Department of Radiation Diagnostics
Toshiba's modern Aquilion 64 computed tomography system.
Aquilion 64 continues to be a leader in computed tomography technology. The basic platform for this tomograph is the updated Aquilion platform, which has long been recognized as the "gold standard" in the market. The advantages of the Aquilion 64 system are obvious: it is ideal for studying the brain, the whole body, as well as for imaging the heart and blood vessels, especially in cases where it is necessary to obtain data for extensive volumes with a single breath delay, for example, with multiple trauma, lung embolism and oncology.
Standard types of CT examinations include:
Contrast-free:
- CT examination of the musculoskeletal system with the possibility of creating three-dimensional reconstructions.
- CT examination of the skull bones.
- CT examination of the brain with the possibility of creating three-dimensional reconstructions.
- CT myelography.
- CT examination of the organs of the thoracic cavity with the possibility of creating three-dimensional reconstructions.
- CT examination of abdominal organs with the possibility of creating three-dimensional reconstructions.
- CT examination of the pelvic organs.
- CT examination of organs outside the abdominal space.
- CT examination of the heart.
Contrast (intravenous bolus contrast):
- CT angiography (SCTA) of the main arteries (aorta, subclavian, carotid, renal, iliac, femoral and brachial) with the possibility of creating three-dimensional reconstructions.
- CT studies of coronary arteries - CT CT (complete calculation of all parameters, including the creation of three–dimensional and multiplanar reconstructions).
- CT examination of the heart cavities (analysis of morphology, valve function, contractile function of the left ventricle, assessment of the degree of hypertrophy).
- CT examination of abdominal organs (liver, spleen) with the possibility of creating three-dimensional reconstructions.
- Excretory CT urography.
- CT examination of organs outside the abdominal space (kidneys, mesenteric lymph nodes).
- CT examination of the pelvic organs.
Advanced features: Virtual endoscopy
- CT enterography and CT colonography study of the gastrointestinal tract with the possibility of creating three-dimensional reconstructions of individual segments, the intestine as a whole, as well as intracavitary navigation with accurate tracking and definition of topics in all possible planes.
- CT bronchography examination of the organs of the thoracic cavity (virtual endoscopy of the tracheobronchial tree with the creation of three-dimensional reconstructions).
Magnetic resonance imaging (MRI): a modern, safe (without ionizing radiation) diagnostic method that provides visualization of deeply located biological tissues and is widely used in medical practice. MRI provides a detailed image and is considered the best method for detecting various tumors, examining the central nervous system and spine. The MRI result is a full-fledged, three-dimensional picture of the examined area of the body.
The MRI method makes it possible to visualize sections of the brain, spinal column and spinal cord on a display screen, and then on an X-ray film. The information allows you to differentiate the gray and white matter of the brain, assess the state of its ventricular system and subarachnoid space, as well as to reveal various forms of pathologies, such as volumetric processes in the brain, demyelination zones, foci of inflammation and edema, hydrocephalus, traumatic lesions, hematomas, abscesses and manifestations of cerebral circulatory disorders.
Valuable information is revealed on MP tomograms of the spine, especially on sagittal sections. Structural manifestations of osteochondrosis are visualized, including the condition of the vertebrae and ligamentous apparatus, intervertebral discs, their prolapse and impact on the dura mater, spinal cord, and ponytail. Intravertebral neoplasms, manifestations of hydromyelia, hematomyelia and other pathological processes are also visible.
The diagnostic potential of MRI can be increased by pre-administration of certain contrast agents. Contrast agents such as gadolinium preparations are usually injected into the bloodstream.
During MRI, the patient is not exposed to ionizing radiation. However, there are limitations to MRI, such as the presence of metallic foreign bodies in the cranial cavity, which can lead to their displacement under the influence of a magnetic field and, consequently, cause additional damage to nearby brain structures. MRI is contraindicated if the patient has an external pacemaker, pregnancy and severe claustrophobia (fear of being in a cramped room). The duration of the MRI examination (30 minutes) may be complicated by the need to maintain the patient's immobile state.
Magnetic resonance imaging, like any study, has its own diagnostic limits, as well as possible limited sensitivity and specificity in the diagnosis of pathological processes. Therefore, if there are doubts about the feasibility of conducting a study, it is recommended to consult with your doctor or an MRI doctor.
Magnetic resonance imaging continues to improve, expanding the scope of its application.
Standard types of MRI examinations:
Without contrast enhancement and Contrast (intravenous bolus contrast)
- MRI examination of the brain, spine, joints, all organs and systems
Advanced features include:
- Studies of blood vessels without contrast enhancement using black blood flow.
- MR-enterography.
- DWIBS with MultiTransmit technology (pseudo scintigraphy).
General X-ray diagnostics:
Modern medicine is unthinkable without its important direction - radiation diagnostics. In JSC NNMC, the radiological diagnostics department includes the X-ray method (radiography, fluoroscopy, fluorography, linear tomography, computed tomography) and the magnetic resonance imaging method.
For many decades, images obtained using radiography have been stored on special X-ray films (analog). Currently, digital methods are widely used, which have a significant advantage over analog ones. The main one is to reduce the radiation load on the patient and the ability to transmit, demonstrate, modify and archive images using modern computer technologies.
Radiography is performed to identify and prevent various diseases. The main goal is to help doctors of different specialties to make a correct and quick diagnosis. X-ray diagnostics of all organs and systems is performed, but it is most often used in such fields as traumatology and orthopedics, pulmonology, neurology and neurosurgery, otorhinolaryngology, cardiology, urology, abdominal surgery, dentistry, gynecology.
Modern diagnostic methods, such as magnetic resonance imaging and others, have appeared at the present time. However, conventional radiography, which has served humanity for more than 100 years, remains an important diagnostic tool and will be widely used both in the present and in the future.
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Currently, it is impossible to imagine the field of clinical medicine without radiology, computer and magnetic resonance imaging. Today's era of high technology in medical imaging is aimed at increasing information content, accuracy and early detection of pathology. In this context, the possibilities of radiation diagnostics are enormous.
However, even with the latest equipment, we must not forget about the importance of the ability to think, experience and vocation of a radiologist. In the radiology department, every employee - be it a doctor, a laboratory assistant or a nurse - makes every effort to ensure the high quality of the study. Our doctors have been trained in Austria, Japan, South Korea, France and Russia.
The perfection of technology is unthinkable without constant self-improvement. Due to the availability of world literary databases of medical information and knowledge of the English language, over the past 20 years we have published more than 200 printed works, modified more than 20 research methods, participated in international congresses and conferences, where we presented the results of our activities.
Constantly emerging new methods of radiation diagnostics are almost instantly introduced and become routine. In 2009, we introduced CT colonography and CT enterography methods in our country for the first time. In fact, modern computed tomography is a method of examining the entire human body in volume, since axial tomograms in thin sections form a three-dimensional data array that allows performing any image reconstruction, including multiplanar, 3D reformations and virtual endoscopy.
In 2014, the world's first fully digital Magnetic resonance imaging scanner, developed by PHILIPS, was installed at NNMC JSC. By that time, we had trained 5 doctors under the State BOLASHAK Program. Since January 2015, in the radiology department, the only one in the country, we have been conducting MR endoscopy and DWIBS with MultiTransmit technology (pseudoscintigraphy), as well as MR heart examinations.
Radiologists of the department have the highest and first qualification category, have scientific degrees of masters of health or study at the master's and doctoral programs of the University of Nursing.
