Ultrasound Imaging and Health Screening Services
Ultrasound is a low cost, non-invasive preventative health screening tool used for stroke and heart attack prevention and in the detection of abnormal organ functions and characteristics.
A carotid artery ultrasound exam is used to identify a narrowing in the carotid arteries of the neck . This ultrasound exam detects blockages, plaques, and aneurysms. Visualization of these neck arteries is excellent with ultrasound and has high sensitivity and specificity identifying abnormal flow. Plaque buildup, blockage of blood flow and plaque rupture are the major causes of stroke. This test includes a CIMT – Carotid Intima Media Thickness measurement. This wall thickness measurement is a simple and inexpensive tool to assess the cumulative effect of atherosclerotic risk factors and is an independent predictor of future cardiovascular event risk. CIMT correlates with cardiac risk factors and is an independent predictor of future myocardial infarction and stroke risk. CIMT will help clinicians more effectively identify the vulnerable patient who would benefit from various aggressive prevention techniques or surgical intervention. CIMT may reduce the need for coronary artery calcium score and exposure to radiation required for the CT/ CAT scan which is regarded as a moderate – high radiation diagnostic technique. Ultrasound emits zero radiation and has no known side effects.
The aorta is the main artery in your abdomen that supplies blood flow to the lower part of your body by taking the oxygenated blood from the heart. It splits into the iliac arteries which supply blood flow to your legs. Duplex of the aorta and iliac arteries is performed for various reasons to evaluate for abdominal aorta aneurysms or to follow a known aneurysm for expansion, suspected narrowing of the aorta or iliac arteries, and to follow up aorta or iliac arteries that have been treated with a stent, balloon angioplasty, or bypass graft. Ultrasound of the Abdominal Aorta examines for Aneurysm (AAA), dissection and plaque causing blockage to the blood flow in the legs. Abdominal aortic aneurysms (AAAs) are the most common type of aortic aneurysm. Blood pressure causes the weakened part of the artery to balloon out and the walls become dangerously thin. Aneurysms may be the result of plaque formation or injury, or may be an inherited trait. Often there are no symptoms with aneurysms and they can burst without warning. This usually results in death. People with increased risk for developing aortic aneurysm are people who:
- have a family history of aortic aneurysms
- have high blood pressure and coronary artery disease
- are men over 70 years old
- are smokers
- have symptoms from other cardiovascular diseases of the arteries in the legs and/or neck
Most intact aortic aneurysms do not produce symptoms. As they enlarge, symptoms such as abdominal pain and back pain may develop. Compression of nerve roots may cause leg pain or numbness. Untreated, aneurysms tend to become progressively larger, although the rate of enlargement is unpredictable for any individual. Rarely, clotted blood which lines most aortic aneurysms can break off and result in an embolus. They may be found on physical examination. Medical imaging is necessary to confirm the diagnosis. Signs may include: anxiety or feeling of stress; nausea and vomiting; clammy skin; rapid heart rate.
ABI Ankle Brachial Index
Is an arm and ankle blood pressure exam with Doppler waveform analysis to evaluate for PAD or Peripheral Arterial Disease. Plaque formation in the arteries of the legs restricts blood flow to the feet. This can cause ulcers, gangrene and limb loss. ‘Claudication’ or ‘pain with walking’ is the first sign of disease. Rest pain is a symptom of more advanced artery disease. A LEA duplex scan is used to assess occlusions or stenosis of the lower peripheral arteries. Peripheral artery disease is a common circulatory condition, in which narrowed arteries decrease blood flow to the limbs, specifically, the legs. Symptoms can vary, and include, leg pain, numbness or weakness.
Lower and Upper Extremity Venous
Lower extremity venous duplex is an ultrasound evaluation of the blood flow in the veins in the legs and is used to detect blood clots or obstructions to the venous blood flow. If there is a blood clot in a vein or obstruction that causes reduced blood flow through the vein, the patient could experience pain and swelling depending on the underlying disease. Venous reflux screenings help determine if Greater Saphenous Vein (GSV) valve reflux disease – venous valve insufficiency is the underlying and root cause of varicose veins. Varicose veins need not be visible to have leg swelling or edema, itchy, and restless legs. Restless leg syndrome symptoms are often alleviated by several GSV treatments. Your vascular surgeon can discuss your options. Our Varicose Vein Screening is detailed and comprehensive to include incompetent perforator veins and the Small Saphenous Vein (SSV) - Lesser Saphenous Vein. With your Insurance and an MD order, we will duplex ultrasound you for Deep Vein Thrombus – DVT.
The liver supports almost every organ in the body and is vital for survival. It is also prone to many diseases due to hepatitis, diabetes, fatty liver, cirrhosis from alcohol, and damage from drugs and medications. Symptoms include dark urine, swollen stomach, and excessive fatigue due to loss of nutrients. We screen for structural abnormalities such as abnormal size, cysts, and masses. Physical examination of the liver is not accurate in determining the extent of liver damage. It can only reveal presence of tenderness or the size of liver, but in all cases, some type of radiological study, like an ultrasound screening exam, is required to examine it.
The Gallbladder is a sac like organ that lies below the liver and is used for storage of bile. When eating, the gallbladder releases bile to the intestines to help digest food. Gallbladder ultrasound is performed to evaluate the cause of abdominal pain which could be caused by gallstones, inflammation of the gallbladder, or obstruction of the bile ducts. This organ assists in food digestion by secreting bile into the small intestines. This screening checks for masses, visible gallstones and calcifications, and abnormal size by measuring the gallbladder and its wall thickness.
We examine you for size/ enlargement and structural abnormalities including masses and cystic structures. The pancreas is a storage depot for digestive enzymes that break down carbs, proteins, and fats in the small intestines. Injury here can be very dangerous. Alcohol and Gallstones are the number one causes of Pancreatitis (inflammation of the pancreas). Alpha and beta cells are responsible for blood sugar level regulation through glucagon and insulin secretion, respectively.
We examine with ultrasound your spleen for size/ enlargement, nodules, fluid collections/ cysts and masses. The spleen plays an important role in regards to red blood cells, lipid metabolism, the storage of iron and the immune system.
The Thyroid Gland controls how quickly the body uses energy, makes proteins, and controls how sensitive the body is to other hormones. Ultrasound exam looking for nodules, masses and cysts. The Thyroid is a gland in the front of the neck shaped like a butterfly. This gland helps regulates metabolism. A thyroid ultrasound is performed to look for any abnormal growths or lumps and can help determine if the growth is a cyst, thyroid enlargement, nodule, or tumor. Thyroid ultrasound is also done to monitor known growths to see if they are getting larger over time. Characteristics of the thyroid ultrasound will help your doctor determine if any other tests may be needed.
Ultrasound imaging for stones, atrophy, perfusion, hydronephrosis, hydroureter, fluid collections and masses. Small vessel disease and kidney failure are associated with diabetes. Kidneys are bean-shaped organs located on each side that filter blood. Renal ultrasound is performed to evaluate the size of the kidneys, to look at related structures such as the ureters and bladder, and to detect cysts, tumors, obstructions, fluid collections, kidney stones, and possible infections. As all of our exams, we will perform a full diagnostic Renal Artery Ultrasound to detect hemodynamically significant renal artery stenosis with your MD order in hand.
SmartHeart Cardiac Echo Screening
Ultrasound/ echocardiogram of the heart measuring chamber size and wall thickness for cardiomyopathies and indications of possible valvular problems such as leaks and valve stenosis. 12 lead EKG evaluates the heart for electrical arrhythmia’s An echocardiogram may be done to further evaluate signs or symptoms of many conditions. The echo ultrasound can detect problems with the heart such as hypertrophy (thickening if the walls), abnormalities in motion of the heart wall, heart valve abnormalities, blood flow direction, and enlarged arteries that branch off from the heart. It is also used the asses the ejection fraction or the squeezing of the heart to see if the heart is weak.
Diagnostic ultrasound imaging solutions for doctors, vein clinics, and hospitals.