Frequently Asked Questions
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The frequently asked questions on this page are grouped under particular types of examination.
Click on the examination of interest to go to that section.
ULTRASOUND
Can Ultrasound be harmful?
The American Institute of Ultrasound states that "...no confirmed biological effects on patients...caused
by exposures and intensities typical of present diagnostic
ultrasound instruments have been reported". Despite
the use of ultrasound for several decades, no known harmful
effects have been documented.
Why is a fast required for an abdominal scan?
A fast is required firstly to reduce bowel gas
in the abdomen and secondly to distend the gall bladder
which facilitates a more accurate assessment of gall bladder
abnormalities. Ultrasound waves cannot pass through gas
filled loops of bowel and therefore minimizing gas is important.
Why did I need to attend on two separate occasions?
The preparation required for an ultrasound varies
from region to region. If your doctor has requested scans
of two or more regions, it may be necessary to attend at
separate times. Long procedures such as the assessment of
the arteries of both legs are often performed in two sessions
on different days. This is often more acceptable for the
patient and is less fatiguing for the ultrasonographer.
Why is a full bladder required for a pelvic scan?
A full bladder acts as a window through which
clearer pictures of the pelvic structures such as the uterus,
ovaries and prostate can be visualised. Also the bladder
walls can only be assessed when the bladder is distended.
Why is gel applied during the scan?
Gel acts as a coupling medium allowing efficient
transfer of the ultrasound from the probe into the body.
Will the gel stain my clothes?
The gel is colourless and water soluble and will
not stain your clothing.
Will I get any pictures of the baby and can I have
a videotape of my obstetric scan?
A full series of images demonstrating all parts
of the baby including the face will be provided on laser
film.
QDI has a policy of not providing videotapes of obstetric
examinations.
Who performs the scan?
An ultrasonographer specifically trained in ultrasound
usually performs the scan. At QDI, the ultrasonographers
must have completed a training programme in ultrasound or
are undertaking such a programme. A radiologist, a medically
trained doctor who has specialised in radiology, may also
perform part of the scan particularly if there is a requirement
to clarify a finding.
How long does ultrasound take?
The time required depends on the particular examination.
Most scans take around half an hour. Vascular examinations
and echocardiograms take up to an hour or more.
Is Ultrasound painful?
Ultrasound is a painless examination.
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DIGITAL ANGIOGRAPHY
Why is a light diet or a fast needed before an angiogram?
Very occasionally nausea or vomiting is experienced
during an angiogram or interventional procedure. An empty
stomach reduces the risk of choking in the event of vomiting.
Is an angiogram painful?
Some discomfort can occur during stages of the
procedure. Local anesthetic is used at the arterial puncture
site. Intravenous pain medication or sedation may also be
administered.
Is the contrast safe?
At QDI we use only non ionic contrast which is
the safest product available. A sensation of heat, a metallic
taste or smell or a sensation in the bladder may be experienced
for less than a minute after the injection. Nausea and vomiting
are uncommon with non ionic contrast. There is a small possibility
of an allergic reaction. Patients with a history of allergies
or asthma may be given a short course of prednisone before
contrast is administered. If a reaction occurs, emergency
equipment and medications are available at all QDI sites
where contrast is used. See also our Safety Issues web page.
How soon can I drive after an angiogram?
Driving is not permitted for 24 hours after an
angiogram. This time is required to ensure complete healing
of the puncture site in the artery, usually in the groin.
In addition, medication administered during the procedure
such as pain killers or sedatives may impair a person's
ability to drive. A responsible person should be available
to drive you home.
Are interventional radiologists different to other radiologists?
Vascular interventional radiology and angiography
are performed by QDI radiologists with a specific interest
and expertise in this field.
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MAMMOGRAPHY
Is mammography painful?
Pressure is applied during a mammogram to spread
out the breast tissue which improves the diagnostic clarity
of the images. The compression causes discomfort but is
applied only for a short period of time.
Does a normal mammogram rule out cancer?
No. Not all cancers can be detected on a mammogram.
Difficulty can be encountered particularly if the breasts
contain a large amount of dense breast tissue. Accuracy
is improved if previous films are made available at the
time of film reading.
Do I have to pay for the mammogram?
Diagnostic mammograms referred by a doctor to
clarify a clinically apparent abnormality attract a medicare
rebate. Screening mammograms attract a rebate only if there
is a family history of breast cancer.
When should a mammogram be performed?
Diagnostic mammograms are requested by referring
doctors to evaluate a clinically apparent abnormality. Screening
mammograms are performed on asymptomatic women commencing
at the age of forty. The screening mammogram should be repeated
every 1-2 years up to age fifty and then every 2 years after. Women with a history of a prior breast tumour are screened
every year.
Why is deodorant and talcum powder not allowed for a mammogram?
These products may contain small dense particles
that may show up on the mammograms.
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CT SCANNING
Is CT painful?
CT scanning is painless. An injection of contrast
may be required.
Will a contrast injection be given?
Not in all cases. Contrast is not used for scan
of the spine or sinuses. Contrast may be required for other
scans. Please inquire when making the booking.
Is the contrast safe?
At QDI we use only non ionic contrast which is
the safest product available. A sensation of heat, a metallic
taste or smell or a sensation in the bladder may be experienced
for less than a minute after the injection. Nausea and vomiting
are uncommon with non ionic contrast. There is a small possibility
of an allergic reaction. Patients with a history of allergies
or asthma may be given a short course of prednisone before
contrast is administered. If a reaction occurs, emergency
equipment and medications are available at all QDI sites
where contrast is used. See also our Safety Issues web page.
Is breast feeding safe after an injection of I.V. contrast?
There are no known harmful effects of I.V. Contrast
in breast milk however as a precaution it is preferable
to refrain from breast feeding for 24 hours. Formula or
expressed milk can be given to your baby during this period.
Can CT be used in pregnancy?
It is preferable to avoid CT scanning during pregnancy
especially in the first 12 weeks unless there is a medically
urgent indication. Scans of the upper body can be performed
with a protective lead gown over the pelvis to cover the
womb. I.V. Contrast is usually withheld unless it is essential.
Why is oral contrast used?
Scans of the abdomen and pelvis are easier to
interpret if there is dilute barium in the bowel.
How is the barium or I.V. Contrast eliminated from the body?
The I.V. Contrast is filtered unchanged by the
kidneys with most of the administered dose appearing in
the urine within a few hours. Orally administered barium
passes through the intestine and is not absorbed.
Are the X-rays used in a CT scan harmful?
X-Rays are ionising radiation and as such can
alter chemical structure. In diagnostic imaging, the radiation
dose is small and confined to the region of interest. The
small risk associated with the procedure is out weighed by
the benefit of the results from the test. See also our Safety Issues web page.
Is an escort allowed in the room?
In most cases, no. For examinations on children,
an escort can stay in the CT scan room during the procedure.
A lead gown will be provided to the escort.
What if you are claustrophobic?
Although not as big an issue as with MRI, Claustrophobia
may be a problem with CT and you may require sedation before
the scan. Please inform the staff beforehand if you suffer
from claustrophobia.
How long does the scan take?
This varies from half an hour for most scans (e.g.
of the head, spine, sinuses and chest) up to an hour and
a half for abdominal or pelvic scans. (With abdominal and
pelvic scans, orally administered contrast is required during
the hour leading up to the actual scan.)
Will there be any after effects?
No. Normal eating and activity may resume immediately
after a CT scan.
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GENERAL X-RAY
Are X-rays harmful?
X-Rays are high energy ionising radiation and
as such can alter chemical structure. In diagnostic imaging,
the radiation dose is small and confined to the region of
interest. The small risk associated with the procedure is
outweighed by the benefit of the results from the test.
See also our Safety Issues
web page.
Why did I have to wait for my X-Ray?
Not all patients having a general X-Ray examination
have appointments. Often, a referring doctor sends a patient
straight to X-Ray for an urgent examination particularly
in trauma cases. It is therefore not possible to predict
how busy an X-Ray practice will be from moment to moment.
Scheduled patients are given preference over 'walk in' patients
in non urgent cases. It should also be noted that other
patients in the waiting room may be having some other type
of investigation using different equipment and different
rooms. The availability of rooms varies sometimes unpredictably.
It is therefore possible that you may be waiting longer
than other patients in the waiting room.
Can I wear jewelry?
Watches and jewelry may have to be removed if
they are in the region of interest as they show up on X-Ray
film.
Why were additional films required?
The radiologist may request additional views to
clarify the examination. Extra films are also required if
there has been a technical problem such as positioning,
movement, or exposure.
Are other people allowed in the X-Ray room?
An escort is allowed in the room for examinations
on children. A lead coat will be provided in this circumstance.
Why is a gown required?
Artifacts are caused by metal in clothing e.g.
zips, belt buckles, studs and clips on bras, obscuring information.
Why do I have to keep still and hold my breath?
Movement including breathing causes blurring of
the images. For a chest X-Ray, more information is obtained
if the X-Ray is obtained during inspiration.
What is X-ray contrast and how is the I.V. Contrast eliminated
from the body?
I.V. Contrast is injected into the blood stream
during an IVP (Intravenous Pyelogram) to outline the kidneys.
I.V. Contrast contains iodine and is colourless. It is sometimes
referred to as "dye" but contrast is a more appropriate
term. I.V. Contrast is filtered unchanged by the kidneys
with most of the administered dose appearing in the urine
within a few hours.
Is breast feeding safe after an injection of I.V. Contrast?
There are no known harmful effects of I.V. Contrast
in breast milk however as a precaution it is preferable
to refrain from breast feeding for 24 hours. Formula or
expressed milk can be given to your baby during this period.
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FLUOROSCOPIC SCREENING
Is barium harmful?
The barium used in radiology is not absorbed by
the intestine and is harmless. Allergic reactions to barium
are extremely rare.
Why does barium taste bad?
Not all people find the taste unpleasant. Different
manufacturers use different flavours to make the barium
taste better.
Why is the barium so thick and heavy?
Barium sulfate is used as a contrast agent because
being a dense material it shows up on X-Rays. The density
of barium accounts for the heaviness. The mixture of barium
is thick to improve coating of the oesophagus or stomach..
How is the barium eliminated from the body?
Orally or rectally administered barium is not
absorbed and passes through the intestine unaltered.
Can a mattress be used to cushion the table top?
X-Ray tables are required to withstand considerable
stress and are therefore are rigid structures. A thin foam
mattress can be used to make the procedures more comfortable.
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MRI
Is MRI harmful?
There are no known harmful biological effects
associated with MRI at the magnetic field strengths and
radiofrequencies used.
Why must credit cards be removed before entering the room?
The magnetic information on a credit card can
be erased by the strong magnetic field in the MRI room..
What is the knocking noise in an MRI?
The knocking sound during an MRI is due to vibrations
in the gradient coils in which the electrical current is
rapidly alternating.
Why must I keep still?
Movement during a scan degrades the image. It
is therefore important that no movement of the part being
imaged occurs during the acquisition i.e. while the knocking
sound can be heard.
Is an escort allowed in the room?
An escort may be allowed in the room provided
they have no metal objects with or inside them. Credit cards
must also be removed.
What if you are claustrophobic?
Claustrophobia may be a problem and you may require
sedation before the scan. Please inform the staff beforehand
if you suffer from claustrophobia.
Why did I get an I.V. injection?
An injection of gadolinium may be used in some
instances depending on the reason for the scan. This requires
a small needle to be inserted into an arm vein. Gadolinium
is extremely safe and allergic reactions are rare. You will
not be aware of the injection as there are no significant
side effects.
Is MRI safe in pregnancy?
There are no known harmful effects of MRI on the
developing foetus. It is still however preferable to avoid
scanning during pregnancy especially in the first 12 weeks
unless there is a medically urgent indication.
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NUCLEAR MEDICINE
Are Nuclear Medicine scans harmful?
The gamma rays emitted by the radiopharmaceuticals
used in nuclear medicine are high energy ionising radiation
and as such can alter chemical structure. In nuclear medicine
minute quantities of radiopharmaceuticals are used and the
radiation dose is small, being comparable to an X-Ray examination.
The small risk associated with the procedure is outweighed
by the benefit of the results from the test. See also our
Safety Issues web page.
Can allergies occur after the injection ?
The incidence of allergies to radiopharmaceuticals
is negligible.
Can Nuclear Medicine be used in pregnancy?
Nuclear medicine uses minute quantities of radioactive
substances which emit ionising radiation analogous to X-Rays.
Scanning during pregnancy particularly in the first 12 weeks
should therefore be avoided unless the indication is urgent.
Why is there a delay between the injection and the scan?
In many scans, time is required for the radiopharmaceutical
to be taken up by the organ or region of interest. This
can take minutes, hours or in the case of gallium scans,
days.
Why is an empty bladder needed for a bone scan?
In a bone scan, around half the injected dose
of radiopharmaceutical is excreted in the urine. Emptying
the bladder reduces the total radiation dose from the procedure.
An empty bladder is also required during scanning to enable
better images of the pelvic bones.
Is breast feeding safe after a nuclear medicine scan?
Minimal radioactivity can be traced in breast milk after
a nuclear medicine scan. As a precaution it is preferable
to refrain from breast feeding for 24 hours following
most procedures. Formula or expressed milk can be given
to your baby during this period.
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O.P.G. (OrthoPanTomogram)
Are X-rays harmful?
X-Rays are high energy ionising radiation and
as such can alter chemical structure. In diagnostic imaging,
the radiation dose is small and confined to the region of
interest. The small risk associated with the procedure is
outweighed by the benefit of the results from the test.
See also our Safety Issues
web page.
Why were extra films required?
Additional views may be required to clarify the
examination. Extra films are also required if there has
been a technical problem such as positioning, movement,
or an incorrect exposure.
Why are other people not allowed in the O.P.G. room?
Even though the stray X-Ray dose from an OPG is
small, Radiographers are exposed over a working lifetime
and the effects are cumulative. By legislation, radiation
workers are required to minimise their exposure to X-Rays.
An escort is allowed in the room for examinations on children.
A lead coat will be provided in this circumstance.
Why must I keep still?
Movement causes blurring of the images.
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BONE DENSITOMETRY
Is the procedure harmful?
The X-ray dose in this procedure is very small
and not of any significance.
Are other people allowed in the room?
The stray X-Ray dose from bone densitometry is
negligible and therefore other people are allowed in the
room during a scan.
Do I have to pay for the test?
Medicare provides a rebate for patients with known
osteoporosis, patients with fractures after minimal trauma
and patients at risk of osteoporosis for a variety of medical
reasons that are specified in the medicare schedule. Please
discuss this issue with our staff prior to the scan.
How often should the test be repeated?
In most cases, the scan should be repeated every
two years. Some patients require yearly scans. The interval
will usually be decided by the referring doctor. Medicare
restricts payment to one scan every two years in most instances.
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