Digital X-Ray

Full Field Digital Mammography | Bone Densitometry | Digital Fluoroscopy | White Plains | YonkersX-ray is a medical imaging technique that uses ionizing radiation to produce images of structures inside the body. New technologies now allow for digital x-rays, which reduce radiation exposure and produce instant, high-quality images. At Hartsdale Imaging, we use only digital x-rays. With our digital flat panel detector, high resolution diagnostic images are available for review by the technologist within 5 seconds of making the exposure. If necessary, the technologist can digitally manipulate the image, saving the patient from any additional exposure. Once satisfied with the image, the technologist will electronically send the image to the radiologist for review.

What happens during an x-ray?

X-ray is a painless procedure that takes between five and ten minutes to complete, and usually involves taking more than one image. Depending on the part of the body to be x-rayed, you will be positioned either standing up or lying on a table. It is important to remain still during the procedure, as any movement can blur the image. Once the examination is complete, the technologist will have you remain in the exam room until the radiologist has reviewed all of the images.

X-ray Preparation

There is no special preparation for an x-ray, although you might be asked to change into an examination gown and remove all jewelry and metal objects.

Full Field Digital Mammography

Mammography is an x-ray exam used to obtain images of the breast. It is a highly useful tool in the early detection of breast cancer because it may show an abnormality in breast tissue before the patient or doctor can feel it. Hartsdale Imaging is accredited by the American College of Radiology (ACR) and certified by the FDA to perform digital mammography examinations. Mammography is recommended for women over the age of 40, or for anyone with an increased risk of developing breast cancer. Screening and diagnostic mammography can aid in the detection and diagnosis of breast diseases, lumps, cysts and benign and malignant tumors. With mammography, image quality is the key to early detection. By using the Selenia full-field digital mammography system from Hologic, we are able to offer our patients the most technologically advanced mammogram possible, resulting in exceptional image quality. Hologic is the industry leader in advanced digital mammography systems, and have incorporated a number of unique features into the Selenia not found on other digital mammography systems.

Full Field Digital Mammography | White Plains | YonkersFull field digital mammography is different from conventional mammography in how the images are viewed, and more importantly, manipulated. The radiologist can magnify the images, increase or decrease the contrast, and invert the black and white values while reading the images. These features allow the radiologist to evaluate micro calcifications and focus on areas of concern.

To supplement this technology, Hartsdale Imaging has incorporated digital Computer-Aided Detection (CAD). Digital CAD highlights characteristics commonly associated with breast cancer. CAD is in essence a second set of eyes to support and enhance the radiologist's judgment.

What happens during a Mammography Examination?

Before the procedure, you will be asked to remove your shirt and bra and put on a cape with the opening to the front. During the procedure, the technologist will place one breast on a small platform and apply compression with a paddle. Some women may experience slight discomfort during compression. The technologist then exposes the breast to a very low dose of radiation and an image is displayed on her computer monitor. She then releases compression, and rotates the machine horizontally. The technologist will again place that same breast on a small platform and apply compression with a paddle. After exposing the breast to a very low dose of radiation, an image will again be displayed on her computer monitor. This procedure is then repeated for the other breast. After the technologist has acquired two images of each breast, she will electronically send the images to the radiologist, who will review all four images using special computer software on special computer monitors. If necessary, the radiologist may ask the technologist to take additional images of one or both of the breasts. At the end of the study, the technologist will ask you to wait in the waiting room while the radiologist reviews all of the images. When the radiologist has completed her review, she will give you the results in writing to take home with you. Total exam time is approximately 15 minutes.

Mammogram Preparation

  • Do not wear powder, perfume or deodorant.
  • Wear comfortable two-piece clothing.
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Bone Densitometry

 Bone Densitometry  | White Plains | YonkersBone density scanning, also known as bone densitometry, is a simple noninvasive procedure used to determine the extent of bone loss and assess a patient's risk of osteoporosis by measuring bone mineral density. It is most commonly performed on the lower spine, hips and wrist and allows patients to take preventive measures against osteoporosis before they experience a broken bone.

At Hartsdale Imaging, we use DXA (Dual-Energy X-Ray Absorptiometry) technology for our bone densitometry exams. Using DXA technology, the imaging device sends low-dose beams with two energy peaks that examine soft tissue and bone. The soft tissue results are then subtracted from the total to determine the patient's bone mineral density. DXA is the most commonly used procedure for evaluating a patient's risk of osteoporosis. After the risk of osteoporosis and related fractures is determined, patients can take certain precautions to reduce their risk of fracture and keep bones as strong and healthy as possible. A bone densitometry exam is recommended for women over the age of 65, or anyone over the age of 60 with an increased risk of osteoporosis.

What happens during a Bone Densitometry Examination?

During the bone densitometry procedure, the patient lies on a padded table with an X-ray generator below and an imaging device above. The imaging device passes over the area of interest to produce images that appear on a computer monitor. The results are printed and given to the referring doctor. There is no pain associated with this procedure, and patients are able to return home and resume their regular activities immediately after. It is important to note that this exam cannot predict when or where a fracture may occur; it can only determine a patient's risk of fracture. Total exam time is between 20 and 30 minutes.

Bone Densitometry Preparation

There is no special preparation for this procedure. Do not wear clothing with zippers or buttons.

Digital Fluoroscopy

Digital Fluoroscopy | White Plains | YonkersDigital fluoroscopy is used to obtain real-time moving x-ray images of structures inside the body. During the procedure, x-rays pass through the body area being imaged, where they strike a digital fluorescent screen and are transmitted to a computer. The radiologist can then see the images on the computer screen in real-time and manipulate them in ways not previously possible. Such technological advances require fewer images to be taken, thereby reducing the length of the procedure and the x-ray dose to the patient. Because Hartsdale Imaging is committed to reducing patient radiation dose, we use only digital fluoroscopy.

The primary use for fluoroscopy is to view the gastrointestinal tract, including the esophagus, stomach, intestines and colon. It is also used by the radiologist to guide the placement of a needle into a joint for the injection of contrast material.

What happens during a Fluoroscopy Examination?

An esophagram, or swallowing study, is a test which allows the radiologist to view the appearance and function of the esophagus during the swallowing process. For this exam, you will be asked to change into an examination gown while the technologist rotates the examination table into an upright position. The radiologist will place you in front of the exam table and give you a cup of barium. When instructed by the radiologist, you will drink the barium (which coats the lining of the esophagus) while the radiologist holds the fluoroscopy unit over the area to be imaged. Live real time images of the swallowing process will be displayed on a computer monitor for the radiologist to evaluate. Total exam time is between 15 to 20 minutes.

An upper GI is a test used to view the structures of the upper digestive system which include the esophagus, stomach, and the first part of the small intestine. The procedure is the same as an esophagram, with the addition of the stomach and the first part of the small intestines. If the remaining part of the small intestines is also to be visualized, then a small bowel series would be added. When an upper GI is ordered as a double contrast study, the procedure would be the same as an upper GI with the addition of gas-forming crystals. In a double contrast study, the patient swallows gas-forming crystals, which are activated when they react with the liquid barium. These crystals cause the barium coated stomach to expand, resulting in more detailed images of the lining of the stomach. Total exam time is between 20 to 30 minutes.

A barium enema is used to view the lower part of the gastrointestinal tract, which includes the large intestine, colon, and rectum. For this procedure, your bowels must be completely empty. You must pick up a bowel cleansing kit from Hartsdale Imaging at least two days prior to your exam, and carefully follow the instructions. On the day of your exam, you will change into an exam gown and the technologist will ask you to lie on your back on the exam table. The technologist will then take an x-ray of your abdomen for the radiologist to review. The radiologist will then position you on your side and slowly insert a lubricated enema tip into your rectum. The enema tip is connected to bag containing liquid barium. A small balloon in the enema tip is inflated to hold the tip in place as the radiologist releases the barium into your colon. Using the fluoroscopy machine, the radiologist will then monitor the flow of barium. If a double contrast barium enema is ordered, the radiologist will introduce air into your colon after the barium. This will expand your colon for better visualization. Total exam time is between 20 and 30 minutes.

Fluoroscopy Preparation

  • Esophagram (Barium Swallow) – nothing to eat after midnight the day before your appointment.
  • Upper GI – nothing to eat after midnight the day before your appointment.
  • Small Bowel Series – nothing to eat after midnight the day before your appointment.
  • Barium Enema – 2 days prior to your appointment pick up a bowel cleansing kit from Hartsdale Imaging and follow the instructions inside the kit.
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