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Specialized radiology

crochetBy appointment only



Covered by the RAMQ
  • Esophagus
  • Deglutition study
  • Double-contrast barium meal (stomach/upper digestive tract and esophagus)
  • Small intestine
  • Double-contrast barium enema (colon)
  • Lung fluoroscopy
Not covered by the RAMQ
  • Diagnostic musculoskeletal arthrography
  • Therapeutic musculoskeletal arthrography
  • Bursa infiltration
  • Tendon infiltration
  • Articular infiltration
  • Periradicular infiltration
  • Facet block
  • Foraminal block

 

Upon arrival, our staff welcomes you to check-in for your exam on the ground floor

Therapeutic arthrography or infiltrations
This exam allows injection of a drug (methylprednisolone or cortisone) and a local analgesic or viscosupplementation provided by the patient (e.g., Synvisc, Durolane) into an articulation to relieve chronic pain. A product visible to x-rays (iodine) will be injected beforehand to ensure that the correct site is infiltrated. Exam duration: 10-15 minutes.

Distensive arthrography of the shoulder
This exam allows injection of a drug (methylprednisolone or cortisone) and 10 ml of a local anesthetic in order to distend the joint capsule of the shoulder and allow you to resume normal movement. It is important to see a physiotherapist to learn which exercises to do after your exam, unless otherwise directed by your doctor. A product visible to x-rays (iodine) is will be injected into the shoulder joint beforehand. Exam duration: about 10-15 minutes.

Diagnostic arthrography of the knee
This exam will mainly show if there is torn knee cartilage. A product visible to x-rays (iodine) will be injected into the knee joint, and several radiological images will be taken and analyzed by a radiologist. Exam duration: 15-20 minutes.

Pre-MRI arthrography
This exam is designed to inject a product (Magnevist) that enhances magnetic resonance images. A substance visible to x-rays (iodine) will be injected into the articulation beforehand to ensure visibility of the proper area. Exam duration: 15-20 minutes.

Facet block
This exam is designed to inject a medication (methylprednisolone or cortisone) along with a local analgesic, into the perimeter of the articular facets located on each side of the spine. The desired goal is to alleviate chronic pain. Exam duration: about 10 minutes.

Lumbar foraminal block
This exam allows injection of a drug (dexamethasone) along with a local analgesic near a foramen (small opening through which a nerve passes, located on each side of the spine). The desired goal is to alleviate chronic pain. Exam duration: about 10 minutes.

Exams requiring preparation:
Esophagus and/or deglutition study
Double-contrast barium meal and esophagus
Small intestine (examination lasts from 1 to 3 hours; for your comfort, bring slippers and a robe)
Fasting: Do not eat, drink or smoke after 10:00 pm the night before the exam.

Double-contrast barium enema

 

12:00 pm – Liquid meal: clear soup (broth), plain gelatin (from dry gelatin powder), 225 ml (8 oz.) of liquid.

NO MILK OR CREAM.

12:30 pm (or ½ hour after the meal) – Drink the whole bottle of Citro-Mag with ice. You should expect a vigorous intestinal purge 3 to 6 hours after ingesting this preparation.

1:00 pm – 225 ml (8 oz.) of liquid

3:00 pm – Take 3 Dulcolax tablets with a large glass of water. Swallow the tablets one by one without chewing.

4:00 pm – 225 ml (8 oz.) of liquid

5:00 pm – Liquid dinner: clear soup (broth), plain gelatin (from dry gelatin powder), 225 ml (8 oz.) of liquid.

NO MILK OR CREAM.

6:00 pm – 225 ml (8 oz.) of liquid. NO MILK OR CREAM.

9:00 pm – 225 ml (8 oz.) of liquid. NO MILK OR CREAM.

10:00 pm – Remove the Dulcolax suppository from its packaging. Insert it into the rectum.

Wait at least 10-15 minutes before evacuating, even if the urge is strong.

At bedtime: 225 ml (8 oz.) of liquid. Drink additional quantities of the recommended liquids if you wake up during the night.

NO MILK OR CREAM.

DAY OF THE EXAM

No food may be eaten until the exam has been completed. One glass of the recommended liquid is allowed before the exam. NO MILK OR CREAM.

Arthrography and infiltration

Allergy to iodine: for some infiltrations, iodine may be replaced by air.

Physiotherapy: plan your physiotherapy appointment within 24 hours following an infiltration in the shoulder for capsulitis (distensive arthrography), to promote the action of the medication and facilitate physiotherapy exercises when the shoulder is less painful while under the effect of the anesthetic.

When arriving for your appointment, make sure you have:

• The original request signed by your doctor.
• Your valid health insurance card.
• The images (on CD) and copies of the reports of previous exams related to your scheduled exam.

Please arrive 30 minutes early to allow time for parking and check-in.

Specifications:
Total specialized radiology exam duration: between 10 and 60 minutes, depending on the exam.
Digital device used: Siemens AXIOM ICONOS R200
Copy of images: upon request, images are copied onto a CD at a cost $10 per copy.
Specialized radiology
Click on $ to view the price
Exam RAMQ
Injection costs  
Diagnostic arthrography RAMQ
Therapeutic arthrography of the joint, tendon or bursa RAMQ
Distensive arthrography of the shoulder RAMQ
Facet blocks, 1 level/1 site RAMQ
Facet blocks, 1 level/2 sites RAMQ
Facet blocks, 2 levels/2 sites RAMQ
Facet blocks, 2 levels/3 sites RAMQ
Facet blocks, 2 levels/4 sites RAMQ
Facet blocks, 3 levels/3 sites RAMQ
Facet blocks, 3 levels/4 sites RAMQ
Facet blocks, 3 levels/5 sites (in 2 sessions) RAMQ
Facet blocks, 3 levels/6 sites (in 2 sessions) RAMQ
CD 10$
Report copy  $5
Prices subject to change without notice

In addition to your doctor’s request, please send us your contact information, along with the file number and the name of the agent who is handling your case. We must have authorization for the examination before scheduling your appointment.

Our Services
Magnetic resonance imaging (MRI)
Computerized axial tomography (scan, scanner, CT)
Positron emission tomography (PET-CT)
Virtual colonoscopy
Digital mammography
Musculoskeletal imaging
Ultrasound and Doppler
General radiology
Specialized radiology
Bone densitometry
Bone assessment for dental implant
Screening