Newsletter Spring, 2012 Volume I

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Chloe Hart
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1 Newsletter Spring, 2012 Volume I

2 essage from the anager erivale edical Imaging (I) is pleased to announce our very first newsletter for referring physicians. We ve been working hard to make improvements to our services and are very excited to share some of them with you. In December 2011, we launched a brand new website with a wealth of resources for physicians and patients. As well, we are proud to have recently become part of the NEODIN Digital Imaging Repository (NEODINDIr). As always, the input and opinions of our referring physicians matter greatly to us, and we encourage you to contact us if there are resources or information that you would like to see included on our website or in future editions of this newsletter. We thank you for your continued support and encourage you to visit us today at In this Edition New Website & Logo Page 3 Digital Requisitions Page 4 Accreditations Page 4 Nuclear Cardiology Program Page 5 Ontario Breast Screening Program (OBSP) Page 6 Enhanced ammography Services Page 6 Diagnostic Imaging Repository Page 7 Wait Times Wait times for most exams at I are minimal, frequently less than a week, as our policy at I is to respond to long wait times by extending clinic hours as necessary. Exceptions are peripheral arterials, echocardiograms and chronic musculoskeletal cases, which have a wait time of approximately 3 weeks. Acute or urgent musculoskeletal cases can usually be accommodated within hours. Parking I has plenty of parking available onsite for a flat rate of $4/day payable by cash or credit card. The parking voucher is valid for the entire day. Patients who are dropping in to book an appointment may use the 10minute spaces which are available free of charge. Proceeds from parking fees are used to finance the purchase of new equipment. Christina 2

3 New Website & Logo I has recently launched a new logo and website. This easytonavigate website contains a wealth of information and resources which will be of use to both patients and referring physicians alike. Physicians: Visit the or Physicians section to request electronicallyfillable PD versions of our new requisitions, to complete an online satisfaction survey and to find information about the tests we offer. Patients: Visit the site to find general test information, important test preparation instructions, clinic hours and location, registration forms and to request an appointment online. 3

4 Digital Requisitions Bone ineral Densitometry (BD) Requisition Ultrasound Requisition Accredited by the Canadian Bone ineral Densitometry acility Accreditation Program Accredited by AIU & ICAVL ammography Requisition Nuclear edicine Requisition XRay Requisition Accredited by the Canadian Association of Radiologists ammography Accreditation Program Previous BD? DUPLEX COLOUR DOPPLER Carotid Peripheral Arterial Obstetrical Ankle Brachial Pressure ollicular Tracking Peripheral Venous for DVT Legs RT Peripheral Venous for Incompetence Abdominal Doppler Breast RT LT RT Clinical Information (a short clinical history is essential): Pain Lump Discharge Bone Scan Total Body Cardiac Gated Blood Pool (LVE) Bone San Site Specific Gastric Transit Cardiac Perfusion ragility ractures Hyperparathyroidism Chemotheraphy Early enopause (< 45 y.o.) R/A Treatment for Osteoporosis Low Body ass Hypogonadism Glucocorticoid Therapy 3 months or more alabsorption Syndrome Yes No Gallium Treadmill Other (please specify): Pharmacologic Stress (with Persantine) or Cardiac Perfusion Studies: Continue eds Height: Weight: XRay Examination Required: Discontinue eds (specify): Clinical Information (a short clinical history is essential): Clinical Information: Clinical Information (a short clinical history is essential): Clinical Information: Routine Height Loss usculoskeletal (SK) Abdominal Wall Other (specify): Possibility of Pregnancy?: History: Rapid Bone Loss actors Portal Venous LT Where: High Risk High Risk actors: LT years plus a day from previous BD and five (5) years from a subsequent BD. LT Renal (for uncontrolled HTN) RT Groin for Hernia When: High Risk appointment must be one (1) year plus a day from previous BD. Routine (low risk) must be three (3) Endometrial Saline Infusion (ESI) Thyroid Yes NEW OHIP REGULATIONS Arms Transrectal Prostate Scan PSA Value: No Routine (Low Risk) Echocardiogram with Doppler Pelvis Trans Vaginal Pelvic Exam Abdomen GENERAL ULTRASOUND Simplified, electronicallyfillable requisitions for each of the five modalities are now available in PD format. To receive electronic copies of these new requisitions please send an to info@mmimaging.com. To ensure prompt service for your patients, please ensure the req is signed and completed in full. Accreditations Did you know...not all diagnostic imaging centres are created equal? Some imaging facilities are accredited while many are not. Accreditation is a voluntary process by which certification of competency is verified by an outside organization usually nongovernmental. I proudly holds multiple accreditations, demonstrating our steadfast commitment to quality care by adherence to rigorous standards. Currently we hold accreditations from the following organizations: American Institute of Ultrasound (AIU) Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL) Canadian Association of Radiologists ammography Accreditation Program (AP) Canadian Bone ineral Densitometry acility Accreditation Program Additionally, as an Independent Health acility (IH), I regularly undergoes quality assessments and inspections which are conducted by the College of Physicians and Surgeons of Ontario (CPSO), as mandated by the Province of Ontario s Independent Health acilities Act (IHA). During our most recent inspection, conducted in November of 2010, we were commended for the high level of service we deliver to our patients. One more reason to continue to choose I for your diagnostic imaging needs. 4

Nuclear Cardiology Program I has a wellestablished nuclear cardiology department providing cardiac perfusion imaging and LV gated studies (UGA).

5 Nuclear Cardiology Program I has a wellestablished nuclear cardiology department providing cardiac perfusion imaging and LV gated studies (UGA). These services have been offered at I for the past 15 years. Our nuclear cardiology program runs in cooperation with 5 highly trained and experienced cardiologists from the affiliated erivale Cardiovascular Consultants (CC) ( Cardiac perfusion imaging is performed for the evaluation of chest pain in the detection and localization of coronary artery disease (CAD), for the prognosis of those with known disease, and for risk stratification. Referrals for stress testing are accepted from general practitioners and family physicians, in addition to internists and cardiologists. A cardiologist from CC performs and supervises the stress testing and interprets the ECG. A nuclear medicine technologist trained in Advanced Cardiac Life Support (ACLS) prepares the patient for testing and is present during testing for patient care and for the administration of the radiotracer. Testing is performed with treadmill exercise or, in the case of those patients who are unable to exercise, we administer pharmacologic stress using an intravenous vasodilator called Persantine. Cardiac perfusion images are acquired using a stateoftheart gamma camera and interpreted by an onsite nuclear medicine physician. A single comprehensive report will be provided to the referring physician describing both the stress test and ECG findings, as well as the myocardial perfusion findings. The report will also include an assessment of the left ventricular function (LV size, E and wall motion). 5

6 Ontario Breast Screening Program (OBSP) I is proud to be affiliated with the Ontario Breast Screening Program (OBSP). This program encourages women between the ages of 50 and 69 to undergo regular mammography screening. Once enrolled in the OBSP program, patients can continue to have regular mammography screenings until the age of 74. Patients do not need a physician s referral or requisition to participate in this program. At the physician s request, and with patient consent, we can send a copy of the results to the patient s doctor. I will also remind the patient when it is time to schedule their next mammogram. To participate in OBSP, patients must: Be a resident of Ontario Have not had a mammogram in the past 11 months ust not have had breast cancer ust not have breast implants ust not currently have acute breast symptoms (pain, lumps, etc.) Enhanced ammography Services In arch 2010, I acquired 2 new fullfield digital mammography units and, as such, boasts a fully digital mammography department. Since January 1st 2012, I has been offering a new service to all physicians referring for mammogram testing. I will arrange and coordinate follow up imaging for those patients requiring additional imaging due to an abnormal screening mammogram, BiRads 0. We will contact the patient to inform her of the requested imaging and we will coordinate the follow up appointment date and time. or patients who require biopsy, BiRads 4 & 5 at the time of her follow up appointment, we will advise the patient of the recommended investigation and ask her to contact her physician to discuss the results. We will send the breast images and biopsy request (from our radiologist) to the Women s Breast Health Centre. The Women s Breast Health Centre will then notify the referring physician of the biopsy appointment. If you prefer to make your own arrangements or prefer to send your patient somewhere other than the Women s Breast Health Centre, please direct your response to ext We hope that this service will expedite the timing of the followup appointments and enhance the level of care we provide to our patients. 6

Diagnostic Imaging Repository (NEODIN DIr) I s stateoftheart equipment and robust IT infrastructure are similar to those being used by many of the world s leading hospitals.

As part of our patientfocused technology strategy, I is pleased to be the first Independent Health acility (IH) within the Champlain/ LHIN region to become part of the Northern and Eastern Ontario

7 Diagnostic Imaging Repository (NEODIN DIr) I s stateoftheart equipment and robust IT infrastructure are similar to those being used by many of the world s leading hospitals. We firmly believe that having uptodate technology is key to providing excellent care for our patients. As part of our patientfocused technology strategy, I is pleased to be the first Independent Health acility (IH) within the Champlain/ LHIN region to become part of the Northern and Eastern Ontario Diagnostic Imaging Network diagnostic imaging repository (NEODIN DIr). The NEODIN DIr is a secure, shared repository of images and reports for more than 60 medical imaging clinics in northern and eastern Ontario. This repository allows physicians access to medical imaging test results regardless of where the images were generated within the network. In other words, physicians at the region s hospitals can see test results from I, and I physicians can see imaging test results from the hospitals, making the sharing of information faster and easier, and reducing wait times for patients. Being able to compare imaging test results over time is an important part of a patient s care. Becoming part of NEODIN is just one of the many ways I is continuing to provide excellent care for our patients and their physicians. 7

8 Ultrasound XRay Bone ineral Density ammography Nuclear edicine 8

Newsletter Spring, 2014 Volume 3

Newsletter Spring, 2014 Volume 3 Message from the Manager In this Edition DEXA Total Body Scanning Page 3 Ankle Brachial Index Page 4/5 OBSP Page 6 3D Transvaginal Sonography Page 7 Pediatric Ultrasound