Category Archives: Fluoroscopy

Barium Swallow Protocol
23
Feb

Overview

Barium swallow evaluates oropharyngeal transfer esophageal motility and structural lesions with dynamic imaging during swallowing.

Study Components

Include thin and thick bolus swallows lateral and anterior posterior views and timed sequences to assess aspiration and clearance.

Clinical Use

Used for dysphagia evaluation postoperative assessment and planning for speech therapy or surgical intervention.

Radiation and Patient Safety

Use pulsed fluoroscopy minimize exposure and tailor study length to clinical question while ensuring diagnostic completeness.

Fluoroscopy Overview
4
Feb

Overview

Fluoroscopy provides dynamic imaging of moving structures. It is used for gastrointestinal and interventional procedures. It allows real time guidance during therapy.

Clinical Uses

Fluoroscopy guides catheter placement and contrast studies. It evaluates swallowing and bowel function. It supports many minimally invasive procedures.

Radiation Management

Fluoroscopy requires careful dose monitoring and optimization. Pulsed fluoroscopy and collimation reduce exposure. Staff training is essential for safety.

Equipment Advances

Modern systems offer digital capture and dose tracking. Image enhancement improves visualization. Integration with other modalities expands capabilities.

Arthrogram Shoulder
4
Feb

Overview

Shoulder arthrography injects contrast into the glenohumeral joint under imaging guidance to evaluate labral tears and rotator cuff pathology. Fluoroscopic or ultrasound guidance ensures accurate intra articular placement. Arthrography is often combined with MRI for enhanced soft tissue visualization.

Technique

Perform sterile joint injection under fluoroscopic or ultrasound guidance and confirm intra articular contrast distribution. Use appropriate contrast type and volume for the planned imaging study. Monitor the patient for immediate adverse reactions.

Clinical Indications

Arthrogram is indicated for suspected labral tear adhesive capsulitis and occult rotator cuff pathology. It enhances detection of intra articular abnormalities when MRI alone is inconclusive. Post procedure MRI or CT arthrography provides detailed assessment.

Image Assessment

Evaluate contrast filling defects labral detachment and capsular irregularity. Assess for contrast extravasation indicating capsular rupture. Report findings to guide surgical planning and arthroscopic intervention.

Fluoroscopy Real Time Xray
4
Feb

Overview

Fluoroscopy provides continuous x ray imaging for functional studies and image guided procedures such as contrast studies catheter placement and interventional procedures.

Technique

Use pulsed fluoroscopy collimation and last image hold to minimize dose. Protective shielding and distance reduce occupational exposure.

Clinical Uses

Common uses include gastrointestinal contrast studies angiography catheter guidance and orthopedic dynamic assessments.

Limitations and Safety

Prolonged fluoroscopy increases radiation exposure. Careful planning and dose monitoring are required.