MRI Arthrogram

What is an MRI Arthrogram?

A Magnetic Resonance Imaging Arthrogram is a more detailed investigation of a joint, usually the shoulder, elbow, wrist, hip, knee, or ankle. The procedure is performed in two parts. The first part involves placing a needle into the joint, using an image guided technique, to add a contrast agent.  To do this, local anaesthetic is first injected to numb the skin and the joint.  A needle is then placed into the joint and the dye injected. The second part of the procedure is the Magnetic Resonance Scan where the images will be taken immediately after your injection. The procedure usually takes one hour in total and is performed by a Radiologist.

Why have an MRI Arthrogram?

This type of test is usually arranged following the patients discussion with an Orthopaedic Consultant. It is more accurate than a standard MRI scan in assessing internal structures of a joint and can help plan when surgery is required. Common reasons for an MRI Arthrogram are to help find any damage to cartilage, ligaments, labrum, or laxity/instability of the joint. The advantages over a plain MRI scan without injection are increased accuracy in finding injuries within the joint. This information will help plan whether surgery is necessary and which type of surgery is best.

Are there any risks when having an MRI Arthrogram?

The risks of the procedure are very small. The patient may experience bruising where they had the injection. Discomfort following an injection can last for a few hours, but should then improve. It is possible to be allergic to the dyes used, but this is rare.  Most people will feel completely back to normal after 24 hours. The risk of developing an infection after the procedure is very low as a fully sterile technique is used.

How can Curian Medical assist?

Curian Medical has access to an extensive network of venues which enable us to co-ordinate MRI Arthrograms, in a timely manner at affordable prices.  If you would like to learn more about how we can assist you with our nationwide diagnostic imaging services then please do feel free to contact Amanda O’Neill on 0121 236 8377 or aoneill@curianmedical.co.uk

Nationwide CT Scanning Service

A computerised tomography (CT) scan uses X-rays and a computer to create detailed images of the inside of the body.   CT scans are only used when the doctor responsible for your care decides there’s a clear medical benefit.

Although CT scans are generally safe, they do expose you to slightly more radiation than other types of imaging tests. The amount of radiation you’re exposed to can vary depending on the type of scan you have.  In most cases, the benefits outweigh any potential risks because a CT scan can provide your doctor with much clearer images than those produced by a normal X-ray.

During a CT scan, you will usually lie on your back on a flat bed. The CT scanner consists of an X-ray tube that rotates around your body.  The X-rays will be received by a detector on the opposite side of your body and an image of the scan will be produced by a computer.

The images produced by a CT scan are called tomograms and are more detailed than standard X-rays. A CT scan can produce images of structures inside the body, including the internal organs, blood vessels, bones and tumours.

The scan is painless and will usually take approximately 10 minutes depending on the part of your body being scanned.  Some people are concerned about experiencing claustrophobia during a CT procedure. However, most CT scanners surround only portions of the body, not the whole body. Therefore, people are not enclosed in a machine and are unlikely to feel claustrophobic.

CT scans can be used to diagnose and monitor a variety of different health conditions, including brain tumours, certain bone conditions, and injuries to internal organs such as the kidneys, liver or spleen. They can also now being used to look at the heart.

Your scan results won’t be available immediately. A computer will need to process the information from your scan and then they will be analysed by a radiologist.  After analysing the images, the radiologist will write a report and send it to our Curative Team here at Curian Medical.  This usually takes a few days.

Curian Medical has access to an extensive network of venues across the country for CT scanning, at affordable prices and appointments can be made within a few days.  To learn more about how we can assist you with our nationwide CT scanning service then please do feel free to call Amanda O’Neill on 0121 236 8377 or  aoneill@curianmedical.co.uk

Clinical Audit – Q1 of 2015 – Diagnostic Imaging

As part of Curian Medicals clinical governance policies and procedures we conduct regular clinical audits on our diagnostic imaging services.  We engage the services of an independent Consultant Radiologist who audits a percentage of diagnostic images and reports to ensure that we consistently deliver a high quality service.  Our independent expert utilises a grading system for the reporting of these audit results to Curian Medical.

I am delighted to be able to report that for the first audit of 2015 all diagnostic imaging and reports audited are within acceptable levels of our grading system and have been found to be clinically sound.

If you would like to learn more about our clinical audits or discuss the results in more detail then please do feel free to give us a call on 0121 236 8377 or email aoneill@curianmedical.co.uk.

Curian Medical – Nationwide X-ray Services

X-rays are a form of radiation that can pass through solid and semi-solid substances. In carefully controlled doses, they can be used to capture images of the body’s internal structures.  X-rays are carried out by radiographers who are healthcare professionals trained to use imaging technology.

During an X-ray you will be asked to lie on a table or stand against a flat surface so that the part of your body being examined is positioned between the X-ray machine and a photographic plate.  The X-ray will last for a fraction of a second. As the X-rays hit the photographic plate, the plate captures a snapshot of the image.

Exposure to high levels of radiation can be very harmful. However, the X-rays used for medical purposes are safe because the dose of radiation is very small.  The strength of radiation in relation to long-term risk is measured using units called millisieverts (mSv).

As part of our suite of services Curian Medical has an extensive network of venues in which we can co-ordinate x-rays at affordable fees.  Our Curative Team are always very happy to clarify the costs, particularly with cases involving multiple x-rays or multiple views.

If you would like to learn more about our nationwide x-ray services then please do feel free to call Amanda O’Neill on 0121 236 8377 or aoneill@curianmedical.co.uk

Curian Medical announce additional MRI venues available immediately

I am delighted to announce that with immediate effect Curian Medical has access to a further 40 MRI scanning venues for patients.  These venues strengthen our already extensive network for Diagnostic Imaging.

We offer a broad range of modalities within our diagnostic imaging network at affordable pricing.  We appreciate the importance of timely imaging and our Curative Team will liaise with your client to ensure appointments are arranged at the earliest opportunity.

Curian Medical engage the services of an Independent Consultant Radiologist to conduct regular quarterly reviews on our diagnostic imaging services to ensure that we deliver high quality images and reports.

To learn how we can assist you with our nationwide diagnostic imaging network please do feel free to call Amanda O’Neill on 0121 236 8377 or aoneill@curianmedical.co.uk

 

Nerve Conduction Studies

As part of our suite of services Curian Medical offer nerve conduction studies throughout the country.

What are nerve conduction studies?

Nerve conduction studies help to test how well and how fast nerves conduct electrical signals.

A nerve conduction study (NCS) is a medical diagnostic test commonly used to evaluate the function, especially the ability of electrical conduction, of the motor and sensory nerves of the human body. These tests are performed by medical specialists such as specialists in clinical neurophysiology.  Nerve conduction velocity (NCV) is a common measurement made during this test.

How do nerves work?

Nerves act a bit like electrical cables. They use electrical impulses (waves of electricity) to allow communication between the brain and all the other parts of the body. The brain can send signals, in the form of electrical impulses via the spinal cord to the peripheral nervous system. Peripheral nerves can be ‘motor’ nerves, which means they are attached to muscles and cause the muscles to contract (clench). They can be ‘sensory’ nerves, which means they are attached to special body sensors which detect things like heat, pressure, touch, etc. Or they can be mixed nerves, which means they have both a motor and a sensory part. Motor nerves use electrical signals to make muscles move. Sensory nerves send information about the environment back to the brain in the form of electrical impulses.

To work well, most nerves need to be surrounded by a special substance called myelin. Myelin provides a form of insulation for nerves, helping to keep the electrical impulses within the nerve fibre. If nerves are damaged the electrical signal often moves slower through the nerve fibre. The speed of the nerve impulse is one of the things that can be detected by nerve conduction studies.

What are nerve conduction studies used for?

Nerve conduction studies are used for a wide variety of reasons including:

To check for ‘trapped’ nerves – conditions such as carpal tunnel syndrome.

To assess nerve damage following an injury.

To check for damage to nerves, caused by conditions such as diabetes.

To test for conditions affecting the nervous system.

How do nerve conduction studies work?

Small electrical pulses made by a machine are used to mimic the electrical signals made by nerves. By attaching an electrode (small device that is able to detect electricity or supply electricity) to the skin the nerve can be stimulated with a very small electrical pulse. If the nerve is attached to a muscle, the muscle will contract in response to the electrical signal.

To test sensory nerves, the electrodes are usually attached to the fingers or toes with another electrode either at the ankle or wrist. When the electrical pulse is applied to the fingers or toes the sensory nerve carries the electrical signal away from the arm or leg. The electrode at the wrist or ankle detects the electrical impulse when it reaches that point.

The electrodes are connected to a machine which generates the impulses and detects them. It can measure the time taken for the impulse to travel in the nerve from the first electrode to the second. This information, plus the distance between the two electrodes, can be used to work out the speed at which the impulse is travelling along the nerve.  Nerve conduction studies can also be used to measure whether the size of the electrical impulse decreases as it travels along the nerve.

What happens during nerve conduction studies?

In this test, several electrodes are attached to your skin with tape or a special paste. A pulse-emitting electrode is placed directly over the nerve to be tested. If the nerve controls a muscle, a recording electrode is placed over the muscles under control of that nerve. Several quick electrical pulses are given to the nerve. The electrical pulses are very brief and feel like a sharp tapping sensation on the skin. Most people do not find this too uncomfortable. The time it takes for the muscle to contract in response to the electrical pulse is recorded. The speed of the response is called the conduction velocity.

Our Curative Team co-ordinate these tests on a regular basis utilising our panel of experts, ensuring appointments are allocated at the earliest opportunity.  We offer cost effective fixed fees for these tests.

If you would like to learn more about this service or indeed any of our nationwide rehabilitation services then please do feel free to contact Amanda O’Neill on 0121 236 8377 or aoneill@curianmedical.co.uk