Interventional Exams

Please note our X-ray machine at the Macleod location is down for scheduled maintenance.

Please select your exam from the below options to find out more about the procedure and the preparation required for your exam.

Physical examination or diagnostic imaging will often detect soft tissue abnormalities. An FNA is performed to:

1) Remove some cells and to examine them under a microscope to determine a diagnosis, and/or

2) Remove fluid to alleviate patient discomfort. A fine needle aspiration may be done on various areas or sites of the body.

Ultrasound guided FNA is performed when the area of concern can be seen with ultrasound imaging.

Pureform Procedure

Image guided FNA procedures are performed by a specially trained radiologist. The entire procedure is usually completed within one hour. FNA's are performed on an outpatient basis.

The skin is cleansed with a sterile solution. Local anesthetic (“freezing”) may be injected into the skin and tissue to numb it. You may be asked to remain still and not cough, talk, or swallow during the procedure.

The radiologist, constantly monitoring the lesion site with the ultrasound probe, will insert the needle and advance it directly into the mass. Tissue samples or fluid are removed using an aspiration needle. The needle will be reinserted if additional samples are required.

Once the FNA is complete, pressure will be applied to stop any bleeding, a bandage may be placed if necessary. No sutures are needed.

Preparation

Take all prescribed medications as directed. If you are on anticoagulation drugs (Plavix, Coumadin, Warfarin) or if you are Diabetic and taking insulin, please let your booking coordinator know.

Please arrive 15 minutes prior to your appointment for there is paperwork to read over and a consent form to sign.

You may experience some discomfort, it is recommended to have someone accompany you for your exam and for moral support.

Post Procedure

Apply pressure immediately following the procedure and for 5 – 30 minutes depending on presence of bleeding. If sore or bruising, apply ice pack (wrapped in towel or Ziploc to keep skin dry) to area several times on the day of procedure. Use may use extra strength Tylenol 500 mg (1 tab) every 4-6 hours for pain as needed. Return to normal activity levels. If a bandage has been placed, you may remove it within a few hours. Bruising may occur but will usually clear in 5-7 days. If there is bleeding, drainage, excessive swelling, redness, or heat around the area, call your referring physician.

Results

Final results of your FNA are usually available in 7 working days (unless site was just drained to alleviate pressure and no sample given to the Lab).

Results will be forwarded to the referring physician that ordered the fine needle aspiration. If you have not received results within 7 days, please call your referring doctor.

Physical examination and ultrasound of the thyroid will often identify nodules or cysts in the thyroid gland. It is often difficult to determine if the findings are benign or cancerous.

A biopsy is performed to remove some cells and to examine them under a microscope to determine a diagnosis.

Pureform Procedure

Image guided biopsy procedures are performed by a specially trained radiologist. The entire procedure is usually completed within 30 minutes.

Thyroid biopsies are performed on an outpatient basis. You will be positioned lying face up on the examination table, with your neck extended slightly.

The skin is cleansed with a sterile solution. Local anesthetic (“freezing”) may be injected into the skin to numb it. You will be asked to remain still and not to cough, talk, or swallow during the procedure. The radiologist, constantly monitoring the lesion site with the ultrasound probe, will insert the needle and advance it directly into the mass. Tissue samples are removed using a 25 Gauge aspiration needle. The needle will be reinserted if additional samples are required.

Once the biopsy is complete, pressure will be applied to stop any bleeding. A bandage may be placed if necessary. No sutures are needed.

Preparation

Take all prescribed medications as directed. If you are on anticoagulation drugs (Plavix, Coumadin, Warfarin) or if you are Diabetic and taking insulin, please let your booking coordinator know.

Please arrive 15 minutes prior to your appointment for there is paperwork to read over and a consent form to sign.

You may experience some discomfort, it is recommended to have someone accompany you for your exam and for moral support.

Post Procedure

Apply pressure immediately following the procedure and for 5 – 30 minutes depending on presence of bleeding. Use Extra strength Tylenol 500 mg (1 tab) every 4-6 hours for pain as needed. Return to normal activity levels. If a bandage has been placed, you may remove it within a few hours. Bruising may occur but will usually clear in 5-7 days If there is bleeding, drainage, excessive swelling, redness, or heat around the biopsy area, call your referring physician. If swelling occurs and you feel short of breath, seek immediate medical attention.

Results

Final results of your biopsy are usually available in 7 working days. Results will be forwarded to the referring physician that ordered the biopsy. If you have not received results within 7 days, please call your referring doctor.

Physical examination, mammography, and ultrasound of the breast will often detect abnormalities that can appear as calcifications, masses, or distortion. It is often difficult to determine if the findings are benign or cancerous.

A biopsy is performed to remove some cells and to examine them under a microscope to determine a diagnosis.

Ultrasound guided biopsy is performed when the abnormal area can be seen with ultrasound imaging.

Pureform Procedure

Image guided biopsy procedures are performed by a specially trained Radiologist. The entire procedure is usually completed within one hour. Breast biopsies are performed on an outpatient basis.

You will be positioned lying face up on the examination table. The skin is cleansed with a sterile solution and the area is covered in sterile drapes. Local anesthetic (“freezing”) is injected into the skin and breast to numb it. A small nick is made in the skin at the site where the biopsy needle is to be inserted. The Radiologist, constantly monitoring the lesion site with the ultrasound probe, will insert the needle and advance it directly into the mass. Tissue samples are removed using a 14 Gauge core needle. This needle has an automated mechanism that cuts small “cores” of breast tissue. The needle makes a clicking sound as it samples the tissue. This process will be repeated 3-6 times. After sampling, the needle will be removed. A small marker may be placed at the site so that it can be located in the future if necessary. This marker will cause no pain or harm Once the biopsy is complete, pressure will be applied to stop any bleeding and the opening in the skin will be covered with a dressing. No sutures are needed.

A mammogram may be performed to confirm that the marker is in proper position.

You will be sent home with a post biopsy instruction sheet. You should avoid strenuous activity for 24 hours after the biopsy, but then will be able to resume normal activities.

Preparation

Take all prescribed medications as directed. If you are on anticoagulation drugs (Plavix, Coumadin, Warfarin) or if you are Diabetic and taking insulin, please let your booking coordinator know.

Please arrive 15 minutes prior to your appointment for there is paperwork to read over and a consent form to sign.

You may experience some discomfort, it is recommended to have someone accompany you for your exam and for moral support.

Post Procedure

Some patients may experience mild side effects, which may include pain requiring non-prescription analgesics, swelling, or bruising. These symptoms usually resolve spontaneously over a few days. There is a small risk of bleeding and hematoma (1%) and a small risk of infection (0.1 %). If implants are present, there is a risk of rupture of the implants by the needle. Also, on rare occasions, the needle can pass through the chest wall and allow air into the space around the lung, resulting in collapse of the lung. This would require urgent medical care and placement of a chest tube. This is a very rare occurrence.

Results

A pathologist examines the removed tissue and makes a final diagnosis. The results are usually available within 7 days and will be forwarded to your referring physician.