Radiology Services

Imaging

X-RAY

An X-ray creates images of the structures inside the body. 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.

BONE DENSITY SCAN (DEXA)

Bone density scanning, also called dual-energy x-ray absorptiometry (DEXA) or bone densitometry, is an enhanced form of x-ray technology that is used to measure bone density. It is a non-invasive test used most commonly to diagnose and track the treatment of osteoporosis. A DEXA scan can also be used to assess an individual’s risk for developing fractures. The exam is usually done in an out-patient settings and takes about 30 minutes.

ULTRASOUND

Ultrasound scanning, or sonography, creates images of internal body organs using high frequency sound waves which are recorded and displayed as images on a monitor. Ultrasound is used to evaluate multiple body parts including blood vessels, uterus/ovaries, liver, kidneys and gallbladder.

COMPUTER TOMOGRAPHY

A CT scan can provide greater clarity and reveal more details than regular x-ray exams. Using a computer CT produces cross sectional images of all body parts providing information about the internal organs, bones, and soft tissues that is used to diagnose diseases and disorders. CT scanning is often used to detect many different types of cancer and evaluate the change in tumor size with therapy. The test is noninvasive but sometimes requires intravenous contrast. The CT scan usually takes 15 to 30 minutes and preparation instructions will be provided to you when your appointment is scheduled.

For locations and to schedule a CT appointment. Click here

MAMMOGRAPHY

Mammography is the best method available for the early detection of breast cancer. A specially trained radiologic technologist will perform the test and your results will be read by a radiologist with expertise and training in mammography. While mammography is an important way to screen for abnormalities in the breast, it is not usually enough to determine if the abnormality is benign or malignant.

In some cases, an abnormal finding on mammography may require further evaluation with a diagnostic mammogram, ultrasound or MRI of the breast.

The American Cancer Society (ACS) recommends annual mammography for women over 40 or earlier if at high risk.

The Ann B Barshinger Breast Institute at Penn Medicine Lancaster General Health is one of the leading Breast Centers in the area. Lancaster Radiology is part of team of professionals who work to provide a comprehensive breast health and treatment program.

For location information Click here
To make an appointment for a screening mammography call 717-544-5941

Select breast imaging procedures:

Screening Mammography
  • Screening mammography is performed to detect breast cancer in asymptomatic women over 40 or an earlier for those who are high risk.
Diagnostic Mammography
  • Diagnostic mammography is used to evaluate a patient with abnormal clinical findings such as a palpable breast lump or to evaluate an abnormality found on a screening mammogram. The exam usually lasts 10 to 20 minutes. If patients have old exams from another facility they should bring them to their appointment. Once the exam is finished the Radiologist will send a report and discuss with the referring physician to determine if further testing is required.
Breast Tomosynthesis
  • Breast Tomosynthesis, also called three-dimensional (3-D) mammography and digital breast tomosynthesis (DBT), is an advanced form of breast imaging where multiple image slices of the breast are captured and evaluated. A computer then synthesizes these slices into a single composite breast image. This method improves the sensitivity and accuracy of detecting small breast abnormalities.
Ultrasound of the Breast
  • Breast Ultrasound uses high frequency sound waves to image the breast. A small probe placed on the skin surface is used to transmit sound and create the images. Since it uses sound waves there is ionizing radiation (x-ray). Ultrasound is a especially useful in evaluating abnormalities found on mammography but it is also helps those who can’t receive an MRI examination or mammogram (pregnant women).
Magnetic Resonance Imaging (MRI) of the Breast
  • Breast MRI uses a powerful magnetic, radio waves and a computer to produce detailed images of breast structures. Breast MRI can be used to screen women at high risk for breast cancer, evaluate the extent of cancer following diagnosis, evaluate for breast implant rupture or further evaluate some abnormalities seen on mammography. Breast MRI does not use ionizing radiation.
Image-guided biopsy
  • Image-guided biopsies are performed to take samples of an abnormality and are guided using some type of imaging. The imaging guidance may include ultrasound, MRI or mammography. The biopsy provides cells from the suspicious area that can be evaluated to determine whether the abnormality is cancerous.
Stereotactic Breast Biopsy
  • A stereotactic breast biopsy is one type of image guided biopsy that uses a special stereotactic mammography machine to guide the biopsy equipment to the questioned area.

MAGNETIC RESONANCE IMAGING (MRI)

Magnetic Resonance Imaging, or MRI, is a procedure that uses a large magnet, radio waves, and a computer to create detailed internal images of the body. It is able to produce extremely detailed images of soft tissues, organs and bones without the need for radiation. MRI is especially good at evaluating the soft tissues throughout the body and has become a very valuable tool for detecting cancer, heart and vascular disease, strokes, and disorders of the joints.

The MRI Group has locations that offer Open MRI and Wide Bore MRI. Open MRI can provide a quieter and more comfortable experience for claustrophobic and obese patients.

In addition, The MRI Group at our Lime Street location now has the ability to perform MRI on those patients with pacemakers or defibrillators.

To learn more about MRI visit: www.MRIGROUP.com
For locations and to schedule an appointment CLICK HERE

POSITRON EMISSION TOMOGRAPHY (PET)

PET is a nuclear medicine exam where images are created after the injection of a radioactive tracer. One hour after injection a CT scan is performed followed by the PET scan itself. The Radiologist views both scans together and determines how the patient’s cells are functioning. PET scans can be used to detect cancer, determine the response of cancer to therapy and evaluate the heart muscle following a heart attack. Instructions on how to prepare for the test are given at the time an appointment is scheduled

Radiology

DIAGNOSTIC RADIOLOGY

General Radiology is devoted to the diagnosis and treatment of diseases through the use of x-rays. It is the most common radiology examination and is plays an important role in the diagnosis of many health conditions. The radiation doses from X-ray exams are relatively small and the clinical benefit of an exam far outweighs the risks.

Subspecialties of Diagnostic Radiology include

Breast imaging
  • Breast Imaging is a radiology subspecialty devoted to the imaging and diagnosis of diseases of the breast. It includes mammography, breast ultrasound, breast MRI, and breast procedures such as breast biopsy.
Cardiovascular Radiology
  • Cardiovascular Radiology is a radiology subspecialty devoted to the imaging and diagnosis of diseases of the heart and vascular or circulatory system (including blood and lymphatic vessels). This includes x-rays, CT, ultrasound and MRI.
Emergency Radiology
  • Emergency Radiology is a radiology subspecialty devoted to the imaging and diagnosis of diseases of trauma and non-traumatic emergency conditions. This includes x-rays, CT (computed tomography or CAT), Ultrasound and MRI.
Gastrointestinal (GI) Radiology
  • Gastrointestinal Radiology is a radiology subspecialty devoted to the imaging and diagnosis of diseases of the gastrointestinal (GI) or digestive tract (the stomach and intestines) and abdomen. This includes fluoroscopy, x-rays, CT (computed tomography or CAT), Ultrasound, MRI, and GI procedures such as biopsy and fluid and abscess drainage.
Genitourinary Radiology
  • Genitourinary Radiology is a radiology subspecialty devoted to the imaging and diagnosis of diseases of the reproductive and urinary systems. This includes x-rays, CT (computed tomography or CAT), MRI and procedures such as biopsy, kidney stone removal, and uterine fibroid treatment
Head and Neck Radiology
  • Head and Neck Radiology is a radiology subspecialty devoted to the imaging and diagnosis of diseases of the head and neck. This includes x-rays, CT (computed tomography or CAT), Ultrasound and MRI.
Musculoskeletal Radiology
  • Musculoskeletal Radiology is a radiology subspecialty devoted to the imaging and diagnosis of the muscles and the skeleton. This includes x-rays, CT (computed tomography or CAT), Ultrasound and MRI.
Neuroradiology
  • Neuroradiology is a radiology subspecialty devoted to the imaging and diagnosis of the brain and nervous system, head, neck and spine. This includes x-rays, CT (computed tomography or CAT), Ultrasound and MRI.
Pediatric Radiology
  • Pediatric Radiology is a radiology subspecialty devoted to the imaging and diagnosis of diseases of children. This includes x-rays, CT (computed tomography or CAT), Ultrasound, MRI and procedures such as fluoroscopy, biopsy and drainage of fluid or abscess collections.
Nuclear Radiology
  • Nuclear Radiology is a radiology subspecialty devoted to the imaging and diagnosis of diseases using trace doses of radioactive material. This includes imaging of the heart, the skeletal system, and most organs in the body (for example the thyroid and parathyroid glands, liver, spleen, kidneys, lungs, etc.). It also includes the treatment of various conditions in the body such as a hyperactive thyroid gland and thyroid cancer. The imaging modalities include gamma imaging, PET, and PET/CT.

Interventional Radiology

Interventional Radiology is a radiology subspecialty devoted to the imaging, diagnosis and minimally invasive therapy of diseases using imaging guidance including Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Ultrasound (US) and plain films (X-rays). LRA’s board certified interventionalists are fellowship trained in percutaneous interventional procedures using guided imaging. Interventional procedures are typically performed in hospitals and often replace open surgical procedures. Because there are no large incisions patients generally tolerate these procedures better as there is less pain, a shorter recovery time and less risk.

Screening

SCREENING MAMMOGRAPHY

Screening mammography is performed to detect breast cancer in asymptomatic women over 40 or earlier for women at high risk.

American College of Radiology (ACR) and Society of Breast Imaging (SBI) recommend that women at average breast cancer risk begin screening at age 40. According to the ACR, screening mammography reduces breast cancer mortality by more than 40% in women aged 40 years and older. Screening mammograms of breast may show changes in the breast up to two years before a patient or physician can feel an abnormality.

Women defined at high risk of breast cancer may require screening earlier than age 40. Some factors for high risk are:

  • Genetic predisposition
  • Family history in the absence of genetic predisposition
  • African American women
  • Treatment with chest or mantle radiation therapy at a young age
  • A history of breast cancer
  • A history of dense breast identified on previous screening

Early detection and diagnosis are important to successful breast cancer outcomes. To schedule a screening mammography call 717-544-5941 – or to make an appointment online, visit the LGH website.

LUNG SCREENING

Lung cancer is the third most common cancer – and the leading cause of cancer deaths in the United States. The U.S. Preventative Services Task Force recommends an annual Low Dose CT Lung Cancer Screening for current or former smokers between the ages of 55 – 80 years who have a 30 “pack-year” history. (Packs Per Day X Years Smoked = Pack Years).

The U.S. Preventive Services Task Force recommends annual lung cancer screening if:

You are 55 to 80 years old:

  • And you have a smoking history of at least 30 pack years.
  • And you still smoke, or you quit within the last 15 years.
  • And you are in good health overall. (Having a serious health problem might mean that you couldn’t have treatment for lung cancer. The treatment could be too high-risk, and it might not help you live longer.)

The US Preventive Services Task Force and all the major medical societies state that screening people with a higher risk of developing lung cancer saves lives. Low-dose CT scans can detect lung abnormalities as small as a grain of rice, which leads to diagnosis of cancer at an earlier stage, when it is treatable.

The Penn Medicine Lancaster General Health CT Lung Screening Program started in 2014, as a joint initiative with radiology, pulmonology and thoracic surgery. Today it is one of the largest lung screening programs in the region.
Screening won’t prevent cancer. And it may not find all lung cancers. But research shows that if people who are at higher risk have this test every year, they can detect the disease earlier and reduce the risk of dying from the disease.
Lung screening is not without its risks. It can show an abnormal result when it turns out there was not any cancer. This is called a false-positive result. This means you may need more tests to make sure you don’t have cancer. These tests may include additional CT scans or invasive testing like a lung biopsy. In a biopsy, the doctor takes a sample of tissue from inside your lung, so it can be looked at under a microscope. A biopsy is the only way to tell if you have lung cancer. If the biopsy finds cancer, you and your doctor will have to decide how or whether to treat it.

Some lung cancers found on CT scans are harmless and would not have caused a problem if they had not been found through screening. But because doctors can’t tell which ones will turn out to be harmless, most will be treated. This means that you may get treatment—including surgery, radiation, or chemotherapy—that you don’t need.
You should discuss lung screening with your physician to determine if screening is right for you.

CARDIAC SCREENING

A heart computerized tomography (CT) scan, also called a calcium-score screening heart scan, is used to find calcium deposits in plaque of people with heart disease. They’re the most effective way to spot atherosclerosis before symptoms develop. The calcium-score screening heart scan takes only a few minutes to perform and does not require injection of a contrast dye, such as iodine. Some kinds of coronary disease don’t show up in a CT scan, so it’s important to remember that this test can’t completely predict things like a heart attack.

Another cardiac screening test is a Cardiac CT angiogram (CTA). It begins with very thin CT images obtained after iodine contrast is injected through an IV. Then a 3-dimensional picture of the blood vessels is created. This technique gives detailed anatomy of the blood vessels and the extent of the plaque. The study gives physicians further information on whether a patient should be sent for an invasive procedure, such as cardiac catheterization.

Talk to your doctor to see if Cardiac Screening is right for you.