Diagnostic Radiology and MRI Center
Diagnostic Radiology is commonly known as the X-ray department of BPK9 International Hospital. The center provides holistic anatomical diagnosis services ranging from particular body parts up to the entire body using modern and highly efficient radiological equipment in order to pinpoint and diagnose diseases, abnormalities, fractures, and so on. Each diagnostic imaging procedure applies specific tools depending on the symptoms, purpose of the examination, and anatomical characteristics of the organ being examined. The goal is to ensure that the patients undergo a fast, accurate, precise, safe, and efficient diagnostic process that meets international standards. The diagnostic services include the following cutting-edge and highly effective radiological tools:
- Magnetic Resonance Imaging (MRI) 1.5 Tesla
- Computed Tomography (CT scan) 128 Slice
- Ultrasound/Ultrasonography
- Bone Mineral Density (BMD) testing
- Digital Mammogram
- Digital Dental CT scan
- Digital Dental Panoramic X-ray
- Digital General X-ray
1. Magnetic Resonance Imaging (MRI) 1.5 Tesla
Overview
MRI is a diagnostic device that applies high-efficiency electromagnetic waves (1.5 Tesla) and advanced technology to examine organs and various body parts. During the examination, patients must lie still on a magnetic field. The procedure is safe and uninvolved in any X-ray process. It can detect abnormalities in the brain, spine, breasts, abdomen, limbs (arms and legs), joints, vascular system, etc. MRI technology provides high-quality images with clear differentiation between normal and abnormal tissues, this helps assist specialists in planning effective treatments. Patients lie inside a tunnel-like machine about 70 cm. in width during an MRI scan. A signal receiver device is used, and its screen virtual manifestation varies depending on the patient’s organs being examined. In some cases, the specialist may use a contrast agent (Gadolinium-based) injection during the MRI scan. Nonetheless, some MRI procedures may require specific preparations, like fasting or refraining from certain medications before the scan takes place. The medical staff will provide detailed instructions about the preparation on the day of the appointment.
MAGNETOM Altea MRI is the first MRI machine in Thailand that applies AI Technology.
- MAGNETOM Altea MRI has 157cm. total system length cover to cover, which is the shortest compared to other brands.
- This machine works quietly. It reduces the patient's worries during the examination and makes communication between the patient and staff easier and more convenient. It also reduces the amount of sleeping pills in patients taking sleeping pills because MAGNETOM Altea comes with technology that can reduce the sound of the machine during the examination (Quiet Suite) without reducing the image quality and does not increase the examination time. It can be applied to all organs and can be used with all examination techniques (SE, TSE, GRE, EPI, including DarkFluid, SWI, DWI, and BLADE), while other brands can operate some techniques or can't operate it at all.
- It has the lightest Sola coil. The patient does not feel heavy or uncomfortable when the device is placed on the body during the examination because the receiver coil is designed to be the lightest on the market, for example an anterior array coil weighs only 73kg.
- It works fastest. Patients take the shortest examination time with AI-Based technology DotGO, MRI scans can be performed with a single press of a button throughout the examination. It reduces planning time, making the workflow of MRI faster (Siemens Unique).
- It provides the best image quality with AI-based technology Dot Engine for the brain, spine, shoulder, Hip, and Knee, as well as BioMatrix Technology which adapts the Biology examination of different patients. It simplifies MRI scans, reduces errors in scans, and reduces re-examination (Siemens Unique) giving the most consistent results.
Preparation for the MRI Examination
- Avoid wearing makeup: some cosmetics contain metal components, such as mascara and eyeshadow, which can cause image distortions and appear as foreign objects in the scan. Patients with gold thread lifts should avoid undergoing this procedure.
- Before the examination: staff will review your medical history to minimize risks associated with magnetic resonance imaging (MRI). The procedure and necessary preparations will be explained on the day of the examination, as MRI protocols may vary.
- Clothing and Personal Items: you will be provided with hospital attire and must remove all accessories (e.g., earrings, necklaces, hair clips, bracelets). Ensure that items such as mobile phones, watches, ATM cards, credit cards, magnetic-striped cards, electronic devices, hearing aids, and dentures are left outside the MRI room.
- Pre-Scan Preparation: empty your bladder before entering the MRI room as the procedure is highly detailed and may take 30 to 180 minutes, depending on the type of scan.
- During the scan: it is crucial to remain as still as possible to ensure clear and accurate images for diagnosis.
- During the Scan: the MRI machine may produce loud noises, but staff will provide noise-reducing equipment for your comfort.
- The procedure is painless and safe, allowing you to relax during the scan. If you feel anxious, fear being alone in the room, or experience claustrophobia, inform the staff. They will provide support and may allow a relative to accompany you during the scan. If needed, you can use the Emergency Ball to communicate with the staff at any time.
Procedure Duration: Estimated time 30–180 minutes.
Additional Guidelines
Notify staff if you are claustrophobic or solemnly anxious about the close-bore MRI. A relative can accompany you to provide comfort during the scan.
Restrictions
Certain conditions may require special considerations or pre-approval before undergoing an MRI:
- Pacemakers: it requires specialist’s supervision.
- Artificial heart valves.
- Cardiac stents: confirmation from your physician is necessary to determine if the stent is MRI-compatible. (Modern MRI-compatible stents can typically be scanned safely.)
- Post-surgical clips or implanted metals: patients must inform staff if they have undergone certain surgeries involving clips or metal implants.
- Foreign bodies or embedded metal: if you have retained a bullet or its fragments.
- Braces: for more effective scans of the brain or cervical spine, braces may need to be removed as they can affect image clarity.
- Metal-based thread lifts: patients with metallic components, such as gold thread lifts, should avoid the procedure.
- Potential Risks of Gadolinium-Based Contrast Agents (if applicable). If contrast agents are required: There is a slight risk of extravasation (leakage of the agent outside the vein) and allergic reactions to gadolinium-based agents. Mild reactions may include itchy rash or redness, while severe reactions could lead to blood pressure changes, breathing difficulties, or even life-threatening complications. Localized pain, swelling, bruising, or vessel rupture may occur at the injection site.
- Special Considerations for VP Shunts. Patients with VP shunts (ventriculoperitoneal shunts for draining cerebrospinal fluid) may require post-scan adjustments to the shunt settings, which must be performed by a neurosurgeon.
2. Computed Tomography (CT) Scan: 128 Slices
Overview
A CT Scan (Computed Tomography) is a highly advanced diagnostic imaging technology. During the procedure, the machine rotates around the patient, capturing detailed cross-sectional images of the body. These images provide a high-resolution view of internal structures and can be reconstructed into various planes as needed. Modern CT technology is commonly used for detecting internal abnormalities, assessing the spread of cancer to other organs, and monitoring treatment progress. For cancer patients, the procedure typically involves the use of contrast agents to enhance imaging clarity. CT scans can also generate 3D images and virtual representations of internal organs, offering remarkable diagnostic precision.
Preparation for the Scan
- Fasting: for procedures involving contrast agents, refrain from eating or drinking for 4–6 hours before the scan.
- Allergy History: inform the staff of any allergies, including to medications, contrast agents, food, or general allergens.
- Kidney Function: a blood test will be performed to evaluate kidney function for all patients requiring intravenous (IV) contrast agents.
- Pregnancy Check: female patients of childbearing age will be assessed for pregnancy risks.
- Diabetes History: notify the staff if you have diabetes.
- Abdominal Scans: for scans of the abdomen, oral contrast solutions or rectal contrast solutions may be required to distinguish the intestines from other structures. The use of contrast depends on the area to be examined and the doctor's discretion.
Indications for a CT Scan
CT scans are invaluable for evaluating the anatomical structure and function of various organs. In many cases, the use of a contrast agent is necessary to: assess tissue function in specific organs, and visualize blood vessels. CT scans are widely favored because they require minimal time to perform. They even provide multiple viewing angles and 3D images, enhancing diagnostic accuracy. The procedure takes 30–120 minutes to complete.
Special recommendations for patients receiving contrast agents
- Allergies or Sensitivities: If you have a history of allergies, asthma, skin rashes after consuming seafood, or symptoms like chest tightness or breathing difficulty, inform the medical team beforehand. Alert the team if you’ve experienced allergic reactions to contrast agents in the past.
- Kidney Conditions: Patients with kidney disease or impaired kidney function should consult their physician before undergoing the scan.
Limitations of CT Scans
- Pregnancy: If pregnancy is suspected or confirmed, inform the physician. In non-urgent cases, alternative diagnostic methods will be recommended to avoid potential radiation exposure to the fetus.
- Pediatric Patients: parents should consult the physician for preparation instructions. For very young or anxious children, sedation may be provided to ensure the procedure is smoothly performed.
- Necessity of the Scan: CT scans should be conducted only when clinically necessary. They are not suitable for routine health screenings due to radiation exposure risks and unnecessary stress.
- Previous Contrast Intake: patients who recently underwent a procedure requiring contrast agents or radioactive substances should inform the physician.
Potential Risks and Complications. Risks from contrast agents like;
- Allergic Reactions: rare and generally mild (e.g., itchy rash).
- Kidney Function Decline: patients with pre-existing kidney conditions may experience reduced kidney function after the scan.
By following these guidelines, CT scans can be safely and effectively utilized to achieve accurate diagnoses and treatment monitoring.
3. Ultrasound Examination
Overview
An ultrasound examination uses high-frequency sound waves to generate images by capturing how these waves are absorbed and reflected differently by various organs and tissues. The reflected sound waves are transmitted back to the transducer and processed into digital images. This examination provides real-time imaging and is highly safe since it does not involve radiation. Currently, ultrasound is used for cancer screening, health check-ups, and monitoring diseases after treatment. Examples include screening for cancer, thyroid examinations, upper and lower abdominal scans, whole abdominal scans, breast exams, and vascular system evaluations.
Preparation for an ultrasound Examination
- For the Neck and Other Organs (Ultrasound Neck/Thyroid and Others):
- No fasting is required; patients may eat and drink as usual. Continue taking prescribed medications for chronic conditions.
- During the examination, patients may need to follow the radiologist's instructions to ensure high-quality images suitable for diagnosis.
- For the Upper Abdomen (Ultrasound Upper Abdomen):
- Fast for food and drink for 6–8 hours before the procedure. Diabetic patients should skip diabetes medications for that meal. Patients with other chronic conditions (e.g., heart disease, hypertension) may take their usual medications but with minimal water.
- Follow the radiologist's instructions, which may include deep breathing, holding your breath, or other specific actions to ensure clear imaging. If patients have difficulty following instructions, a family member may assist, or an alternative test may be recommended. The examination may require repositioning or sitting up during the process.
- For the Whole Abdomen (Ultrasound Whole Abdomen):
- Similar to the upper abdomen scan, fast for 6–8 hours before the test. Diabetic patients should avoid diabetes medications for that meal. Patients with other chronic conditions may take their usual medications with minimal water.
- It is essential to have a full bladder for this test. Patients should refrain from urinating while waiting for the scan. In some cases, the staff may ask patients to drink more water.
- Follow the radiologist's instructions, which may include holding your breath or other actions to ensure high-quality images. A family member may assist if the patient has difficulty following instructions.
- For the Urinary Tract and Lower Abdomen (Ultrasound KUB System and Lower Abdomen):
- No fasting is required; patients may eat and drink as usual. Continue taking prescribed medications for chronic conditions.
- A full bladder is necessary for this scan. Patients should refrain from urinating while waiting for the examination. The staff may ask patients to drink additional water if needed.
- Follow the radiologist's instructions to ensure accurate results. Assistance from family members may be needed if patients struggle to follow directions.
Indications for Ultrasound
- Detecting general abnormalities such as kidney or gallbladder stones or tumors in the liver.
- Observing the location, size, and characteristics of tumors.
- Monitoring changes in existing lesions.
- Assessing abnormalities in veins and arteries, such as blockages, aneurysms, or varicosities.
Procedure Duration: Approximately 30–60 minutes.
Additional Recommendations
For upper abdominal scans, fasting for 6–8 hours before the procedure is crucial. Food intake can cause the gallbladder to contract, releasing bile, which reduces its visibility on the scan. For infants, fasting may be reduced to 3–4 hours. If the gallbladder has been removed, fasting is unnecessary.
Limitations of Ultrasound
- Ultrasound cannot examine organs filled with air, such as the lungs, intestines, or stomach, as air does not reflect sound waves effectively, making image generation impossible.
- Ultrasound cannot penetrate bones or organs obscured by bones, as bones reflect sound waves and block further penetration.
4. Bone Mineral Density (BMD) Measurement
Overview
This measurement determines bone density in various areas using a low-energy X-ray technique with a DEXA (Dual Energy X-ray absorptiometry) scan. This method involves minimal radiation, is safe, and highly accurate. It assesses bone health, strength, and the extent of osteoporosis, if present.
Preparation for the Procedure
No specific preparation, fasting, or dietary restrictions are required.
Indications
- Individuals aged 60 and above.
- Women who experience menopause before age 45.
- Postmenopausal women with a body mass index (BMI) below 19.
- Men aged 50 and above with testosterone deficiency.
- Patients with diabetes, chronic liver disease, chronic kidney disease, rheumatoid arthritis, malabsorption syndromes, chronic inflammatory bowel disease, thyroid diseases, or parathyroid disorders.
- Those with a history of hip fractures or other fractures from minor accidents.
- Family history of osteoporosis.
- Regular smokers and alcohol consumers.
- Long-term use of medications such as steroids, thyroid treatments, or cancer therapies.
Procedure Duration: Approximately 15-20 minutes to complete.
Additional Recommendations
Osteoporosis refers to decreased bone density, leading to weakened bones prone to fractures (brittle bones) even from minor accidents. Imbalances in bone formation and destruction, such as insufficient bone creation, calcium deficiency, or excessive bone loss, can cause osteoporosis. Early detection and management are essential to prevent fractures, with BMD measurement being a widely adopted diagnostic method.
Limitations
Inform the specialist before the procedure if:
- Pregnancy is suspected or confirmed.
- Metal implants are present in the body such as hip replacements.
- Recent procedures involving contrast agents or radioactive substances have been conducted.
5. Digital Mammogram Examination
Overview
Digital mammogram examinations detect abnormalities or lesions in the breast, such as calcifications, lumps, cysts, or lymph nodes. The procedure involves X-ray imaging of the breasts in various positions for detailed visualization. Breast ultrasound is typically performed alongside mammography.
Preparation for the Procedure
- Avoid applying body lotions, deodorants, or powders on the chest and underarm areas, as they can interfere with X-ray imaging.
- No fasting or dietary restrictions are needed.
- The best time for the examination is shortly after the menstrual period, as the breasts are less swollen, minimizing discomfort and facilitating easier detection of abnormalities.
- If changing healthcare providers, bring prior mammogram images and reports for comparison.
- Inform the medical staff or radiologist if you have: breast issues, such as lumps or unexplained nipple discharge, and a history of breast surgery or biopsy.
Indications
- Women aged 35-40 should undergo an initial mammogram as a basic. Regular annual screenings are recommended to detect breast abnormalities.
- Women with a direct family history of breast cancer (e.g., mother, sister).
- Women who are childless or had their first pregnancy after age 30.
- Women with breast cancer in one breast, as they have a fivefold higher risk of developing it in the other breast.
Procedure Duration
The procedure takes approximately 5-10 minutes, involving 4 X-ray images; 2 images per one breast. For individuals with breast implants, 8 images are taken and 4 per one breast. The X-ray machine compresses the breasts for about 10 seconds to spread the tissue for clearer imaging. Mild discomfort may occur during compression.
Limitations
Inform the specialist before the procedure if:
- Pregnancy is suspected or confirmed.
- Recent procedures involving radioactive substances have been conducted.
6. Digital Dental CT Scan
Overview
Dental CT Scan is a 3D imaging technology used in dentistry to assist dentists in evaluating and effectively planning dental implant procedures. This technology provides accurate and precise positioning for implant placement and assesses the jawbone's density to ensure suitability for surgery.
Digital Dental CT Scan Key Features
- Offers 3-D views: axial (top-bottom), cross-sectional, and panoramic.
- Provides detailed bone quality and quantity information.
- Ensures anatomically accurate and distortion-free imaging.
- Improves treatment planning precision, such as identifying insufficient bone thickness for implants, which may require bone grafting before implantation.
- Facilitates creating surgical stents to guide perfect implant placement during surgery.
Preparation for the Procedure: No preparation, fasting, or dietary restrictions are required.
Indications
- To assess wisdom teeth (third molars), impacted/embedded teeth, pathologies, and their relationship with other structures, when conventional X-rays are insufficient.
- For orthodontic treatment planning and monitoring areas at risk of following or potential damage.
- To create surgical stents for accurate and precise implant placement during surgery.
Procedure Duration: Approximately 15-30 minutes.
Limitations
Inform the specialist before the procedure if:
- Pregnancy is suspected or confirmed.
- Recent procedures involving radioactive substances have been conducted.
7. Digital Dental Panoramic X-Ray
Overview
This is a radiographic examination of the teeth and oral cavity that captures images of all 32 teeth. It is used to identify abnormalities in the teeth and overall oral structures.
Preparation for the Procedure
No preparation, fasting, or dietary restrictions are required.
Indications
- X-rays for tooth extraction or wisdom tooth surgery.
- Detecting cavities between teeth.
- Evaluating root canal treatments.
- Diagnosing and managing periodontal diseases.
- Planning orthodontic treatments.
- Analyzing normal or abnormal structures, teeth and root conditions, periodontal tissues, jawbones, temporomandibular joints, and maxillary sinuses.
- Determining the inclination of teeth and roots.
Procedure Duration: Approximately 10-15 minutes.
Limitations
Inform the specialist before the procedure if:
- Pregnancy is suspected or confirmed.
- Recent procedures involving radioactive substances have been conducted.
8. Digital General X-Ray
Overview
Digital general X-ray systems can capture radiographic images of any part of the body, such as the skull, chest, abdomen, hips, upper and lower limbs, etc. The resulting high-resolution digital images allow for adjustments to brightness, contrast, and clarity, and can be zoomed in to detect abnormalities. This technology helps physicians diagnose conditions accurately and efficiently.
Key Features
- Uses Flat Panel Detector technology to produce high-detail digital images.
- Includes Automatic Exposure Control (AEC) to ensure safe radiation levels and optimal image quality for diagnosis.
Preparation for the Procedure
- No special preparation, fasting, or dietary restrictions are required.
- Avoid bringing jewelry or metallic items into the examination area.
- Wear comfortable clothing; in some cases, the hospital may provide specific attire for the procedure.
- Follow the medical staff's instructions to position the body correctly and remain as still as possible to ensure clear imaging.
Indications
Based on the diagnostic requirements of the consulting physician.
Procedure Duration: Approximately 15-30 minutes.
Limitations
Inform the doctor before the procedure if:
- Pregnancy is suspected or confirmed.
- Recent procedures involving contrast agents or radioactive substances have been conducted.
Diagnostic Radiology Center
operating hours :
Monday – Sunday, 24 hours.
Diagnostic Radiology Center, 1st floor of BPK9 International Hospital
MRI Center
operating hours :
Monday – Sunday, 08.00 am. – 11.00 pm.
MRI Center, MRI building, of BPK9 International Hospital
For more information:
Telephone: +662-109-9111 ext. 20100, 20101, 20102
Call Center: 1745
