Imaging Center of UWS – Physicians

Why should I use the Imaging Center of UWS?

There are many good reasons to utilize the services of the Imaging Center of UWS. Through our efforts to provide the best care possible, the Imaging Center of UWS is committed to:
• Improving diagnostic capabilities with digital x-ray and musculoskeletal ultrasound technologies.
• Increasing interaction with clinicians to provide them with immediate and relevant information.
• Reducing imaging costs by ensuring only appropriate studies are ordered based on input from clinicians.

What are the advantages of digital over analog x-ray?

There are numerous advantages of digital imaging compared to analog imaging (traditional film processing). The most important advantage is the dynamic range of digital imaging that provides millions of gray shades, resulting in superior resolution. Also, digital images can be accessed quickly and conveniently.

When should musculoskeletal ultrasound be used?

Listed below are some of the more common applications and general uses for a musculoskeletal ultrasound:

Sport injuries. One of the domains of this modality is identifying sport injuries and thus providing accuracy in diagnosis and preventing injury progression. This modality is a vital tool in any clinical practice that treats sport injuries. This modality is utilized in elite performance injury evaluations at all professional levels, including Olympic training centers, the National Football League and the National Basketball Association (to name a few).

Shoulder injuries associated with whiplash. Shoulder injury has been reported to occur in a proportion of patients following whiplash injuries to the neck.

General indications of musculoskeletal ultrasound. MSK ultrasound can be an effective tool for many different types of injuries such as:

Shoulder conditions: This modality is useful in evaluating for rotator cuff injuries, calcific tendonitis, subacromial bursitis, joint effusion and impingement syndrome. If there is suspicion of instability with potential SLAP and labral lesions referral to an MRI is indicated.

Elbow and wrist conditions: Joint effusions as a sign of acute or chronic injury, distal bicipital tendonitis, cartilage alterations, dynamic testing of ligaments and flexor and extensor origins and insertions can be visualized. Peripheral nerve entrapment syndromes are a domain of nerve conductions studies.

Hip and thigh conditions: Neonatal hip screening rules in or out congenital hip dysplasia, which cannot be detected clinically. Joint effusions, bursal and tendon abnormalities whether acute traumatic or chronic are a good indication for musculoskeletal ultrasound.

Knee conditions: Joint effusions, synovial hypertrophy, bursal abnormalities, tendon pathologies, MCL and LCL lesions, cartilage changes and popliteal cysts are very well depicted with musculoskeletal ultrasound. It is not possible to visualize the ACL and PCL and there is limited resolution of the menisci.

Foot and ankle: Joint effusions, synovial hypertrophy, bursal abnormalities, tendon pathologies (flexor, extensor and Achillis tendon), ligamentous injury of the anterior talofibular and deltoid ligament and Morton’s neuroma are visible.

How do I refer/schedule patients?

To refer a patient to Imaging Centers of UWS you must complete a diagnostic imaging referral form. If you don’t have one, download it here or call our office at 503-255-6771 to schedule the appointment and receive a copy of the form via email or fax. Your patient must bring a completed form with them to their appointment at the Imaging Center. All information on the referral form must be provided in order to ensure the correct studies are completed for the patient.

If a patient already has a referral form from their physician, the patient may call 503-255-6771 to schedule their own appointment. It is important that the patient has the referral form in their possession when scheduling their appointment so they are able to give our scheduling staff the correct information directly from the form.

How (and how quickly) will I get reports?

We always attempt a quick turnaround of radiology reports. They are usually ready the same day or the next day. A phone consultation is immediately done after the patient’s examination providing the doctor with immediate preliminary radiologic findings. Reports are often faxed upon request and a CD of the images is provided. The images and report is given to the patient upon request.