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Screening Tests

We proudly offer Screening procedures at our conveniently located Outpatient Imaging Centers in the Richmond and Tri-Cities areas.  We have state-of-the-art equipment, experienced technologists to perform your test,  and board certified radiologists to read your procedure. And, our Outpatient Imaging Centers offer these screening procedures at a reduced rate because peace of mind shouldn’t be out of reach. Since these are screening procedures and are not typically covered by insurance, payment is due at the time services are rendered. If you are interested, please talk to your physician today.

Exam CPT Code AIC BRI CIC IPI
Bone Density (DEXA) 77080     Checkmark Checkmark
CT Calcium Scoring 75571 Checkmark Checkmark Checkmark Checkmark
CT Coronary CTA 75574     Checkmark Checkmark
CT Dental Implant 70486 Checkmark Checkmark Checkmark Checkmark
CT Low Dose Lung Screening S8032 Checkmark Checkmark Checkmark Checkmark
CT Virtual Colonoscopy 74263   Checkmark    
Mammography G0202 Checkmark   Checkmark Checkmark
Ultrasound AAA 76705 Checkmark Checkmark Checkmark Checkmark
Ultrasound Carotid Duplex 93880 Checkmark Checkmark Checkmark Checkmark

A physician order is required except for screeening mammography.

Bone Density (DEXA)

What is Bone Density?

Bone density, commonly called DEXA, testing is considered the most accurate method available for the screening and diagnosis of Osteoporosis.   The bone density test most commonly recommended by doctors is the DEXA (Dual Energy X-ray Absorptiometry) test.   The DEXA scan is a simple, fast and non-invasive procedure.  The scan is acquired using small amounts of radiation sent through the body to create a picture.

Should I be tested for osteoporosis?

The National Osteoporosis Foundation (NOF) recommends having a bone density test if you are:

  • Over 65 years old
  • Postmenopausal with at least one additional risk factor or have had a fracture
  • Considering osteoporosis therapy
  • On prolonged hormone replacement therapy

Calcium Scoring

Calcium Scoring is a simple, painless and non-invasive exam of the heart that uses a high speed computed tomography (CT)  scanner to obtain cross-sectional images of the arteries that supply blood to the heart. The test allows cardiac radiologists to identify deposits of calcium in the walls of the coronary arteries. These deposits, which are linked to the build-up of plaque or atherosclerosis that causes blockages in the coronary arteries, are measured and “scored” by comparing the patient’s results to others of the same age and gender.

Unlike most X-rays, CT screenings detect even the most minor changes early, and by portraying parts of the body in three-dimensional format, can allow overlapping body areas to be easily examined. These advantages can simplify a patient’s treatment, and increase the chances of recovery. Physicians recommend a cardiac scoring exam for those in three or more of the following categories:

  • Men over age 45
  • Women over age 55
  • Current or former smoker
  • A family history of heart disease
  • High cholesterol
  • High blood pressure
  • Overweight
  • Diabetes

Why is cardiac scoring important?

Cardiac scoring is a screening test that identifies conditions associated with an increased risk of heart disease. The goal of the test is to allow patients and their physicians to plan a cardiac risk-reduction program-one that precisely targets the patient’s needs.

Are you a candidate for a cardiac scoring test?

Cardiac scoring is useful for men and women over 40, especially those with a family history of early heart disease. Others who may benefit include those with cardiac risk factors such as high blood pressure, smoking, high cholesterol, diabetes, or obesity. The test is not recommended for pregnant women or those who have or have had heart disease or a rapid resting heart rate (resting tachycardia).

Coronary CT Angiography (CCTA)

Coronary CT Angiography can provide early detection of coronary artery disease. This is a non-invasive procedure that detects heart disease that can be invisible on other tests. CCTA can identify calcified and non-calcified plaque build-up in your arteries, which can lead to a heart attack and sudden death.

You should talk to your physician about getting this screening procedure if you have any of these risk factors:

  • High blood pressure
  • High cholesterol
  • Smoker
  • High stress environment
  • Family history of heart disease
  • Diabetes
  • Overweight
  • Lack of exercise

Dental Implants

A dental implant is an artificial tooth root that is placed into your mandible to hold a replacement tooth or bridge. This is an ideal option for individuals in good oral health who have lost a tooth.

A CT prior to dental implants will allow your physician to:

  • Evaluate the volume of the jaw bone
  • See the bone in 3 different planes
  • Take measurements
  • Decide on ideal placement of the implant
  • Determine if a bone graft is necessary

Talk to your dentist and periodontist to see if you are a candidate for dental implants.

Low-Dose CT Lung Screening

Lung cancer is the leading cause of cancer deaths in men and women. It claims more lives than colon, breast, and prostate cancer combined. Early detection can lead to better outcomes, but is difficult to find because most patients do not experience symptoms. The purpose of a screening is to find cancer before a person has any symptoms. The National Lung Screening Trial (NLST) has found that people who undergo a low-dose lung CT screening have a reduced chance of dying from lung cancer. Based on these findings, the American Lung Association recommends lung cancer screenings for people that meet certain criteria. And now, some insurance companies are covering the cost of this procedure due to these findings. 

Visit www.shouldiscreen.com to see if this test may benefit you. Or, if you meet the criteria below, talk with your physician today about getting a Low Dose CT Lung screening.

  • Current or former smoker between 55 and 74 years of age
  • Smoking history of 30 pack-years (average of 1 pack per day over 30 years)
  • No history of lung cancer

For more guidance from the American Lung Association regarding the CT lung cancer screening visit http://www.lung.org .

Virtual Colonoscopy

Virtual Colonoscopy (VC) uses a low dose CT scanning to view the inside of the large intestine (colon). Otherwise,  this is seen utilizing the more invasive endoscopic procedure. A screening VC is used to find any growths, usually in the form of a polyp, that may be present before they become cancerous. The American Cancer Society recommends colon cancer screening at the age of 50 in men and women. And suggest a VC every 5 years thereafter. Risk factors for colon cancer include:

  • History of polyps
  • Family history of colon cancer

Mammography

HCA Virginia Outpatient Imaging recommends annual screening mammography for women age 40 or older who have no signs or symptoms suggestive of breast cancer.  We also recommend screening mammography starting at age 35 for women with a significant family history (two first-degree relatives with breast cancer, particularly if the breast cancer was diagnosed before menopause or involved both breasts).

Click here to visit our Women’s Suite page and learn more about screening mammography.

Abdominal Aortic Aneurysm (AAA) Ultrasound

An Abdominal Aortic Aneurysm (AAA) ultrasound is used to look for any signs or the presence of an aneurysm. An aneurysm is a dilation of the wall of an artery, in this case, the aorta. An ultrasound is easy, painless, and very effective in detecting this condition. As a ruptured AAA has greater than a 90% mortality rate, this is a very serious condition making early detection the key for successful treatment. Risk factors for a AAA include:

  • Smoking
  • High blood pressure
  • High cholesterol
  • Limited physical activity and exercise
  • Obesity

If you have any of these risk factors, talk to your physician about getting an ultrasound AAA screening.

Ultrasound Carotid Duplex

The major goal of carotid ultrasound is to screen patients for blockage or narrowing of their carotid arteries, a condition that substantially increases the risk of stroke. According to the Centers for Disease Control and Prevention (CDC), stroke is the fourth leading cause of death in the United States and a leading cause of long-term severe disability.

A carotid duplex ultrasound may be considered for individuals who have no symptoms but have risk factors including:

  • high blood pressure
  • high cholesterol
  • tobacco smoking
  • a first-degree relative with atherosclerosis that developed before age 60
  • a family history of ischemic stroke

Consult your referring provider today to determine if you are candidate for this procedure.  An order is required.

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