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Magnetic Resonance Imaging (MRI)

Magnetic Resonance Imaging (MRI) uses a strong magnetic field, radio-waves and computers to create images. MRI does not use radiation. The MRI machine is cylindrical and creates a strong magnetic field around the patient. Computers form 2D images of structures and organs. MRI may be used in situations where organs or soft tissues are being studied.

Why should you choose us?
  • We have 1st Silent Digital MRI in Mumbai. Addressing sound has quickly become a top priority for improved patient comfort especially since 30 percent of all MR exams are neurological scans where the patient’s head is positioned inside the bore. Now is the time to break that silent barrier and change the way patients hear MR forever. Introducing Silent Scan. Using a unique combination of innovative technologies, we’ve made MR as silent as a whisper. The day when your patients can undergo a neuro scan without feeling anxiety brought on by the acoustic noise of a typical exam is here. And we’ve accomplished this while still providing the excellent image quality you need to make a confident diagnosis. It’s time to hear the difference.
  • We have lights inside tunnel along with music system inside. These features provide ease of mind for those patients who are claustrophobic.
  • The scans are completed much faster than any other standard MRI machine.
  • Dedicated knee and shoulder coils allow us to image better.
Important Information
If you are pregnant, notify the MRI Technologist. Remove all jewellery and or metal. Leave valuables at home. Bring your insurance card and photo ID with you. Do not wear eye makeup.

What to expect the day of your MRI scan
The MRI causes no pain. It is necessary that you remain very still so that the images will be clear. You will hear tapping or knocking noises during phases of the scan. Earplugs or music will be provided. You may feel a warm feeling. This is normal, but if it bothers you, inform the MRI Technologist with bell in your hand. The MRI Technologist will communicate with you at various intervals of the scan to ensure your comfort. Some MRI scans involve an injection of contrast. If contrast is needed, an IV will be inserted.

MR PERFUSION

MR perfusion is a specialized MR technique that evaluates the relative perfusion tissue. Most of the time this is done in association with contrast enhancement but we also have non contrast 3D ASL techniques. MR perfusion is often done in situations of tumors of the brain as well as ischemic injuries (stroke).

MR SPECTROCOPY Magnetic Resonance (MR) spectroscopy is a noninvasive diagnostic test for measuring biochemical changes in the brain, especially the presence of tumors. While magnetic resonance imaging (MRI) identifies the anatomical location of a tumor, MR spectroscopy compares the chemical composition of normal brain tissue with abnormal tumor tissue. This test can also be used to detect tissue changes in stroke and epilepsy.

How does MR spectroscopy work?
This MR spectroscopy graph shows the different chemical peaks of a suspected brain tumor.

Spectroscopy is a series of tests that are added to the MRI scan of your brain or spine to measure the chemical metabolism of a suspected tumor. MR spectroscopy analyzes molecules such as hydrogen ions or protons. There are several different metabolites, or products of metabolism, that can be measured to differentiate between tumor types like Amino acids, Lipid, Lactate, Alanine, N-acetyl aspartate, Choline, Creatine and Myoinositol. The frequency of these metabolites is measured in units called parts per million (ppm) and plotted on a graph as peaks of varying height . By measuring each metabolite’s ppm and comparing it to normal brain tissue, the neuroradiologist can determine the type of tissue present.

Functional MRI and DTI Overview :
Functional MRI (magnetic resonance imaging) is a noninvasive diagnostic test that measures small changes in blood flow as a person performs tasks while in the MRI scanner. Functional MRI detects the brain in action (e.g., speaking or moving). It has an advantage over other imaging studies that focus only on the structure of the brain. This test helps doctors understand how a tumor or a stroke has altered brain function. It is also an important tool in planning surgery – called brain mapping – that helps surgeons remove tumors to the greatest extent possible without harming areas that are critical to a patient’s quality of life.

How does Functional MRI work?
When we start thinking, neurons in our brain use more oxygen and demand more blood. Functional MRI can detect the difference in signal caused by the increase in blood flow to specific areas of the brain. The MRI scanner measures this signal difference and displays the activity as a colored area (Figure 1).
Figure 1. In functional MRI, brain areas “light-up” when performing certain tasks.

What does a Functional MRI show?
Functional MRI gives detailed pictures of brain activity. It is used to determine precisely which part of the brain is handling critical functions such as thought, speech, vision, movement and sensation. It can also show the effects of stroke, trauma or Alzheimer's on brain function.

Diffusion Tensor Imaging (DTI) is a technique that detects how water travels along the white matter tracts in the brain. White-matter tracts connect different parts of the brain and must be protected during surgery. A dye (contrast agent) may be injected into your blood stream. The dye contains gadolinium, which has magnetic properties. It circulates through the blood stream and is absorbed in certain tissues, which then stand out on the scan.

Who performs the test?
A radiology technologist will perform the test in the MRI suite of the Radiology department of the hospital or outpatient imaging cent

MAVRIC SL
MAVRIC SL is an acquisition and reconstruction technique for imaging soft tissue and bone near MR Conditional metallic devices. MAVRIC SL helps reduce artifacts caused by presence of metal in both in-plane and through-plane dimensions compared to conventional MR techniques. For the first time ever you can greatly improve visualization of bone and soft tissue in the vicinity of MR Conditional metal implants and generate diagnostic quality MR images.

The MAVRIC SL method deploys 3D Fast Spin Echo technique to acquire multiple overlapping volumes at discrete frequency offsets. This approach helps eliminate through-plane distortions and reduce in-plane artifacts. Phase encoding is also applied in the slice-selective dimension, and slab-selectivity is enabled through a novel 3D generalization of the view-angle-tilting method to prevent aliasing. Finally, a novel, spectrally-correlated deblurring technique is implemented to the final composite image.

This approach to acquisition and composite image formation results in excellent SNR and excellent image integrity in the near vicinity of MR Conditional metallic devices.

Challenging just became routine with MAVRIC SL.

Multidetector CT Scan (MDCT)

A Computed Tomography (CT) scan is a diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce vertical and horizontal images (called slices) of the body. It shows detailed images of any part of the body, including the bones, muscles, fat, organs, and blood vessels. URMC Imaging sites utilize low-dose CT scanners. Low-dose CT scanners significantly decrease the level of radiation exposure to the patient while maintaining high image quality.

Important Information
You may receive a call from us to review your medical history with you to determine that no issues exist preventing you from having a CT scan. If you need to cancel or reschedule your appointment, please provide 24 hours notice. If you believe you may be pregnant or have had a contrast allergy/reaction (i.e., hives, rash, itching, breathing difficulty) while undergoing a previous imaging study, please call at least 3 days prior to your scheduled appointment so we may make the appropriate modifications to your treatment plan.

Instructions for the day of your CT scan
  • Wear comfortable shoes and clothing
  • Remove all jewellery and or metal.
  • Leave valuables at home.
  • Bring your insurance card and photo ID.
  • Generally, fasting is required prior to administering contrast. You will be advised of your fasting requirement at the time of scheduling the scan.
  • A parent/guardian should remain in the building when a child (under 19 years) is having an imaging procedure.
What to expect the day of your CT scan
Some CT scans require drinking a flavored oral contrast. This would occur for approximately 30–60 minutes prior to your scan.
Some CT scans involve an injection of contrast. If this type of contrast is needed, an IV will be inserted.


What to expect after your scan
You will be provided with post-procedure instructions.

DEXA BMD

A DEXA scan is a special type of X-Ray that measures bone density. DEXA stands for Dual Energy X-ray absorptiometry.

DEXA scans, also known as DXA scans are most commonly used to diagnose osteoporosis ( where the bones become weak and fragile and more likely to break ). They can also be used to assess the risk of osteoporosis developing.

DEXA is also effective in tracking the effects of treatment for osteoporosis or for other conditions that cause bone loss.

Bone Density Exam Preparations :

1. No calcium supplements 24 hours prior to exam.
2. No restriction on food or drink, no studies with oral or IV contrast the same say.

Digital Mammography U.S. FDA approved

Digital mammography is used as a diagnostic and a screening tool. The goal of mammography is the early detection of breast cancer.

Ours being U.S. FDA approved digital mammography system is much superior & accurate to the conventional mammography system. We can vouch for accuracy & clarity of the images. Bigger mammography table is available with us which allows complete coverage of big breasts.

Any lady above the age of 40 years must a get mammography done every year as a screening tool.

We have sono-mammography also available, essential for dense breasts & young females. For every mammography, we do complementary screening sono – mammography wherever necessary.

2D / 3D / 4D Ultrasonography (USG) / Sonography

An ultrasound machine creates images that allow various organs in the body to be examined. The machine sends out high – frequency sound waves, which reflect off body structures. A computer receives these reflected waves and uses them to create a picture. Unlike with an X - ray or CT scan, there is no ionizing radiation exposure with this test.

Advanced Speckle Reduction Imaging ( SRI ) – helps heighten the visibility of organs and lesions with high – definition contrast resolution that suppresses speckle artifact while maintaining true tissue architecture.

CrossXBeam CRI – helps enhance tissue and border differentiation with an innovative, real – time spatial compounding acquisition and processing technique.

HD – Flow - uses a bi-directional Doppler feature to help achieve a more sensitive vascular study and reduce overwriting.

Obstetric ultrasound refers to the specialized use of sound waves to visualize and thus determine the condition of a pregnant woman and her embryo or fetus.

Ultrasound is a useful way of examining many of the body's internal organs, including the heart, liver, gallbladder, spleen, pancreas, kidneys, and bladder.

Ultrasound services offered :

  • Sono 4D
  • Sono Abdomen & Pelvis
  • Sono Anomaly Scan 1st trimester, 2nd trimester
  • Sono Anomaly with 3D / 4D
  • Sono Scan eyes ( B Scan )
  • Sono Breasts ( Sono-mammography )
  • Chest
  • Follicular study
 
  • Gall bladder study
  • Head
  • Knee
  • K.U.B. ( Kidney Urinary Bladder )
  • Shoulder
  • Neck
  • Obstetrics / Pregnancy
  • Upper Abdomen
  • Whole Abdomen
  • Pelvis
  • Scrotum
  • Skull
  • Thigh
  • Transvaginal sonography
  • Small Parts
  • Soft Tissue
       

Fully Automated Pathology Laboratory

Pathology Laboratory provides facility for routine and advanced pathology tests.

Ours is a fully automated computerised laboratory with 2 – way interfacing & bar coding facility available. We maintain the highest standard in all departments.

The department offers a comprehensive range of pathology services, which are fully supported by consultant – grade staff. The key service objective is to provide, interpret and report analytical results with appropriate attention to quality, speed and economy, and where necessary, provide advice on any further investigations that are indicated.

The department offers a comprehensive service, and committed to the continued development of a service that is sensitive to the needs of its users.


Service Available

  • Biochemistry
  • Hematology
  • Microbiology
  • Clinical Pathology
  • Histopathology
Preparation before collection:
  • Blood sugar level- fasting 10-12 hours required.
  • Lipid profile / Cholesterol / Triglyceride-12-14 hours required

Breasts and Small Parts Elastography

Elastography is a new sonographic technique that provides additional characterization information on lesions over conventional Sonography and mammography.

Its ability to evaluate abnormalities in real-time makes Ultrasound Elastography an invaluable tool in the non-invasive assessment of masses. This technique provides information on the strain or hardness of a lesion. It works on the principle that usually malignant lesions are hard in nature compared to the soft benign lesions.

Elastography has many potential areas of application, including small parts as well.

Digital X-ray

X-rays can produce diagnostic images of the human body on film or digitally on a computer screen. X-ray imaging is the fastest and easiest way to view and assess broken bones, such as skull fractures and spine injuries. Digital X-ray helps us to get high resolution images with best clarity.

How to Prepare for the Test: Most X-rays require no special preparation.

You may be asked to remove some or all of your clothes and to wear a gown during the exam. You may also be asked to remove jewellery, eye glasses and any metal objects or clothing that might interfere with the X-ray images.

Caution:
Women should always inform X-ray technologist if there is any possibility that they are pregnant. Many imaging tests are not performed during pregnancy so as not to expose the fetus to radiation. If an X-ray is necessary, precautions will be taken to minimize radiation exposure to the baby.

Digital Pulmonary Function Test (PFT) / Digital Spirometry

Pulmonary function tests are a group of tests that measure how well the lungs take in and release air and how well they move gases such as oxygen from the atmosphere into the body's circulation.

How the Test is Performed

Spirometry measures airflow. By measuring how much air you exhale, and how quickly, spirometry can evaluate a broad range of lung diseases. In a spirometry test, while you are sitting, you breathe into a mouthpiece that is connected to an instrument called a spirometer.

The spirometer records the amount and the rate of air that you breathe in and out over a period of time.

12 – Lead ECG

An electrocardiogram (12 lead ECG ) is an electrical recording of the heart and is used in the investigation of heart disease. Ours being PC – based 12- lead digital ECG, we have the option of getting computerised interpretation of your ECG & also the ECG can be emailed to your doctor.

Color Doppler

A Doppler ultrasound is a non – invasive test that can be used to estimate your blood flow through blood vessels; a computer then converts the Doppler sounds into colours that are overlaid on the image of the blood vessel and that represent the speed and direction of blood flow through the vessel.

Doppler study of carotid vessels, abdominal vessels, renal vessels, extremity vessels can be performed with high accuracy. Obstetric Doppler can be performed for pregnant ladies to the assess the utero – placental & feto – placental insufficiency.

Doppler study of any lesion can be performed to assess their vascularity.

Stress Test / TMT

A stress test, sometimes called a treadmill test or exercise test, helps find out how well the heart handles stress. As the body works harder during the test, it requires more oxygen and the heart has to pump more blood. The test can show if the blood supply is reduced in the arteries that supply the heart.

2D – Echo Cardiography

It can provide excellent images of the heart, paracardiac structures, and the great vessels. During a standard echo, the sound waves are directed to the heart from a small hand-held device called a transducer, which sends and receives signals. Heart walls and valves reflect part of the sound waves back to the transducer to produce pictures of the heart. It is capable of displaying cross-sectional "slice" of the beating heart.

Cone Beam CT (CBCT)

These are specialized CT studies of the jaw and paranasal sinuses usually asked for by dentists, oral surgeon, ENT surgeons and plastic and maxillo-facial surgeons. It provides powerful “true to life” 3D imaging for an enhanced view from every angle. 3D imaging can enhance the standard of care for endotontics, implants, oral surgery and daily procedures of general practice. Selectable fieldsof view give you what you need for a faster, more accurate, task-specific diagnosis. We are able to obtain your desired image while controlling image size, resolution, region of interest and dose. In terms of dose, safety of the patient is always the highest priority..

Important things to Know
  • Preparation : Not required
  • Appointment : Not required
  • Time taken : 15 minutes

EEG (Electro Encephalogram)

An electroencephalogram (EEG) is a painless procedure that uses small, flat metal discs (electrodes) attached to your scalp to detect electrical activity in your brain. Your brain cells communicate via electrical impulses and are active all the time, even when you're asleep. This activity shows up as wavy lines on an EEG recording.

An EEG is one of the main diagnostic tests for epilepsy. An EEG may also play a role in diagnosing other brain disorders.

Digital OPG & Lateral Cephalogram

Digital OPG is a panoramic scanning dental X-ray of the upper and lower jaws. It shows a two-dimensional view of a half-circle from ear to ear.

Digital OPG helps us to achieve high resolution images with best clarity.

A Lateral Cephalogram (or Lat Ceph) is an X-ray taken of the side of the face with very precise positioning, so that various measurements can be made to determine the current and future relationship of the top and bottom jaw (maxilla and mandible) and therefore assess the nature of a patient's bite. This is particularly useful to plan any orthodontic treatment that may be necessary.

X-ray Intravenous Urography (X-ray IVU ) or Xray Intravenous Pyelography ( X-ray IVP )

An intravenous pyelography (IVP) / Intravenous Urography (IVU) is an X-ray test that provides pictures of the kidneys, the bladder and the ureters (urinary tract). An IVP/IVU can show the size, shape, and position of the urinary tract, and it can evaluate the collecting system inside the kidneys.

During IVP/IVU, a dye called contrast material is injected into a vein in your arm. A series of X-ray pictures is then taken at timed intervals.

IVP/IVU is commonly done to identify diseases of the urinary tract, such as kidney stones , tumors, or infection. It is also used to look for problems with the structures of the urinary tract that were present from birth (congenital).

Preparation –
Fasting of 10-12 hours with adequate bowel preparation is required. The test is done only on appointment basis.

X-ray Fistulogram

A fistulogram is a way of outlining any small track or wound, usually opening onto the skin, by injecting an X-ray dye (contrast medium) through a fine tube placed in the opening. Serial Xrays are taken following this.

X-ray Hysterosaphinogram ( HSG )

A Hysterosaphinogram (HSG) is a X-ray test that looks at the inside of the uterus and fallopian tubes and the area around them. It often is done for women who are having a hard time becoming pregnant (infertile).

During a Hysterosaphinogram, a dye (contrast material) is put through a thin tube that is put through the vagina and into the uterus. Because the uterus and the fallopian tubes are hooked together, the dye will flow into the fallopian tubes. Pictures are taken using a steady beam of X-ray as the dye passes through the uterus and fallopian tubes.

The test is performed strictly on appointment basis which is given between 7th to 10th day of your cycle.

X-Ray Retrograde Urethrography ( RGU )

A Retrograde Urethrography (RGU) is a diagnostic procedure done via the retrograde injection of radiopaque contrast into the urethra and taking XRays. It is performed most commonly in male patients to diagnose urethral pathology such as trauma to the urethra or urethral stricture.