Same Day Appointments:
651.632.5700
PET/CT
Using nuclear medicine and advanced imaging to measure metabolic activity.
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Sedation
Using procedural sedation for a comfortable patient experience.
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UltraSound
Using sound waves to view internal structures.
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X-Ray
Using clear, precise images to help to diagnose a wide variety of conditions.
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Bone Density
Using bone density testing to detect osteoporosis.
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CT Imaging Services
Using images to show anatomy in great detail.
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Health Scan
Using preventive imaging for early detection in the prevention and the treatment of disease.
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Mammography
Using imaging for prevention and diagnosis of breast cancer
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MRI Imaging Services
Using a magnetic field to provide detailed images.
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Open MRI
Using a magnetic field to provide detailed images in a patient-friendly environment.
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Pain Management Injection
Using image guidance to help the doctor place the needle in exactly the right location for maximum benefit.
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PET
Using nuclear medicine to measure metabolic activity.
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Services
PET/CT
Utilizing a low dose CT examination in combination with a PET examination, images are reconstructed by computer analysis to gather more information. In modern scanners, at St. Paul Radiology, this reconstruction is accomplished with the aid of a CT X-ray scan performed on the patient during the same appointment, in the same machine.
Select Imaging Procedures
PET Tumor Imaging With CT of Skull-Thigh
CT scanning combines special x-ray equipment with sophisticated computers to produce multiple images or pictures and provides more detailed information on head injuries, stroke, brain tumors, and other brain diseases. These low dose images are then combined with the molecular imaging acquired by a PET scan. The combination provides physicians with very detailed information regarding tumors and the affects of patient treatments.
Services
Sedation
For some procedures, sedation ensures that necessary tests can be completed while providing a comfortable and pleasant experience. The patient is administered medications through an IV tube that allows the patient to be deeply relaxed yet still able to cooperate with the medical staff.
The Certified Registered Nurse Anesthetists (CRNAs) at St. Paul Radiology are pleased to provide you with answers to questions you may have about pediatric and adult sedation services. This information will help ensure a positive experience.
Questions
Who needs sedation prior to an imaging exam (MRI, CT or PET scan)?
What is monitored during sedation?
What information will I need to provide before my examination?
What should I wear to my examination?
How should I prepare for the exam?
Answers
Q: What is sedation?
Sedation is the use of anesthetics to cause loss of awareness allowing patients to complete scans safely and comfortably. CRNAs use a variety of intravenous agents, custom designed to each patient’s need.
Q: Who needs sedation prior to an imaging exam (MRI, CT or PET scan)?
Infants and children often need sedation prior to imaging due to an inability to be still for more than a few moments, affecting the quality of the scan. Adult patients who are unable to tolerate diagnostic imaging due to uncomfortable feelings of confinement, pain or uncontrollable tremors have several options including oral valium, Open MRI or conscious sedation. Talk with your physician to see if one of these options is right for you.
Q: What is monitored during sedation?
State-of-the-art equipment is used to monitor blood pressure, heart rate, oxygen saturation, respiration and exhaled carbon dioxide to ensure patient safety while under anesthesia.
Q: What information will I need to provide before my examination?
All patients are required to have a physical completed by their primary physician within 30 days of their imaging procedure. A written copy of this physical is required at the time of sedation. A telephone interview will be conducted 1 to 3 days before your scheduled appointment to gather information on health history, medications and allergies. The CRNA will also relay specific instructions pertaining to your upcoming scan. Please bring your insurance card with you to the imaging center.
Q: What should I wear to my examination?
Please wear comfortable clothing that does not have metal of any kind (snaps and zippers). A gown will be provided if necessary and lockers are available to store your personal belongings.
Q: How should I prepare for the exam?
During your phone interview, specific instructions will be given as to discontinuation of food and fluids prior to the exam. All patients are required to have a responsible adult drive them home as well as stay with them after the exam for a period of time. These are important safety measures taken for your well being.
Q: How long will my examination last?
It is important that you arrive 1 hour before your scheduled appointment. Exam times vary depending on the body part(s) your physician has ordered to be scanned. The sedation and imaging process can be surprisingly brief. For example, a 1-hour MRI scan might require only 2 to 3 hours at our facility. Before leaving, every patient or family is given clear instructions specific to the sedatives given and a contact number should questions arise at home.
Q: How will I receive my exam results?
A Board Certified Radiologist (a physician who specializes in interpreting diagnostic images) will study the images from your examination and send a report to your physician.
Services
UltraSound
Ultrasound examinations are non-invasive and painless, and are performed with the use of a probe that emits sound waves, making an image from the reflection of the sound waves. Diagnostic ultrasound is performed for a wide variety of indications, including obstetrical evaluation, identifying gallstones, and evaluating aneurysms.
The physicians and staff of St. Paul Radiology are pleased to provide you with answers to questions you may have about your upcoming exam. This information will help ensure a positive experience when you are a patient for ultrasound.
Answers
Q: What is an ultrasound?
An ultrasound is an examination using highfrequency sound waves to create images. Ultrasound does not involve radiation. A licensed sonographer (a technologist specially trained in the field of ultrasound) will perform your exam. Your exam and films will be monitored and interpreted by a radiologist.
Q: Is there any preparation on my part prior to my appointment?
The following is a list of ultrasound exams and the preparation required before your exam:
Abdomen – This exam studies the organs in your abdomen (liver, gallbladder, pancreas, kidneys, spleen and aorta). Please do not eat or drink anything after midnight prior to your exam. If you have an afternoon appointment, do not eat or drink for eight hours prior to the exam.
Pelvic or Obstetrical – Whether you are pregnant or not, you will be required to drink four 8 ounce glasses of water one hour before your appointment time. Please do not use the restroom until after your exam. Your bladder must be full in order to study the pelvic organs, and if you are pregnant, the anatomy of your baby. Your bowel lies in front of these structures/organs, and a full bladder will push the bowel away to allow a better view.
Vascular – Vascular exams are used to evaluate your arteries and veins. With Doppler ultrasound we can examine the anatomy and blood flow patterns in your vessels. No preparation is required.
Q: What should I bring to my appointment?
Please bring your insurance card. Your insurance company will be billed for the procedure. You will receive a bill for any co-pay or non-covered expenses from Midwest Radiology.
Q: What should I expect during my examination?
After you enter the examination room, the sonographer will ask you some brief questions concerning your medical history and current symptoms. This information is important to your exam.
For an abdominal exam, you will not be asked to undress, but will need to uncover your abdomen. You will be asked to lie on your back on the examination table.
Pelvic and Obstetrical exams may be performed in two different ways. The first method involves moving a small probe called a transducer across your abdomen. A gel will be applied to your skin and the sonographer will apply mild to moderate pressure allowing the transducer to emit and receive sound waves to form images.
The second method uses a transducer specially designed to be placed in the vagina. You will be asked to empty your bladder and remove your underwear before this exam. The transducer will be placed into your vagina with lubricating gel and the necessary images recorded. This technique allows a more detailed exam of the adjacent structures/organs. The method to be used will be decided at the time of the exam and is based on your medical history.
Vascular exams may require you to change into a gown for easy access to the vessels being imaged. A Doppler probe will be used to evaluate the blood flow through your arteries and veins. You will hear noises similar to a heartbeat as the sonographer evaluates the blood flow through your vessels.
Q: How long will my examination last?
Ultrasound examinations last 30-45 minutes. This may vary depending on the type of exam.
Q: How will I receive my ultrasound results?
A Board Certified Radiologist (a physician who specializes in interpreting diagnostic images) will study the images from your examination and send a report to your physician.
Select Imaging Procedures
Ultrasound Duplex Scan Extremities
Ultrasound imaging involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. The most common reason for a venous ultrasound exam is to search for blood clots, especially in the veins of the leg.This ultrasound exam is used to help diagnose abdominal pain or distention, abnormal liver function, enlarged abdominal organ, stones in the gallbladder or kidney, an aneurysm in the aorta, and may also be used to provide guidance for biopsies.
A transvaginal ultrasound is usually performed to view the endometrium or the lining of the uterus, including its thickness and thickness, and ovaries. Transvaginal ultrasound also affords a good way to evaluate the muscular walls of the uterus.
Ultrasound Abdomen Complete
Ultrasound Transvaginal
Services
X-Ray
The X-ray is the primary and most common examination within the specialty of radiology. X-rays provide valuable information to radiologists about your health and play an important role in diagnosis. X-rays of the chest, abdomen, spine, sinuses and extremities are all very common X-ray tests performed. X-rays are a form of electromagnetic radiation producing wavelengths that are shorter than visible light and therefore invisible. X-rays also behave differently than light in that they are able to penetrate into matter (including the body) and can ionize matter which strips away the normally occurring electrons from atoms and creates radiation.
X-rays do provide valuable information to your radiologist and primary care physicians, they are not to be ordered without careful consideration of the risks and benefits of use. The primary risk of an X-ray exam is radiation exposure to the patient. In simple terms, the effective radiation dose from a single chest X-ray is comparable to the amount of radiation you are exposed to from natural surroundings in about 10 days. Learn more.
An X-ray creates an image of the dense structures inside the body that are recorded on film for evaluation by a radiologist
Select Imaging Procedures
X-ray Chest with PA and Lateral Views
Imaging with x-rays involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. A chest x-ray makes images of the heart, lungs, airways, blood vessels and the bones of the spine and chest. Two images are taken one PA-posterior/anterior (front view) and one taken Lateral (side view).
Services
Bone Density
The bone densitometer measures your bone mineral density (BMD) and compares your measurements to a reference group based on your age, weight, sex, and ethnic background. This information will be used in making a diagnosis about your bone status and risk of fracture.
The physicians and staff of St. Paul Radiology are pleased to provide you with answers to questions you may have about your upcoming exam. This information will help ensure a positive experience when you are a patient for bone densitometry.
Answers
Q: What is a bone densitometry exam?
Also known as a DEXA scan, this procedure measures bone mineral density and can determine if you have osteoporosis. Often called the "silent disease", osteoporosis symptoms are rarely evident until bone has been lost.
The bone densitometer uses small amounts of X-ray to produce images of the spine, hip or even the whole body. The spine and hip are measured because they are where osteoporotic fractures most often occur. The X-Ray is composed of two energy levels that are absorbed differently by bones. The technical term for this method is "dual energy X-Ray absorptiometry" or DEXA. A computer is able to determine from these differences how much bone mineral is present.
Q: Can I eat or drink before my exam?
Yes, however, do not take calcium supplements for two days prior to your exam or on the day of your exam.
Q: What should I bring to my appointment?
Please bring your insurance card. Your insurance company will be billed for the procedure. You will receive a bill for any co-pay or non-covered expenses from Midwest Radiology.
Q: What should I wear to my examination?
Please wear comfortable clothing that does not have zippers or other metal fasteners. Belt buckles, metal or thick plastic buttons and metal jewelry will need to be removed from the spine and hip area prior to your bone densitometry exam.
Q: How does the procedure work?
Before the exam starts, the technologist will enter your name, age, weight and ethnicity into the computer. This information is used to compare your results with a normal reference population. During the bone densitometry exam, you will lie on your back on a padded table. As the exam progresses, the technologist will position your arms and legs. If you have metallic orthopedic devices in your spine or hip, your forearm or heel may be evaluated instead of the area containing metal. The information obtained during the exam will be used by your physician to evaluate bone status and fracture risk.
Q: How will I receive my bone densitometry results?
A Board Certified Radiologist (a physician who specializes in interpreting diagnostic images) will study the images from your examination and send a report to your physician.
Procedure Description
DEXA Bone Density Study
Bone density scanning, also called dual-energy x-ray absorptiometry (DXA), is an enhanced form of x-ray technology that is used to measure bone loss. DXA is most often used to diagnose osteoporosis, a condition that often affects women after menopause but may also be found in men.
Services
CT- Computed Tomography
Computed Tomography (CT) produces detailed images of the body, providing information about the internal organs, bones, and soft tissues and with computer generated assistance creates cross-sectional images of body tissues and organs that are used to diagnose diseases and disorders. Before your examiniation begins, a CT technologist will ask you a few medical questions, explain your procedure and assist you into the CT examination room. You will be asked to lie on a padded table, which will move into the scanner opening for the examination.
Answers
Q: What is a CT Scan?
Computed Tomography (CT) produces detailed images of the body, providing information about the internal organs, bones, and soft tissues and with computer generated assistance creates cross-sectional images of body tissues and organs that are used to diagnose diseases and disorders. Before your examiniation begins, a CT technologist will ask you a few medical questions, explain your procedure and assist you into the CT examination room. You will be asked to lie on a padded table, which will move into the scanner opening for the examination.
Q: What information should I provide before my CT examination?
You will be asked to complete a medical questionaire that will assist in assuring that the highest quality examination is performed.
Q: What should I wear to my examination?
Please wear comfortable clothing that does not have zippers or other metal fasteners. If you cannot wear this to your exam, a cloth gown or robe will be provided. Lockers are available to store your personal belongings.
Q: Is there any preparation on my part prior to the scan?
Some CT examinations require oral preparation. For exams that do require preparation, information will be provided to you.
Q: Do I need to bring anything with me to the examination?
Yes. Please bring your insurance card. Your insurance company will be billed for the procedure. You will receive a bill for any co-pay or non-covered expenses. Learn More.
Q: May I move during the examination?
It is important that you remain as still as possible. The technologist may ask you to hold your breath at various times during your procedure so that the images will be clear. It is very similar to having our photo taken.
Q: Is a CT scan painful?
No. The CT scan is painless; however some procedures require that an IV (intravenous or within a vein) be started for an injection of contrast material that will improve imaging.
Q: How long will the examination last?
Exam time varies depending on what part of your body is being scanned. You can consult with your CT technologist for more details, when they contact you to confirm your appointment.
Q: How will I receive my CT scan results?
A Board Certified Radiologist (a physician who specializes in interpreting diagnostic imaging) will study the images from your examination and send a medical report to your physician. Contact your physician to coordinate review of this report and findings.
Select Imaging Procedures
CT Chest Without Contrast
CT scanning combines special x-ray equipment with sophisticated computers to produce multiple images or pictures of the inside of the body to detect many lung diseases and abnormalities.CT of the sinuses may be used to detect the presence of inflammatory diseases, help plan for surgery by defining anatomy or giving further information about tumors of the nasal cavity and sinuses, evaluate sinuses that are filled with fluid or thickened sinus membranes and help diagnose sinusitis.
This CT exam is typically used to help diagnose the cause of abdominal or pelvic pain and diseases of the internal organs, bowel and colon.
This CT exam provides more detailed information on head injuries, stroke, brain tumors, and other brain diseases.
This CT exam is typically used to help diagnose the cause of abdominal or pelvic pain and diseases of the internal organs, bowel and colon.
This CT exam is typically used to help diagnose the cause of abdominal or pelvic pain and diseases of the internal organs, bowel and colon. Contrast helps to illuminate disease and may be administered either orally or intravenously.
This CT exam is used to further examine abnormalities found on conventional chest x-rays, help diagnose the cause of clinical signs or symptoms of disease of the chest, detect and evaluate the extent of tumors in the chest, assess whether tumors are responding to treatment, help plan radiation therapy, and evaluate injury to the chest. Contrast helps to illuminate disease and may be administered intravenously.
CT Maxillofacial Without Contrast
CT Pelvis Without Contrast
CT Head Without Contrast
CT Abdomen Without Contrast
CT Abdomen With Contrast
CT Chest With Contrast
Services
Health Scan
The Health Scan health screening program at St. Paul Radiology includes three specific procedures for the early detection of coronary artery disease, lung cancer and colon cancer ─ all performed in a licensed, state-of-the-art permanent facility.
- CT Colonography- $895.00
- CT Heart Scan- $275.00
- CT Lung Scan- $275.00
Patients should refrain from caffeine four hours prior to their scheduled heart scan.
Answers
Q: What Screening Exams are Available Through the HealthScan Program?
Heart Scan- A new, quick, non-invasive test to check for heart disease.
Lung Scan - A new, quick, non-invasive test to check for lung disease.
CT Colon Scan- A new, quick, less-invasive alternative to colonoscopy, which evaluates the colon for polyps and colon cancer.
Q: How Do I Schedule a Heart Scan, Lung Scan or CT Colonography Exam?
These exams are elective procedures and can be scheduled directly with St. Paul Radiology by calling 651.632.5700. St. Paul Radiology encourages patients to discuss the risks and benefits of these elective procedures with their primary care physician. At your request, a copy of the medical report can be sent to your primary care provider.
Q: Who Should Consider a HealthScan Evaluation?
St. Paul Radiology's clients are people who are interested in their health and wellness. They recognize the value of early detection in the prevention and the treatment of disease. They realize that true patient care begins with themselves, the patient.
Q: Are These Procedures the Same as the "Body Scan Vans" Seen in Other Parts of the Country?
No. St. Paul Radiology's studies are performed in a licensed, state-of-the-art permanent facility. At the conclusion of the study, you will have a face to face consultation with a Board Certified Radiologist who will review your examination and the results with you.
Q: Who Will Interpret My Examination?
All studies are interpreted by Board Certified Radiologists (St. Paul Radiology) with expertise in both body imaging and preventive imaging. St. Paul Radiology takes a multi-disciplinary approach to provide reassurance that appropriate recommendations are made at the conclusion of the exam. These physicians participate in the multi-disciplinary diagnosis and treatment of vascular disease, lung disease, and oncologic disorders. Additionally, with your approval, St. Paul Radiology will provide reports and images to your primary care physician.
Q: What is the Mission of St. Paul Radiology's HealthScan Program?
The program is designed to provide superior CT screening at state-of-the-art imaging centers for the early detection of coronary artery disease, lung cancer and colon cancer, while remaining committed to educating the consumer about the issues of quality, expertise and competence in the newly emerging field of preventive imaging. At the Health Scan Program, preventive imaging is performed in a controlled setting with direct physician supervision. Furthermore, the physicians of this practice are all Board Certified in Diagnostic Radiology. They are respected, active members of the Twin Cities medical community and they are on the medical staff of many Twin Cities area hospitals.
Q: What Are the Risk Factors for Heart Disease?
- Family History of Heart Disease
- Smoking
- High Cholesterol
- High Blood Pressure
- Overweight
- Diabetes
- Sedentary Lifestyle
Q: What is a Heart Scan or Coronary Calcification Scoring?
Coronary artery calcification scoring is a pain free, non-invasive procedure that requires less than ten minutes. The multi-detector CT scanner takes 120 images of your coronary arteries without any injections, needles or catheters. Four EKG electrodes are placed on your chest to obtain images while your heart appears motionless. The amount of calcium or plaque detected in your coronary arteries is then used to establish your cardiac score.
Q: What Does the Heart Scan Coronary Calcification Score tell My Physician and Me?
Very early warning signs of heart disease can be detected with cardiac scoring. This is the latest tool available to detect plaque in the coronary arteries. There are five categories for calcium scores.
1.) A Score of 0 - No coronary artery disease
2.) A score of 1-11 - Indicates a minimal risk of coronary artery disease
3.) A score of 11-100 - Indicates a mild degree atherosclerotic, plaque burden
4.) A score of 101-400 - Indicates a moderate atherosclerotic plaque burden
5.) A score greater than 400 - Indicates an extensive atherosclerotic plaque burden
In addition to the total score, a percentile for age and gender is calculated. If the score >75 percentile for a patient's age/gender, then the physician will advance to recommendations for next higher calcium score range. With this information, you and your physician can formulate the appropriate treatment, which could include diet and life style changes, medications, and/or further testing.
The following is adapted from Rumberger JA, et. al., Mayo Clinic Proceedings March 1999;74:243-252
CT CALCIUM SCORE OF 0:
No identifiable plaque. The probability of significant Coronary Artery Disease (CAD) is very unlikely, generally < 5%. The implications for Cardiovascular (CV) risk are very low. The recommendations are to discuss general public health guidelines for primary prevention of heart diseases.
CT CALCIUM SCORE OF 1-10:
Minimal identifiable plaque burden. The probability of significant CAD is very low, < 10%. The implications for CV risk are low. The recommendations are to discuss general public health guidelines for primary prevention of heart diseases.
CT CALCIUM SCORE OF 11-100:
Definite, at least mild atherosclerotic plaque burden. The probability of significant CAD-mild or minimal coronary stenosis likely. The implications for CV risk are low to moderate. The recommendations are to counsel about risk factor modification, strict adherence with National primary prevention guidelines for high cholesterol. Consult your physician.
CT CALCIUM SCORE OF 101-400:
Definite at least moderate atherosclerotic plaque burden. The probability of significant CAD-non-obstructive CAD highly likely, although obstructive disease possible. The implications for CV risk are moderate to high. The recommendations are to institute aggressive risk factor modification and secondary prevention guidelines for high cholesterol. Consult your physician.
CT CALCIUM SCORE >400:
Extensive atherosclerotic plaque burden. The probability of significant CAD-high likelihood (>=90%) of at least 1 significant coronary stenosis. The implications for CV risk are high. The recommendations are to institute very aggressive risk factor modifications. Consult your physician.
Q: Is Coronary Artery Disease Treatable?
Yes. Prevention, early detection, and early intervention are critical and can save many lives. Coronary artery atherosclerosis can be slowed, stabilized, and in some cases reversed through aggressive life-style modification and also through medical therapies under the supervision of a physician.
Q: Who Should Have the Heart Scan?
Coronary Calcium scoring is not for everyone. In general, it is most appropriate for men and women, age 40-70, who have one additional risk factor. It is not for people with already known coronary heart disease, arrhythmia's, or previous heart surgery. The scan could be the first step in preventing a major fatal cardiac event. The American Heart Association now recommends the heart scan as one of the first tests for atypical chest pain. Learn More.
Q: How Do I Prepare for the Heart Scan Examination?
There is no specific preparation for the scan. You may eat or drink, however caffeinated products may make your heart beat too fast. Avoid shirts with metal straps or buttons. Women should avoid wearing a bra with under-wire or metal closures. The test and facility have been specifically designed with your comfort in mind. At St. Paul Radiology, a private changing area and private gowns will be available.
Q: Is Cardiac Calcification Scoring Safe?
Yes. Radiation exposure is minimal. No needles, injections, or sedations are used.
Q: How Do I Receive the Results of My Heart Scan Examination?
At St. Paul Radiology, rapid results are essential, not only for your peace of mind, but also to begin the effective implementation of our recommendations. After completion of the test, a Board Certified Radiologist will analyze the images and calcification scores. Then, you will have a one-on-one consultation with the radiologist who interpreted your exam. At the conclusion of the consultation, you will be provided with a typed report and folder containing recommendations and pertinent images from your study. A letter will also be sent to the physician of your choice, if you so choose. St. Paul Radiology strongly encourages patients also review these results with their primary care physician to formulate a complete preventive plan.
Q: Is the Heart Scan Exam Covered By Insurance?
No. Currently, the heart scan is not covered by insurance. Direct payment is accepted at the time of the exam. Cash, check, and credit cards are accepted for payment. Many clients utilize their health care flexible medical spending accounts or medical savings plans to pay for their evaluation. Any additional tests needed are covered by insurance and must be ordered by your physician.
CT HEART SCAN: $275.00 Gift Certificates Available!
Q: Do I Need A Doctor's Referral for the Heart Scan?
No. St. Paul Radiology strongly encourages patients review these results with their primary care physician to formulate a complete preventive plan.
Q: What are the Risk Factors for Lung Cancer?
Smoking tobacco
Significant exposure to second-hand smoke
Significant exposure to asbestos or radon
Q: What is a Lung Scan or CT Lung Screening Examination?
In general, a screening exam is a study used to detect a disease process before signs or symptoms are present. For example, mammography detects early breast cancer. Colonoscopy detects early colon cancer. A lung cancer screening CT exam is a sophisticated low radiation exam utilizing a Multi-detector CT scanner to look for early lung cancer. Special protocols are used to screen for early lung cancer.
Q: What Does the CT Lung Scan Tell My Physician and Me?
In many cases, the lung scan will be normal. In other cases, a variety of lung abnormalities might be detected which would otherwise not be detectable on plain chest x-rays. Many of these abnormalities will be benign; that is, they will not be cancer and do not require any treatment or follow-up. Some non-cancerous abnormalities require follow-up testing to establish stability. Early research has shown that approximately 40-50% of people may have a non-cancerous nodule, which requires tracking for stability. This finding will usually require following the nodule for two years. If a suspicious nodule is detected, you will be immediately referred to a lung specialist. It may be necessary for you to undergo further testing to determine if such a suspicious abnormality is cancer. The following chart provides a review of codes assigned, based on lung scan results. These codes are used to assist in patient tracking and follow-up procedures:
| St. Paul Radiology Code |
Category | Recommendations |
| 1 | Negative | Smoking cessation, consider repeat scan in 1 year |
| 2 | Benign | Smoking cessation, consider repeat scan in 1 year |
| 3 | Indeterminate (<1cm smooth nodule) | Smoking cessation, follow-up diagnostic CT scan of chest in 3 mo., 6 mo., 12 mo., and 24 mo., assuming no change in size. Consider benign if stable for 2 years. |
| 4 | Suspicious | Pulmonary consultation, consider biopsy for tissue diagnosis. Smoking cessation. |
| 5 | Malignant | Pulmonary consultation, tissue diagnosis. Smoking cessation. |
A low dose CT lung scan is a screening exam and does not preclude further diagnostic work-ups should symptoms arise. If you develop symptoms (cough, pain), please see your physician. Not all lung cancers will be detected with low dose CT screening and a negative screen today does not mean that a cancer will not develop in the future. CT lung cancer screening is not a substitute for smoking cessation.
Q: What are the Benefits of a CT Lung Scan Examination?
Low dose CT scanning of the lungs can greatly improve the detection of small and potentially curable early stage lung cancers; this has been shown in the ELCAP Study (Early Lung Cancer Action Project). (Henschke, CI, and et al early lung cancer action project: overall design and findings from baseline screening. ('The Lancet 1999: 354: 99-105'). Learn More.
Q: Who Should Have the CT Lung Scan?
The CT lung scan exam is not for everyone. In general it is most appropriate for men and women 50+ with a significant smoking history. It is not for people with known lung cancer. After scheduling this exam a St. Paul Radiology nurse will contact you to ensure the procedure is appropriate for you.
Q: How Do I Prepare for the CT Lung Scan Examination?
There is no specific preparation for the scan. You may eat or drink. Avoid shirts with metal straps or buttons. Women should avoid wearing a bra with under-wire or metal closures. The test and facility have been specifically designed with your comfort in mind. At St. Paul Radiology, a private changing area and private gowns will be available.
Q: Is CT Lung Screening Safe?
Yes. Radiation exposure is minimal. No needles, injections, or sedations are used.
Q: How Do I Receive the Results of My CT Lung Scan Examination?
At St. Paul Radiology rapid results are essential, not only for your peace of mind, but also to begin the effective implementation of our recommendations. After completion of the test, a Board Certified Radiologist will analyze the images. Then you will have a one-to-one consultation with the radiologist who interpreted your exam. At the conclusion of the consultation, you will be provided with a typed report and folder containing recommendations and pertinent images from your study. A letter will also be sent to the physician of your choice, if you so choose. St. Paul Radiology encourages patients to review these results with their primary care physician to formulate a complete preventive plan.
Q: Why Should I have My CT Lung Scan Examination Performed at St. Paul Radiology?
The lung cancer screening CT program at St. Paul Radiology represents a state of the art screening program. All studies are interpreted by Board Certified Radiologists with expertise in body and preventive imaging. St. Paul Radiology takes a multi-disciplinary approach that will either provide you with reassurance that you are healthy, or if possible problems are detected, with immediate direction for further treatment. St. Paul Radiology physicians are active members in the medical community in the Twin Cities, and participate in the multi-disciplinary treatment of lung cancer. They participate in weekly conferences at many Twin City hospitals, which deal with lung cancer staging, diagnosis and treatment.
Q: Will I Need a Repeat CT Lung Scan Examination?
Screening examinations should be repeated periodically. A negative exam today does not guarantee that cancer will not develop in the future. Furthermore, not all lung cancers are detected by CT. Presently, the interval of screening has not been well defined. Based on current information, yearly follow-up exams are suggested.
Q: Is the CT Lung Scan Examination Covered by Insurance?
No. Currently, the CT lung screening exam is not covered by insurance. Direct payment is accepted at the time of the exam. Cash, check, and credit card are accepted. Many clients utilize their health care flexible medical spending accounts or medical savings plans to pay for the evaluation. Any additional tests needed may be covered by insurance and must be ordered by your personal physician. If you do not have a personal physician, we can assist you in finding a physician with a special expertise in lung cancer evaluation.
CT LUNG SCAN: $275.00 Gift Certificates Available!
Q: Do I Need a Doctor's Referral for the CT Lung Scan?
No. St. Paul Radiology strongly encourages patients to work closely with their primary care physician to formulate a complete preventive care plan.
Q: What are the Risk Factors for Colon Cancer?
Age
Family History
Other Colon Diseases
Familial Polyposis
Ulcerative Colitis
Crohn's Disease
Chronic Inflammatory Bowel Disease
Previous Colorectal Cancer
Q: What is the CT Colonography Examination?
In general, a screening exam is a study used to detect a disease process before signs or symptoms are present. For example, mammography detects early breast cancer. A CT Colonography exam is a sophisticated low radiation exam utilizing a multi-detector CT scanner to look for colon cancer and colon polyps. Special protocols are used to enhance the screening examination. A small tube is placed into the rectum through which carbon dioxide is used for insufflation. This distends the colon, allowing St. Paul Radiology physicians to obtain detailed CT images. No sedation is required, there is minimal patient discomfort, and the procedure time is short.
Q: What Does the CT Colonography Examination Tell My Physician and Me?
This procedure provides detailed information on your colon health, including the detection of significant colon polyps and colon cancers.
Q: What Are the Benefits of a CT Colonography Examination?
Colon cancer is the second leading cause of cancer death in the United States for both men and women. However, less than half of the population is currently screened for colon cancer. Although the potential risk is clear, many people are reluctant to undergo screening because of the perceived discomfort associated with traditional screening exams. CT colonography offers patients an efficacious alternative to colonoscopy for screening.
Q: Who Should Have a CT Colonography Examination?
The CT colonography exam is not for everyone. In general it is most appropriate for men and women over 50. It is not for people with known colon cancer, colon cancer symptoms, or previously removed colon polyps. After scheduling this exam a St. Paul Radiology nurse will contact you to ensure the procedure is appropriate for you.
Q: How Do I Prepare for the CT Colonography Examination?
Patients will be provided a dietary prep kit with instructions prior to the exam. The kit includes a recommended menu to be followed for two days before the exam. The St. Paul Radiology nurse will review these instructions with you to ensure adequate preparation. As with colonoscopy, adequate dietary preparation impacts exam quality. This diet, combined with the colon cleansing medicines provided in the kit, will remove stool from your colon. This allows St. Paul Radiology physicians to detect any polyps or masses that may be in the colon. If stool remains in the colon, it could hide a polyp or could be confused with a polyp.
Q: Is the CT Colonography Examination Safe?
Yes. Radiation exposure is minimal. No needles, injections, or sedations are used.
Q: Is the CT Colonography Examination Painful?
No. Most patients feel minimal discomfort during the exam. Some patients report cramping during colon insufflation; however, this is short-lived.
Q: How Do I Receive Results From the CT Colonography Examination?
After your scan, one of the St. Paul Radiology Board Certified Radiologist will interpret your scan, comprised of several hundred images. You will then be telephoned within 72 hours by either the Health Scan nurse or attending radiologist with your exam results. Your results and medical report will also be shared with your primary care physician, with your approval.
Q: How Long Does the CT Colonography Examination Last?
Although the scan takes less than ten minutes, you should allow one hour for the entire procedure. You do not need a driver to accompany you.
Q: Is the CT Colonography Examination Covered by Insurance?
No. Currently the CT Colonography exam is considered preventive for asymptomatic patients. As such, it is not currently covered by insurance. Often, people are reimbursed through flexible medical spending accounts. If a polyp is found in your CT Colonography exam, colonoscopy is recommended. This should be covered by insurance.
CT Colonography: $895 Gift Certificates Available!
Q: Do I Need a Physician's Referral for the CT Colonography Examination?
No. Although a referral is not required, St. Paul Radiology strongly encourages patients to work closely with their primary care physician to formulate a complete preventive care plan.
Q: I've Undergone the CT Colonography Procedure, Now What?
When you receive your results, effective treatment options and next step recommendations will be discussed, based upon the results of your exam.
HealthScan Procedures
CT Colonography
A screening exam that is a sophisticated low radiation exam utilizing a multi-detector CT scanner to look for colon cancer and colon polyps. Special protocols are used to enhance the screening examination. A small tube is placed into the rectum through which carbon dioxide is used for insufflation. This distends the colon, allowing St. Paul Radiology physicians to obtain detailed CT images. No sedation is required, there is minimal patient discomfort, and the procedure time is short.A CT Heart Scan, also called coronary artery calcification scoring, is a pain free, non-invasive procedure that requires less than ten minutes. The multi-detector CT scanner takes 120 images of your coronary arteries without any injections, needles or catheters. Four EKG electrodes are placed on your chest to obtain images while your heart appears motionless. The amount of calcium or plaque detected in your coronary arteries is then used to establish your cardiac score. Your cardiac score provides your physician and you useful information in terms of your risk for heart disease.
A CT Lung Scan is a sophisticated low radiation lung cancer screening exam utilizing a Multi-detector CT scanner to look for early lung cancer. Special protocols are used to screen for early lung cancer. Early lung cancer detection can improve treatment outcomes.
CT Heart Scan
CT Lung Scan
Services
Mammography
Mammography is the best method available for the early detection of breast cancer. A screening mammogram involves two X-rays of each breast. The breasts are compressed during each examination to improve the clarity of the X-ray image. St. Paul Radiology offers both screening and diagnostic mammography as well as ultrasound and needle-guided biopsy/aspiration to evaluate the breast.
The physicians and staff of St. Paul Radiology are pleased to provide you with answers to questions you may have about your upcoming exam. This information will help ensure a positive experience when you are a patient for mammography.
At St. Paul Radiology certified mammography technologists will perform your exam. St. Paul Radiology imaging centers are American College of Radiology accredited.
Answers
Q: What is a mammogram?
A mammogram is an examination of the soft tissue of the breast. Mammography is the recommended modality for early detection of breast cancer. St. Paul Radiology offers both screening and diagnostic mammography as well as ultrasound and needle guided biopsy/aspiration to evaluate the breast. A screening mammogram involves two X-rays of each breast.
Q: Is there any preparation on my part prior to my appointment?
If your previous mammogram was not done at St. Paul Radiology, you will be asked to contact your former provider and request that your film be sent to St. Paul Radiology for a comparison study.
Q: What should I wear to my examination?
You may prefer to wear a two-piece outfit to your mammogram appointment, as we will ask you to disrobe from the waist up. A gown will be provided for your convenience. If you are wearing deodorant, you will be asked to remove it.
Q: What should I bring to my appointment?
Please bring your insurance card. Your insurance company will be billed for the procedure. You will receive a bill for any co-pay or non-covered expenses from Midwest Radiology.
Q: How does the procedure work?
The technologist will place your breast between two plates on the imaging machine and compression will be applied for a few seconds while each image is taken. You will be asked to hold your breath and not move during each exposure.
Q: Is a mammogram painful?
You will feel the compression when it is applied for each image. Unless your breasts are already tender, the exam should not be painful. Some patients do experience brief discomfort.
Q: What is Computer Aided Detection (CAD)?
St. Paul Radiology is equipped with state-of-the-art Computer Aided Detection (CAD). This new technology aids the radiologist in identifying very subtle changes in the breast. CAD, as the name implies, uses a computer to assist in analyzing your mammogram. The computer utilizes breakthrough technology to highlight any potential areas of concern on a mammogram, calling attention to subtle changes in the breast tissue that may indicate the presence of cancer. The computer does not replace the radiologist who reads the mammograms. The radiologist determines if marked areas need further evaluation. With CAD, the radiologist still makes the final interpretation of your mammograms and you receive the benefit of a second opinion.
Q: How will I receive my mammogram results?
A Board Certified Radiologist (a physician who specializes in interpreting diagnostic images) will study the images from your examination and send a report to your physician. You will receive a letter from St. Paul Radiology with your results within 30 days of your examination.
Select Imaging Procedures
Screening Mammography
A screening mammography uses a low-dose x-ray system to examine breasts and plays a central part in early detection of breast cancers because it can show changes in the breast up to two years before a patient or physician can feel them.Diagnostic mammography is used to evaluate a patient with abnormal clinical findings—such as a palpable breast lump or lumps—that have been found by the patient or doctor. Diagnostic mammography may also be done after an abnormal screening mammography for futher evaluation.
Diagnostic Mammography
Services
MRI
Magnetic Resonance Imaging, or MRI, is a procedure that gathers information about your body using a magnet, radiowaves, and a computer to create detailed internal images of the body and transmits them for your doctor to see. MRI can assist physicians in detecting and diagnosing diseases or other abnormalities in very early stages.
The physicians and staff of St. Paul Radiology are pleased to provide you with answers to questions you may have about your upcoming exam. This information will help ensure a positive experience when you are a patient for MRI.
Answers
Q: What is MRI?
Your physician has ordered a diagnostic procedure known as Magnetic Resonance Imaging, or MRI. MRI uses a magnetic field, radio waves and a computer to create extremely detailed images of the human body. Before your exam begins, an MRI technologist will ask you some medical questions, explain your procedure and assist you into the MRI room. You will be asked to lie on a padded table, which will move into the magnet opening, and your exam will begin.
Q: What information will I need to provide prior to my MRI examination?
You will be asked to complete a medical questionnaire that will assist the technologist in assuring that the highest quality exam is performed.
Please make sure your physician and the technologist performing your exam know if you have a pacemaker, prosthesis, aneurysm clips, metal implants or other metal objects in your body. If you know you have had metal in your eyes, please inform us, as you may require an additional study prior to your MRI.
Q: What should I wear to my appointment?
Our facilities will provide cloth gowns or robes for all patients scheduled for an MRI. Lockers are available to store your personal belongings.
Q: Is there any preparation on my part prior to my MRI?
Most MRI examinations require no preparation. However, for exams that do require preparation, information will be provided to you by your physician's office.
Q: What should I bring to my appointment?
Please bring your insurance card. Your insurance company will be billed for the procedure. You will receive a bill for any co-pay or non-covered expenses from Midwest Radiology.
Q: May I move during the examination?
It is important to remain as still as possible. Your technologist may ask you to hold your breath. If you have special needs, please let your technologist know.
Q: Is an MRI painful?
The procedure is painless. You will hear a knocking sound as each series of images is taken.
Q: How long will my examination last?
The length of your exam depends on the body part(s) your physician has ordered to be scanned, but most exams last approximately 30-45 minutes.
Q: What is the difference between MRI and Open MRI?
An MRI is a large cylinder that surrounds you and is open on both ends (as appears in photograph on cover). An Open MRI is open on the sides (as appears in photograph at left). Your physician will determine which type of MRI is most appropriate for you. St. Paul Radiology is proud to offer MRI and High Field Open MRI.
Q: How will I receive my MRI results?
A Board Certified Radiologist (a physician who specializes in interpreting diagnostic images) will study the images from your examination and send a report to your physician.
Select Imaging Procedures
Brain MRI with & without Contrast
MRI uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of the brain. The images acquired are used to diagnose and detect normal, diseased, or injured brain and assist in determining how the brain is functioning, as well as for assessing the potential risks of surgery or other invasive treatments of the brain. This MRI examination will require the patient to receive an injection of contrast into the bloodstream. The contrast material used for an MRI exam, called gadolinium, does not contain iodine and is less likely to cause side effects or an allergic reaction.
This exam shows the anatomy of the vertebrae that make up the spine, as well as the disks, spinal cord and the spaces between the vertebrae through which nerves pass. In this procedure, only the lumbar (lower) portion of the spine will be imaged.
This exam produce detailed pictures of the body's major joints to diagnose or evaluate degenerative joint disorders such as arthritis and meniscus tears (knee), joint abnormalities due to trauma, tumors involving joints, and pain, swelling or bleeding in the tissues in and around the joints.
MRI uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of that shows the anatomy of the vertebrae that make up the spine, as well as the disks, spinal cord and the spaces between the vertebrae through which nerves pass. In this procedure, only the cervial (neck) portion of the spine will be imaged.
This exam produces detailed pictures of the brain. The images acquired are used to diagnose and detect normal, diseased, or injured brain and assist in determining how the brain is functioning, as well as for assessing the potential risks of surgery or other invasive treatments of the brain. This MRI examination does not require the patient to swallow contrast material or receive an injection of contrast into the bloodstream. The contrast material used for an MRI exam, called gadolinium, does not contain iodine and is less likely to cause side effects or an allergic reaction.
This exam produces detailed pictures of both breasts. MRI of the breast is not a replacement for mammography or ultrasound imaging but rather a supplemental tool for detecting and staging breast cancer and other breast abnormalities.
In magnetic resonance angiography (MRA), a powerful magnetic field, radio waves and a computer produce detailed images and is used to examine blood vessels in the brain to identify the effects of a stroke, other disease and/or aneurysms. The brain MRA is also used for surgical planning and treatment.
MRI imaging uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of the body's major joints to diagnose or evaluate degenerative joint disorders such as arthritis, joint abnormalities due to trauma, tumors involving joints, and pain, swelling or bleeding in the tissues in and around the joints.
MRI Lumbar Spine without Contrast
MRI of Joint Lower Extremity
MRI Cervical Spine without Contrast
Brain MRI without Contrast
MRI of Breast With & Without Contrast
MRI Angiography With & Without Contrast
MRI Joint Upper Extremity Without Contrast
Services
Open MRI
Open Magnetic Resonance Imaging, or Open MRI, is a very patient-friendly procedure that is quieter and more comfortable for patients than a closed MRI. Open MRI gathers information about your body using a magnet, radiowaves, and a computer to create detailed internal images of the body and transmits them for your doctor to see. Claustrophobic, obese and pediatric patients, along with those suffering from post-traumatic stress syndrome, are often able to comfortably undergo MRI examinations. The Open MRI unit is available at St. Paul Radiology Roseville.
Services
Pain Management Injection
Pain Management Injections provide long-term pain relief by delivering a combination of local anesthetic and steroid to an area in the body that is the source of pain, using image guidance to ensure proper needle placement.
The physicians and staff of St. Paul Radiology are pleased to provide you with answers to questions you may have about your injection. This information will help ensure a positive experience when you are a patient for a pain management injection procedure.
Answers
Q: What is a pain management injection?
There are several types of pain management injections. Spinal injections, including epidural steroid, sacroiliac joint, and facet injections, provide long-term pain relief by delivering a combination of local anesthetic and steroids to an area in the spinal column or pelvis that is the source of pain. Joint injections are also performed to provide pain relief. Your procedure will be performed by a Board Certified Radiologist with Fluoroscopic X-ray guidance to ensure proper needle placement.
Injections performed at St. Paul Radiology
Arthrography
Epidural Steroidal Injection (Transforaminal Approach)
- Cervical
- Thoracic
- Lumbar
Extremity Joint Injection
Facet Joint Injection
MRI Arthrography
Sacroiliac Joint Steroid Injection
Selective Nerve Root Block
Trigger Point Injection
Q: Are there medication restrictions for this procedure?
Yes. If you are on Coumadin, Heparin or Plavix, you will need to discontinue this medication prior to your procedure. You must consult your physician for approval before you stop taking your medication.
Q: Can I eat or drink before my procedure?
You may consume only clear liquids for three hours prior to your exam. Medications other than those mentioned above may be taken with water. If you have diabetes, please follow your normal insulin schedule.
Q: How much time should I allow?
Procedures typically take 30 minutes, but may vary depending on the injection ordered. Following your procedure, you will be monitored for at least 15 minutes before you can leave our imaging center.
Q: What should I wear to my procedure?
Please wear comfortable clothing without metal zippers or other metal fasteners. For some procedures you may be asked to change into a cloth gown. Lockers are available to store your personal belongings.
Q: What should I bring to my procedure?
Please bring all recent film studies and reports that relate to this procedure (MRI, CT, etc) if they were not performed at St. Paul Radiology. The radiologist will need this information to perform your procedure.
Please bring your insurance card. Your insurance company will be billed for the procedure. You will receive a bill for any co-pay or non-covered expenses from Midwest Radiology.
You must bring a driver to take you home after your injection.
Q: Will the injection be painful?
The amount and degree of discomfort that you will experience is highly variable depending on the injection that was ordered. Every attempt is made to maximize your comfort during the course of the procedure.
Q: How does the procedure work?
X-ray is used to guide the placement of a needle to the area of pain in your body. Medication is then injected into the problem area. Please keep in mind that it may take up to one week before the medication takes effect. You can expect a call from our nurse within that time.
Q: How will I feel after the procedure?
You will be able to move about freely, but may want to perform only light activity for the remainder of the day. You must bring a driver to take you home after your injection.
Q: Should I see the radiologist for ongoing pain management care?
Since you have been referred for pain relief, you may be scheduled for one or a series of injections. Once you have completed your pain management injection(s), you should follow-up with your primary physician for ongoing care. You will need a referral from your primary physician for future pain management injections.
Select Procedures
Epidural Steroid Injection
An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. ESI may be performed to relieve pain caused by spinal stenosis, spondylolysis, or disc herniation. Medicines are delivered to the spinal nerve through the epidural space, the area between the protective covering of the spinal cord and vertebrae. Pain relief may last for several days or even years. The goal is to reduce pain so that you may resume normal activities.Like an epidural steroid injection a transforaminal injection is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves. Transforaminal injections are performed for the same reasons as an ESI including pain relief pain caused by spinal stenosis, spondylolysis, or disc herniation. Medicines are delivered to the spinal nerve through what is normally a smaller needle, via a different approach to the area between the protective covering of the spinal cord and vertebrae. Pain relief may last for several days or even years. The goal is to reduce pain so that you may resume normal activities.
Transforaminal Epidural Injection
Services
PET
Positron emission tomography (PET) is a nuclear medicine imaging technique which produces a three-dimensional picture of functional processes in the body. This is different from other traditional imaging techniques such as CT and MRI, which primarily evaluate the structure of the body.
The physicians and staff of St. Paul Radiology are pleased to provide you with answers to questions you may have about your upcoming exam. This information will help ensure a positive experience when you are a patient for a PET scan.
For your comfort, please be sure to:
- Tell your physician if you are pregnant or think you may be pregnant, if you are a nursing mother or are claustrophobic.
- Wear comfortable clothing (sweat suit or running suit) and remove all jewelry.
- Wear your hearing aid, glasses or dentures to the imaging center. You will be given a secure place to store these items during your exam.
- Take any prescribed medications on the day of your test unless instructed not to do so.
- Do not perform any strenuous physical activity 24 hours prior to this procedure.
- If you are insulin dependent, bring your insulin with you to the exam.
- Bring all previous film studies not done at St. Paul Radiology (for example-X-Rays, CT, Ultrasound and MRI) relating to your illness.
- The radiologist will use this information in correlation with your PET scan.
Questions
How should I prepare for my PET scan?
Can I eat or drink before my scan?
Answers
Q: What is a PET scan?
Your physician has ordered a Positron Emission Tomography (PET) scan that will provide important information about many conditions affecting the heart, brain or other organs. This will help your physician plan the appropriate treatment for you. PET images are different than those from conventional imaging, such as X-Rays, CT, Ultrasound or MRI, because they contain information about tissue function.
Q: How should I prepare for my PET scan?
Do not perform strenuous activity 24 hours prior to this procedure. This includes but is not limited to: running, physical fitness, heavy lifting and repetitive motion. If your occupation requires a high level of activity, you may need to take off the day prior to your scan.
Q: Can I eat or drink before my scan?
For a 24 hour period prior to your PET scan, please drink extra fluids. If you are diabetic, follow your normal diet and take your medications as scheduled. During the 4 hours prior to your scan, please drink 2 glasses of water. Do not eat or drink anything else during this period.
Q: How much time should I allow?
Plan to spend approximately 2 1/2 hours at the imaging center.
Q: How does the procedure work?
You will receive an injection of a radioisotope solution into a vein in your arm. You may also be asked to drink CT contrast. After the injection, you will rest in a comfortable position and wait approximately 60 minutes for the solution to be thoroughly distributed throughout your body. You will be taken to the restroom and asked to empty your bladder prior to the imaging procedure. During the exam you will lie on your back on the scanning table and every effort will be made to ensure that you are comfortable. The scan takes approximately 1 hour to perform.
Q: How will I receive my PET scan results?
A Board Certified Radiologist (a physician who specializes in interpreting diagnostic images) will study the images from your examination and send a report to your physician.
Q: How will I feel after the scan?
After the procedure you may resume normal activities. There are no side effects from the radioisotope solution. You will be able to drive immediately.
About SPR
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166 4th Street East
St. Paul, MN 55101
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Phone: 651.292.2000
Fax: 651.297.6251
contact.us@stpaulrad.com