Specialized Radiology

By appointment only
Covered by the RAMQ

Specialized radiology, using x-rays, generally requires absorption, introduction or injection of contrast agents according to the requested examination (see the examination process)

For example, digestive studies use barium (white X-ray opaque liquid) to study the digestive system.

The musculo-skeletal infiltration involve injecting a mixture of anti-inflammatory and anesthetic in or around a joint to relieve pain often due to osteoarthritis or inflammation.

Radiologie LaSalle
Radiologie Delson
Radiologie Lachine
Digestive examinations totally covered by the RAMQ
Esophagus only and / or swallowing study
Double-contrast upper gastrointestinal study
(esophagus, stomach / upper digestive tract)
Intestinal follow through (small intestine)
Double contrast barium enema
Other examinations partially covered by the RAM

Diagnostic arthrography
Therapeutic arthrography
Distensive arthrography of the shoulder
Facet block
Foraminal block s
ESOPHAGUS, UPPER DIGESTIVE TRACT (STOMACH), SMALL INTESTINE AND BARIUM ENEMA
Fasting : do not eat, drink or smoke after 22h the night before the exam.

BARIUM ENEMA DOUBLE CONTRAST
 
A FEW DAYS BEFORE THE EXAM , YOU MUST PROVIDE:

- 1 bottle of Citro-Mag
- 3 tablets of Dulcolax 5 mg
- 1 Suppository of Dulcolax 10mg
 

BE SURE TO FOLLOW EACH STEP AND COMPLETE ALL INSTRUCTIONS LISTED BELOW OR THE ENTIRE PROCEDURE MAY HAVE TO BE REPEATED
IMPORTANT: A High fluid intake is essential. You MUST dring a large glass (225 ml = 8 oz) of fluid at specified time. Dring especially WATER , otherwise black coffee, plain tea , soft drinks, fruit juices SIEVED. NO MILK OR CREAM
ON THE DAY BEFORE TOUR EXAMINATION
12 h : Liquid lunch: clear soup (consommé), plain gelatine (from fruit flavoured jelly powder NOT RED), 225 ml (8 oz) of fluid. NO MILK PRODUCTS

12 h 30 (or ½ hour after lunch) : Drink entire bottle of CITRO-MAG over ice. A strong bowel cleansing action should be expected 3 to 6 hours after drinking this preparation

13 h : 225 ml (8 oz) of recommanded fluids

15 h : Take all 3 DULCOLAX tablets with a large glass of water. Do not crush or chew tablets. Swallow tablets whole, one at a time

16 h : 225 ml (8 oz) of recommanded fluids

17 h : Liquid dinner: clear soup (consommé), plain gelatine (from fruit flavoured jelly powder), 225 ml (8 oz) of fluid. NO MILK PRODUCTS

18 h : 225 ml (8 oz) of recommanded fluids

21 h : 225 ml (8 oz) of recommanded fluids

22 h : Remove foil wrapping from DULCOLAX suppository. Insert suppository in the rectumas far as possible. Wait at least 10-15 minutes before evacuating even if the urge is strong.

Bedtime : 225 ml (8 oz) of recommanded fluids. Drink additional quantities of the recommanded fluidsif up during the night

ON THE DAY OF YOUR EXAMINATION
No food until after the examination is completed. One glass of fluids is allowed prior to the examination. NO MILK PRODUCTS

EXAMS WITH NO PREPARATION
Arthrography and infiltrations* : No preparation. If your have allergies, the iodine contrast can sometimes be replaced by air contrast.

Distensive arthrography of the shoulder *No preparation, make sure to have an appointment with a physiotherapist in the following 24 to 48 hours to facilitate the physiotherapy exercises while the shoulder is less sensitive as a result of the injection of long-term anesthetic.

Facet blocks*,No preparation

*Provide the images of relevant previous radiological examinations that are dating back less than 4 months.

After your registration, the technologist fills a questionnaire with you about your health and possible allergies. Explanations concerning the exam are provided by the technologist or the radiologist.

Esophagus, upper digestive tract (stomach), Intestinal follow through (small intestine):
You will be asked to drink barium (white X-ray opaque liquid). The progression of the barium is monitored on a screen by the radiologist who takes images in different positions. The duration of the exam is approximately 10 minutes for the study of the esophagus and the upper digestive tract (stomach). It varies between 1 hour and 3 hours for the study of intestinal follow through (small intestine).

Double contrast barium enema:
Barium ( X-ray opaque liquid) is introduced into the colon through a cannula into the rectum. The progression of the barium is monitored on a screen by the radiologist who takes images in different positions.

Diagnostic arthrography:
The purpose of the exam is to find the cause of pain or any problem. Under local anesthesia, a contrast medium (x-ray opaque dye) is injected into the affected joint and the x-rays taken are interpreted by the radiologist.

Therapeutic arthrography:
The purpose of the exam is to relieve pain. Under local anesthesia, a contrast medium (x-ray opaque dye) is injected into the joint or the diseased area to ensure the correct position of the needle. Thereafter a mixture of anesthetic and anti-inflammatory (cortisone) is injected into the joint or the specific area. In the case of osteoarthritis and recurrent pain, an injection of a viscosupplementation, provided by the patient (eg. Synvisc, Durolane..) could be made into a joint.

Distensive arthrography of the shoulder:
The purpose of the exam is to give back the capsule (shell of the joint) its normal elasticity and mobility. Under local anesthesia, a contrast medium (X-ray opaque dye) is injected into the shoulder joint followed by injection of a mixture of anti-inflammatory (cortisone) and 10 cc of anesthetic in the joint to distend the capsule, reduce pain and decrease inflammation. It is important to perform physiotherapy exercises after your exam, unless otherwise directed by your doctor .

Pre-MRI arthrography (arthro-MRI):
This exam is designed to enhance magnetic resonance images. In a radiology room, under local anesthesia, a product (Gadolinium) which enhances magnetic resonance images is injected with an occasional contrast (dye opaque to X-rays). The examination continues in the MRI room.

Facet block:
This exam is designed to relieve recurrent pain in the spine. A mixture of anesthetic and cortisone is injected into the periphery of the facet joints located on either side of the spine.

Foraminal block:
The purpose of this exam is to relieve recurrent pain secondary to irritation of the nerve roots as they exit the lumbar spine. Under radiological control, a mixture of an anesthetic and cortisone is injected around the foramen (the space between two vertebrae allowing the nerve to exit ).

The duration of specialized radiological examinations varies between 15 and 30 minutes, except for intestinal follow through (small intestine) which varies between 1 hour and 3 hours.

Pregnancy can be a contraindication for infiltration under fluoroscopy (X-ray). Infiltration could then be done under ultrasound guidance.
If you are allergic to iodine you must notify the staff when making your appointments or the technologist. Often it will still be possible to perform the infiltration without the injection of iodine

Digital specialized radiology:

  • Esophagus, upper digestive tract (stomach), small intestine and barium enema: No fee, covered by the RAMQ
  • Arthrography and infiltrations and facet blocks: No fee, covered by the RAMQ
  • $ 5 for each copy of the report
  • $10 for each copy of the images on a CD
Our Clinic

Radiologie LaSalle
1500, avenue Dollard, bureau 101
LaSalle, Quebec
H8N 1T5
Phone: 514-365-7766

Radiologie Lachine
2600 B, rue Victoria
Lachine, Quebec
H8S 1Z3
Phone: 514-637-4404

Radiologie Delson
58, Marie-Victorin boulevard
Delson Quebec
J5B 1A9
Phone: 450-845-6789

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514 365-7766
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