Fluoroscopy Services at AS Medical Complex
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Fluoroscopy FAQs
What is fluoroscopy?
Fluoroscopy is a medical imaging technique that uses X-rays to produce real-time moving images on a monitor. It allows doctors to observe how internal structures move and can also show the movement of contrast material, catheters, instruments, or devices inside the body. FDA describes it as being similar to an X-ray movie.
What tests can be performed using fluoroscopy?
Fluoroscopy is used for many different examinations and procedures. Common examples include barium swallow, Upper GI studies, selected Lower GI contrast studies, urinary studies, swallowing assessments, catheter guidance and selected orthopedic procedures. The exact examinations offered at AS Medical Complex depend on available equipment and specialist services.
Does fluoroscopy use radiation?
Yes. Fluoroscopy uses ionizing X-ray radiation. Radiation exposure varies according to the examination and how long fluoroscopy is required. Complex interventional procedures may involve greater exposure than short diagnostic studies. FDA recommends using the lowest acceptable radiation exposure for the shortest necessary time.
Do I need to fast before fluoroscopy?
It depends on the examination. Upper GI studies commonly require an empty stomach, while Lower GI examinations may require bowel preparation. Other fluoroscopic procedures have completely different preparation requirements. Patients should follow the specific instructions provided for their scheduled examination.
Is fluoroscopy safe during pregnancy?
Fluoroscopy uses ionizing radiation, so patients should always tell their doctor and Radiology team if they are or may be pregnant. Whether an examination proceeds depends on the clinical need, body area, pregnancy stage, radiation exposure and whether ultrasound or MRI can provide the required information without ionizing radiation.
What is the difference between a Barium Swallow and a Modified Barium Swallow?
A standard Barium Swallow or esophagram mainly evaluates the esophagus and movement of swallowed contrast toward the stomach. A Modified Barium Swallow or Videofluoroscopic Swallow Study focuses more closely on the swallowing process in the mouth and throat, including whether food or liquid enters the airway. A Speech and Language Pathologist often participates in the modified study.
Is fluoroscopy better than CT Scan, MRI or Endoscopy?
No single examination is better for every problem. Fluoroscopy is particularly useful for observing movement, function, contrast passage and procedure guidance. CT provides detailed cross-sectional imaging and is particularly important for many emergencies. MRI provides excellent soft-tissue imaging without ionizing radiation. Endoscopy allows direct visualization of the gastrointestinal lining and can permit biopsy or treatment. The appropriate investigation depends on the clinical question.
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Fluoroscopy Services at AS Medical Complex
The Fluoroscopy Service at AS Medical Complex is designed to provide clinically appropriate real-time X-ray imaging for selected diagnostic examinations and image-guided procedures.
From Barium Swallow and Upper GI contrast studies to selected gastrointestinal, urinary, swallowing and procedure-guidance examinations, fluoroscopy can provide dynamic information that cannot always be obtained from a conventional static X-ray.
Fluoroscopy is particularly valuable because it enables the radiologist or treating clinician to observe movement, function, contrast passage and medical instruments in real time.
Patient safety remains central to every fluoroscopic examination.
Because fluoroscopy uses ionizing radiation, each examination should have an appropriate medical indication, and radiation exposure should be limited to the lowest acceptable level for the shortest time necessary to obtain the required diagnostic or procedural information.
Preparation and contrast requirements vary substantially between fluoroscopic procedures. Patients should therefore follow the instructions provided for their specific examination and inform the healthcare team about pregnancy, contrast reactions, kidney disease, diabetes, current medication, recent surgery and other relevant medical conditions.
Fluoroscopy also has important limitations. Depending on the patient’s condition, further assessment may require X-Ray, CT Scan, MRI, Ultrasound, Endoscopy, Colonoscopy, laboratory testing or another investigation.
Fluoroscopy findings and procedures can be coordinated with relevant services at AS Medical Complex, including Radiology, Gastroenterology, General & Laparoscopic Surgery, Urology, Gynecology, Speech and Language Pathology, Neurology, Pediatrics, Orthopedics and other specialties according to clinical need.
Contact the Fluoroscopy Service at AS Medical Complex for physician-requested Barium Swallow, gastrointestinal contrast imaging, selected urinary and swallowing studies, and other clinically indicated real-time X-ray examinations where available.