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The
Radiology Department serves as an "image" center for the physicians at Children's
Hospital and the many physicians who refer patients to Children's Hospital.
Children just like you are seen for many different purposes in this department.
Tests such as Magnetic Resonance Imaging (MRI), CT Scan, Ultrasound, Echocardiogram,
Xray and Fluoroscopy are conducted in the Radiology Department.
When you visit the Radiology Department at Children's Hospital, your experience may be different from that of another child in your class or your friend from down the street. Some children may have an MRI scan of their brain to detect problems. Another may have an ultrasound picture taken of the stomach, or maybe a student in your class has broken a bone in his or her leg, and the doctors need to take an Xray.
Radiology Department visits may take 15-20 minutes or several hours, depending on the specific patient and the need for the tests. Many things may be required by the staff in the Radiology Department before you come in for your test. Some radiology tests require patients not to eat for up to 12 hours before they come for their appointment. Some patients must drink large amounts of water, while others may have to take home a special drink to help highlight the bowel or organs under the scanner. And sometimes a nurse might insert an IV to give medicine to help a patient sleep through the test or to insert contrast (a type of dye) into veins to highlight the veins and arteries.
If you are coming to Children's Hospital to have an MRI scan, you may want to visit the MRI Virtual Visit.
CT Scan: If you come to Children's Hospital for a CT scan, it will be much like someone who visits the hospital for an MRI. The CT scanner is a machine that takes pictures of the organs inside your body. If you have sinus trouble, hit your head on the jungle gym on the playground, or have appendicitis, the radiographic technologist may do a CT scan to detect all of the problems in your body. The machine does not touch you during the time your body is being photographed, but you must lie very still while those pictures are being taken. Many times you cannot eat before your picture is taken. You may have a drink (called contrast) that includes dye to outline the parts of your body that the pictures scan. Sometimes the nurse will put a stick in your arm to give you medicine that will make you sleep while the pictures are being taken. The exam may only take 15 minutes or it may take longer. You may also need two exams during the same visit. The CT Scan shows the physical characteristics of the body by looking at its structure, form and function.
Ultrasound: The ultrasound consists of a pen-shaped instrument that runs over the outside of the body and takes pictures of the organs in your body. An ultrasound technologist will place some gel on the part of your body that will be photographed and will run the "pen" over that area. This test does not hurt you, but the area may be sore to the touch and may be tender when the "pen" is run over the area. If you are having an ultrasound picture taken of your pelvic area, kidneys or bladder, the radiologists will ask you to drink lots of water before you come to the hospital. This will make it easier for the radiologist to view the area. This test is for a radiologist to see different areas that cannot be seen with just the normal eye. Many times, patients cannot eat before this test, and bubbles from carbonated drinks may show up on the test and cause difficulties on the screen, so no soft drinks are allowed before your ultrasound test! Once the test is complete, the radiologist will report on your ultrasound test to your physician.
Echocardiogram: This is a special ultrasound machine just for the heart. The ultrasound technologist will first place a gel on your chest and run the instrument over your chest with your heart just underneath. The images will help your doctor measure the chambers of your heart. The screen on this machine is in color.
Xray: The
Xray machines take pictures of your skeletal system, which consists of your
bones from head to toe. An Xray machine takes the pictures on special film,
and it never touches your body. You
may have to sit or lie on a tabletop to have your pictures taken, or you may
have to stand. More chest Xrays are taken than any other test. In the summer,
children are usually seen for broken bones and trauma from accidents while
playing outside. Broken bones will be detected on the Xray pictures. In the
winter, children usually have Xrays for viral infections that may be in their
chest. Illnesses such as pneumonia, cystic fibrosis and Respiratory Syncytial
Virus (RSV) can be seen on an Xray, and with the help of a radiologist, your
doctor can plan the best treatment for the illness.
Nuclear medicine study: This is a test of the function, size or shape of different organs in your body. A liquid will be given to you before this test. The medicine will be given to you in a drink, through an IV tube or through a special tube called a catheter that goes into your bladder. The liquid will travel through your body, and a camera will take pictures of it. These studies may be necessary to test your body for renal (kidney) function, reflux or other gastric problems.
Fluoroscopy: This test can best be described as a "motion picture" Xray. It is an Xray that looks at the "real-time" pictures of the body as it actually is functioning. Under the category of fluoroscopy there are several tests that include "real-time" pictures.
- A voiding cystourethrogram (VCUG) is used to look at the urinary tract. You may need this test if you have a fever for an unknown reason, have blood or pain during urination, or frequently wet the bed. You will be given a contrast dye through a catheter that will be seen in the bladder. This test can take 10-15 minutes or longer depending on the child. If you are able to sit very still, the test may only take several minutes. If you have difficulty sitting still, the test may take longer.
- An
upper gastro-intestinal (GI) is
used for many of the same symptoms as the VCUG. This test takes an Xray of
the GI tract, which goes from your mouth to the end of your stomach. You will
be placed on a mobilizing board (like a vertical car seat) if you are younger
than 3 years old.
- A small bowel test is usually the continuation of the Upper GI test, although it can be done with or without the Upper GI test. If this test is the continuation of the Upper GI, this test follows the barium contrast into the small bowel area. It may help a radiologist to detect Crohn's Disease, malrotation and blockages. You may have symptoms of stomach pain, nausea, vomiting, chronic diarrhea or rectal bleeding. The small bowel test can take from one hour to eight hours. After the test, a radiologist will interpret the exam and report to your doctor.
- Barium enema is an exam that a physician may request if a child is experiencing chronic constipation or serious abdominal pain. This test may lead doctors to perform surgery on the child's bowels. Hirschsprung's disease, which is an enlargement of the colon, or intussusception, which is the slipping of one part of the intestine into another part just below it, may be detected in a barium enema test.
Your parents, grandparents or guardians are always invited and encouraged to sit with you during any test you have in the Radiology Department, except exams requiring general anesthesia. It is always best for the adult to stay calm for better cooperation of the child. If your parents are brave, it will be much easier for you to be brave, too. Scans may take anywhere from 30 minutes to several hours. The time depends on the area of the body being scanned, the preparation time, the scan time, the child's cooperation and stillness, and the recovery time (if sedation is necessary). It typically takes 24 hours to get results back to your physician after your test is run.
Children's Hospital
Radiology Department works in certain areas 24 hours a day and is prepared
to take pictures of any problem. Staff who work in CT or Ultrasound are
on call 24 hours a day; MRI and Nuclear Medicine are open Monday through
Friday 8:30 a.m. to 4:30 p.m., but diagnostic testing is available 24 hours
a day, 365 days a year. The goal is to help your doctor pinpoint the problems
you are having and help find a solution to make you feel better.
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