Section Of DIAGNOSTIC RADIOLOGY

The Section of Diagnostic Radiology remain the mainstay in the Division of Radiological Sciences as far as imaging procedures are concerned, catering patients in both private and clinical division. Almost all kinds of x-ray imaging studies whether plain radiography or special x-ray studies with contrast can be done in this institution.

The Section of Mammography offers the state of the art imaging equipment for a more accurate evaluation for the main purpose of screening and early detection of breast malignancy.

The sophisticated imaging devices available in this section, coupled with a staff of the best Radiologist in the country, allow the section to keep abreast with the fast-paced developments and clinical applications of imaging modalities.

The section of diagnostic radiology is open 24 hours a day to provide service to patients in need of x-ray examination.

SERVICES OFFERED

With the sophisticated imaging devices endowed in the Section, the following plain radiographic examinations, as well as special procedures and contrast examinations are made available in the Section of Diagnostic Radiology of the University of Santo Tomas Hospital:

HEAD
• Skull (PA, Lateral, Townes)
• Skull series (PA, Lateral of both sides, Townes, Waters)
• Submentovertex (Basal view)
• Mastoids and petrous pyramids (PA, Townes, Laws, Stenvers)
• Mastoids alone (Townes, Laws, Stenvers)
• Orbit and Optic canals (PA, Oblique, Lateral, Waters)
• Facial
• Mandible
• Maxilla
• Paranasal sinuses (Caldwell, Waters, Lateral)
• Nasal Bone (Soft tissue technique Lateral view, Waters)
• Cone down (spot film) of the skull / sella turcica
• Foreign body Localization in the Orbit

NECK
• Soft tissue of the neck (AP, Lateral)
• Cervical spine (AP, Open mouth, Lateral, Obliques)
• Esophagogram
• Laryngogram (with phonation)
• Foreign Body localization (Contrast soaked cotton pledget barium swallow)

THORAX
• Chest Radiograph (PA)
• Chest (PA, Lateral, Obliques)
• Lateral decubitus projection
• Apicolordotic view
• Chest Fluoroscopy
• Thoracic cage (AP, Obliques)
• Sternum (Lateral, Oblique)
• Thoracic spine (AP, Lateral)
• Cardiac Series
• Intubation with fluoroscopic guidance
• Insertion of cardiac pacemaker under fluoroscopic guidance
• Chest Biopsy under fluoroscopic guidance
• Bronchography
• Mammography
• Cone down Mammogram

ABDOMEN
• Scout Film of the Abdomen (Upright, Supine)
• Flate plate of the abdomen (Supine)
• Lateral Decubitus film of abdomen
• Invertogram (Wangensteen rice)
• Upper GI series
• Intraoperative cholangiography
• Endoscopic Retrograde Cholangiopancreatography
• T-Tube Cholangiogram

URINARY TRACT
• K.U.B Film
• IV Urogram
• Hypertensive IV Urogram
• Retrograde pyelography
• Antegrade pyelography
• Voiding Cystogram/ Urethrogram

LOWER ABDOMEN / PELVIS
• Lumbosacral Spine (PA, Lateral, Obliques)
• Sacrum (Coccyx AP, Lateral)
• Pelvis (AP)
• Sacroiliac joints (AP, Obliques)
• Hip Joints (AP Neutral, Frogleg position)
• Hysterosalphingography
• Pelvimetry

OTHERS
• Fistulogram / sinugram
• Image Intensifier of surgical view

MUSCULOSKELETAL
• Shoulder joints
• Humerus
• Scapula
• Clavicle
• Elbow
• Radius and Ulna
• Wrist
• Hand
• Fingers
• Femur
• Knee
• Patella
• Tibia and Fibula
• Ankle
• Foot
• Plantar arch study
• Toes
• Skeletal survey
• Scoliosis study (Dynamic study with lateral bending)
• Bone aging

Patient preparation is necessary for special x-ray procedures as follows:

1.   For Esophagram – NPO , fasting for about 4-6 hours before the procedure
2.   For Upper GI series – NPO, fasting for about 4-6 hours before the procedure
3.   For Small intestinal series - NPO, fasting for about 4-6 hours before the       procedure
4.   For Cholecystography – NPO, fasting for about 4-6 hours before the procedure       patient is also required to take orally 6 tablets in succession the night before the       examination which is necessary for imaging the gallbladder.
5.   For Barium Enema- NPO, fasting for about 4-6 hours before the procedure bowel       cleansing particularly taking cathartic or laxative orally the night before the       examination.
6.   For Biliary imaging studies – NPO, fasting for about 4-6 hours before the       procedure