Digital imaging of the organs in our body using radiology, X-rays (x-ray), mammography, computed tomography (CT), angiography), sound waves (ultrasonography, Doppler), and magnetic field (magnetic resonance imaging – MR) tests, helps the diagnosis of diseases, pre-treatment and later it is a medical science that serves to guide clinicians.
Radiology is divided into two classes as diagnostic and interventional.
Diagnostic radiology
Diagnostic radiology covers all kinds of non-invasive imaging procedures at all stages of the disease.
In Reyap Hospital Istanbul’s radiology unit, imaging is performed with the latest technology devices, considering the developments in the field of medicine.
The devices in our radiology unit are:
3 Tesla MRI
256-slice Multidetector CT
3D Tomosynthesis Digital Mammography
C-arm Digital Angiography (DSA)
Digital X-ray (DR)
Mobile Digital X-ray
MR fusion, Elastography, Doppler ultrasonography
Doppler Ultrasonography
Wireless mobile Doppler ultrasonography
Images are displayed on workstations and computers inside and outside the hospital through a system called “PACS (picture and communication system)” and further evaluations are made.
3 Tesla MRI
3T MRI device allows advanced imaging methods (MR angiography, MR perfusion, MR spectroscopy, dynamic CSF flow MR, cardiac MR, MR tractography, dynamic contrast-enhanced examinations, etc.). Besides, it performs routine contrast and non-contrast clinical applications.
256 cross-section Multidetector CT
All angiographic imaging (coronary, cerebral, peripheral, pulmonary), virtual scope imaging (colonoscopy, endoscopy, bronchoscopy), and other contrast and non-contrast images are performed with our 256-slice multidetector CT device.
3D Tomosynthesis Digital Mammography
With our 3D Tomosynthesis Digital Mammography device, 3-dimensional MLO (mediolateral-oblique) images can be taken in addition to routine 2-plan (craniocaudal (CC)) digital images. With conventional digital mammography, the radiologist sees the tissues of the breast as overlapping flat images.
This tissue overlap can sometimes make tumors difficult to detect. Also, overlap can sometimes create areas that appear abnormal, resulting in false-positive results.
Tomosynthesis or “3D” mammography directly addresses the current limitations of standard 2D mammography. Multiple studies have shown that 3D mammography increases the detection of breast cancer by about 25% and reduces the number of false-positive callbacks by about 15%.
Ultrasonography
With our ultrasonography devices, all routine clinical applications (abdomen, thyroid, breast, superficial tissues in adults and children, hip and brain imaging in newborns) and vascular structures in the neck, arms, and legs can be viewed in detail with the Doppler technique. Besides, the diagnosis of urogenital diseases can be detected with high sensitivity with scrotal Doppler and penile Doppler imaging methods.
Digital X-ray
With the digital x-ray (DR) device, non-contrast routine clinical applications (chest radiography, direct urinary system radiography, standing direct abdominal radiography, hip, and extremities, etc.) and advanced clinical applications (orthoroentgenogram, leg length radiography) can be performed.
With our digital x-ray and ultrasonography devices, bedside imaging can be performed for patients hospitalized in service rooms and intensive care units.
C-arm Digital Angiography
Vascular structures in the brain, neck, heart, and other parts of the body can be viewed for diagnostic purposes with our C-arm Digital Angiography (DSA) device.
Interventional radiology
Interventional Radiology, with the guidance of imaging devices, allows using the skin (percutaneous methods) or vascular access (angiographic methods), diagnostic procedures such as biopsy applications, fluid sampling, and arthrography, fluid discharge from the chest, abdomen, or other body parts, bile duct drainage include procedures performed for treatment purposes such as urinary system drainage, abscess-cyst drainage, regional chemotherapy applications with the method called TACE, tumor ablation treatments, the opening of narrowed-occluded vessels by balloon or stent.
Breast Biopsy
Under the guidance of ultrasonography, mammography, and CT, many organs such as thyroid, breast, lung, liver, kidney, bone, as well as superficial swelling-masses can be biopsied. Breast tumors can be marked with a wire as a guide to surgery, or a marker is placed in the mass before chemotherapy.
Vacuum biopsy (Mammography-MR)
It is used in the biopsy of microcalcifications suspected of breast cancer that can be seen in mammography and masses that can only be seen in MRI.
MR Arthrography
With this method, which provides a more detailed view of the joints such as shoulder and hip, the image is taken after the needle is inserted into the joint and the contrast material is given and the diseases of the relevant joint are detected with high sensitivity.
Drainage
Conditions such as pleural or abdominal cavity effusion, cysts, and ulcers can be treated with the drainage method by entering the skin through the needle hole.
Sclerotherapy
Fluid accumulations called lymphocele or Hydatid Cyst disease that develops in the liver can be treated with sclerotherapy, which is an alternative method for surgery. It can be treated by injecting certain solutions called sclerosing substances into these liquid-containing collections.
Cholecystectomy
This procedure and gallbladder drainage can be performed to treat obstructed bile ducts. Leaving a drainage catheter or balloon-stent treatments are possible depending on the patient’s condition.
Nephrostomy
The patency of the obstructed urinary tracts by nephrostomy to ensure proper drainage and stenting of the urinary tract in proper patients can be performed.
Radiofrequency Ablation- Microwave Ablation
Tumors in organs such as the liver and kidney can be burned by ablation therapy with special needles used through the skin.
TACE (Transarterial Chemoembolization)
By selectively locating the vessel feeding the cancerous area, this method, which provides chemotherapy directly to the tumor area, enables targeted oncological treatment that significantly reduces side effects.
Portal Vein Embolization
In cases where surgery is required due to a liver tumor and a large part of the liver needs to be removed, but the remaining liver tissue is not sufficient after surgery, this treatment ensures that the vessels feeding the tumor area are tied and the healthy liver parts grow and become suitable for surgery.
Chemo Port
A port is placed under the skin to provide permanent vascular access in oncology patients whose chemotherapy decision is made and whose treatment will take a long period. The risk of complications is minimized in this procedure, which is performed under the guidance of imaging methods. Besides, it is possible to take blood samples and other treatments to be given intravenously.
Placement of Permanent Tunneled Dialysis Catheter
Permanent catheters, which allow patients with chronic kidney failure who need hemodialysis to continue their treatment regularly and in a controlled manner, are placed safely under the guidance of imaging methods.
Catheter Angiography
Conditions such as stenosis and occlusion of other vessels other than the heart vessels can be treated with balloon angioplasty or stent placement methods.
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