Many Ways to Look
Inside the Body
Radiologic
imaging is a noninvasive technology used to take pictures inside the body,
often eliminating the need for exploratory surgery. The images can be used to
diagnose, treat, and monitor illnesses and provide physicians with visual
guidance during procedures.
UT
Southwestern offers patients the full spectrum of both standard and advanced
imaging technologies, including sophisticated modalities not available at other
medical centers.
Our imaging
technicians perform the testing, send the images to our specialized radiologists
for interpretation, and, in many cases, deliver the results to patients and
other involved physicians the same day. This quick turnaround helps us detect
problems and begin appropriate treatment as soon as possible.
How Radiologic Imaging Works
To create radiologic images,
different types of energy are directed into the body. That energy is returned
as images, which can be viewed on a computer monitor or on film.
Patients can’t
feel the energy enter their bodies, and it doesn’t leave any marks.
Some imaging studies require
patients to be very still for a few minutes; others require patients to drink,
inhale, or be injected with a contrasting agent (dye) to enhance the images.
Some imaging technologies use low
doses of radiation. While the use of radiation can be a concern, the associated risks are outweighed
by the information the tests provide to doctors and patients.
Specialized Imaging Services
UT
Southwestern is home to a variety of specialized imaging services, such as:
Imaging Technologies
UT
Southwestern offers a wide array of imaging technologies. Some are used by
themselves; others can be used together. They include:
- Angiography: A test that uses X-rays or fluoroscopy to show the
blood vessels. Dye is injected into blood vessels to enhance the images, and a
series of images (angiograms) is taken. Angiography can be used to look at the
vessels of the heart, brain, head, neck, arms, legs, chest, back, or abdomen.
- Bone density screening: An enhanced form of X-ray often used to
diagnose osteoporosis and measure the effects of
treatment. Bone density screening directs low-dose X-rays
with two distinct peaks into specific bones. One peak is absorbed by soft
tissue, the other by bone. Subtracting the soft tissue measurement from the
total measurement tells how dense the bone is. There are several types of bone density tests,
depending on the bones or body region being studied.
- Computed tomography (CT): Integrates X-rays from
different angles with computer processing to create cross-sectional images of
the body’s bones and soft tissues. CT images appear as “slices,” which the doctor
can view individually or in groups. CT scanning provides much more information than X-rays
and has a number of uses. For example, it is used to visualize the abdomen,
chest, urinary tract, pancreas, liver, gallbladder, pelvis, spleen, arms, and
legs, as well as to guide needle biopsies. UT Southwestern also offers reduced-radiation CT
scanning, which is faster, delivers one-third less radiation than standard CT
imaging, and is easier for doctors to read.
- Computed tomography angiography (CTA): Uses CT technology to visualize the blood
vessels to evaluate abnormal narrowing or enlargement of blood vessels in the
chest, abdomen, pelvis, and extremities. Our CTA techniques minimize radiation exposure
while providing high-quality diagnostic images. CT angiograms are interpreted
by interventional radiologists who underwent additional
fellowship training in vascular interventional radiology.
- Contrast radiography: Used to examine the organs
using X-rays and a special dye (contrast).
- Fluoroscopy: Produces continuous X-ray images on a monitor, similar to a movie, showing
the movement of a body part, an instrument, or dye through the body. Fluoroscopy is used to see fractures, study blood
flow, locate foreign objects in the body, and examine the skeletal, cardiovascular,
urinary, digestive, respiratory, and reproductive systems.
- Magnetic resonance angiography (MRA): Uses magnetic resonance (MR) technology – not
ionizing radiation – to look at flow through the blood vessels. MR angiograms
are interpreted by diagnostic radiologists who are fellowship trained in MR
imaging.
- Magnetic resonance imaging (MRI): Uses a strong magnetic
field and radiofrequency waves – not radiation – to produce detailed cross-sectional
pictures of organs and tissues inside the body. During MRI, the magnetic field aligns the body’s
water molecules, and the radio waves cause those molecules to emit signals,
creating the images. The MRI machine also can produce 3-D images that can be
viewed from many angles. UT
Southwestern is home to the state-of-the-art Mary Nell and Ralph B.
Rogers Magnetic Resonance
Imaging Center.
- Mammography: A low-dose X-ray used to screen for and
diagnose breast diseases. During a mammogram, the patient stands in front of
the imaging machine and positions each breast between two plastic plates. The X-ray
energy passes through the breast, creating a digital image. Pictures are taken from different angles, and
patients must stay very still as each image is taken. Some patients find
mammograms uncomfortable, but they take only a few minutes. Mobile mammography brings mammograms to workplaces,
churches, community outreach events, and other locations via a customized
18-wheeler. Please call 214-645-2560 for more information.
- Nuclear medicine/positron emission tomography (PET) (molecular imaging): PET and other nuclear
medicine procedures use a radiopharmaceutical to identify abnormal metabolism –
which can be associated with cancer – in soft tissue and bone. Combining PET
with CT imaging can help precisely pinpoint areas of concern. UT Southwestern has its own PET Imaging Facility, where our specialists can
conduct whole-body or organ scans to detect cancer in its early stages or to diagnose a variety of neurological and psychiatric conditions.
- Radiography (X-ray): The oldest type of medical
imaging, an X-ray is a quick procedure that passes energy into the body to take
a picture of the structures inside. X-rays can be done on most body parts, such
as teeth, chest, abdomen, and bones.
- Sonography (ultrasound): Uses high-density sound
waves – not radiation – to produce precise images of the soft-tissue structures
inside the body. Ultrasound imaging is used for a variety of
diagnostic purposes. It is typically performed with a transducer placed on the
outside of the body, but some procedures require placing the transducer inside
the body.
- Vascular ultrasound: Uses high-frequency sound waves to create
images that show the rate of blood flow through blood vessels. Vascular ultrasound can be used to detect blood
clots and narrowed blood vessels throughout the body, evaluate varicose veins,
and identify candidates for endovenous (vein) ablation.
Images are
interpreted by our interventional radiologists who have completed advanced
fellowship training in vascular interventional radiology.
Clinical Trials
As one of the nation’s top academic
medical centers, UT Southwestern offers clinical trials aimed at improving
radiologic imaging.
Clinical trials can give patients
access to leading-edge imaging technologies that are not yet widely available.
Eligible patients who choose to participate in one of UT Southwestern’s
clinical trials might benefit from imaging technologies years before they are
available to the public.