IN THE NEWS
Inland Imaging’s New SPECT/CT’s innovative hybrid technology seamlessly integrates the functional images of advanced SPECT with the precise anatomical detail of multi-slice high-resolution CT

August 15, 2017

What is a SPECT/CT scan?
SPECT/CT combines two different types of scans and merges the images from each to create a single, layered image. Combining the information from a nuclear medicine SPECT study and a CT study can provide more precise information about how different parts of the body function and more clearly and accurately locate and identify disease and other physical irregularities.

SPECT imaging, or single-photon emission computerized tomography, creates a 3D color image that animates the function of almost any organ in the body. This picture can fully depict the way blood moves through the heart, what parts of a brain are active or inactive after a stroke, how quickly a bone is healing — or for cancer patients, whether or not disease has spread to the bones.

Computed tomography (CT) images are obtained as an X-ray camera rotates over a 360 degree arc around the patient, allowing for image reconstruction in three dimensions. Although the vast majority of SPECT/CT’s are done with very low dose CT, we also have the capability to do diagnostic CT with or without iodine contrast when indicated.

The Patient Experience
When a patient undergoes a SPECT scan, they are injected with a small amount of radioactive tracer material. The radiation emitted by the material is detected by the imaging camera, which produces pictures of the body part being imaged. The patient lies still and flat while the image is captured.

The X-ray machine from the CT scanner rotates much faster than the gamma camera, so the CT part of the study takes less time than the SPECT study. The imaging process is painless.
Following the SPECT/CT scan, the radioactive material exits the body through urine and stool. Drinking plenty of water after the exam helps speed the elimination process.
“In many disease processes, physiological changes occur before anatomical changes are discernible on imaging. Also, in other cases, pathology is not necessarily accompanied by anatomical changes. In these circumstances, SPECT/CT imaging is invaluable. It combines information from both modalities to create a more detailed and information rich image, thus allowing for early diagnosis of certain diseases, as well as detection of disease processes that may otherwise go unnoticed.”
SPECT/CT provides imaging with greater specificity of anatomical location for:

• Parathyroid disease
• Bone scans (biggest areas of improvement with SPECT/CT are for scans of the spine, feet, ankles, hands and wrists.)
• Lung (quantification prior to lobectomy or to better identify pulmonary embolisms.)
• Studies of neuroendocrine tumors (Octreoscans, MIBG)
• Prostascint® scans for prostate cancers

For more information contact Dave Durgan at Inland Imaging.
Call 509-435-2644 or email ddurgan@inlandimaging.com

Inside View - Spring 2017

In This Issue

  • Inland’s 3T MRI Significantly Improves Early Prostate Cancer Detection
  • Liver Elastography — Helping Patients Avoid an Invasive Liver Biopsy
  • Northpointe Update
  • Komen Eastern Washington Becomes EVERY WOMAN CAN
  • X-Ray Services are Available at the Spokane Teaching Health Clinic

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Inland’s 3T MRI Significantly Improves Early Prostate Cancer Detection

May 1, 2017

Hey gentlemen, good news! All of the prostate MRI scans conducted at Inland Imaging are done using the 3T MRI scanner —a powerful new tool in the early detection of prostate cancer.

The 3 Tesla (3T) MRI has the largest magnet available, creating a detailed high resolution image of your body. It is a non-invasive method designed to find small cancer cells in hard to reach places like your prostate. Using the 3T MRI nearly doubles the number of aggressive tumors that are caught.

Advances in medical scanning technology are much less invasive and more accurate for men who are referred by their urologist for prostate scans. The old way of doing this (a prostate biopsy) was uncomfortable to say the least. And since Inland’s 3T MRI is so good at pinpointing the exact location of cancerous cells, your urologist will have the information he or she needs without requiring multiple biopsies.

Dr. John Bell, a Radiologist at Inland Imaging, describes just how much a difference in MRI technology improves the whole process. “Every case we see now is improved. I can think of 20+ examples of patients who have had multiple biopsies looking for cancer cells but found none, yet still had elevated PSA. With the MRI, we were even able to find a small nodule of cancer.”

According to a recent study of 576 men in the UK, more than a quarter of those scanned could be spared invasive biopsies which can lead to severe complications. In addition, a non-invasive MRI scan means a more comfortable and less stressful experience for the patient. The MRI scan identified 93 percent of the aggressive cancers, whereas the biopsy only diagnosed 48 percent. In addition, nine out of ten men with negative results on the MRI scan had no cancer or a harmless cancer.

“Sometimes, even after having a prostate removed, there are cases when re-evaluating for recurrence shows positive, and the MRI can identify the exact cell location, which would most likely have required surgery without that technology,” says Dr. Bell.

Liver Elastography — Helping Patients Avoid an Invasive Liver Biopsy

April 30, 2017 Doctors continually strive to get the best possible information available while striking a balance between good, reliable data which is essential for accurate diagnoses, and patient comfort and safety.

Enter liver elastography.

For years, a liver biopsy was the most reliable way to assess the status of patients with chronic liver disease.

Dr. Scott King, a radiologist at Inland Imaging, explains the background, “When someone has chronic liver disease, most commonly Hepatitis C, Hepatitis B, and alcohol abuse, the chronic inflammation eventually results in liver scarring. When this scarring, or fibrosis, becomes severe, the risk of complications of chronic liver disease, including liver cancer, increases dramatically.”

Liver biopsy can determine the degree of liver fibrosis. There are potential medical complications with biopsy, however, not to mention other inconveniences. Patients may experience pain, must undergo sedation, require up to a day of recovery time, and need to arrange for transportation to and from their appointment.

In contrast, liver elastography can provide the information a doctor needs without the biopsy in most patients. The patient only undergoes a non-invasive ultrasound.

“The exam itself is simple and painless,” says Dr. King.

To prepare, patients should not eat or drink for 4 hours prior to their appointment. During the exam, the patient lies comfortably on their back while an ultrasound technologist will take images of the liver, gallbladder, spleen and sometimes more, depending on the ordering provider's request. Then there is about 5-10 minutes of additional imaging of the liver to obtain the elastography measurements. After the exam, the patient will leave with no lingering side effects.

“For most patients, it’s a ticket to avoid a liver biopsy,” says Dr. King.

A radiologist will review the images and assess an “F-score,” or fibrosis score. This tells the doctors the level of liver scarring present. Dr. King explains the results, “The F-score scale is from F0-F4, with scores of F3 and F4 corresponding to severe fibrosis and cirrhosis, respectively. Scores of F0-F1 correspond to No or Minimal Fibrosis, respectively. F2 is in-between. Your provider will use this information to help determine the most appropriate care plan.”

NORTHPOINTE UPDATE:

April 14, 2017 On April 14th, Inland Imaging will begin a construction and remodeling project at our Northpointe Imaging Center. We’ll be expanding our waiting room to provide patients with a more comfortable and
convenient experience. In order to accomplish that we’ll be closing our Northpointe Ultrasound department. Ultrasound exams will still be available on the Northside at our Holy Family Imaging Center.

This expansion will also allow us to upgrade our current X-ray technology and replace it with Digital Radiography equipment (DR) that will provide our patients with faster exams, lower radiation doses, and better image quality.

Finally, once the waiting room expansion is complete, we’ll be adding another 3T (Tesla) MRI Scanner at Northpointe. The 3T MRI provides the highest quality imaging available in the area and features a wide-bore for patient comfort and fit.

The expansion also means we will be able to have Radiologists on-site and available every day.

Please call Dave Durgan, Marketing Development, Customer Service Specialist, at 509.363.7742, if you have any questions.

KOMEN EASTERN WASHINGTON BECOMES EVERY WOMAN CAN

March 31, 2017 Susan G. Komen of Eastern Washington ceased operations at the end of March, 2017 to become Every Woman Can.

Inland Imaging is proud to support Every Woman Can’s mission to save lives and motivate women to get an annual mammogram beginning at the age of 40.

EWC inspires, educates and advocates for breast cancer awareness throughout the Inland Northwest and raises funds to grant into local community organizations who provide increased breast health education, facilitation of patient navigation and direct care and support to survivors.

Every Woman Can’s first annual 5k Pink Ribbon Run was held on April 23, 2017. The race both started and finished in Riverfront Park.

To learn more about Every Woman Can, go to www.everywomancan.run

X-RAY SERVICES ARE AVAILABLE AT THE SPOKANE TEACHING HEALTH CLINIC

January 31, 2017 We are proud to be a part of the Spokane Teaching Health Clinic. This University district location allows us to provide our patients with more convenient access to X-ray services. Hours are M-F, 8:30 - 5 pm. You can find us at:

Inland Imaging
Spokane Teaching Health Clinic
624 East Front Street
Spokane, WA 99202
Clinic: (509) 626.9900
Office: (509) 626.9922

THE NEW 3T MRI SCANNER PROVIDES A FULL RANGE OF MRI SCANNING CAPABILITIES

October 16, 2016: The technology of the new 3T MRI scanner addresses everything from routine medical exams to clinical research.
Simply put, its bigger, better and faster than its predecessors. Which makes your MRI visit a faster, more comfortable, and much less-stressful experience.
One Smooth Machine.
The new 3T MRI scanner makes comfort a priority, adjusting for each individual’s body and needs. It provides much more detailed images, scanning all the major systems of the body, and can detect problems earlier than ever before. 
The 3T MRI Scanner has a fully adjustable bed that can quietly accommodate everyone
from small children to large adults. The 70cm Open Bore and short system design provides a comfortable MRI scanning experience for a range of patient sizes and conditions: children, tall, obese, critically ill, claustrophobic, those with respiratory problems, pain or mobility issues. 
“This scanner is also much faster than our previous scanners, which is helpful for decreasing motion artifact and for patient comfort.  The scanner has a larger bore and can accommodate larger patients, which means we have to turn away fewer patients due to weight restrictions.”  Dr. John Bell, Inland Imaging radiologist.
You deserve the latest technology when it comes to your health.
With a clinical capacity that ranges from orthopedics to cardiology, pediatrics, oncology and reproductive health; the 3T MRI scanner opens a new world in imaging technology for our patients.
It provides exceptional high resolution images more quickly and efficiently than ever before. This includes anatomy-specific optimization of scans for things like early detection of prostate cancer, to visualize arteries and veins, comprehensive scans of the upper abdomen, joint imaging including the spine, as well as cardio and ventricular function scans. 
For detection of cancers, it features a collection of sequences, protocols, and evaluation tools that guide through the detailed assessment of a variety of oncological conditions. It can even acquire whole body coverage in a single, continuous move.
Don’t forget to ask for your favorite color.
The new MRI scanner even provides custom mood light color options for soothing light while the scan is occurring.
They were even earth-conscious when they designed the new 3T MRI scanner.
Made by Siemens Healthineers USA, the 3T MRI scanner boasts a reduced footprint with energy-efficient lighting and power systems. This includes new “green” Eco-Chiller technology that automatically adapts its cooling requirements and decreases energy consumption by up to 50%.

Inside View - Fall 2016

In This Issue

  • Introducing the New 3T MRI Scanner
  • Inland Imaging Welcomes Dr. Ryan Goff
  • Hoopfest by the Numbers
  • Preventive Screening Exams Promote Early Detection
  • Higher Resolutions MRI Images Can Detect Prostate Cancer Earlier

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Preventive Screening Exams Promote Early Detection and More Effective Treatment

October 1, 2016: Inland Imaging offers a number of preventive screening procedures for the early detection of: Colon Cancer, Coronary Artery Disease, Lung Cancer, Breast Cancer and Prostate Cancer. These screenings are all performed by highly trained technologists and evaluated by our sub-specialty trained physicians in a caring, comfortable environment at one of our state-of-the-art facilities.
Colon Screening
Colon cancer is the second leading cause of cancer death in the U.S. Virtual colonoscopy, also referred to as computerized
tomography (CT) colonography, is a procedure that uses a combination of X-rays and computer technology to create images of the rectum and entire colon. Virtual colonoscopy can show irritated and swollen tissue, ulcers, and polyps, and is an effective aid in the early detection of colon cancer.
Stroke and Vascular Screening
Stroke and vascular diseases affect thousands of Americans each year. A screening for these diseases can measure your risk and provide important information to help improve your vascular health and prevent life-threatening problems. The stroke and vascular screening at Inland Imaging includes a check of the three areas of your body that are most susceptible to signs of vascular disease: the abdominal aorta, the carotid arteries, and the peripheral arteries.
Screening for Potential Heart Disease
A calcium scoring exam uses CT technology to screen for atherosclerosis and to evaluate your risk for heart disease. The exam measures the calcified plaque deposits on the artery and compares that measurement, or “score,” to normal ranges for your age and gender.
Lung Cancer Screening
A low-dose CT scan of the chest can help to determine whether or not long time smokers and others with a high risk for lung cancer should be further evaluated and treated.
Breast Cancer Screening
Screening Mammography is the most reliable and effective method for the early detection of breast cancer. Finding cancer sooner rather than later provides patients and their health care providers a broader range of treatment options and a higher chance for survival. Inland Imaging suggests that women 40 years of age and older receive a screening mammogram annually.
Prostate Cancer Screening
Prostate cancer is the second most common cancer in men. But with early diagnosis, it’s also one of the most curable. Screening prostate exams with Inland Imaging’s 3T MRI can provide men and their health care providers with the fast, accurate answers they need.
Ultrasound is also a useful imaging tool in the study of the prostate. The exam may be performed to determine the volume of the prostate, to investigate elevated prostate-specific antigen (PSA) levels, or to guide a needle biopsy of the prostate.
Early Detection Saves Lives
Taking advantage of screening exams from Inland Imaging can help eliminate worry and in some cases catch problems early — when treatment is most effective. Talk with your doctor to see if one or more of our screening tests might be right for you. Because early detection saves lives.