Radiology

From X-rays to PET scans, Citizens Medical Center, Inc. uses the latest diagnostic technology.  We employ highly qualified registered or registry-eligible technologists who provide diagnostic imaging services to our patients.  We provide you and your health care team with the accurate and timely diagnostic imaging results needed to provide for your well-being.   

Diagnostic Imaging:

Our imaging services include:

Patient Instructions:

Some diagnostic imaging procedures require preparation before being performed.  Additionally some exams require an investment of time on your part for a complete and thorough imaging study.  If you have questions about preparing for or methods that can be used to make your imaging studies more pleasant please contact us at (785) 460-1250. 

Precertification:

Many imaging studies require precertification.  This process requires receiving authorization for a specific medical diagnostic procedure before it is done. It is required for payment from some third-party payers.  Prior to seeking treatment at the Radiology department at Citizens Medical Center, Inc. we suggest you discuss your insurance coverage with your employer or private insurance carrier in order to confirm coverage and to determine if your insurance is accepted by us.  Please note that you are responsible for all charges not paid by your employer or private insurance.

Other Information:

  • Check in at the Admissions department 10 minutes prior to arriving for your imaging study.
  • All metal must be removed prior to the performance of a MRI.
  • Some imaging equipment cannot operate safely if the weight placed on it exceeds a certain amount.  To provide a safe imaging study we may ask for or obtain your weight. 

Bone Density (Dexa)

Bone densitometry, also called dual-energy x-ray absorptiometry or DEXA, uses a very small dose of ionizing radiation to produce pictures of the inside of the body (usually the lower spine and hips) to measure bone loss. It is commonly used to diagnose osteoporosis and to assess an individual’s risk for developing fractures.  DEXA is simple, quick and noninvasive. It’s also the most accurate method for diagnosing osteoporosis.  This exam requires little to no special preparation.  Leave jewelry at home and wear loose, comfortable clothing. You may be asked to wear a gown.  The test generally takes approximately 20 minutes.  Patient weight limit is 350 lbs.

Computed Tomography (CT)

What is Computed Tomography?

Computed Tomography (CT) is an imaging procedure that uses special x-ray equipment to create detailed pictures, or scans, of areas inside the body.  

Patient care and diagnosis have significantly improved with the growing use of computed tomography (CT). CT scanning blends the traditional technology of X-rays with the latest computer innovation. Using a series of X-ray beams, the CT scanner creates cross-sectional images. A computer reconstructs these "slices" to produce the 3-D image. The result is a picture with greater detail than traditional X-rays. And better information means a more accurate diagnosis from your doctor. 

During the Exam

A CT exam is a quick, painless procedure. The scanner will acquire the images in just a few seconds while you are comfortably lying on the patient table. Ask your doctor about total exam duration, since exam time will vary.

  • You may be asked to wear a gown for image clarity
  • You may be asked to remove jewelry and other metallic items for image clarity
  • Your exam table will slowly move into scanning position within the CT scanner's donut-shaped opening
  • During the few seconds the scanner captures the image, you will be asked to remain still and hold your breath

After your trouble-free exam, all normal activities may be resumed, unless otherwise directed by your doctor.

Contrast Media

On certain abdomen and pelvis exams, you may have to drink barium contrast. This will help outline your bowels. This should be completed in the hour prior to your exam. The barium will be provided by the Radiology department.  For patients over the age of 50, labs will also be needed to evaluate your kidney function prior to administering IV contrast.  IV contrast highlights the blood vessels throughout the body.  

Types of CT Scans

CT scans are often used in place of other invasive, time-consuming, examinations. Common types of CT scans include:

  • Abdomen
  • Chest
  • Head
  • Pelvis
  • Spine

No matter which scan you have, your doctor will use the high resolution CT images to make the most accurate diagnosis possible. 

Preparations

Speak with your provider about preparing for your CT exam. 

  • Let your provider know if you are pregnant, since pregnant women should avoid exposure from X-rays used in CT and other medical exams
  • For abdominal exams, your provider may ask you to refrain from eating or drinking directly before your exam for best image clarity
  • Discuss your medications with your provider
  • Let your provider know if you have allergic reactions to iodine or conditions such as asthma
  • Patient weight limit is 660 lbs. 

MRI:

For IV contrast exams, patients over the age of 60 will need to have lab work prior to the exam to evaluate kidney function. IV contrast highlights the blood vessels throughout the body.  Patient weight limit is 350 lbs.  

Mammography (Genius 3D Mammography):

Citizens Medical Center, Inc. is excited to offer Genius 3D MAMMOGRAPHY exams this spring! Utilizing advanced breast tomosynthesis technology, Genius exams are clinically proven to significantly increase the detection of breast cancers, while simultaneously decreasing the number of women asked to return for additional testing. The new system is recommended for women of all ages and breast densities. The system allows our radiologists to more effectively pinpoint the size, shape and location of abnormalities. This leads to better detection and greater peace of mind for our patients.

The positive benefits of a Genius 3D MAMMOGRAPHY include:

  • A 41% increase in the detection of invasive breast cancers.
  • A 29% increase in the detection of all breast cancers.
  • A 15% decrease in women recalled for additional imaging.

If you’re a woman over 40, getting a mammogram is smart. Choosing one that may be more accurate than your current screening? That’s Genius. 

Nuclear Medicine:

Citizens Medical Center Nuclear Medicine Division is performed in house on Tuesdays & every other Thursday by Front Range Nuclear Services. 

What is Nuclear Medicine?

Nuclear Medicine is a type of imaging that uses small amounts of radioactive material to determine how an organ or system of the body is functioning. It can also aid in the  detection of disease and other abnormalities within the body.

What Are Nuclear Medicine Imaging Scans Performed For?

  • Analyze kidney function
  • Visualize heart blood flow and  function
  • Identify inflammation in the gallbladder
  • Evaluate bones for fractures, infection, arthritis and tumors
  • Determine the presence or spread of cancer in various parts of the body
  • Locate the presence of infection
  • Measure thyroid function to detect an overactive or under active thyroid
  • Localize the lymph nodes before surgery in patients with breast cancer or melanoma

Who Needs a Nuclear Medicine Test?

Your physician may recommend a Nuclear Medicine test for various reasons, depending on your symptoms. If you are having problems with your stomach, liver, gallbladder, kidneys, bone pain or looking to see if disease (such as cancer) has spread, you may be a good candidate for a Nuclear Medicine scan. A cardiac stress test may be done to evaluate heart  function.

How to prepare for your exam

  • You may be asked to wear a gown for your procedure or you may be allowed to wear your own clothing. Jewelry and other metallic accessories should be left at home if possible, or removed prior to the exam because they may interfere with imaging.
  • Women should inform their physician or technologist if there is any possibility they are pregnant or if they are breastfeeding.
  • Certain medications or procedures may interfere with the exam. Please bring a current list of medications with you to your appointment.
  • Patient weight limit is 440 lbs.

Who Interprets the Results and How Do I Get Them?

A radiologist who has specialized training in nuclear medicine will interpret the images and  forward a report to your referring physician. Your physician will call you with the results, if you do not already have a follow-up appointment scheduled with them.

What Should I Expect at My Appointment?

Most Nuclear Medicine tests start with an intravenous injection and a scan to follow. When the radioactive material is injected you may feel a cold sensation moving up your arm, but there are generally no other side  effects. The actual amount of radioactivity injected varies depending on the exam being done, but it is never a dangerous amount. 

The time between your injection and scan will vary depending on the specific type of test you are having. For some tests the imaging begins immediately and for others there may be a delay of up to three hours. It is important that you remain still during imaging.

Your body will rid itself of the radioactive material through natural excretory processes. Drinking additional fluid will help flush the tracer out of your body more quickly.

Unless your physician tells you otherwise, you may resume your normal activities after your exam. If any special instructions are necessary, you will be informed by the technologist before you leave.

Ultrasound/Echocardiogram

What is Ultrasound?

Ultrasound uses sound waves to create an image of soft tissue. There are many different uses of ultrasound. We take images of the area requested by the ordering provider and send those images to the Radiologists or Cardiologists.  The Radiologist or Cardiologist then reviews the images and provides the ordering provider with a report.  

We currently provide General, Breast, Ob/Gyn with 3d/4d capability, Vascular, limited pediatric, and Cardiac imaging.  The length of time the test will take will vary depending on what type of test the provider has ordered but will generally take about one hour.   

There are special prep requirements for some ultrasound tests.  To see prep instructions, please click here.  If you have any further questions about your test, please call us at 785-460-1250

Ultrasound Office Hours: Monday - Friday 8am-5pm

What is a 2D/3D/4D Ultrasound?

2D2D Ultrasounds are primarily done between 18 and 24 weeks of gestation and are considered diagnostic because they are used to check for abnormalities in the baby's prenatal development. These images are viewed in layers and are black and white.

3D3D Ultrasounds that show a detailed surface view of your baby are known as 3D imaging. 3D ultrasounds use advanced technology to produce color pictures and videos that allow you to see a true picture of what your baby looks like. 3D ultrasounds can also be used to diagnose certain conditions like a cleft-lip that 2D ultrasounds may not be able to pick up.

4D: 4D Ultrasounds have become quite popular in recent years as more state-of-art equipment is available. 4D imaging provides the same up-close pictures as 3D imaging, but adds the element of motion in live-streaming views of your baby. With a 4D ultrasound you can see what your baby is doing as it happens, almost like watching a video monitor. 4D ultrasounds produce the best imaging results between 27 & 32 weeks gestation, but can be done anytime after your complete diagnostic exam. 

What Is Included in the Ultrasound Session?

  • 30 minute imaging session
  • Baby’s motion recorded on a CD
  • 5-10 Black & White images
  • 3D Color Photos
  • Photo Frame
  • Free 15 minute massage

What is the Cost?

  • 3D/4D 30 minute session of imaging: $150
  • $50 additional fee for twins
  • For an additional $10 you can receive a 30min. massage or for an additional $35 you can receive a 60min. massage

Clients with family members in the Military will receive an additional complimentary CD (Military ID Required). Thank you for serving our country!

Full Payment is due prior to scheduling your appointment. You may purchase a certificate at the CMC admissions office or call 785-462-7511 to purchase. 

FACTS

  • The best time to do a 3D/4D Ultrasound is between 27-32 weeks.
  • The ultrasound will not be read or interpreted by a physician or radiologist.
  • The ultrasound will only be performed after a complete diagnostic, generally after 18 weeks, has been completed and the report is on file at Citizens Medical Center for verification. A consent form must be signed prior to the exam.
  • Is this safe for mother & baby? Over three decades of extensive studies have shown that ultrasound has not caused fetal or maternal harm. 3D/4D ultrasound uses the same intensity of ultrasonic waves used in traditional 2D ultrasound which has become a normal procedure in all pregnancies.
  • Please note: CMCI staff will make every effort to obtain the best images possible. Every baby scans differently. Factors that influence the images are: baby’s position, amount of amniotic fluid, the placenta, maternal anatomy, and mother’s body mass. 

X-Ray/Fluoroscopy/Radiographic Studies

What is X-Ray & Fluoroscopy?

X-ray and fluoroscopy both use small amounts of ionizing radiation to capture images digitally of bone and soft tissue.  General X-ray exams capture still images of different regions of the body in different positions varying from standing, sitting or reclined position.  Fluoroscopy uses X-ray technology to capture images digitally in rapid succession creating cinematic clips on a digital 17 inch by 17 inch detector.  These studies may involve eating or drinking oral contrast to help enhance different internal regions of the body.  The Siemens Digital Radiography system uses new digital capture technology to capture these images with reduced radiation exposure and with higher detail than previous film bases systems creating a better exam that is safer to the patient. CMCI Radiology’s X-ray exam table also lowers to 24 inches from the ground and can support up to 600 lbs.  

Preps:

General X-ray exams do not require any preparation prior to the exam.  Fluoroscopy exams may require different exam preps depending on what region of the body is going to be imaged. Please contact us at 785-460-1250 about any prep questions.

Contact Us:
Radiology
Citizens Medical Center, Inc.
100 E. College Drive
Colby, KS 67701
Phone: (785) 460-1250
Fax: (785) 460-1235
Hours: Monday-Friday 07:00AM-5:00PM
On-Call: 24 hours