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Radiology

Radiology

SRL offers world-class radiology
services coupled with careful attention
to client's needs and requests

SRL offers a plethora of radiology services to suit every need. Here is an overview.
  • 3D CT
  • 4D Ultrasound
  • Barium Studies
  • Biopsy, Drainage Procedures
  • Cardiac CT
  • Color Doppler
  • CT Scan
  • Digital X-ray
  • Dual X-ray Absorptiometry (DXA)
  • Full Length X-ray
  • Mammography
  • MRI
  • MRI- Ultrafast
  • OPG
  • CBCT
  • Other Radiology Procedure
  • Pain Management Procedure
  • Radio Frequency Ablation (RFA)
  • Ultra fasct CT
  • Ultrasound
  • X-rays
  • Tele Radiology
3D CT
What is 3D CT? How does it work?

3D CT is Three-dimensional CT scanning. Using CT and special software, 3D CTs of different parts of the body can be obtained.

Is taking an appointment required?

Yes

How much time does this take?

20-45 minutes

When will the results be given to the patient?

Next day

4D Ultrasound
What is 4D Ultrasound and how does it work?

Using ultrasound and real-time 3D, 4D images can be obtained of different parts of the body, especially the fetus.

Any instructions for the patient?

Usually none, but please confirm before the visit.

Is taking an appointment required?

Yes

How much time does this take?

30-90 minutes depending on the scan area

When will the results be given to the patient?

Given on the same day if the study is done before 12 noon, otherwise the next day

Barium Studies
What are barium studies?

These are studies of the gastro-intestinal tract performed using barium sulphate and X-rays.

What are the different types of barium studies?

Depending on the area being examined, we have Barium Swallow, Barium Meal, Barium Meal-Follow-through, Barium Enema and Small Bowel Enema.

Barium Study - Enema Barium Study - Bowel Enema
What are these for?

Barium Swallow is a study for the esophagus, Barium Meal for the stomach, Barium Meal Follow-through for the small bowel, Barium Enema for the large bowel and Small Bowel Enema for the small bowel. In Swallow, Meal and Meal-Follow-through examinations, the patient has to drink barium. In Barium Enema examinations, barium is given using an enema tube. In Small Bowel Enema examinations (enteroclysis), a tube is inserted from the nose to the duodenum and barium is administered.

How do barium examinations work?

Barium is an inert substance that coats the internal lining of the bowel and fills up its lumen. It is radio-opaque and thus seen very well on X-rays.

Barium Study - Meal Follow Through Barium Study - Stomach
What preparation is required?

Barium is an inert substance that coats the internal lining of the bowel and fills up its lumen. It is radio-opaque and thus seen very well on X-rays.

  • For Barium Swallow - none
  • For Barium Meal - at least six hours fasting
  • For Barium Meal-Follow-through, overnight fasting with laxative tablets for clearing the bowel
  • For Small Bowel and Barium Enema, overnight fasting with liquid diet the day before and aggressive clearing of the bowel with laxative tablets the night before and in the morning.
Barium Study - Swallow How much time do they take?
Biopsy, Drainage Procedures

We have pioneered the use of routine core biopsies as against fine-needle aspirations in different parts of the body, especially the lungs.

Description Procedures for performing guided biopsies and drainages in different parts of the body
Machine With X-ray, Ultrasound, CT or MRI scanners
Preparation Four hours fasting
Appointment  Yes
Time taken 15-45 minutes
Delivery of Report For biopsies, the reports depend on the pathologist. For drainages, there are no reports
Cardiac CT
How does CT work?

CT uses X-rays to perform its work. These X-rays come from an X-ray tube which is placed inside a square machine called the gantry. The part of your body to be scanned goes inside a hole in this gantry.

Why is CT such a good modality?

Ordinary X-ray pictures are one-dimensional representations of body parts but CT allows us to section the body to view its inner parts. Thus, the skull X-ray only shows us the outer part, whereas CT shows us the inner parts of the brain.

Where is CT useful?

All parts of the body can be scanned with CT. For each part, there are specific indications or reasons for scanning. Your referring doctor and the consultant radiologist are the best judges of the usefulness of CT scanning in a specific situation and areas.

Are there any dangers of CT scanning?

Though X-rays involve radiation, there are no dangers, in practice. In women who are pregnant, however, CT scanning should be done after weighing all the risks.

What is the injection that I may receive?

Majority of the patients will be injected with a "dye" which enhances the ability of CT scans to pick up abnormalities. This is routine. The dye used is a non-ionic contrast medium, which is much safer than the routine, cheaper, ionic dyes.

Are there any complications because of the "dye"?

0.5% of patients may get nausea and redness of the skin. Though severe reactions are known, these are very rare and uncommon.

Are there other instructions?
  • Please get all the old X-rays, Sonography, CT and MR films along with the other papers, operative notes, discharge cards, etc. relevant to the case.
  • Please come fasting for at least six hours, prior to the scan.
  • There should, preferably be an accompanying friend or relative.
  • Please inform the doctor, nurse or the receptionist, if you are at high risk for "dye" injection, as described above, i.e. if you have a history of drug reactions, bronchial asthma, cardiac or kidney disease, etc.
  • Please inform the doctor, nurse or the receptionist if you are pregnant or think you may be pregnant.
Color Doppler
What is Color Doppler?

Color Doppler is a special ultrasound technique which allows us to evaluate blood vessels.

What is the principle?

Using the Doppler principle of changing pitch with velocity, ultrasound waves that reflect from the red blood corpuscles in the arteries and veins are evaluated for velocity using which amplitude and color maps of the vessels can be generated.

Is a special equipment required?

An ultrasound machine equipped with Color Doppler facilities is required. These are now readily available at many centres.

What is its utility?

Color Doppler is very useful in evaluating the carotid arteries in the neck, the heart (echocardiography), the arteries and veins in the abdomen and the arteries and veins in the upper and lower limbs.

Is any special preparation required?

No

Who is qualified to perform Color Doppler?

Only a qualified radiologist should perform Color Doppler examinations of the vessels in the body.

CT Scan
How does CT work?

CT uses X-rays to perform its work. These X-rays come from an X-ray tube which is placed inside a square machine called the gantry. The part of your body to be scanned goes inside a hole in this gantry.

Why is CT such a good modality?

Ordinary X-ray pictures are one-dimensional representations of body parts but CT allows us to section the body to view its inner parts. Thus, the skull X-ray only shows us the outer part, whereas CT shows us the inner parts of the brain.

Where is CT useful?

All parts of the body can be scanned with CT. For each part, there are specific indications or reasons for scanning. Your referring doctor and the consultant radiologist are the best judges of the usefulness of CT scanning in a specific situation and areas.

Are there any dangers of CT scanning?

Though X-rays involve radiation, there are no dangers, in practice. In women who are pregnant, however, CT scanning should be done after weighing all the risks.

What is the injection that I may receive?

Majority of the patients will be injected with a "dye" which enhances the ability of CT scans to pick up abnormalities. This is routine. The dye used is a non-ionic contrast medium, which is much safer than the routine, cheaper, ionic dyes.

Are there any complications because of the "dye"?

0.5% of patients may get nausea and redness of the skin. Though severe reactions are known, these are very rare and uncommon.

What are the standard instructions that the patient should follow?
  • Please get all the old X-rays, Sonography, CT and MR films along with the other papers, operative notes, discharge cards, etc. relevant to the case.
  • Please come fasting for at least six hours, prior to the scan.
  • There should, preferably be an accompanying friend or relative.
  • Please inform the doctor, nurse or the receptionist, if you are at high risk for "dye" injection, as described above, i.e. if you have a history of drug reactions, bronchial asthma, cardiac or kidney disease, etc.
  • Please inform the doctor, nurse or the receptionist if you are pregnant or think you may be pregnant.
Digital X-ray
What are Digital X-rays?

All images obtained using digital systems are called digital X-rays. The common digital method used is the CR system that produces digital X-rays on a computer. See the accompanying picture for an idea of how this works.

What are the advantages of Digital X-rays?

Digital X-rays are superior to conventional X-rays in resolution and quality.

 
Dual X-ray Absorptiometry (DXA)

According to the World Health Organization (WHO), osteoporosis - a potentially crippling disease characterized by the loss of bone tissue and a susceptibility to fracture - afflicts an estimated 30% of all the women past menopause. Of these women, only a fraction has been properly diagnosed and currently receives treatment.

Osteoporosis - called the "silent disease" - often does not produce symptoms until a fracture occurs. The bones that are most likely to break are the weight bearing hip bones and spine bones, and sometimes the bones of forearm. Worldwide, a woman's lifetime risk of suffering a fracture due to osteoporosis may be as high as 40%.

In some countries, a woman's risk of hip fracture alone - the most severe and painful of osteoporotic fractures - equals her combined risk of developing breast, uterine or ovarian cancer. In short, the prevalence of osteoporosis has reached worldwide epidemic proportions.

Are you at risk?

Your chances of developing osteoporosis are greater if you are a female and answer "yes" to any of the following questions:

Are you?

  • Light skinned
  • Thin or small framed
  • Approaching or past menopause
  • Milk intolerant or have a low calcium intake
  • A cigarette smoker or drink alcohol in excess
  • Taking thyroid medication or steroid based drugs for asthma, arthritis or cancer

Do you have ?

  • A family history of osteoporosis
  • Chronic intestinal disorders
  • A sedentary lifestyle

Today, the doctors are better equipped to detect and treat bone loss in its earliest stages, so as to prevent the disease or lessen its impact. Also, several drug therapies, now in the market, have been shown to be clinically effective in slowing down or reversing the bone loss process.

Just as no physician would prescribe a medication for hypertension without first taking the patient's blood pressure, the diagnosis and the treatment of osteoporosis should begin with an objective, quantifiable measurement of the patient's bone mass or bone density.

Bone densitometry

Absorptiometry), safely accurately and painlessly measures bone density and the mineral content of bone. During a comprehensive bone evaluation with DXA, the patient lies comfortably still on the padded table while the DXA units scans one or more areas, usually the fracture-prone spine or the hip.

Unlike the typical X-ray machines, radiation exposure during bone densitometry is extremely low - less than the radiation exposure during a coast-to-coast airline flight. The entire process takes only minutes to complete, depending on the number of sites scanned. It involves no injections or invasive procedures, and patients remain fully clothed.

Bone Densitometry using DXABone densitometry

  • Simple proven X-ray method
  • Safe, low radiation
  • Fast and comfortable, only takes minutes
  • Easy patient remains clothed
  • Painless non-invasive, no injections

Preparing for Bone Densitometry

Scanning

  • Unless instructed otherwise by one of our clinicians eat normally on the day of the test; but avoid taking calcium supplements for at least 24 hours prior to your appointment.
  • Wear loose, comfortable clothing. Sweat suits and other casual attire without zippers, buttons, grommets or any metal are preferred.
  • You should not have had a barium study, radioisotope injection, oral or intravenous contrast material from a CT scan or MRI within seven days prior to your DXA test.

How does DXA bone densitometry work?

The Equipment: DXA is a fast, convenient and precise way to measure bone density to determine a woman's risk of developing osteoporosis.

Bone Density Scan: Most common examination sites are the fracture prone hip, spine and sometimes the forearm. Evaluation also includes measurement of height and weight, a thorough history, and risk assessment.

The Report: The report consists of your bone density measurements, a comparison of your results against an extensive database of young, normal bone density values, a comparison of your results against a database of other patients your age and sex, and recommendations for the treatment or prevention.

 

Full Length X-ray
What are Full Length Digital X-rays?

Full-length radiographs are important in orthopedics. These are x-rays of the whole spine or the entire lower limbs. These are mainly indicated where measurements of length and angles are important, such as prior to some types of surgeries.

Why are Full Length X-rays such an advancement in Radiography?

Traditionally, it has been difficult to obtain full-length radiographs in our part of the world on a regular basis - many of us have tried local, ingenious methods of getting sectional radiographs and taping them together. With the digital X-ray technology, we are now able to "stitch" multiple radiographs together to obtain full-length images which are then printed on one film. Two representative examples are given alongside.

Mammography
What is Mammography?

Mammography means imaging of the breast with the help of X-rays.

How is it performed?

Chemotherapy for Breast CancerIt is similar to taking chest X-rays or any other X-rays. However, a special dedicated machine with a special X-ray tube is required for doing mammography. There are compression paddles which compress the breast and then X-rays are taken. Usually, two views of each breast are performed, with a total of four X-ray films per patient.

When should it be done?

Mammography is performed for screening for breast cancer. In patients with lumps in their breasts, mammography helps in the diagnosis of the lump, i.e. whether it is benign or cancerous, so that they can commence chemotherapy for breast cancer or consider other breast cancer treatment options.

If I have no issues with respect to my breasts, should mammography be done?

Yes. The most important role of mammography is for screening normal women for early breast cancer. Breast cancer can be picked up by mammography much before it develops into a palpable lump.

How does it do that?

There are early signs of breast cancer like micro calcifications and small densities which can be seen on mammography much before it forms a mass which can be felt.

When should mammography be performed?

Breast Cancer TreatmentThe American Cancer Society suggests that between the age of 40 - 49 years, mammography should be performed once every 1-2 years and over the age of 50 years, mammography should be performed yearly.

Is there any preparation required for mammography?

No. You can just do it at any time. No preparation or fasting is required. Please do not use any powders or deodorants on the breasts or arm-pits prior to this procedure as these give rise to artifacts on X-Rays.

Is it painful to undergo a mammography?

No. It might just give a split-second discomfort when the breast is slightly compressed. Moreover, this machine has a special soft-touch compression which slows down as soon as the paddle reaches the breast.

Who will be performing the procedure?

Only trained women personnel will be performing it. Not only will they be compassionate while performing it, but also they can counsel you on regular Breast Self-Examination procedure apart from the pamphlets provided.

Who will be interpreting these mammograms?

Qualified radiologists with specialized training in mammography will do the interpretation. Also, the doctor will be available for any queries on the subject and please do not hesitate to clear any doubts that you may have.

What is Sono-mammography?

Sono-mammography is ultrasound of the breast. It is used as a complimentary test to mammography for patients with dense breasts or patients with breast lumps.

Besides in normal women above the age of 40 years, when else should it be performed?

Mammography TestIt is recommended for patients with lumps, nipple discharge, especially if the discharge is bloody, patients with skin discoloration or patients with lumps in the armpit. All these symptoms can occur in breast cancer and it is advisable to do mammography to be sure. Also, patients with a close family history of breast cancer (e.g. mother or sister with breast cancer) have an increased risk of developing breast cancer themselves and they should also undergo mammography regularly so that they can consider breast cancer treatment options early.

Is it right to do it once and if there is no abnormality, forget about it?

No. Mammography should be performed every year as an abnormality can develop any time, even after the first mammogram. In fact, each year the previous mammograms should also be brought as a developing density (a new lesion not seen on the earlier mammogram) can also be a sign of early breast cancer.

Why do mammography at all?

Because breast cancer is the number one cancer killer in the city of Mumbai today. If picked up by mammography at an early stage, chemotherapy for breast cancer or alternative breast cancer treatment options like local resection might be enough and a big step like removing the whole breast may not be necessary.

If we find something on the mammogram, what is the next step?

If the lesion is suspicious for a cancer, a biopsy should be performed. If it appears benign, we can just do a follow-up or a biopsy or even leave it alone, depending on the lesion.

Is there any risk of radiation to the breast during mammography?

The radiation doses are very low and practically, there is no such risk. However, it should not be performed on pregnant women unless strongly indicated clinically and that too, with adequate precautions.

Does breast cancer occur in men also?

Yes. 1% of all the breast cancers do occur in males. But since the incidence is quite low, they need not do screening mammography. However, if a lump occurs in the breast region of a man, mammography can be performed.

What is Breast Self-Examination?

Breast Self-Examination or BSE is palpation of the breast by women with their own fingers to look-out for lumps. A pamphlet is provided for the same to help you practice BSE.

MRI
What does "MRI" stand for and how does it work?

MRI stands for Magnetic Resonance Imaging. MRI uses the principle of magnetic resonance. Using the natural magnetic property of our body, the MRI machine is able to form images that help us diagnose the problem.

Why is MRI such a good modality?

MRI allows us to exquisitely see different parts of the body. In the brain, it allows us to differentiate between different areas. In the spine, MRI is the only modality that allows us to see the spinal cord. In joints, MRI allows us to view the internal parts of the joints, including ligaments, tendons and menisci. It also allows evaluation of various cardiac structures, as well as functional imaging of various parts of the brain.

MRI does all this by sectioning the body in different planes. Just as it is necessary to slice a loaf of bread to know the quality of the slices, so also, MRI allows us to section the body to view its inner parts. Thus, the skull X-ray only shows us the outer part, whereas MRI shows us the inner parts of the brain.

Where is MRI useful?

All parts of the body can be scanned with MRI, but it is most useful in the brain, spine, bones, joints and the heart. It also has specific uses in other parts like the chest, abdomen and pelvis. For each part, there are specific indications or reasons for scanning. The referring doctor and the consultant radiologist are the best judges of the usefulness of MRI scanning in a specific situation and area.

What are the newer advances available?

The scanner being state-of-the-art, the following newer modalities are available

  • MR angiography
  • MR cholangio-pancreatography
  • Cardiac MRI for structure and function
  • Functional MRI
  • MRI Spectroscopy
Are there any dangers in MRI scanning?

Not ordinarily. However if you have any magnetizable items on or in your body, such as aneurysm clips, pacemakers, cardiac prostheses, metallic implants, etc. please inform us immediately, as there could be a problem related to these metallic items.

What is the injection that I may receive?

If necessary, you may be injected with a gadolinium-based dye to see things better.

How do we make the MRI experience better?

The machine has a very short "bore" which significantly reduces claustrophobia, if any. For examinations of the thighs, knees, legs, etc. the head is always outside the machine. We have an excellent music system with headphones that serve to reduce the noise levels in the machine as well as provide soothing music. If you want to listen to any particular music, you are most welcome to bring your CD along.

What are the standard instructions that the patient should follow?
  • Please get all the old X-ray, Sonography, CT and MR films along with the other papers, operative notes, discharge cards, etc. relevant to the case.
  • Please come fasting for at least four hours, prior to the scan.
  • There should, preferably be an accompanying friend/ relative.
  • Please bring a music CD of your choice, if you wish to.
MRI- Ultrafast
What is Ultra-Fast MRI?

The current generation of MRI scanners allows scanning at a very fast speed of upto 100 milliseconds. These are called ultra-fast scanners and they improve diagnosis and interpretation.

The scans are completed so quickly that even the most claustrophobic patients do not realize that the study is over.

Cardiac MRI Contrast-enhanced angiograms Perfusion
     
MRCP Spectroscopy MRI machine
OPG
What is OPG?

OPG stands for Orthopantomography. It is a special method for obtaining radiographs of the teeth-bearing jaws, both upper and lower.

How is it different from regular X-ray machines?

A regular X-ray machine cannot take detailed pictures of the jaw bones. An OPG machine is specially constructed so that it rotates around the jaw bones, thus giving us an extremely good idea about the structure of the jaw bones. Yes, X-rays are used, but the method is totally different.

In what situations are they needed?

OPG X-rays are usually asked for by the dentists, whether they are general dentists, orthodontists, oral surgeons or prosthodontists/ implantologists. Because OPGs give a holistic view of the teeth and the adjacent bones, they are useful in a wide variety of conditions including infections, tumors, congenital abnormalities, pre-implant evaluation and trauma.

Are there any risks?

Just as with X-rays elsewhere in the body, if a lady thinks she might be pregnant, an OPG can be avoided. No other risks exist.

Is any dye injected?

No

What is its use?

Oral surgeons, orthodontists and prosthodontists need cephalograms prior to planning surgeries and teeth manipulation.

How much time does it take?

On an average, 20 minutes.

CBCT
What is Cone Beam CT?

Cone Beam CT or CBCT is a revolutionary technology in which a rotating gantr y with an xray source and detector at opposite ends is used for acquiring images. The gantr y rotates in a complete or partial arc around a central fulcrum where the patient is positioned to acquire sequential images.

How is it different from conventional CT?

While conventional CT acquires multiple separate image slices of the FOV with a fan-shaped beam of ionizing radiation and stacks them together for a 3-D image, CBCT involves only a single rotation of the gantry scanning the entire FOV for image reconstruction.

For which imaging is CBCT used?

CBCT is used for maxillofacial imaging, mainly for dental imaging for implant planning, mandibular canal tracing and imaging of impacted teeth and for limited scans of paranasal sinuses.

What are the advantages of CBCT over conventional CT in maxillofacial imaging?
  • Lesser radiation dose
  • No claustrophobia
  • More comfortable standing position for patient
  • High resolution
What are the limitations of CBCT?
  • Not used if IV contrast needed
  • Relatively poor soft tissue visualization
What is the patient preparation needed before CBCT?

No preparation is needed.

Other Radiology Procedure

IVU (Intravenous Urography)

In this procedure, a dye is injected intravenously and X-ray pictures of the kidneys, uterus and bladder are obtained. The dye is radio-opaque and seen well with X-rays. Overnight fasting and good preparation of the colon with laxatives are required.

MCU (Micturating Cystourethrography)

Dye is introduced into the urinary bladder and the patient is asked to micturate/urinate. X-ray pictures are obtained during the act of micturition to assess the function and structure of the urinary bladder and urethra.

RGU (Retrograde Urethrography)

Dye is injected through the urethra from the glans penis and X-ray pictures are taken. This helps in assessing the urethra and the bladder base.

Fistulogram and Sinusogram

In these studies, using a small catheter, iodinated dye is injected into the cutaneous sinus or fistula and X-rays are taken, which help in identifying the tract of the sinus or fistula.

Sialography

In this, the parotid duct is cannulated from the mouth and X-ray pictures of the parotid duct and gland are obtained.

Angiography and Venography

The arteries are catheterized usually through the femoral artery and after the injection of iodinated dye, X-rays are taken. If the same study is performed for the veins, we get venograms.

HSG (Hysterosalpingography)

The cervix is cannulated and iodinated dye is injected into the cervical and uterine lumen. The Fallopian tubes are then well seen. This procedure is used to study the patency of the passage as well as other structural abnormalities.

Pain Management Procedure
Description Procedures to alleviate pain - e.g. nerve blocks, intra-articular injections, etc
Machine USG or CT guided
Preparation Pre-procedure workup
Appointment  Yes
Time taken 15-60 minutes
Radio Frequency Ablation (RFA)

This is the first private centre in India offering this facility.

Description RFA of liver, lung and bone tumors
Machine RITA Medical Systems
Preparation/Instructions Pre-procedure workup
Appointment  Yes
Time taken 15-60 minutes
Ultra fasct CT
Why is it called Ultra-Fast CT?

A regular CT has a tube rotation speed of 1 or .75 seconds. This CT has a tube rotation speed of 330ms, i.e. approximately 3 rotations per second. This allows extremely fast scans of the body, such that routine chest and abdomen sequences can be completed in 3-5 seconds. Hence it is called Ultra-Fast CT.

Ultrasound
What is Ultrasound?

Ultrasound is a technique which uses sound waves of high frequency to produce images.

How does Ultrasound work?

Different parts of the body respond differently when high-frequency ultrasonic waves are passed through them. When ultrasound waves are passed through the body, many tissues reflect sound waves partially and transmit the rest, which are then reflected back from deeper structures. The reflected waves are measured and depending on the time it takes for them to return, the depth of the echo is decided - the intensity decides the greyness of the area.

Where is ultrasound useful?

Ultrasound is used in many parts of the body, specifically to view the fetus, for other gynecological abnormalities and to view the abdomen, orbits, thyroid gland, breast, testes, etc.

Are there any dangers?

There is no known danger to the use of ultrasound

Are there any dyes in ultrasound, as in X-rays?

As yet there are no "dyes" injected in routine ultrasound practice. Contrast media however are being evaluated for use in clinical trials.

Who is qualified to do ultrasound?

Only radiologists trained in ultrasound should perform these investigations. In many situations, however, gynecologists also perform ultrasound examinations on their own patients; if adequately trained/certified, this is acceptable.

Are there any newer advances in ultrasound?

Newer advances include the following

  • Higher resolution scanning for small areas such as the superficial ligaments and tendons of the body
  • Doppler - this allows examination of blood vessels in 3D
  • Ultrasound - this allow three dimensional studies of various parts of the body
X-rays
What are X-rays?

X-rays are electro-magnetic radiations that are produced by special machines called X-ray machines. These cannot be seen, felt or heard.

How do X-rays work?

Chest X-rayDifferent parts of the body behave differently with X-rays. While scanning chest X-ray , structures such as bone absorb X-rays, whereas air in the lungs lets all X-rays pass through. Thus, when X-rays pass through the body, when they come out, they have different strengths, depending on what parts of the body they have passed through. When these X-rays hit a film (like a photographic film), that film gets exposed depending upon this variation. Like a photographic film, this special film also needs to be developed, before we can see the final picture.

Where are X-rays useful?

X-rays have been used to view all parts of the body. Specifically, they are required for chest, all bones, joints and abdomen.

Are there any dangers?

Since X-rays involve radiation, there is a theoretical risk, though none in practice. In women who are pregnant, X-rays should be performed only after weighing all the risks.

What are the dyes used with X-rays?

X-RaysSometimes, artificial dyes are used to improve our ability to see internal structures. The common dyes used are either barium containing (barium sulphate) or iodine dyes. Barium sulphate is used for all barium examinations to study the stomach and intestines. Iodine dyes are usually injected in the veins to study the kidneys or during angiography, etc.

Are there any complications of the dye?

Five percent of the patients may get nausea and redness of skin. Though severe reactions are known, these are very rare and uncommon. However, in patients who have a previous history of allergy, asthmatics, those with renal and cardiac failure, a special dye is used which is more expensive but safer.

Who is qualified to report X-rays?

Only radiologists are trained to read X-rays and all X-rays should carry a radiologist's report. Other physicians and non-radiology centres may also perform X-rays but they are usually not qualified. Before going for an X-ray, ask the centre whether it will be done under the supervision of a radiologist or not.

Are there any newer advances in X-rays?

X-rays are being used in CT scanning (Computed Tomography). Digital radiography uses X-rays for directly producing images on a computer, bypassing the film - this is very helpful for institutions which extensively deal with emergency cases, such as at the trauma centre or intensive care unit.

Tele Radiology

Globally, leading hospitals and standalone diagnostic centres are experiencing an acute shortfall in the number of radiologists. The number of radiographic procedures being conducted is witnessing tremendous growth but is not being matched by a similar increase in the radiologist population. It is estimated that the number of radiographic imaging procedures are increasing at an annual rate of 15% as compared to a minor 2% increase in the radiologist population, thus leading to a huge supply deficit. Tele-radiology is the ideal solution to address this need.

Tele - Radiology is a specialized form of Tele - Medicine which involves transmission of radiographic images from the site of acquisition to the reporting location for the purposes of interpretation and / or consultation. Radiographic images are captured at a distant location and are then transmitted to radiologists in SRL's central reporting hub, through the PACS (Picture Archiving and Communication System) network via internet, where the images are interpreted and reported back to the client. The concept of Tele- radiology revolves around the principles of short turnaround time, cost effectiveness and customized reporting.

SRL Tele-radiology

SRL is onr of the largest radiology service provider in India, with 12 imaging centres and a team of more than 65 highly competent radiologists. We have already established a link-up among our imaging centers to cater to our rapidly expanding international client base. The central hub in India is well equipped and adequately staffed to handle various cases ranging from emergency reporting, elective (regular) cases and sub-specialty diagnosis. The SRL Tele-Radiology team prides on being able to provide high quality, clinically relevant reporting, adhering to strict turnaround timelines. Tele-Radiology services at SRL are supported by our Information Technology team, consisting of in-house healthcare domain experts, and availability of high-speed telecommunications links.

The Tele-Radiology services at SRL are backed by a strong team of highly competent radiologists with sub-specialty expertise in Cardiovascular, Musculoskeletal and Neuro-radiology. Clients are provided with detailed reports in fast turnaround time (less than 30 minutes for emergency reporting). Apart from providing best-in-class radiology reporting services, SRL also facilitates technical support to its clients including system installation, linking facilities and workflow management. SRL's radiologists are available round the clock to answer queries of clients, discuss reports and highlight critical findings to the referring physicians, thereby contributing to the ultimate goal of improved patient care.