Download $75 $800 - Diagnostic Imaging Associates

Diagnostic Imaging Associates is proud to be the first provider in Delaware to offer Virtual Check-Up.
WHAT IS A VIRTUAL CHECK-UP?
A Virtual Check-Up is a revolutionary examination of the body’s vital organs. All of DIA’s Virtual Check-Up procedures are used
for screening of heart disease and/or cancer. “Screening” is a means to identify a medical condition early, when treatment can be
most effective. Similar to a mammogram screening, Cardiac Scoring, Lung Screening, Full Body Scan and Virtual Colonography
are based on the same principle...early detection.
CARDIAC SCORING
Cardiac scoring (or coronary artery calcium scoring) is a noninvasive, painless screening of the
heart for calcium deposits in the coronary arteries, which are the blood vessels that bring oxygen
and nutrients to the heart. As calcium deposits build up, the blood vessels narrow, allowing less
blood and oxygen to the heart. Coronary calcium can develop as early as the second decade of life.
Although it is more common in advanced age, coronary calcium is not an inevitable part of aging.
Calcium deposits can be absent in normal vessel walls, regardless of age.
Cardiac scoring is performed in just 20 seconds on a multislice computed tomography (CT) scanner
and is extremely accurate in detecting the presence, extent, and severity of hard plaque burden
within the coronary arteries. Hard plaque is a known indicator of coronary artery disease (CAD).
Prior to advancements in CT scanning, it was extremely difficult to detect the very small calcium
deposits that form in the early stages of heart disease. However, with multislice CT scanning, even
miniscule calcium deposits can be detected easily.
$75
Detects calcium
deposits in the
coronary arteries,
and indicator of
heart disease.
Only two things must be done before undergoing cardiac scoring: no caffeine and no smoking 4 hours before the
examination. Drinking caffeine and smoking before the test increases your heart rate. In order to have an accurate study, your heart
rate should be below 80 beats per minute (bpm). As the heart rate increases over 80 bpm, it is more difficult to take images of the
heart in diastole (ie, period of relaxation) which decreases the accuracy of the test results. If the heart rate is too elevated (ie, over 90
bpm), it may be necessary to reschedule your test for another day. If you anticipate your heart rate being a problem during cardiac
scoring, a beta-blocker can be prescribed to help lower your heart rate for the examination.
Preparation -
CORONARY CTA
A Coronary CTA is a heart-imaging test currently undergoing rapid development and evaluation
for non-invasively determining whether either fatty deposits or calcium deposits have built up
in the coronary arteries, which supply blood to the heart muscle. If left untreated, these areas of
build-up, called plaques, can cause heart muscle disease. Heart muscle disease, in turn, can lead to
fatigue, shortness of breath, chest pain and/or heart attack.
Preparation - Prior to the Study
•
•
•
•
•
$800
Non-invasively
determines whether
either fatty or
calcium deposits
have built up in the
coronary arteries
Patient should not consume any form of caffeine 12-hours prior to the study.
Patient should not eat solid foods 4-hours prior to the study.
Patient is asked to drink two 8-ounce glasses of water 1-hour prior to study.
Patient should continue taking all prescribed medications. There is no need to alter typical
medication routine.
Patient should take 50-100 mg. of Metoprolol (Lopressor)* orally 1-hour prior to the study (to be provided by patient’s Primary
Care Physician). This is a beta-blocker used to ensure the patient’s heart-rate reaches an ideal 60-bpm or less. THE PATIENT
SHOULD NOT TAKE THE BETA-BLOCKER UNTIL ARRIVING FOR THE STUDY - PLEASE ARRIVE ONE HOUR
BEFORE STUDY BEGINS.
*At the discretion of patients referring physician.
During the Study
•
•
•
Patient will have contrast (x-ray) dye for this study. A needle will be placed in the left arm, around the elbow area.
Patient may be given oxygen via nasal canula (oxygen tube under his/her nose), to help with “breath-hold” during the study. This
is dependent upon the length required for patient’s breath-hold.
Patient will receive one squirt of nitroglycerine during his/her exam (under the tongue).**
**Unless contraindicated.
Following the Study -
Patient is advised to eat and drink plenty of fluids after the study.
VirtualStudiesV.1 03/16
VIRTUAL COLONOSCOPY
Virtual colonoscopy is a minimally invasive alternative to conventional colonoscopy (endoscopy)
that screens the colon and rectum for polyps and early cancer before symptoms occur. Polyps are
small masses of cells that grow out of the lining of the colon and rectum and can become cancerous
over time. Detecting clinically significant polyps and cancer early with virtual colonoscopy allows
for treatment at a stage when disease can be prevented or cured, before it spreads to other parts of
the body.
Virtual colonoscopy involves no scopes, sedation, recovery time, or referral from your doctor or
insurance plan. It is performed on a multislice computed tomography (CT) scanner which takes up
to 600 two-dimensional (2D) and three-dimensional (3D) images of the colon in just 30 seconds.
The combination of 2D and 3D images increases the radiologist’s ability to detect and analyze
areas of concern. The 3D images allow the radiologist to reconstruct the colon and do a “flythrough” of its entire length, simulating the views of conventional colonoscopy
$575
A non-invasive
method of screening
for premalignant
polyps and early
cancer.
Patients should pick-up a preparation kit from our office 3 days before their appointment. Although technology is
moving toward digital tagging and removal of fecal matter within the colon, it is currently necessary to have a clean bowel for your
virtual colonoscopy. A Fleet Prep Kit #1 containing oral laxatives, a suppository, and instructions for a 48-hour diet regimen will be
given to you prior to your examination. It is essential that the instructions in the kit be followed exactly. Stray fecal matter or fluid
within the colon could be falsely identified as a polyp or cancer. If the bowel is not sufficiently clean, your virtual colonoscopy will
have to be rescheduled. Additionally, you may be directed to include Tagitol-V™ with your preparation regimen.
Preparation -
FULL BODY SCANNING
Heart and lung disease are responsible for more than half of all deaths in the United States each
year. The National Cancer Institute estimates that 3% to 35% of cancer deaths could be avoided
through screening. Full body scanning can easily detect various cancers and common malignancies
that a standard physical can miss. Discovering disease before symptoms occur allows for more
effective treatment that is less costly or invasive.
Full body scanning at Diagnostic Imaging Associates is performed on the multislice GE LightSpeed
Plus or LightSpeed16 CTscanner. CT stands for computed tomography, a process by which a
digital picture is made by a computer after low-dose x-rays record a slice or cross section of the
body. A radiologist then studies these cross-sectional images to detect the presence of various
diseases in the vital organs. The word “slice” is often used to explain the images taken of patient
anatomy because they are similar to a single slice of bread taken from a whole loaf.
$575
Scans from the brain
to the pelvins for
potential diseases of
the vital organs.
Preparation
No preparation is required for full body scanning. However, caffeine and smoking should be avoided 4 hours before
the study to avoid an increased heart rate during cardiac scoring.
LUNG SCREENING
Lung screening is a noninvasive, painless procedure that uses low-dose x-rays to screen the lungs
for cancer in just 30 seconds. Lung screening is performed on a multislice computed tomography
(CT) scanner and can detect smaller nodules or cancer than standard chest x-rays. A tumor or
nodule is a mass of extra cells that grows on the lungs. It can be benign (noncancerous) or malignant
(cancerous). By detecting malignant tumors in an early stage with CT lung screening, intervention
can occur at a time when the cancer is still curable and localized to the lungs.
Preparation -
No preparation is required for lung screening.
$375 or
55> $125
Reveals cancer at
an early stage and
other diseases that a
standard chest x-ray
cannot.
VIRTUAL STUDIES ARE OFFERED AT THE FOLLOWING DIA SITES:
Brandywine
Imaging
Omega
Imaging
3206 Concord Pike
Wilmington, DE 19803
(302) 654-5300
Fax (302) 654-1967
Glasgow
Imaging
100 Peoples Plaza
Newark, DE 19702
(302) 392-5600
Fax (302) 392-5617
L-6 Omega Drive
Newark, DE 19713
(302) 738-9300
Fax (302) 738-3791