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Diagnostic Tests & Imaging

New Milford Hospital's Diagnostic Imaging Department puts advanced technology to work as a resource for all of our hospital services. We provide MRI, CAT ccan, general radiography, angiography, ultrasound, nuclear imaging, and mammography. Each of our technologists is certified, fully trained and experienced in using our state-of-the-art equipment. Advanced technology and quality care are here today and here to stay at New Milford Hospital.

CAT Scan

Endoscopy

Endoscopy-Bronchoscopy

Colonoscopy
Ultrasound

X-ray

Follow-up for All Diagnostic Imaging 




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CAT Scan
New Milford Hospital maintains a 64-slice low-dose CT scan, which reduces radiation exposure by up to 40 percent.  This versatile technology produces a cross section image of the body's internal organs.  These images assist your physician with diagnosing a broad range of conditions.

Day Before the Scan:
  • Drink plenty of fluids the day before head, chest, and abdominal scans.
Day of the Scan:
  • Call and confirm your CAT Scan before leaving home.
  • Come in 15 minutes early to sign in at registration/outpatient billing office.
  • For an abdominal scan you'll drink liquid barium 1 hour before the exam; don't eat or drink anything 4 hours prior to the exam.
  • For a pelvic scan you'll drink liquid barium 1.5 hours before the exam.
  • Exams require between 45 minutes to an hour.

Please note: spinal and head scans require no prep or restrictions


MRI
Our open bore 1.5 Tesla MRI offers a spacious opening, not a claustrophobic tunnel.  The technology provides faster exams and requires little or no repositioning -- accommodating larger patients with ease.  The MRI offers the most advanced, high-quality images for both clinical excellence and patient convenience.

Bone Density Testing
New Milford Hospital recently installed a new state-of-the-art Bone Densitometry Unit to better assess bone mineral density (BMD). This equipment also provides the opportunity to offer Vertebral Deformity Assessment to patients to screen for occult vertebral compression fractures. With this technology the radiology technologists can obtain Fracture Risk Assessments (FRAX), a tool that assesses the 10 year probability of spine, forearm, hip or shoulder fractures, based on a patient's risk factors and BMD evaluation.  This new Bone Densitometry Unit combined with the CT and MRI equipment offers the very best technology available to our patients.

EndoscopySuite at New Milford Hospital
Colon cancer is the third leading cause of cancer in the U.S. The good news is that colon cancer is very preventable and you are taking the best step by being screened for early signs. Everyone over age 50 should have this test - even if there are no problems or symptoms! Anyone who has a family history of this type of cancer should have the test earlier. Consult your physician.

An endoscopy nurse will call you 2 to 3 days before your scheduled test to go over your medical information, including allergies, and a list of regular medicines you take.

Important: please remember to arrive with the person who will be driving you home 45 minutes before your scheduled test.

Note: you may not take a taxi or car service home. You must have a person with you who is 18 years or older and can take care of you.

Please wear loose fitting clothes to your appointment.

What to expect on arrival

  • A receptionist will greet you and give you some information to read.
  • You will be asked about a living will. This is required by Connecticut law.
  • Please remember to read the information handed to you.
  • Please wait patiently. Your doctor is giving the person ahead of you the time needed for his/her test. Sometimes, this means that you maybe taken immediately or there may be a slight delay.
  • You will be taken into the suite by a member of the staff.
  • In the suite, your medical information will be reviewed, including your list of regular medications and allergies (which you have brought with you).
  • You will be asked to change into a gown for the test.
  • An RN (registered nurse) will start an intravenous (IV) through a vein in your arm. It is used to give fluids and to provide your doctor a way to give you medications.
  • You may have to wait a few more minutes at this point. A television is available or you may read, or chat with a friend. Phones are also available for local calls.
  • You will be taken into the endoscopy procedure room. The exam will take approximately 20-30 minutes.
During the exam
  • You will be asked to turn on your left side.
  • The colonoscope (flexible tube) will be inserted into your rectum by your doctor.
  • Air will be used to inflate your large intestine (colon), which allows the doctor to see it. You will experience pressure in your abdomen (belly).
  • You may have the urge to pass the air (gas); please do so.
  • The nurse will be able to tell if the exam becomes too painful. Additional sedation will be given and the doctor will be able to take some of the air through the flexible scope, which will make you more comfortable.
  • The doctor will be looking for polyps (growths), which maybe removed through the scope. Biopsies may be taken. The polyps and/or biopsies will be sent to the lab for review.
  • The doctor will call you with the results.
After the test
  • The doctor will speak to you before you are taken to the recovery area. Due to the medications that are used, you may or may not remember this, because you will be drowsy.
  • You will recover for approximately 30-45 minutes. During this time, a nurse will continue to monitor you.


Endoscopy-Bronchoscopy
We perform colonoscopies, gastroscopies, bronchoscopies, endoscopic retrograde cholangiopancreatography (ERCP), liver biopsies, and remicade infusion therapy. Our staff is composed of gastroenterologists, pulmonologists, registered nurses, and GI technicians.

Procedures are completed on a one-day basis. A registered nurse will contact you prior to your scheduled procedure to review the procedure instructions, your health history, and answer any questions you may have. We provide all of our patients with comfort and privacy during all phases of their procedure and invite family members to be involved in our patients' care. We will provide thorough discharge instructions, including a teaching packet about your diagnosis, diet change and/or follow-up care that you may need.

The endoscopy-bronchoscopy department also wants to educate our community about the importance of screening colonoscopies. Please ask your primary care provider if you should have a screening colonoscopy examination. Colon cancer is a leading cause of death in the United States. Almost 70% of all colon cancers occur in individuals with no predisposing conditions or family history of colon cancer. Routine screening tests reduce the risk of dying from colon cancer by 33% to 50%. Every woman and man over the age of 50 should have a fecal occult blood test done yearly and a screening colonoscopy completed once with recommended follow-up examinations by a gastroenterologist.

Educational links include:
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Colonoscopy: Frequently asked questions

What are the risk factors for colorectal cancer?
- Age greater than 50 years
- Personal history of colorectal cancer or polyps
- Personal history of inflammatory bowel disease
- Personal history of ovarian or uterine cancer
- History of pelvic irradiation
- Family history of colorectal cancer or polyps
  - Familial syndromes
  - familial adenomatous polyposis
- Hereditary non-polyposis colorectal cancer
- Consumption of high fat diet
- Consumption of high red meat diet
- Alcohol consumption
- Smoking
- Obesity

Can colon cancer be prevented?
Yes! The following will help:
- Low-fat, high-fiber diet
- Reduce excessive weight
- Take long term multivitamins and folate (>400mcg/day), selenium (200mcg), calcium, aspirin
- High levels of physical activity
- Have a colonoscopy at age 50 or earlier, if recommended by your doctor
- Remove polyps
- Nsaids

What are the risks of colonoscopy?
- Vein irritation from IV (phlebitis)
- Adverse medication reaction
- Post-polypectomy pain
- Post-polypectomy/biopsy bleeding
- Exacerbation of active diverticulitis
- Perforation
- Death (extremely rare event)
- Missed lesions

How long does the procedure last?
- Anywhere from 15-90 minutes
- Procedure time, about 20- 30 minutes
- Recovery time, about 30 minutes

Do I need a referral for colonoscopy?
Yes and no: The procedure must be indicated. We follow the guidelines of ASGE. If your indication is clear, such as family history of colon cancer or rectal bleeding, we will allow self-referral but will perform a history and physical prior to the exam to insure the proper indications are present and no contraindication exists.

What is the best test for colon cancer screening?
There are several options for colorectal cancer screening, including flexible sigmoidoscopy, stool cards for occult blood, barium enema, CT colography, combinations of the above, or colonoscopy. Colonoscopy is the most sensitive, most specific, and most cost effective method of colon cancer screening. It is a safe procedure that incorporates screening, diagnostic and therapeutic benefits all in one test. If any of the other tests suggest polyps or cancer, colonoscopy is eventually recommended as the next step. Colonoscopy is covered as a screening test by Medicare and most insurance companies. For this reasons, colonoscopy is regarded as the best option for colorectal cancer screening.

When should I get my first colonoscopy?
The American Cancer Society, ASGE, and other GI associations recommend screening for colorectal cancer in average risk patients at age 50 and for high risk patients at age 40, or 10 years before the youngest family member with colon cancer. Approximately 1 in 20 people in America will develop colon cancer during their lifetime. Fifty percent of Americans over fifty will have one or more polyp at screening colonoscopy. One to two percent will have colon cancer at screening. Colon cancer is the third most common cancer in the United States (behind breast cancer). Despite a lower incidence, colon cancer surpasses breast cancer in cancer deaths due to deficiencies in screening when compared to breast cancer screening. With appropriate screening, colon cancer is a preventable disease

What prep should I use?
Generally, three preps are available: Golytely, Nulytely, Fleets Phospho soda, Miralax 238 gms with 4 ducolax tablets, and the pill prep or Visicol. The prep preference is discussed with the patient. Golytely involves consumption of 1 gallon (4 liters of fluid the night before the procedure. Visicol requires swallowing 15 tablets with water the night before and 10 tablets 4-5 hours before the colonoscopy. Miralax is mixed wtih 64 oz. of fluid (i.e. Gatorade) and consumed.  



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Ultrasound
Ultrasound provides images of internal organs without using radiation. It's a valuable tool for many procedures and used frequently for safe examination of an unborn fetus.

For Specific Exams:
  • Gallbladder, pancreas, liver, spleen. Do not eat or drink anything after dinner the day before.
  • Renal. If it's a morning exam, have a light breakfast (coffee, toast). Have a light lunch if it's an afternoon exam (soup, jell-o). NO SOFT DRINKS!
  • Pelvic. One hour before the exam drink (4) 8 oz. glasses of water. NO SOFT DRINKS!
  • Extremity. No prep.
  • Abdominal Aorta. Do not eat or drink anything after dinner the day before.
  • Obstetrics: fetal age, fetal position, multiple gestation, placental site. One hour before the exam drink (4) 8 oz. glasses of water. NO SOFT DRINKS!

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X-ray
X-rays take internal images of the body on film like a camera. Our radiologists have advanced X-ray and fluoroscopy technology that provide diagnostic assistance for a wide range of film imaging. For example: angiography, I.V. urograms, pulmonary angiogram... as well as broken bones.

Procedures: These vary according to the examination purpose of the X-ray. For instance, an X-ray for your large intestine is taken in conjunction with a barium enema. Preparations for this exam differ from an Upper GI Series which involves imaging the esophagus, stomach, and a portion of the small intestines during which you're asked to sip a barium "cocktail." For an intravenous pyelogram (IVP) an injected "contrast medium" is used to highlight areas of the kidneys, ureters, and the urinary bladder. Different purposes require different procedures for different X-ray exams. The length of time for each of these examinations can vary from 45 minutes to an hour. You'll be guided by the radiologist or technologists through the process.


Follow-up for All Diagnostic Imaging:
Remember, the final report from your CAT Scan, Ultrasound, or X-ray will come from your physician... not the radiologist.

To schedule and confirm appointments or for more information call:
  • MRI, (860) 210-5257            7 a.m.-8 p.m. weekdays and 8 a.m.-4:30 p.m. Saturdays
  • CAT Scan, (860) 210-5250    8:30 a.m.-6:30 p.m. weekdays, and limited Saturdays 
  • Ultrasound, (860) 210-5250  8 a.m.-4:30 p.m. weekdays
  • X-ray, (860) 210-5250          8 a.m.-4:30 p.m. weekdays (walk-ins accepted) 
  • Mammography/Bone Density, (860) 210-5248  8:30 a.m.-4 p.m. weekdays, and Wednesday evenings