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Doctor insights on: Imaging

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What is the value of thermal imaging?

What is the value of thermal imaging?

Questionable: There is currently no proven thermal imaging technique but hopefully sometime in the near future! Read more

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What are the dangers of excessive imaging ordering?

What are the dangers of excessive imaging ordering?

The golden rule: As a general rule one should only perform an imaging study if he has a specific question that the study can answer and if there is the potential to change the treatment plan based on the findings from the imaging study. If you can not answer with a definite yes to both questions then you should not perform the study. Otherwise, any risk taken (radiation, over diagnosis/treatment) is unwarranted. Read more

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What is diagnostic imaging?

What is diagnostic imaging?

Diagnostic imaging: Refers to the specialty of radiology which includes xrays, ct scan, ultrasound, mri, nuclear medicine, mammography, fluoroscopy, and intervential radiology. Read more

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Are tests for myocarditis done in imaging?

Are tests for myocarditis done in imaging?

Two main tests: Echocardiogram (ultrasound) of the heart and biopsy of the heart muscle to confirm viral damage to the muscle tissue. Read more

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What imaging is being done on hydranencephaly?

What imaging is being done on hydranencephaly?

Simple works: Hydranencephaly is often detected today by random ultrasound performed during an otherwise routine pregnancy. Many sophisticated methods can confirm this after birth but the simple one also works. The skull of a hydranencephalic newborn is thin will light up like a lantern in a dark room if a dark light is placed against the back of the skull. Investing with more expensive imaging is unnecessary. Read more

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Is it difficult to locate a neuroma with imaging?

Is it difficult to locate a neuroma with imaging?

Sometimes yes,: Especially if it is small. Even a small neuroma can cause pain. Even is it large, it is sometimes difficult to image, because neuromas can appear very similar to adjacent tissue on CT and MR. Read more

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Can any healthtap Drs order imaging tests such as MRIs?

Can any healthtap Drs order imaging tests such as MRIs?

Not at present: Anything that is serious enough to require an MRI also requires a physical exam. It is irresponsible to subject someone to radiation of this dosage without even a reasonable suspicion that something might be found. Suggest you find a doctor to evaluate you physically and decide together whether an MRI is warranted. Good luck! Read more

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If I use HealthTap Prime, can doctors order imaging tests?

If I use HealthTap Prime, can doctors order imaging tests?

PRIME and x-rays...: HealthTap PRIME began this summer (2014), and is a Primary Care service. A patient is connected with the first available doctor, and different doctors are online at various times. Patients don't select a doctor on PRIME. A consultation ends each time, and the doctor does not follow-up after the consultation. Thus, no lab nor imaging tests are ordered (otherwise, a follow-up visit would be needed). Read more

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I recently had a mammogram and need additional imaging. Why is this?

I recently had a mammogram and need additional imaging. Why is this?

The radiologist: Identified a potential abnormality on the screening mammo, and it requires special additional views and possibly ultrasound to completely evaluate. This scenario occurs with approximately 10% of screening mammos, and once the additional imaging is performed, about 80% of the time it is nothing of concern. Read more

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What could be some possible reasons for a kidney to not show up on imaging?

What could be some possible reasons for a kidney to not show up on imaging?

Several factors.: Virtually all stones can be visualized by ct scanning, except for the very rare indinavir stone. Prior to the widespread use of ct, stones that do not show up on x-ray films were called radiolucent. Uric acid stones, for instance, do not appear on plain films. Very small stones may not show up, as well as matrix stones with little calcium content. Read more

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Help! What is abnormal mitral annular velocity pattern by tissue dopper imaging?

Diastolic dysfunctio: It is a sign of abnormal filling during the resting phase of the cardiac cycle (diastole). It may be just impaired relaxation (the mildest form) or actually indicative of different degrees of restricted filling. There are 4 recognized stages. The mildest is extremely common and present in most people >age 40. The 4th stage is extremely rare and present only in rare diseases like cardiac amyloid. Read more

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Is there any pain involved in a proton magnetic resonance spectroscopic imaging?

No: There is no pain involved. You just need to lie still for approximately one hour. Read more

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Can decompensated cirrhosis be seen on imaging?

Depends: It depends on your definition of decompensated cirrhosis, since cirrhosis itself is a de-compensated condition by definition. Liver function tests (blood draw), ultrasound, and specific types of scans (fibroscan, MRI, CT) can add to the picture. See you internal medicine doc for more specific info, or contact us here at HealthTap for a live consultation Read more

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Who can legally order diagnostic imaging on a fetus?

MD/DO's.: Any MD or DO can request diagnostic imaging of a fetus, however they then become legally bound to follow up on the results of the study, and with the patient. Therefore normally a patients pcp, OB/GYN, or a perinatologist will normally request the studies, for an indication of which they will be following. They will consider the risk of the exam to the benefit of the procedure. Read more

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What imaging might I get in the emergency room (er)?

What imaging might I get in the emergency room (er)?

Ultrasound, x-ray,: Ultrasound, x-ray, ct are all readily available depending on the question to be answered. Nuclear medicine and MRI are often nearby. Read more

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