moving, real-time images. Often used to assess for bone fractures, arthritis, and lung abnormalities.What is General Radiology?
General Radiology is the use of painless electromagentic waves to create images – commonly referred to as x-rays. General radiology can be used to detect bone or joint problems, check the lungs, heart, abdomen and pelvis. A minimal and safe amount of radiation is used in the area being imaged. Beyond this, we offer fluoroscopy, which captures continuous images to create a video, allowing for better evaluation of moving parts of the body. Ordering physicians can expect to receive the report within a couple hours of the procedure.
What to Expect
Not much preparation is needed prior to a general radiology session. We recommend wearing comfortable, athletic-style clothes, free of metal or other objects (zippers, buttons, etc) that may interfere with the imaging. If this is not possible, you may be asked to change into scrubs. The procedure itself may take only 10-30 minutes, depending on the area being examined. After the procedure, you may resume your normal activities. The results will be reported directly back to your doctor.
Applications
- Radiography/X-ray (abdomen, bone, chest)
- Barium enema (large intestine, colon and rectum)
- Barium swallow (upper gastrointestinal tract, esophagus and stomach)
- Small bowel follow through
- DEXA (bone)
- Hysterosalpingography (uterine cavity and fallopian tubes)
- Intravenous pyelogram (urinary system, kidneys, ureters and bladder)
- Arthrography (joint)
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Computed Tomography (CT)
A specialized form of radiology that provides detailed, cross-sectional images of both hard (bones) and soft (organs, muscles, blood vessels) tissues – the body’s essential components.What is Computed Tomography (CT)?
A Computed Tomography (CT) scan – or CAT scan – is a non-invasive, fast, painless exam that produces cross sectional images that can be reformatted in multiple planes and used to generate 3D images. CT scans of organs, bone, soft tissues and blood vessels are highly detailed, providing radiologists and physicians with images that conventional radiology can’t capture. Under certain circumstances, a contrast agent may be administered either orally and/or intravenously to enhance the image.
What to Expect
Some preparation may be required prior to a CT scan. There may be dietary rules corresponding with your specific CT, of which you’ll be notified ahead of time. We recommend wearing comfortable, athletic-style clothes, free of metal or other objects (zippers, buttons, etc) that may interfere with the imaging. If this is not possible, you may be asked to change into scrubs. You’ll be asked to lie down onto a table, which will pass through a donut-shaped ring, as the CT images are taken. The average time for the actual CT exam is 5 to 10 minutes, however the exam could take longer depending on associated protocols. After the procedure, you may resume your normal activities. The results will be reported directly back to your doctor.
Applications
- Cancer detection
- Diagnosing infections
- Unexplained pain
- Internal organs
- Trauma
- Post-traumatic injuries
- Blood vessels (aneurysm and blockage)
- Stroke evaluation
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Magnetic Resonance Imaging (MRI)
Use of non-invasive, painless magnetic fields and radio waves to provide more detailed and clearer images of soft tissues and organs.What is Magnetic Resonance Imaging (MRI)?
An MRI produces images through the use of magnetic fields and radio frequency pulses. It does not use ionizing radiation. MRI is more sensitive in evaluating soft tissue compared to other imaging techniques, and produces detailed images of the brain, internal organs, bones, joints and other structures. The high level of accuracy and low risk of the procedure makes MRI a valuable tool. Under certain circumstances, a contrast agent may be administered orally and/or intravenously to enhance the image.
What to Expect
As MRI uses magnetic fields, some metals will interfere with the study, and may not be performed if you have a pacemaker, metal clip implants, or cochlear implants. We’ll ask you about past surgeries and injuries to ensure the MRI may be safely administered. Please let our staff know of any metal you have on or in your body, if you are or think you may be pregnant, or if you have an implant. Most MRI exams do not require special dietary considerations, but if there are any, you will be notified prior. We request you wear comfortable, athletic-style clothes, free of metal or other objects (zippers, buttons, etc), and remove any personal items containing metal. An MRI takes about an hour, and it’s important to stay as still as possible. You may be asked to hold your breath at times.
Applications
- Blood vessels (aneurysm and blockage)
- Stroke evaluation
- Cancer detection
- Torn/damaged ligaments
- Diagnosing infections
- Functional brain imaging
- Tumors and cysts
- Joint injuries
- Trauma
- Spinal cord integrity
- Herniated discs/spinal stensosis
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Ultrasound (US)
Ultrasound – or sonography – uses the power of sound to create pictures, captured in real time, of internal structures.What is Ultrasound (US)?
Ultrasounds, also known as sonography, creates images through the use of high-frequency sound waves. Some parts of the body absorb sound waves while others are reflected, allowing the capturing of images. Although best known for use during pregnancy, Tristate IMG utilizes ultrasound imaging for diagnostic purposes, including locating infections, tumors, sources of pain or vascular blockages. Ultrasounds do not use radiation, and are captured in real-time, showing the movement of internal organs and blood flow.
What to Expect
Depending on the nature of the ultrasound to be performed, you may be asked to adhere to particular dietary requirements, of which you will be informed prior. We recommend wearing comfortable, loose-fitting clothing. You may be asked to remove all clothing and jewelry in the area to be examined, or you may be asked to change into scrubs. Typically, you are asked to lie down on a table and a certified sonographer will apply a warm water-based gel to the area to be imaged. A transducer – a small hand held device – is placed on the body and gently moved back and forth to capture the desired images. The procedure typically involves little to no discomfort.
Applications
- Carotid arteries
- Abdominal aneurysm
- Venous (extremities)
- Pelvis and abdomen
- Uterus and ovaries
- Prostate
- Scrotum and testicles
- Thyroid Gland
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Nuclear Medicine
Imaging using small, safe amounts of radioactive material and a specialized camera to generate images of organ and tissue function of the body.What is Nuclear Medicine?
Nuclear Medicine involves the detection of a radiotracer (a radioactive pharmaceutical) that is administered prior to the exam, allowing for imaging at the cellular level. This level of detail allows for the identification of many diseases not detectable through conventional methods. Additionally, due to the use of a tracer, nuclear medicine can go beyond capturing anatomic structure to record organ function. This allows for better diagnosis, as many diseases reveal themselves through function.
What to Expect
You’ll receive an injection of a radiotracer – or radiopharmaceutical. Once the radiotracer is applied, there is a specified wait time to allow the tracer to travel to organs to be tested. You will then be asked to remain still, to create the clearest possible images. Typically, the scan takes between 20 and 45 minutes. Any trace amounts of radiation in your body after the exam is will expelled through urine and stool.
Applications
- Bone
- Heart (coronary artery disease and function)
- Gastric Emptying
- Liver, gallbladder, bile ducts
- Kidneys (renal)
- Thyroid
- Thyroid therapy and ablation
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Mammography
Low-dose imaging used to detect and evaluate breast cancer.What is Mammography?
Mammography is a form of low-dose x-ray imaging used to examine the breasts. Mammography is effective in identifying breast cancer early, before symptoms arise. In conventional mammography, an x-ray captures an image from the side and above the breast. In 3D Mammography, images are taken rapidly at multiple angles to create a highly detailed 3D image of the breast.
What to Expect
Describe any changes or problems related to your breasts and any related medical history with the technologist. Please inform her if you are breastfeeding or think you might be pregnant. Do not schedule a mammogram when your breasts might be tender. You’ll need to undress above the waist and will be provided with a gown to wear. The technologist will position your breast on the machine’s plate and an upper plate will be lowered to compress your breast for a few seconds. Although the procedure takes around 20 minutes, the compression is only a few seconds. You might feel some discomfort. Inform the technologist if pain occurs as compression is increased. If discomfort is significant, less compression can be used. For 3D mammography, no additional compression is needed and each view takes only a few seconds more.
Applications
- Breast cancer detection
- Screening Mammography
- Diagnostic Mammography
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PET/CT Imaging
Positron Emission Tomography / Computed Tomography uses a contrast agent to evaluate organ and tissue function.What is PET/CT Imaging?
Positron Emission Tomography/Computed Tomography, or PET/CT, uses a small amount of contrast material (radiotracers/radioactive material) and a special camera to evaluate structure and function of organs and tissues. PET/CT may detect diseases in early stages through its ability to identify body changes at a cellular level.
What to Expect
Tell your technologist if you are diabetic, other medical conditions, recent illnesses, medications, and allergies. You’ll be asked not to eat anything and to drink only water several hours before the scan. Remove any jewelry and wear loose, comfortable clothing. You may be asked to wear a gown. You’ll receive an intravenous injection of radioactive glucose and be asked to rest quietly for about an hour while it’s distributed throughout your body. You’ll then lie down onto a table, which will pass through a donut-shaped ring, while the images are taken. After the procedure, you may resume your normal activities. The results will be reported directly to your doctor.
Applications
- Cancer detection
- Locate tumors in the body
- Determine if cancer has spread in the body
- Monitoring effectiveness of treatment
- Evaluate brain abnormalities including tumors, Alzheimer’s, Epilepsy, and Parkinson’s
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DEXA Imaging
Bone density scanning used primarily to detect and evaluate for osteoporosis.What is DEXA Imaging?
Bone density scanning, also called dual-energy x-ray absorptiometry (DEXA) or bone densitometry, is a technique used to measure bone mineral density. DEXA uses a very small dose of radiation to produce pictures of the inside of the body - usually the lower spine and hips. It is used to diagnose osteoporosis and assess the risk of developing fractures. DEXA scans are painless and noninvasive.
What to Expect
DEXA is a simple, quick exam that requires little or no special preparation. Tell your technologist if you recently had a barium exam or had an injection of contrast material for another exam. Do not take calcium supplements the morning of your exam. Wear comfortable clothing with no metal zippers, and remove any jewelry, eyeglasses or other metal objects.
Applications
- Osteoporosis screening
- Monitoring effectiveness of treatment
Specialties
Our dedicated and caring doctors have extensive experience across a comprehensive range of imaging services, and provide insightful consulation across a variety of specialties.
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Musculoskeletal Imaging
Imaging of bones, joints, and associated soft tissues using a range of services (radiography, CT, ultrasound and MRI) for musculo-skeletal diagnostic purposes.What is Musculoskeletal Imaging?
Musculoskeletal (MSK) imaging focuses on the imaging of abnormalities of the bones, joints, muscles, tendons and articular cartilage, including orthopedic, rheumatologic, and traumatic conditions. musculoskeletal imaging uses a range of advanced technologies, and includes the imaging of the supportive soft tissue and muscle surrounding bones and joints. Many procedures allow for observing the patient in real time and in motion. Common reasons for musculoskeletal imaging relate to bones or joints damaged due to sports injuries, trauma, overuse, disease or heredity.
Applications
- Back, shoulder, knee, hip and neck pain
- Bone tumors
- Sports injuries
- Soft tissue tumors
Procedures
- Diagnostic X-Ray
- Arthrography
- CT
- MRI
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Mammography & Women’s Imaging
Specialized imaging targeting the wide range of women’s health concerns, including the use of mammography for early detection of breast cancer.What is Mammography & Women’s Imaging?
At Tristate IMG we’ve designed our services with every women in mind, providing a comprehensive range of diagnostic and imaging services that are directly related to women's health, including mammograms, breast and abdominal imaging, breast cyst aspiration and breast needle biopsy. To protect yourself from breast cancer, early detection is critical. Mammography is the only screening method that is proven to reduce breast cancer deaths and is the main reason breast cancer deaths have declined by 30% since 1990. At Tristate IMG, we’re proud to provide 3D Mammography, also known as digital breast tomosynthesis, offering clearer images with greater accuracy and lower doses of radiation. 3D Mammography captures breast images at multiple angles to create a crystal clear 3D image.
Procedures
- 3D Mammography
- Screening Mammography
- Diagnostic Mammography
- Breast Ultrasound
- Dexa Bone Density
- Breast MRI
- Pelvic MRI
- Breast Cyst Aspiration
- Breast Needle Biopsy
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Body Imaging
Non-invasive imaging focused on major organs and systems, primarily through the use of MRI and CT scans.What is Body Imaging?
Body imaging diagnoses diseases and conditions affecting major body organs and systems. A range of imaging methods, including CT and MRI, are used to diagnose conditions in major organs such as the lungs, liver, stomach, spine, pelvis, kidneys, colon, pancreas, and the abdomen. By specializing in body systems, imaging physicians are able to provide more nuanced and focused analysis. In addition to image interpretation and consultation, our body imaging physicians also perform a variety of minimally invasive, image guided procedures to assist with obtaining a more definitive diagnosis.
Applications
- Lungs
- Abdomen
- Liver
- Stomach
- Pelvis
- Kidneys
- Colon
- Breast Cyst Aspiration
- Breast Needle Biopsy
Procedures
- Diagnostic X-ray
- Body CT
- Body MRI
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Neuroradiology
Imaging targeting the nervous system, including the head, neck, spine and associated vascular system.What is Neuroradiology?
Neuroradiology focuses on imaging and analysis of the central or peripheral nervous system, head, neck, and spine. Neurological imaging specialists use a range of techniques to image structures and functions of the brain and diagnose a variety of conditions such as stroke, Alzheimer’s disease, cancer, headaches, MS, and brain tumors.
Target Diseases
- Stroke
- Alzheimer’s disease
- Cancer
- Headaches
- Multiple Sclerosis
- Brain tumors
- Spinal stenosis
- Disc herniation
Procedures
- CT
- MRI
- Angiography
- PET
- Myelography
- Spectroscopy
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Vascular & Interventional Radiology
Minimally invasive procedures using image guidance resulting in less pain, smaller risk, and shorter recovery times.What is Vascular & Interventional Radiology?
Interventional Radiology uses minimally invasive image-guided procedures for diagnosis and treatment. The goal is to provide care using the least invasive techniques. Using image guidance, including fluoroscopy, CT, ultrasound, and MRI, interventional radiologists direct therapeutic instruments throughout the body to treat a variety of diseases. This often eliminates the need for more invasive surgical procedures. Minimizing the physical trauma to the patient can reduce complication rates, recovery times, and hospital stays.
Conditions
- Cancer
- Uterine Fibroids
- Peripheral arterial disease (PAD)
- Deep vein thrombosis (DVT)
- Internal Bleeding
- Bile Duct/Ureter Obstructions
- Compression Spine Fractures
- Abscess
- Ascites
- Pleural effusion and pneumothorax
Procedures
- Angiography
- Uterine fibroid embolization (UFE)
- Liver radioembolization (Y90)
- Embolization of bleeding vessels
- Ovarian vein embolization
- Varicocele embolization
- Transjugular intrahepatic portosystemic shunt (TIPS)
- Angioplasty and vascular stenting
- IVC filter placement and removal
- Biopsy
- Abscess and fluid drainage
- Chest tube insertion
- Bile duct and gallbladder drainage
- Nephrostomy and ureteral drainage
- Microwave ablation of tumors (kidney, liver, lung)
- Vascular access (Port and PICC)
- Epidural injections
- Kyphoplasty
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Nuclear Radiology / PET
Application of a radiotracer to enhance the imaging of organ functions and disease processes.What is Nuclear Radiology / PET?
Nuclear radiology involves the administering of radiotracers, also known as radiopharmaceuticals, to act as a contrast element to aid and enhance the imaging process. This gives the imaging specialist the ability to image and depict the extent of a disease process in the body with greater clarity. The primary nuclear radiology exam is a PET exam (Positron emission tomography) – a non-invasive method that reveals the function of an organ or tissue, which is important, as disease processes often reveal themselves through functional changes. A PET exam can also help determine how effective an ongoing treatment is and to see more clearly the effect of the treatment.
Procedures
- Bone scan
- Cardiac (coronary artery disease and function)
- Gastric Emptying
- Hepatobiliary - HIDA (gallbladder)
- Liver/Spleen
- PET/CT
- Renal
- SPECT
- Thyroid scan and uptake
- Thyroid I-131 therapy