Diagnostic imaging is often a starting point for consultants to help them answer questions or rule something out. For example, the result may mean you don’t need anything more invasive; or it could give your consultant an answer to your problem and how to approach possible treatment.
X-ray
X-ray is used mainly for orthopaedic work, namely looking at bones and assessing joints for arthritic or other changes.
We also take chest x-rays to rule out underlying chest conditions to do with the lungs, such as tuberculosis (TB), cancer or emphysema. Cardiologists (heart specialists) may request chest x-rays to assess the size of the heart.
Plain abdominal x-rays are not carried out very often today, but we offer ‘transit studies’. This involves swallowing a capsule that contains radio-opaque pellets, or markers that will show up on an x-ray that is taken five days later. This examination gives an indication of the speed of transit through the bowel and our consultant gastroenterologists may request a transit study for patients experiencing bloating or stomach discomfort.
We take most x-rays in our dedicated room, but we also have mobile x-ray equipment to take to the ward if you are bed-bound and are unable to come to the department.
Another service we offer is x-rays for pre-immigration or pre-employment screening, which embassies and employers require to rule out conditions such as TB before people enter their country or before starting a new job.
Image intensifier (C-arm)
The department is well equipped and includes a C-arm image intensifier that uses x-rays in theatre to give consultants a real time image.
Image intensifiers are often used by orthopaedic surgeons. It allows them to see precisely where they are and is particularly helpful when injecting steroids into small joints such as those in the wrist. It is also used when pins, plates or screws are inserted into bones and may be used following an open reduction of a fracture to ensure alignment.
Neurosurgeons also use it whilst removing a disc (microdiscectomy) in your spine to ensure they are working at the correct level.
Ultrasound
Another diagnostic imaging service we offer is ultrasound. Doctors refer patients to us for imaging to look at organs in the abdomen, testes as well as lumps and bumps under the skin such as cysts or lipomas, and vascular problems such as varicose veins.
Our cardiologists perform echocardiograms, a type of ultrasound procedure involving the heart, and our gynaecologists do internal trans-vaginal (inside the vagina) ultrasound scans to look at the pelvic organs.
Our ultrasound machines are portable. Like our mobile x-ray machine, we can carry out the scans in the ward, theatre or our outpatient department if required.
MRI and CT scans
Patients requiring MRI will be able to have their scans carried out in our mobile MRI scanner which is based on site. Magnetic resonance imaging (MRI) has become an invaluable tool in the detection and monitoring of many diseases. It uses a combination of strong magnetic fields and radio waves to produce detailed images of the body, without the risk of ionising radiation and with minimum discomfort to the patient.
MRI scanning can be used to produce images of almost any part of the body and can produce images from all angles.
MRI scans can show muscles, joints, bone marrow, blood vessels, nerves and other structures within your body, MRI examinations available include:
- Head
- Spine
- Musculoskeletal/joints
- Breast
- Chest
- Cardiac
- Vascular
We don’t have computed tomography (CT) equipment at Kings Park Hospital; instead we can refer you to our sister hospital, Ross Hall Hospital in Glasgow, if you need this service.
Should you live further afield in Scotland, we can arrange for you to have an MRI or CT scan at the Clinical Research Centre at the University of Dundee, with whom we have an arrangement.