Imaging Center of UWS – Patients

Why should I use the Imaging Center of UWS?

There are many good reasons to utilize the services of the Imaging Center of UWS. Through our efforts to provide the best care possible, the Imaging Center of UWS is committed to:
• Improving diagnostic capabilities with digital x-ray and musculoskeletal ultrasound technologies.
• Increasing interaction with clinicians to provide them with immediate and relevant information.
• Reducing imaging costs by ensuring only appropriate studies are ordered based on input from clinicians.

What are the advantages of digital over analog x-ray?

There are numerous advantages of digital imaging compared to analog imaging (traditional film processing). The most important advantage is the dynamic range of digital imaging that provides millions of gray shades, resulting in superior resolution. Also, digital images can be accessed quickly and conveniently.

When should musculoskeletal (MSK) ultrasound be used?

Listed below are some of the more common applications and general uses for a musculoskeletal ultrasound:

Sport injuries. One of the domains of this modality is identifying sport injuries and thus providing accuracy in diagnosis and preventing injury progression. This modality is a vital tool in any clinical practice that treats sport injuries. This modality is utilized in elite performance injury evaluations at all professional levels, including Olympic training centers, the National Football League and the National Basketball Association (to name a few).

Shoulder injuries associated with whiplash. Shoulder injury has been reported to occur in a proportion of patients following whiplash injuries to the neck.

General indications of musculoskeletal ultrasound. MSK ultrasound can be an effective tool for many different types of injuries such as:

Shoulder conditions: This modality is useful in evaluating for rotator cuff injuries, calcific tendonitis, subacromial bursitis, joint effusion and impingement syndrome. If there is suspicion of instability with potential SLAP and labral lesions referral to an MRI is indicated.

Elbow and wrist conditions: Joint effusions as a sign of acute or chronic injury, distal bicipital tendonitis, cartilage alterations, dynamic testing of ligaments and flexor and extensor origins and insertions can be visualized. Peripheral nerve entrapment syndromes are a domain of nerve conductions studies.

Hip and thigh conditions: Neonatal hip screening rules in or out congenital hip dysplasia, which cannot be detected clinically. Joint effusions, bursal and tendon abnormalities whether acute traumatic or chronic are a good indication for musculoskeletal ultrasound.

Knee conditions: Joint effusions, synovial hypertrophy, bursal abnormalities, tendon pathologies, MCL and LCL lesions, cartilage changes and popliteal cysts are very well depicted with musculoskeletal ultrasound. It is not possible to visualize the ACL and PCL and there is limited resolution of the menisci.

Foot and ankle: Joint effusions, synovial hypertrophy, bursal abnormalities, tendon pathologies (flexor, extensor and Achillis tendon), ligamentous injury of the anterior talofibular and deltoid ligament and Morton’s neuroma are visible.

Is MSK ultrasound safe?

Ultrasound imaging is safe, noninvasive and without risk factors. It can also be used in patients when MRI is contraindicated. There is no radiation involved and can therefore be used repeatedly if clinically necessary.

Is MSK ultrasound accurate?

There are certain anatomic regions like the shoulder where this technique has proven to be equal or superior to MRI. As opposed to MRI, MSK ultrasound does not only provide static visualization but it adds a dynamic component. Ligaments, tendons and muscles can be tested under the application of stress. This allows testing the integrity of soft tissue structures and helps to evaluate pain with motion.

Is MSK ultrasound affordable?

The cost of MSK ultrasound is lower than the insurance deductible for an MRI.

Is MSK ultrasound efficient?

The ultrasound is easily portable and allows the examiner to immediately screen for injuries at any location. This explains the high utilization of this technique in professional athletics.

Payments

Does insurance cover my care?

The costs of health care services may be paid in full or in part by insurance, including private indemnity plans, managed care networks, Medicare, workers’ compensation and personal injury coverage. Even if you have insurance, you may be responsible for applicable deductibles, co-payments and any uncovered services. Our office staff will help determine the nature and extent of your coverage to ensure you understand your financial responsibilities in advance.

What if I don’t have insurance coverage?

The Health Centers of UWS strive to make health care accessible for all current and prospective patients. Our fees for services are intended to accommodate payment by those without insurance. Discounts are applied for services paid in full at the time of the visit, thereby reducing our processing costs. Reduced fees are extended to those meeting specific income criteria relative to federal poverty guidelines. Our staff members will be happy to help determine your eligibility for reduced fees for services.

How is insurance/payment processed?

We take care of the insurance verification process for all our patients. We discuss with the patient their form of payment and handle the billing process, if applicable.