General Radiography

Diagnostic Radiology offers many exams for virtually any part of the body. These exams are performed in an X-ray room and may consist of images of the chest, abdomen, skull, spine or extremities. At the time of the exam you will be asked to sit or lie on an X-ray table, and a technologist will position an X-ray machine over the part that is affected. You will be required to be still for several moments during the X-ray exposure.

In this area, all IVPs, barium swallows, UGIs and barium enemas are performed, along with other miscellaneous tests.

For additional information, please visit www.radiologyinfo.org

General Radiography Preparations

  • Arthrogram
  • Barium Enema
  • Barium Swallow
  • Cystogram
  • Dysfunctional Swallowing Study
  • ERCP
  • Facet Injection
  • Fistulogram
  • Hysterosal Pingogram
  • Introvenour Pyelogram (IVP)
  • Loop-O-Gram
  • Myelogram
  • Oral Cholecystogram (Gall Bladder)
  • Retrograde Urethrogram
  • Sialogram
  • Small Bowel Examination
  • T-Tube Cholangiogram
  • Upper G.I. Series
  • Voiding Cystotourethrogram

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Anthrogram

Common Names:

  • Shoulder Arthrogram
  • Hip Arthrogram
  • Knee Arthrogram
  • Ankle Arthrogram
  • Wrist Arthrogram

Brief Description of Exam:

  • An Arthrogram is an x-ray procedure to show the joint space around the knee, shoulder, etc. The technologist will prep the area with sterile soap and drape the area with towels. The Radiologist will inject Novocain or similar product under the skin to numb the area. Under Fluoroscopy, the Radiologist will inject a small amount of contrast material into the joint and then take x-rays of the area.

Preparation:

  • No bowel preparation or diet restrictions.

Exam Time:

  • 1 hour

Please Note:

  • Patient having an arthrogram should have a chauffeur to drive them home. If x-rays of area of interest have been taken at another facility, please bring these with you on day of examination.

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Barium Enema

Common Names:

  • Ba. Enema
  • BAE
  • Colon
  • Air Contrast BE
  • Lower GI
  • Polybar Enema
  • Gastrografin Enema

Brief Description of Exam:

  • The barium enema is an x-ray examination of the large intestine. Barium sulfate (single contrast) or barium sulfate and air (double contrast or air contrast) is administered slowly through a rectal tube. The filling process is monitored by fluoroscopy, and then x-rays are taken. The colon must be free of fecal material so that the barium will outline the large intestine to detect any disorders. The double contrast technique (barium and air) is useful for identifying polyps.

Preparation:

  • Special Note:
    • 0 – 17 Years: No preparation is given for suspected Hirshsprung's Disease. For acute ulcerative colitis, a low residue diet is given 24 hours prior to examination without other preparation.
  • 0 – 3 Years:
    • Nothing by mouth three hours prior to examination.
    • No solid food on day of examination.
  • 4 – 6 Years:
    • Nothing by mouth three hours prior to examination.
    • No solid food on day of examination.
    • One-half Dulcolax suppository three hours prior to examination. If result is poor, give Pediatric Fleet enema.
  • 7 – 12 Years:
    • Give 5 ounces Magnesium Citrate (cold) in the afternoon prior to examination.
    • In early evening, give 1 Dulcolax suppository.
    • Nothing by mouth after midnight.
    • Two to three hours prior to study give another Dulcolax suppository. If results are poor, give Pediatric Fleet enema.
    • If Patient is over 100 pounds, see 13 – 17 years prep.
  • 13 – 17 Years:
    • Give full Ann Arbor Prep (see below):
      • Day before exam:
        • 6:00 - 6:30 p.m. or earlier: give 11 ounces of Magnesium Citrate (cold)
        • 8:00 - 8:30 p.m.: 3 Dulcolax tablets with 2 full glasses of water
        • Give minimum residue diet for dinner and fluids by mouth hourly (2 glasses) until bedtime.
      • Day of exam:
        • 6:30 a.m.: If poor results, give a Dulcolax suppository. May have clear liquids for breakfast (No milk or cream).
  • 18 Years & Older:
    • Day before the exam:
      • Clear liquids only, the day and evening before exam
      • 4 p.m.: 10 ounce bottle of Magnesium Citrate (cold)
      • 6 p.m.: 3 Dulcolax tablets with 2 full glasses of water.
      • Drink 2 - 4 more glasses of water throughout the evening.
    • Day of Exam:
      • Dulcolax suppository at least 2 hours before your scheduled appointment.
      • Plain coffee or tea and toast for breakfast. No milk.
  • Patients with colostomy:
    • Prep is clear liquids day and evening before exam. Also have patient bring extra colostomy bag so they have a clean one when the study is completed.

Exam Time:

  • 1 hour – 1 ? hours
    • Barium enema examination should not normally follow on the same day that sigmoidscopic examination is made. This is not in the best interests of the patient and is medically contraindicated. The radiological exam would be of poor quality due to the excessive air throughout the colon and patient discomfort during the exam is markedly increased.
      • Please note: It is suggested that sigmoidoscopy be done the afternoon or evening prior to the barium enema.
    • If patient has had no bowel movement following exam, patient should take 2 ounces of Milk of Magnesia and drink plenty of fluids.

Please Note:

  • It is suggested that sigmoidoscopy be done the afternoon or evening prior to the barium enema.

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Barium Swallow

Common Names:

  • UGI
  • Stomach
  • Hypopharynx & Esophagus
  • Upper Gastrointestinal Tract

Brief Description of Exam:

  • An UGI Series is a fluoroscopic and X-ray examination of the esophagus and stomach. Barium is swallowed by the patient and by means of fluoroscopy, the barium is observed as it is passing through the digestive tract and spot films are taken during its progress.

Preparation:

  • No bowel preparation unless patient is constipated or has had recent (2 - 3 days prior) barium studies. If bowel prep is needed, use Ann Arbor Prep.
  • Nothing by mouth after midnight.

Infant Preparation:

  • UGI or UGI with Barium Swallow: NPO (nothing by mouth) 3 to 4 hours prior to exam time or withhold last feeding.

Exam Time:

  • 1 hour

Please Note:

  • If patient is for esophagram only, no need to keep patient NPO for this exam, unless patient is an infant under 1 year old.

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Cystogram

Common Names:

  • Cysto

Brief Description of Exam:

  • A cystogram is an X-ray exam of the urinary bladder. This is done by placing a catheter into the bladder and contrast is injected through the catheter.

Preparation:

  • No bowel preparation is necessary unless patient had a recent (2 - 3 days prior) barium study.
  • No diet restriction.
  • In-patients are to be catheterized on the floor prior to coming to Medical Imaging.

Exam Time:

  • 1 hour

Please Note:

  • Outpatient exams must be scheduled for Fluoro.

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Dysfunctional Swallowing Study

Common Names:

  • D.S.S.
  • Laryngogram

Brief Description of Exam:

  • Please call Speech Therapy Department at (518) 926-2000 for a brief description of this procedure.

Preparation:

  • Call Speech Therapy Department at (518) 926-2000 to schedule this exam and for preparation.

Exam Time:

  • 1 – 1 1/2 hours

Please Note:

  • This procedure must be scheduled through Glens Falls Hospital's Speech Therapy Department at (518) 926-2000.

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ERCP

Preparation:

  • Send orders with pertinent history to Medical Imaging.
  • See physician's orders for preparation from G.I. Lab.

Please Note:

  • This whole procedure is coordinated and done in the G.I. Lab (518) 926-6220.

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Facet Injection

Brief Description of Exam:

  • The Facet Injection is a fluoroscopic exam done in the Medical Imaging Department by the referring physician. It consists of an injection of Novocain or similar product to numb the back so that an injection of an anti-inflammatory medicine can be made into the spinal area.

Preparation:

  • No bowel or diet restrictions.

Exam Time:

  • 1 hour
    • For any questions please contact referring physician.

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Fistulogram

Common Names:

  • Sinogram

Brief Description of Exam:

  • Exam consists on an injection of contrast material into a catheter to show a sinus tract opening.

Preparation:

  • No bowel preparation or dietary restrictions.

Exam Time:

  • 1 hour

Please Note:

  • Specific history necessary.
  • If Arm fistulogram or Renal fistulogram, see Special Procedures Section.

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Hysterosal Pingogram

Common Names:

  • Hystero
  • HSG

Brief Description of Exam:

  • A Hysterosalpingogram is an x-ray exam of your uterus and fallopian tubes. Your exam will be performed by your own physician assisted by one of our technologists in the Medical Imaging Department. In order to see your fallopian tubes, your doctor will inject contrast material into your uterus. One of our Radiologists will be called into take x-rays.

Preparation:

  • No bowel preparation or dietary restrictions.

Exam Time:

  • 30 – 60 minutes

Please Note:

  • Outpatients should be escorted by another driver.

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Introvenous Pyelogram (IVP)

Common Names:

  • IVP
  • I.V. Pyelogram
  • Hypertensive IVP
  • Nephrogram
  • Drip IVP
  • Drip Intravenous Pyelogram

Brief Description of Exam:

  • Intravenous Pyelography visualizes the entire urinary tract. A radiopaque substance (can be seen on x-ray) is injected intravenously and a series of X-rays are taken at specific times to visualize the flow of the dye through the urinary tract. IVP is useful for locating stones and tumors and diagnosing kidney diseases.

Preparation:

  • 13 years old and above (100 lbs.)
    • Day before exam:
      • Full liquids for dinner and throughout the evening the day before the exam.
      • 6 p.m.: 3 Dulcolax tablets with at least 2 glasses of water.
    • Day of exam:
      • You may have one cup of liquid 2 hours prior to scheduled appointment time on the day of the exam.
  • Pediatric IVP Preparation
    • 0 – 3 Years:
      • Nothing by mouth three hours prior to examination.
    • 4 – 6 Years:
      • Full liquid diet day prior to examination.
      • 1/2 Dulcolax tablet at 6 p.m. day prior to exam
      • Nothing by mounth 3 hours prior to exam.
    • 7 – 12 Years:
      • Full liquid diet day prior to exam.
      • 1 Dulcolax tablet at 6 p.m. day prior to exam.
      • 1 Dulcolax suppository 3 hours prior to exam.
      • If scheduled following a contrast study, use above prep with 2 Tablespoons Magnesium Citrate (cold) afternoon prior to exam.
      • If scheduled with Barium Enema, use Barium Enema preparation for 7 – 12 year olds, except nothing by mouth 3 hours prior to exam.
    • 13 Years and above OR over 100 pounds:
      • Use adult preparation.
    • If the patient is a diabetic who takes the drug Glucophage/Glucovance (or the generic Metphormin):
      • The patient should not take Glucophage/Metphormin/Glucovance for at least 2 days (48 hours) after this test.
      • Have kidney function checked by a blood sample 2 days (48 hours) after this test. (This should be ordered by the patient's physician)
      • The patient should not take Glucophage/Metphormin/Glucovance again until instructed by their physician.
    • The injected x-ray contrast ("dye") the patient receives during this x-ray study can slow down or stop the elimination of Glucophage/Metphormin/Glucovance from the patient's body. This can cause blood sugars to become dangerously low.

Exam Time:

  • 60 – 90 minutes

Please Note:

  • If IVP is with Barium Enema or if patient has had recent contrast study (i.e. UGI, Cat Scan), use following preparation:
    • Day before exam:
      • Clear liquids only the day and evening before exam.
      • 6 p.m.: 3 Dulcolax tablets with 2 full glasses of water.
      • Drink 2 - 4 more glasses of water throughout the evening.
    • Day of exam:
      • Plain coffee of tea for breakfast.
      • No solid food.

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Loop-O-Gram

Common Names:

  • N/A

Brief Description of Exam:

  • A Loop-O-Gram is a fluoroscopic examination of an ileo-conduit.

Preparation:

  • No preparation needed.

Exam Time:

  • 30 – 60 minutes

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Myelogram

Common Names:

  • Cervical Myelogram
  • Dorsal Myelogram
  • Lumbar Myelogram

Brief Description of Exam:

  • Myelograms are fluoroscopic and radiologic examinations of the spinal canal using a radiopaque contrast agent. This procedure is performed in the Medical Imaging Department by a Radiologist or Neurosurgeon. After the contrast dye is injected into the lumbar area, the fluoroscopic table is tilted until the suspected problem area can be visualized and spot films are taken.

Preparation:

  • No bowel preparation or diet restrictions.
  • Full breakfast, clear liquid lunch.
  • Drink plenty of fluids.

Exam Time:

  • 1 – 1 1/2 hours

Please Note:

  • Push fluids during entire day of exam. See chart for orders and progress notes.

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Oral Cholecystogram (Gall Bladder)

Common Names:

  • G.B.
  • OCG
  • Gall Bladder

Brief Description of Exam:

  • An OCG is an x-ray of your gall bladder. The pills you take at home the night before the test will make your gall bladder show up on x-ray films. X-ray pictures of your gall bladder will be taken. Sometimes the pills that are taken are not enough for some people and occasionally we may have you take additional pills the next night and come back for more films the next day.

Preparation:

  • Dinner the day before the examination:
    • Non - fatty meal, low residue diet
    • 8:00 - 9:00 p.m.: have patient swallow the four capsules of Bilopaque/Telepaque one at a time at 5 minute intervals with water.
      • Bilopaque/Telepaque capsules are obtained from medical imaging.
    • Nothing by mouth after midnight.

Exam Time:

  • 15 – 30 minutes

Please Note:

  • Cholescintigraphy is a Nuclear Medicine exam.
  • For Repeat Exam:
    • If the Radiologist requests a repeat examination the following day, the same preparation is to be followed.
    • The repeat cholecystogram will be performed with four more Bilopaque/Telepaque capsules. A larger or double dose is not recommended.
    • A double dose GB is two consecutive nights of 4 capsules.

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Retrograde Urethogram

Common Names:

  • N/A

Brief Description of Exam:

  • A Retrograde Urethrogram is a fluoroscopic examination of the urethra.

Preparation:

  • No bowel preparation is necessary unless patient had a recent (2-3 days prior) barium study.
  • No diet restrictions.

Exam Time:

  • 30 minutes – 1 hour

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Sialogram

Common Names:

  • N/A

Brief Description of Exam:

  • A Sialogram is an x-ray examination of the saliva gland and ducts. This is done by introducing a small probe into the duct (in the mouth) and injecting contrast (or X-ray dye) through the duct to fill the saliva gland. X-rays are taken after this injection, (approximately 6 to 8 films). The patient may have some swelling of the gland after and up to 24 hours after the examination.

Preparation:

  • Patient may have breakfast, clear liquids thereafter until time of exam.

Exam Time:

  • 45 minutes – 1 hour

Please Note:

  • Sialogram exams are sometimes done in conjunction with a C.T. scan. The doctor requesting this calls the Medical Imaging Scheduling Department to make the appointment for both exams.

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Small Bowel Examination

Common Names:

  • Motility Series
  • Small Bowel Follow Through
  • SBFT
  • UGI with Small Bowel
  • Enteroclysis

Brief Description of Exam:

  • A Small Bowel Series is a fluoroscopic and x-ray examination of the small intestine. Barium is swallowed by the patient and is observed by timed films as it passes through the digestive tract.

Preparation:

  • Day before examination:
    • Full liquids for dinner and throughout the evening the day before the exam.
    • Take 3 Dulcolax tablets at 5 PM the night before the exam.
    • Drink at least 3 glasses of water throughout evening
    • Nothing to eat or drink after midnight.
  • Pediatric Preparation:
    • 3 Years old and over:
      • Give child's dose of Milk of Magnesia evening before exam and force fluids until bedtime.
    • 8 Years old and over:
      • Use adult small bowel prep.
      • Nothing to eat or drink after midnight.

Exam Time:

  • 1 – 2 hours

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T-Tube Cholangiogram

Common Names:

  • Direct Cholangiogram

Brief Description of Exam:

  • T-Tube Cholangiogram is a fluoroscopic and X-ray examination of the common bile duct. A contrast dye is injected into the T-Tube and X-rays are obtained.

Preparation:

  • No bowel preparation unless patient is constipated or has had recent (2 - 3 days prior) barium studies.

Exam Time:

  • Approximately 30 minutes.

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Upper G.I. Series

Common Names:

  • UGI
  • Stomach
  • Hypopharynx & Esophagus
  • Upper Gastrointestinal Tract

Brief Description of Exam:

  • An UGI Series is a fluoroscopic and X-ray examination of the esophagus and stomach. Barium is swallowed by the patient and by means of fluoroscopy, the barium is observed as it is passing through the digestive tract and spot films are taken during its progress.

Preparation:

  • No bowel preparation unless patient is constipated or has had recent (2 - 3 days prior) barium studies. If bowel prep is needed, use Ann Arbor Prep.
  • Nothing by mouth after midnight.
  • Infant Preparation:
    • UGI or UGI with Barium Swallow:
      • NPO (nothing by mouth) 3 to 4 hours prior to exam time or withhold last feeding.
    • UGI with Small Bowel Follow Through:
      • 3 – 7 Years:
        • Give child's dose of Milk of Magnesia evening before exam and force fluids until bedtime.
      • 8 Years old and over:
        • Use adult small bowel prep.
        • Nothing to eat or drick after midnight.

Exam Time:

  • 1 hour

Please Note:

  • If patient is for esophagram only, no need to keep patient NPO for this exam, unless patient is an infant under 1 year old.

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Voiding Cystotourethrogram

Common Names:

  • VCUG

Brief Description of Exam:

  • A VCU is a fluoroscopic and X-ray examination of the urinary bladder. A catheter is placed into the bladder and a Radiologist takes X-rays as the bladder is being filled with contrast material. When the bladder is full, the catheter is removed and the Radiologists will have patient void onto towels on the table while X-rays are being taken. This is a very important part of the test.

Preparation:

  • No bowel preparation is necessary unless patient has had recent (2 - 3 days prior) barium studies.
  • No diet restrictions.
  • In-patients are to be catheterized on the Floor prior to coming to Radiology.

Exam Time:

  • Approximately 30 minutes – 1 hour

Please Note:

  • Medication is sometimes ordered prior to patient being catheterized.