ABOUTUS

The Department of Radiology and imaging sciences offers a wide variety of diagnostic radiology examinations and interventional procedures, each providing state-of-the-art technology. Our team of radiologists and expert technologists provides the best service possible with the latest advances available within the field. We're sure you will appreciate the professionalism of our doctors and staff.

The Department of Radiology has approximately 7,000 square feet of space and is located predominantly in the basement and ground floor of the hospital. The department has several state of the art equipments, more than 60 personnel working for the diagnostic and therapeutic services. The Department provides a wide array of diagnostic imaging tests utilizing the most advanced imaging equipment available ranging from conventional x-ray to 64-slice CT and 0.2 Tesla MRI. The Department offers courses in DNB Radiology and Diploma in Radiology Technology and performs high quality teaching research and academic activities.

OUR FACULTY:

Head of the Department and Senior Consultant:
Dr. Arjun Kalyanpur, MD., ABR (arjun.kalyanpur@telradsol.com)

Consultants:
Dr. Amit Char., DMRD (amit.char@telradsol.com) Dr. Karthik., MD

Conventional radiography:

The radiology department is equipped with a number of conventional X-ray machines, including portables. Apart from this an II fluoroscopy unit (IITV DX525, Rejent) is used for procedures to be done under fluoroscopic control. The conventional X-ray workload on an average is 250 examinations / day and maintains a steady growth. From just about 23000 procedures in 2001, we perform nearly 1, 00,000 examinations / year currently. The procedures done under fluoroscopy control include barium studies for GIT, sialogram, sinogram etc. The department also does urological investigations such as intravenous urogram and micturating cystourethrogram. We are in the process of acquiring computed radiography and PACS soons

Ultrasound:

The Ultrasound Division of the Radiology department was started in 2003. Within a short span of 5 years, the division has performed more than 20,000 procedures. The division is equipped with technically advanced machinery having an excellent resolution for advanced diagnostic imaging.

The workload of the division includes:

1. ADULT WHOLE BODY DIAGNOSTIC IMAGING

NECK – to locate thyroid, parathyroid, parotid, submandibular glands and lymph-node enlargement; CHEST – To locate pleural effusions, empyema, characterization of chest masses, assessment of diaphragmatic movement; SONOMAMMOGRAPHY – Effective breast cancer screening tool, used in compliment with X-ray mammogram; ABDOMEN – To assess solid organ pathologies like hepatitis, cholecystitis, pancreatitis, splenomegaly, renal calculus and masses. Other pathologies including ascites can be evaluated. FAST ultrasound during is very effective in trauma patients during the initial golden hours, immediately following injury; PELVIS – In female patients for any uterine, ovarian and adnexal pathologies. In post-menopausal women it can be used to assess the endometrial thickness and to assess uterine tumors. In male patients for any prostate / bladder disease; MUSCULOSKELETAL SONOGRAPHY - For muscle tear, intra-muscular tears, hematoma, fluid collections in the joints and around the tendons.

2. PAEDIATRIC

There are dedicated paediatric probes for the Neonate, Infant and the older child; hence imaging is optimal for the child, whatever the age or size. NEONATAL BRAIN - to rule out hydrocephalus, bleed in the ventricles or brain parenchyma in hypoxic baby; ABDOMEN - To diagnose the solid organ pathology such as liver, gall bladder, kidneys, pancreas, spleen etc. For intestinal pathology such as obstruction, intussusception and appendicitis. In cases of urinary tract infections to locate congenital abnormalities; MUSCULOSKELETAL - To diagnose congenital dislocation of hip, and to look at joint effusions.

3. PREGNANT PATIENT

EARLY TRIMESTER SCAN – To confirm pregnancy and to rule out ectopic pregnancy, miscarriage, subchorionic bleed, and to identify twin / triplet pregnancy; SECOND TRIMESTER - Scan for the growth of the foetus, placental position, and amount of liquor; ANOMALY SCAN - In high-risk patients, an anomaly scan is done around 20 weeks of gestation. This is done to study the foetal parts in detail, and to detect any abnormality (congenital deformities of brain, bone and kidney etc); THIRD TRIMESTER - for foetal growth and maturity, amount of liquor, and position of the baby.

4. WHOLE BODY COLOUR DOPPLER AND POWER DOPPLER

LIMB ARTERIAL DOPPLER – to assess blood flow in diabetic patients; LIMB VENOUS DOPPLER – to assess deep venous thrombosis and varicose veins; RENAL DOPPLER – to assess renal artery stenosis in young hypertensives; PORTAL DOPPLER – To assess portal hypertension; HEPATIC DOPPLER – Budd-chiari syndrome; ABDOMINAL DOPPLER – in suspected mesenteric ischemia; CAROTID DOPPLER – very effective in assessing cerebral circulation in stroke patients; OBSTETRIC DOPPLER – to assess fetal well-being; PENILE DOPPLER – to evaluate the cause of impotency in men; TRANSPLANT DOPPLER – in post renal and hepatic transplant patients to assess circulation and graft rejection.

5. INTERVENTIONAL ULTRASOUND:

Pleural, ascitic tapping, abscess drainage, lymph node biopsy, liver biopsy, FNAC, fluid drainage, and compression of the pseudoaneurysm. For above purposes, when done under sonographic guidance the procedure is accurate, convenient, and less expensive with no radiation hazards.

COMPUTED TOMOGRAPHY (CT):

The CT division has installed the cutting edge technology and highly advanced CT Scan Machine available in the World, viz VCT GE 64 in 2006. This latest generation CT scanner machine has broken through the limits of resolution and speed. It is a volume computed tomography scanner acquiring 64 slices in a single scan rotation. The system is designed to produce optimum image quality with simultaneous scan, image reconstruction, filming, archiving, networking, and display.

The 64-slice CT technology operates 4-64 times faster than other standard CT scanners. The unprecedented coverage speed of this system allows clinicians to capture a high resolution image of the heart in 5 beats, or go head to toe in under 10 seconds – faster than any other CT scanner on the market today. This pain-free procedure offers exceptional image quality, which can mean better physician diagnosis, faster recovery time and increased patient comfort and convenience.

The high-end scanner has an advanced analysis and review workstation, the Advantage workstation 4.4 that provides multimodality image review, image comparison, and advanced image processing with absolute simplicity and power.

Our multislice 64 detector CT scanner serves a wide range of clinical applications including neurological, cardiovascular, thoracic, abdominal, and musculoskeletal, and thereby promises to have a major impact in patient care and clinical outcome by leading to an earlier and more accurate diagnosis, but with reduced costs.

The clinical services provided by the division includes: 1. 64 Slice CT angiograms: These refer to angiograms completed using computed tomography technology. These studies are increasing in use because of the excellent image quality. The division performs all the angiographic examinations including:

1. CT coronary angiograms: Coronary angiograms were previously performed using catheter techniques until recent advances in 64 slice CT technology allowed for high quality images. The advantage to using a 64-slice CT scan versus catheter angiography is that the physician does not need to insert a catheter directly into a vein or artery to inject dye. Instead of inserting a catheter into a large vein or artery and advancing the catheter to the area being studied, the physician will administer a contrast agent into an a peripheral vein (usually in the arm) using a small needle. This contrast agent highlights blood flow in comparison to other organs and structures, and allows the physician to visualize arteries and veins on a CT scan. Compared to a catheter angiogram, this is a much less invasive procedure and is more "patient-friendly," with a decreased chance of infection or other adverse outcome. Examination of coronary by-pass grafts is also an excellent indication for cardiac CT imaging. Navigator (virtual endoscopy) undertakes an endoluminal exploration of all-arterial segments, particularly, the bifurcations where stenosis and occlusions are frequent. It also promises to provide a highly reproducible and reliable tool for quantification of coronary atherosclerosis (Calcium Cardiac Scoring). For more information on 64 slice CT coronary angiograms please refer our sections on 64 slice CT cronary angiogram and Interesting Cases.

• CT renal angiogram: for pre-transplant evaluation of potential renal donors and to assess renal artery stenosis in young hypertensives
• CT cerebral angiogram: To locate cerebral aneurysm. Arteriovenous malformations, stenosis and occlusion.
• CT aortogram: To assess the extent, dimensions of aneurysm, presence of aortic dissections and involvement of branch vessels.
• CT hepatic angiogram: We are one of the few centers in the whole of India where dedicated CT hepatic angiograms are performed in the evaluation of potential liver donors.
• CT paediatric angiogram: to assess pulmonary and aortic circulations in TOF; truncus arteriosus, anomalous pulmonary venous drainage, vascular sling, aortic arch anomalies, evaluation of post-operative shunts including BT shunt, Glenn shunt etc.
• CT peripheral angiogram: to assess arterial stenosis, occlusions, aneurysm and arteriovenous malformations.
• CT pulmonary venogram and left atrium anatomy: to assess the pulmonary venous circulation and left atrium prior to radiofrequency ablation procedures for arrhythmias
• CT pulmonary angiogram: to assess pulmonary embolism, cause for pulmonary hypertension, adult congenital heart disease
• CT cavogram: to assess and locate thrombus in IVC prior to filter placement
• CT lower limbs venogram: to assess the presence of deep venous thrombosis

2. CT Perfusion imaging: It is complementary to CT angiography, to evaluate blood flow in the organs. Stroke can be diagnosed at a very early stage with CT perfusion, which is not possible by conventional scanning.

3. Virtual endoscopy : Using “fly through” software capabilities, we can provide three-dimensional images that can detect any polyps and other intraluminal lesions in the bowel and airway as clearly as when they are directly seen by optical colonoscopy / bronchoscopy. It is totally non-invasive and is not uncomfortable to the patient.

4. Whole body imaging: In scanning traumatized extremity, the need for multiple scanning planes is eliminated. The scanner is very useful for scanning multiorgan systems, at one setting, such as the neck, the chest, the abdomen and the pelvis.

5. CT abdomen and pelvis: To locate solid organ and hollow viscus pathologies. It can effectively locate peritoneal and retroperitoneal diseases

6. CT chest: To evaluate lung masses, pneumonia. Can effectively locate mediastinal pathologies including lymph node enlargement. Cardiac and pericardial masses can also be studied.

7. CT head and neck: To locate and evaluate brain and neck pathologies.

8. CT cisternogram: To evaluated CSF rhinorrhea / otorrhea

9. Interventional procedures: We routinely perform CT guided biopsies of chest / abdominal masses and CT guided celiac ganglion block for pain management.

MAGNETIC RESONANCE IMAGING (MRI):

The MRI department is functioning in the hospital from 2005 onwards. It is equipped with a 0.2 tesla Siemens machine and is being upgraded with newer soft wares as and when they are introduced in the market. Around 10 MRI examinations are carried out every day. The majority of the work comprises of brain and spine scans. Other investigations using MRI include MRA of the brain, neck vessels and musculoskeletal imaging. We also operate a 3 tesla MRI very soon.

INTERVENTIONAL RADIOLOGY:

The department has been regularly performing image guided (Ultrasound, fluoroscopy and CT) biopsies/aspirations of various organs and lesions routinely. More complex and advanced neurointerventions like aneurysm coiling, embolisation of dural AVM, thrombolysis for acute stroke, carotid angioplasty and stenting, aortic stent grafting for dissection and aneurysms are done on a routine basis. Our specialists in the field also perform tumor embolisation, bronchial / uterine artery embolisation, vertebroplasty, celiac ganglion block (for pain management), PTBD, TIPS and other hepatobiliary / gastrointestinal interventions as and when required. The growth of this specialty is facilitated by the excellent team support from neurologists, neurosurgeons, cardiologists, cardiothoracic surgeons, anesthesiologists, surgeons and physicians. Further, well equipped intensive care units with dedicated supporting staff are available for patient care.

FAQ's - Frequently Asked Questions

ACADEMIC:

Diplomate in National Board (Radiology):

Our department is one of the recognized centers for radiology training to post-graduate students by the National Board of examinations. The aim is to impart high-quality radiology education through meticulous training to post-graduate residents.

Every year four students including two post DMRD candidates are enrolled for the course. The selection is made following a common entrance test and interview. The entrance test is usually conducted in the month of January - February and selection is purely on merit basis.

Diploma in x-ray technology:

This is a three-year diploma course authorized by the paramedical board of examinations of Government of Karnataka. Selection is by interview and is purely on merit basis. The students are taught subjects related to medicine, including physics, chemistry, biology, anatomy, physiology, pathology, general physics, radiography and radiology.

FOR APPOINTMENTS :

CALL US AT 22152215 OR EMAIL US AT 22152215@hrudayalaya.com