adiology and Nuclear Medicine provides many different types of diagnostic x-ray and flouroscopic exams. The list below offers direct links to those most commonly requested:

• X-ray of Chest, Spine, Extremities, Head or Neck
• Kidney X-ray (IVP)
• Hysterosalpingogram (HSG)
• Upper GI Series (UGI)
• Small Bowel Series
• Barium Enema (BE)
• Shoulder Arthrogram
• Voiding Cystogram (VCUG)

Our Location:

Our imaging center is located at:
823 Mulvane Street
Suite 1
Topeka, KS 66606
(785) 234-3451

Visit radiologyinfo.org for more information about radiologic procedures.

X-ray of Chest, Spine, Extremities, Head or Neck

No preparation is needed. These plain film x-ray exams may be done on a walk-in basis with a written order from your physician any time during our regular business hours of 8:00 AM to 5:00 PM.

reparation:

• Eat nothing after 7:00 PM.
• You may have water up until 8 hours prior to your exam.
• Do NOT drink any liquids during the 8 hours prior to your exam.
• If you need to take your medications, take with as small amount of water as possible.

hat to Expect:

Prior to your exam, you will be asked to change into a gown. The technologist will begin by asking you a series of questions regarding your medical history. These questions may include:

• Are you pregnant?
• Do you have any allergies?
• What medications do you take?
• Do you have any pre-existing conditions such as heart, blood, or kidney disease or diabetes?
• What symptoms have you experienced recently?
• History of any type of surgery?

Preliminary x-rays will be made and these along with your medical history will be reviewed by the radiologist. An IV will be started to give you the iodone contrast which will help visualize your kidneys, ureters, and bladder. X-rays will be made at timed intervals as the contrast passes through your system. You may be asked to empty your bladder before the final x-ray is taken.

fter Your Exam:

You may resume your normal diet immediately unless you have been instructed differently by your physician. The contrast material leaves your body when you urinate. It will not discolor your urine or cause discomfort. If you take Metformin (Glucophage or Glucovance), you must be off this medication for at least 48 hours after the exam. Your physician may want to do lab work before you resume this medication. Check with your doctor's office for these instructions.
Your x-rays will be interpreted by the radiologist who will send a written report to your doctor. Your doctor will explain the results to you.

ow to Schedule:

To schedule a procedure at our outpatient imaging center, the referring physician staff may contact our facility at
(785) 234-3451. Forms with patient information and prep instructions are available through our office.

Hysterosalpingogram (HSG)

An HSG (Hysterosalpingogram) is an x-ray of the inside of your fallopian tubes and uterus.
This procedure is most commonly done for infertility.

reparation:

Your exam must be done during the first 10 days of your cycle, as soon as your menstrual flow stops. You must abstain from intercourse from the first day of your cycle, until your exam is completed. When you arrive at our office you will be asked some questions about your medical history.

hat to Expect:

First, you are asked to lie on an x-ray table with your knees bent, just as you do for a Pap test. Then a speculum is inserted into your vagina to hold it open. The radiologist will visualize your cervix and the opening into the uterus. A catheter (thin tube) is inserted through the cervix. There is a tiny balloon on the tip of the catheter, that will be inflated to hold the tube in place and seal the opening in the cervix.
X-ray contrast is put into the uterus through the tube. The contrast allows the uterus and fallopian tubes to be visualized. The image is displayed on a monitor and x-rays are taken. You may be able to watch the progress of the contrast on the monitor. This procedure usually takes 15-20 minutes.

fter your HSG:

You can return to normal activities after your HSG. You may have some cramping or discharge for the next couple days. Use a sanitary napkin or tampon until the discharge is gone.

Risks and complications

Your healthcare provider will discuss the risks and possible complications of an HSG with you. These are rare, but include:

• Infection in the pelvis, or a flare up of an old pelvic infection
• Allergic reaction to the dye
• Bleeding
• Damage to the uterine wall or to the fallopian tubes

Call your healthcare provider if you have bleeding, pain in your abdomen, or a temperature above 100°F.

The radiologist will interpret your exam the day it is done, and send a written report to your doctor. Your doctor or other health care provider will discuss the results of your HSG with you, and tell you what follow up treatment or procedures are needed.

Upper GI Series (UGI)

An Upper GI series is an x-ray examination of your upper gastrointestinal tract, including
the esophagus, stomach, and part of the small intestine.

reparation:

Do NOT eat or drink anything, including water, for 8 hours prior to your exam. No gum or smoking during this prep period.

hat to Expect:

Prior to your exam, you will be asked to change into a gown. In the examination room, the technologist will explain the procedure to you, take a preliminary film, and help position you behind the fluoroscope machine. He or she will give you some liquid barium to drink, which will enable the radiologist to see your digestive tract. You may also be asked to swallow crystals, which fizz to make air in the stomach. Don't burp even if you feel you have to. The air helps to distend your stomach and allows a better examination of it. You may stand or lie in different positions and be asked to hold your breath as x-rays are taken.

fter the Exam:

You may resume your normal diet immediately unless you have been instructed differently by your physician. It is important to drink plenty of water for a couple of days after your exam to avoid constipation, which may occur following this procedure. Your stools may appear white or light for a few days until the barium passes through your system.
Your x-rays will be interpreted by the radiologist who will send a written report to your doctor. Your doctor will explain the results to you.

Small Bowel Series

A Small Bowel Series is an x-ray examination of the small bowel, which is the portion
of the intestine between the stomach and colon.

reparation:

• Drink 10 oz. Bottle of chilled Magnesium Citrate between 2-4 p.m. the afternoon before exam.
• You may follow your normal diet the day prior to exam.
• Do NOT eat or drink anything (including water) for 8 hrs. prior to exam.
• If you need to take your medicines, take with as small amount of water as possible.

hat to Expect:

Prior to your exam, you will be asked to change into a gown. The technologist will take a preliminary film. You will drink 2 glasses of barium and x-rays will be taken at intervals as the barium passes through your system. The length of time needed for this exam varies per patient, but is generally 30 minutes to several hours. We recommend that you bring something to read or do while you are here.

fter the Exam:

You may resume your normal diet immediately unless you have been instructed differently by your physician. It is important to drink plenty of water for a couple of days after your exam to avoid constipation, which may occur following this procedure. Your stools may appear white or light for a few days until the barium passes through your system.
Your x-rays will be interpreted by the radiologist who will send a written report to your doctor. Your doctor will explain the results to you.

Barium Enema (BE)

A Barium Enema is an x-ray examination of your large intestine or colon.

reparation:

A kit with the necessary preparation medications may be picked up in our office. Follow the prep instructions with the prep kit starting the morning prior to your exam. If you need to take your medicines, take with as small amount of water as possible.

hat to Expect:

Prior to your examination, you will be asked to change into a gown. The technologist will begin by asking you a series of questions regarding your medical history. A preliminary film will be taken to determine if the bowel preparation has been adequate. You will lie on the x-ray table and a tube (enema tip) will be inserted into your rectum. Your colon will then be filled with barium, which will allow the radiologist to visualize your colon. You will feel like you need to go to the bathroom. A small balloon on the enema tip will help prevent you from moving your bowels. You will be asked to turn to various positions and hold your breath as x-rays are taken. Pressure may be applied to your belly to help get the best image. Air may also be added to the enema to improve visualization of your entire colon. For your comfort, breathe slowly and deeply to help keep the muscles relaxed. Focus on the radiologist's instructions during the test. This will speed up the process and limit discomfort. You will be able to go to the bathroom after the colon is filled and the x-rays are done. There may be one additional film after you are done in the bathroom.

fter the Exam:

You may resume your normal diet immediately unless you have been instructed differently by your physician. It is important to drink plenty of water for a couple of days after your exam to avoid constipation, which may occur following this procedure. Your stools may appear white or light for a few days until the barium passes through your system.
Your x-rays will be interpreted by the radiologist who will send a written report to your doctor. Your doctor will explain the results to you.

Shoulder Arthrogram

An Arthrogram of the shoulder is done to demonstrate the integrity of the rotator cuff.
This study often can help to locate the cause of unexplained shoulder pain or loss of mobility.

reparation:

There is no preparation before the exam. If plain shoulder x-rays have been done recently, it would be helpful to bring them with you to your appointment.

hat to Expect:

The radiologist will clean your shoulder with an antiseptic solution and then inject a local anesthetic. This may sting, but the discomfort should only last a few seconds. Next the radiologist will insert a narrow needle into the shoulder. As soon as the needle is positioned, the radiologist will inject x-ray contrast and air into the joint. You may feel some tingling or pressure in the shoulder joint. You will be asked to change positions several times as x-rays are taken. You may also be asked to exercise the shoulder by moving your arm followed by another series of x-rays.

fter the Exam:

The contrast and air are not withdrawn from the joint. You may hear some crackling and popping coming from the shoulder joint. This will gradually go away over several days as the contrast and air are absorbed by your body.
Your x-rays will be interpreted by the radiologist who will send a written report to your doctor. Your doctor will explain the results to you.

Voiding Cystogram (VCUG)

A Voiding Cystogram is an x-ray examination of your bladder and urethra.

reparation:

This test requires that you be catheterized. This catheter will remain in your bladder only a few minutes. You are asked to bathe or shower the morning of your exam.
Females: Exam should be scheduled when you are NOT in the flowing portion of your menstrual cycle.

hat to Expect:

Prior to your exam you will be asked to change into a gown. The technologist will begin by asking you a series of questions regarding your medical history. A preliminary film will be taken. You will be asked to lie on an x-ray table with your knees bent. A small catheter (thin tube) will be inserted through your urethra into the bladder. Liquid contrast will go through the catheter to fill your bladder. You may be asked to turn to each side as x-rays are taken. When your bladder feels full, you will be asked to empty your bladder into a urinal as x-rays are taken of your urethra. An additional x-ray may be taken after your bladder is empty.

fter the Exam:

Your x-rays will be interpreted by the radiologist who will send a written report to your doctor. Your doctor will explain the results to you.

ow to Schedule:

To schedule a procedure at our outpatient imaging center, the referring physician staff may contact our facility at
(785) 234-3451. Forms with patient information and prep instructions are available through our office.

Click on a link below to learn more about our imaging services, including preparation instructions and what to expect during your exam…

CT
Sonography
Diagnostic X-ray
Vascular Clinic
MRI Center of Kansas
Insurance Plans

Visit radiologyinfo.org for more information about radiologic procedures.

ocation:

Our imaging center is located at:
i823 Mulvane Street
Suite 1
Topeka, KS 66606
(785) 234-3451