Vascular & General Ultrasounds
Our convenient and comfortable setting allows Registered Vascular Technologists (RVTs) to evaluate the blood supply to and from various parts of the body. We’re able to obtain this information without any invasive procedures. This means that you’ll be able to return to your regular schedule of activities after your appointment.
What’s an RVT ultrasound? Your care will be delivered by a medical professional with an RVT certification. The RVT certification, not required in many labs, is the standard at The Surgical Clinic’s labs and helps to assure you that your tests are being conducted by people specialized in these diagnostic procedures.
At TSC, we understand that patients will typically want to get things moving as fast as possible. Our mission is to help give patient’s the most specialized and convenient care possible, which is why we offer vascular labs in many of our locations. These locations allow you to access advanced laboratory professionals without the congestion of a hospital setting. While appointments are required, it’s often possible to make a ‘same-day’ appointment. Your test results will be sent to your Surgeon to help determine a recommended course of treatment.
What’s a vascular lab? Our state-of-the-art vascular labs are accredited by the Intersocietal Accreditation Commission and each of the RVT’s are registered through the American Registry of Diagnostic Medical Sonographers (ARDMS).
The key to excellent vascular care is proper diagnosis along with treatment options. TSC’s ICAVL (Intersocietal Commission for the Accreditation of Vascular Laboratories) accredited vascular laboratories offer vascular screening services to assure that you receive proper diagnosis and treatment of your vascular condition.
Benefits of a vascular lab:
→ accredited ICAVL vascular lab assures that you receive proper diagnosis and treatment of your vascular condition
→ vascular ultrasound screening services are painless, fast and accurate
→ vascular screenings will help identify unnoticed vascular conditions *screenings do not replace the need for a physical exam
Testing & Diagnostics
See below for a variety of testing & diagnostics options offered at The Surgical Clinic.
PHYSIOLOGIC (NON-IMAGING) TESTING
ARTERIAL DOPPLER WITH SEGMENTAL PRESSURES UPPER AND LOWER EXTREMITIES
ARTERIAL DOPPLER WITH SEGMENTAL PRESSURES UPPER AND LOWER EXTREMITIES
ARTERIAL DOPPLER WITH TREADMILL
An abdominal ultrasound is an imaging test that uses sound waves to form pictures of your abdominal organs. It can help find organ problems, such as gallstones, kidney stones, or liver disease. Ultrasound does not use ionizing radiation (like an X-ray does) and does not have any known risks. It can also see many blood vessels in the belly (abdomen). If needed as part of your exam, the blood flow in these blood vessels can also be evaluated.
Before your test
What you need to do to get ready for the test depends on the area of your body that will be looked at. Follow any directions you’re given for not eating or drinking before the procedure. Your healthcare provider will give you instructions if required.
Follow all other instructions given by your provider.
For best results, be ready to answer questions about your health history, including the following:
Past abdominal surgery
Past abdominal imaging tests, including ultrasound, CT, or MRI studies
During your test
You may be asked to put on a gown.
You will lie on an exam table with your abdomen exposed.
A nongreasy gel will be put on your skin.
The sonographer will use a handheld probe (transducer) against your abdomen. This probe helps create images of your abdominal organs.
You may see the pictures of your organs on screen.
Certain organs, like the liver, can be biopsied during an ultrasound. This will require additional steps and your provider can discuss these details with you.
The person who does the ultrasound is called a sonographer. He or she can answer questions about the test. But only a doctor can explain the results.
A biopsy is a small sample of tissue or fluid taken from your body. This sample is then studied in a lab. Image-guided biopsy lets your healthcare provider take a sample from an abnormal lump (mass) without using surgery. Image-guided biopsies use ultrasound, X-ray, CT scan, or MRI images to find exactly where to place the needle and do the biopsy. This procedure is done by a radiologist. It can also be done by a specially trained doctor called an interventional radiologist.
|A needle is used to take a sample of tissue from inside the body.
Before your procedure
- Tell your healthcare provider about any health conditions you have
- Tell your provider about all medicines you are taking. This includes all prescription and over-the-counter medicines, vitamins, herbs, or supplements. This also includes any illegal drugs.
- Tell your provider if you’re allergic to any medicines.
- Tell your provider if you’re pregnant or think you may be pregnant.
- Follow any directions you’re given for not eating or drinking before the procedure.
- Follow any other instructions from your provider.
During your procedure
- You’ll change into a hospital gown and lie on a special table. The table that’s used will depend on the type of imaging that will guide the biopsy. You may lie on your back, front, or side. Your position depends on where the biopsy is to be done.
- An IV (intravenous) line may be started. This will give you fluids and medicines. You may be given medicine through the IV to help you relax.
- The skin over the biopsy site is cleaned. Medicine is put on the site to numb the skin.
- The radiologist will use CT scan, MRI, X-ray, or ultrasound images as a guide. They’ll put a thin, hollow needle through the skin. It will be guided to the area where the biopsy will be done.
- The needle will take a sample of tissue or fluid from the area. The needle is then taken out. The sample is sent to a lab. It will be checked for cells that aren’t normal.
After your procedure
- You’ll most likely be able to go home in a few hours.
- You may need to have a friend or family member drive you home.
- Care for the insertion site as directed.
Possible risks and complications of an image-guided biopsy include:
- Bleeding inside your body
- Bruising or bleeding at the place where the needle was put in
- Damage to body areas along the path of the needle
What is Duplex Ultrasound Duplex Ultrasound: What to Expect
Duplex Ultrasound: What to Expect
Duplex ultrasound uses sound waves to get images of your blood vessels. It also helps determine the speed and the direction of blood flow through the vessels. Your healthcare provider may want to do a duplex ultrasound to find out if you have any problems with the vessels that carry blood to and from the major organs in your body.
|Duplex ultrasound can be used to view blood vessels in different areas of the body, such as the legs.
Before your test
Here is what to expect:
- Follow instructions you are given to prepare for the test. If you are told to not eat or drink before the test, follow these directions carefully. If you don’t, your test may need to be rescheduled.
- Tell your healthcare provider what medicines you are taking. Ask if you should stop taking any of these medicines before the test. Also, bring a list of your medicines on the day of your test to show the technologist.
- Allow time to check in.
What to tell the technologist
Tell the technologist if you’ve had:
- A previous procedure, such as a bypass, balloon angioplasty, or stent placement.
- Symptoms of stroke, including sudden short-term loss of strength, speech, or vision.
You may be asked other questions about your health. The information you give helps the technologist be sure the test is safe for you.
During your test
The duplex ultrasound is done in an ultrasound lab. The lab may be in your healthcare provider’s office, a hospital, or an outpatient imaging center. The test is typically done by a vascular technologist. It can take from 15 minutes to 2 hours, depending on what’s being tested. During your test:
- You may be asked to change into a hospital gown or to remove clothing from the area being examined.
- You will likely lie on an exam table.
- A gel is applied to the area being tested. This helps sound waves move through your skin.
- The technologist slides the ultrasound probe (transducer) over the gel.
- You may hear a “whooshing” sound. This is the sound of your blood flowing. You may also see tracings of your blood flow on a screen.
- A blood pressure cuff may be put on your arm or leg and inflated during the test.
- You may be asked to stand up or even exercise during the test.
Be aware that
Be prepared for the following:
- The gel will feel wet. It won’t harm your skin or clothing, but it’s a good idea to wear washable clothes.
- The pressure from the probe may feel slightly uncomfortable. If you have any pain, tell the technologist.
After your test
Here is what to expect:
- Before leaving, you may need to wait briefly while your images are being reviewed.
- You can return to normal activities unless your healthcare provider tells you otherwise.
- Your healthcare provider will let you know when the test results are ready.
Who should get a vascular screening?
Vascular health screenings should be considered for those who meet one or more of the following:
50 years or older
Current or previous smoker
High blood pressure
What does general ultrasound include?
An ultrasound is created when high frequency sound waves are exposed to a body part. These waves are assembled to create a picture of the inside of the body. Sometimes this type of imaging is called ultrasound scanning or sonography.
The risk of exposure by using ultrasounds is very low since unlike an x-ray, there is no ionizing radiation. The technique allows images of the inside of your body to be captured in real time while they are working. This reveals the structure and movement of the internal organs as well as lets doctors watch blood flowing through your vessels.
3 Types of Ultrasounds:
→ a conventional machine displays images in thin, flat sections
→ a three-dimensional (3-D) image or an image that shows the entire structure to be studied from all angles
→ a four-dimensional technology (4-D) image can allow the radiologist to put a 3-D image in motion
What’s a Doppler Ultrasound?
You may also be scheduled for a Doppler ultrasound. This is a special technique that examines blood flowing through a vessel. Areas of your body where a Doppler might be used are major arteries (the vessels that carry blood away from the heart) and veins in the abdomen, arms, legs and neck.
By watching the tissues at work, doctors can observe abnormalities, diagnose problems and develop treatment plans. Since the procedure is just tracking sound waves, there is no recovery time for you from this procedure.
Types of Medical Ultrasounds
Vascular ultrasounds, also known as vascular sonography or vascular Doppler studies, are non-invasive diagnostic tests used to assess the blood flow in veins and arteries. Here is a list of some common types of vascular ultrasounds:
Carotid Doppler Ultrasound: This test evaluates blood flow in the carotid arteries, which are located in the neck and supply blood to the brain. It is often used to assess the risk of stroke.
Venous Duplex Ultrasound: Venous duplex ultrasound is used to examine the veins in the arms and legs. It can detect blood clots, deep vein thrombosis (DVT), and venous insufficiency.
Arterial Duplex Ultrasound: This test assesses blood flow in the arteries of the arms and legs. It helps diagnose conditions like peripheral artery disease (PAD) and assesses the severity of arterial blockages.
Abdominal Aortic Ultrasound: This ultrasound focuses on the abdominal aorta, the largest artery in the abdomen. It is used to detect abdominal aortic aneurysms (AAA) and assess their size and risk of rupture.
Renal Artery Ultrasound: This test evaluates blood flow in the renal arteries, which supply the kidneys. It can identify blockages or narrowing in the renal arteries, which may contribute to hypertension or kidney problems.
Peripheral Vascular Ultrasound: This is a comprehensive study that examines blood flow in the arms and legs, assessing both arteries and veins. It is often used to diagnose a range of vascular conditions.
Vein Mapping Ultrasound: Vein mapping is performed before vascular procedures, such as dialysis access or vascular bypass surgery. It helps locate suitable veins for grafts or shunts.
Ankle-Brachial Index (ABI) Test: While not a traditional ultrasound, the ABI test measures blood pressure in the arms and ankles to assess peripheral artery disease (PAD).
These are some of the commonly available vascular ultrasounds used for diagnostic purposes. The specific type of ultrasound a patient receives depends on their symptoms, medical history, and the area of concern as determined by their healthcare provider.