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 RADIOLOGY DEPARTMENT

OVERVIEW

The Department of Radiology of the Lung Center of the Philippines offers wide variety of diagnostic examinations, therapeutic and interventional procedures. The Department composed of different sections namely Digital Radiography (Diagnostic X-ray), Ultrasound, Computed Tomography (CT) scan / Magnetic Resonance Imaging (MRI), Interventional Radiology, Radiation Oncology and Nuclear Medicine Section.

Ultrasound, CT, MRI and Interventional Radiology are at the high–end spectrum of diagnostic modalities reserved to augment the diagnostic capacity of basic radiography. They may be used singly or in combination hence provides complimentary assessment of pathologies. The Ultrasound basically makes use of sound waves whereas CT and Interventional Radiology use X-ray radiation to produce images.

Radiotherapy is one of the modest services being offered by the Lung Center of the Philippines. Aware of its social responsibility of providing the best and maximum care to cancer-ill patients in need of such treatments, the hospital desires to have them avail these services with proper and adequate guidance. Thus, in line with this, is the restoration of the newly renovated and much enhanced services from Nuclear Medicine Section which utilizes small amount of unsealed radioactive substances or radiopharmaceuticals (tracers) to diagnosis or treat diseases. For imaging different organs and diseases, different radiopharmaceuticals are used.

(Disclaimer: Nuclear Medicine section will be in full operation by first quarter of year 2020).

 

RADIOLOGICAL SERVICES

DIGITAL RADIOGRAPHY (DIAGNOSTIC X-RAY)

ULTRASOUND

CT SCAN & MRI

INTERVENTIONAL RADIOLOGY

RADIATION ONCOLOGY

NUCLEAR MEDICINE SECTION

 

                       

 

DIGITAL RADIOGRAPHY

OVERVIEW

The LCP had acquired new modalities of X-ray machine in the Diagnostic X-ray Section, rad1upgraded from film to filmless with a Computed Radiography (CR) and Digital Radiography X-ray machine where x-ray images taken from the examination can be stored and easily transferred to CD and paper print for much efficient handling and storing both to the department as well as to our valued clients. As well as in year 2016, Department of Radiology acquired additional new digital mobile x-ray machines for bedside radiography and mobile x-ray van used for medical mission purposes and for better services to the patients

The computerization of patient data and radiological interpretations facilitate also the speedy and efficient release of results in the Radiology Department using the new Radiology Information System (RIS). Therefore this technological transition of the institution from conventional radiography to digital radiography (DR) with the integration of the Radiology Information System (RIS) will transform medical care and be a valuable help to patient's journey through the hospital.

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SERVICES OFFERED

Under the Digital Radiography provides the following services:

CHEST PROCEDURE

  • PA/AP
  • LATERAL
  • APICOLORDOTIC VIEW
  • CONE DOWN VIEW
  • DECUBITUS
  • THORACIC CAGE/RIB CAGE

HEAD PROCEDURE

  • SKULL SERIES
  • PARANASAL SINUSES
  • ORBITS
  • NASAL BONE
  • MANDIBLE
  • MASTOID

VERTEBRAL SPINE PROCEDURE

  • CERVICAL SPINE
  • THORACIC SPINE
  • LUMB-SACRAL SPINE 
  • SACRUM/COCCYX
  • SCOLIOSIS STUDY

UPPER_EXTREMITIES_PROCEDURE_               

  • CLAVICLE
  • SCAPULA
  • SHOULDER JOINT
  • HUMERUS
  • ELBOW JOINT
  • RADIUS-ULNA
  • WRIST JOINT
  • HAND
  • FINGER

LOWER EXTREMITIES PROCEDURE

  • HIP/PELVIS
  • FEMUR
  • KNEE JOINT
  • TIBIA-FIBULA
  • ANKLE
  • FOOT

SPECIAL PROCEDURE

  • SKELETAL SURVEY
  • CHEST FLUOROSCOPY (SNIFF TEST)
  • ESOPHOGRAM (BARIUM SWALLOW)
  • BARIUM ENEMA
  • UPPER GASTROINTESTINAL SERIES (UGIS)
  • C-ARM FLUOROSCOPY
  • T-TUBE CHOLANGIOGRAM
  • SINUGRAM
  • FISTULOGRAM
  • INTRAVENOUS PYELOGRAM (IVP/IVU)
  • PACEMAKER INSERTION
  • ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY (ERCP) 
 

           

 

 

ULTRASOUND SECTION

 OVERVIEWIMG 0227 edited

Ultrasound imaging or also known Sonography, is a painless, fast, and easy method of “seeing’ inside the human body with the use of high-frequency sound waves.

The sound waves are recorded and displayed as a real-time visual image.

No ionizing radiation is involved in ultrasound scanning. In most ultrasound examinations, a transducer, a lightweight device that produces sound waves is placed on the patient’s skin. 

 

 

 

In our institution, Ultrasound section has three advance machines; the Toshiba Xario, Toshiba Aplio 500 and the Mindray Portable Ultrasound Machine.

The Toshiba Xarrad8io ultrasound machine is being used, with a high image quality, excellent performance in a sophisticated and compact system. The machine has four specific probes designed with dynamic Tissue-Harmonic-Imaging (dTHI) and color Doppler, used to provide high quality resolution image for vascular imaging.

 

The Toshiba Aplio 500 ultrasound machine acquired in year 2016, is a high-rad9end ultrasound machine, which offers higher specification and good imaging quality. 

Toshiba Aplio 500 has a lot to offer. Ascribed to its updated specification, we can now render services of Elastography, Shearwave, and Smart fusion for biopsy. This highly modernized machine has five probes designed with its advance Superb Micro-Vascular Imaging (SMI) which expands the range of visible blood flow and provides visualization of low velocity microvascular flow that has never before seen with ultrasound.

While the Mindray portable ultrasound machine, is used to facilitate patient who are intubated, unconscious, non-ambulatory and also for bedside services for ICU patients. 

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SERVICES OFFERED

  • Neck/Thyroid
  • Breast
  • Chest 
  • Pericardial
  • Single Organ
  • Two Organs
  • Three Organs
  • Four Organs 
  • Five Organs
  • HBT/KUB
  • Upper Abdomen
  •  Lower Abdomen
  • Whole Abdomen
  • Liver
  • Kidneys/Renal
  • Pancreas
  • Spleen
  • Gallbladder
  • Transvaginal
  • Transrectal
  • Prostate
  • Scrotal
  • Urinary Bladder
  • Pelvic Non-OB
  • Elastography/Shearwave
  • Abdominal Doppler
  • Renal Doppler
  • Carotid Doppler
  • Peripheral Venous (Upper /Lower Extremity)
  • Peripheral Arterial (Upper/ Lower Extremity)
  • Ultrasound Guided
  • Portable Ultrasound ( for bedside patients)

        

 

COMPUTED TOMOGRAPHY
and
MAGNETIC RESONANCE IMAGING

 

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OVERVIEW

A Computed Tomography (CT) scan is a special examination using x-rays and special computers to produce cross-sectional images of the body, giving detailed information for diagnosis. The advanced multi-slice CT equipment installed in our institution is capable of high-resolution scans with a very short scanning time.

Magnetic Resonance Imaging (MRI) is a diagnostic procedure that uses a combination of large magnet, radiofrequencies and computer in order to produce detailed image of organs and structures within the body, avoiding the risk commonly associated with X-rays. MRI is often used to examine the brain, neck, chest, abdomen, spines and extremities and other soft tissues of the body.

The Lung Center of the Philippines is offering the state of the art Magnetom Amira 1.5 Tesla MRI to its patients. With a wide variety of trendsetting diagnostic applications the Amira delivers exceptional image quality and speed with its Tim Technology and Dot GO workflow for consistent result. Our MRI system provides a safe and fast way to get a clear image of your anatomy, which helps your doctor to accurately detect and define damaged tissues from their healthy counterparts.

rad13Siemens Somatom Go Now

The Siemens Somatom Go.Now is a 16/32 multislice CT scan machine capable of doing most of what high end scanners can do. Its artificial intelligence (AI) software and innovative hardware makes it a class of its own. We offer the following services: Chest and Abdomimal Angiograms, Triphasic studies, Virtual Bronchograms, Virtual Colonoscopy and various MPR and 3D reconstructions of any part of the body. Our Low Dose Chest CT scan protocol with computer aided diagnosis (CAD) is capable of lowering the patient’s exposure to radiation.

Afterwards its algorithm automatically determines and indicates if a certain part in the patient’s lung is a pulmonary nodule. The result is shown in less than a minute. This CT scan based chest screening is ideal for patients with history of smoking or with suspected chest lesions. CT Guided Biopsy done in the Somatom Go.Now is fast, accurate and safe for our patients. Siemens Healthcare has recently recognized the LCP - Department of Radiology as the only hospital in the world that uses its Guide and Go technology to its fullest potential.

rad_14Siemens Magnetom Amira 1.5 Tesla

Between a CT scan and an MRI, no diagnostic imaging scanner can claim that it is more superior to the other. The two machines complement each other. That is why the Department of Radiology acquired the Siemens Magnetom Amira 1.5 Tesla MRI machine to help the patient better understand his or her condition while at the same time assist the attending physician in giving the right treatment for the patient. Based on the very latest Siemens MRI technology, this scanner delivers an exceptional image quality and speed of doing studies thanks to its highly intuitive artificial intelligence (AI) driven programs. We have the most complete line of dedicated MRI coils and MRI compatible accessories which means we can deliver a broader range of MRI services all for the benefit of our patients.

We offer the following services: Routine MRI, MR Angiography, Dynamic studies and Spectroscopy of the brain, orbits, neck, chest, breast, liver and prostate. Also included are examinations that involve neurologic, orthopedic, musculo-skeletal, abdominal and cardiac cases.


 

 

MORE INFORMATION

rad15The Philips MX16 Multidetector CT scan machine is considered to be the workhorse of the Department. With its outstanding clinical performance, high productivity and reliability; it has proven itself to be the CT scan for general use. Because of its fast scanning time and a full featured workstation, this CT scan machine can do routine and virtual studies as well as angiographic and triphasic studies. Routine procedures done in the PMX16 is fast and efficient while producing exceptional high quality images.

 

LOW DOSE COMPUTED TOMOGRAPHY (LDCT) WITH CAD

 rad 16This system are used to evaluate the performance of a computer-aided detection (CAD) system for pulmonary nodule detection using low-dose screening CT Images. With the use of this protocol, patient will receive less radiation dose that will not affect any image quality for the radiologist to review. In this study, the combined review of low-dose CT scans by both the radiologist and CAD was necessary to identify all nodules. With the help of Siemens Syngo.via for post processing the dataset that have been acquired screening and detection for patient with lung diseases can be diagnose and treat early and précised.

SERVICES OFFERED

 

CT SCAN SERVICES:

A. PLAIN OR CONTRAST STUDIES

  • BRAIN
  • ORBITS 
  • TEMPORAL
  • PARANASAL SINUSES 
  • NASOPHARYNX
  • MAXILLA & MANDIBLE
  • NECK
  • FACIAL
  • CHEST
  • LUNG SCREENING
  • ABDOMEN 
  • STONOGRAM
  • CERVICAL SPINE
  • THORACIC SPINE
  • LUMBOSACRAL SPINE

B. TRIPLE PHASE

  • UPPER ABDOMEN
  • LOWER ABDOMEN
  • WHOLE ABDOMEN 
  • PANCREAS
  • ADRENALS
  • UROGRAM

C. CT ANGIOGRAPHY

  • BRAIN 
  • NECK
  • CHEST 
  • AORTOGRAM
  • ABDOMEN
  • EXTREMITIES

D. VIRTUAL STUDY

  • BRONCHOSCOPY
  • COLONOSCOPY

E. INTERVENTION

  • CHEST
  • ABDOMEN 
  • ADRENAL
  • LIVER
  • PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE

F. LOW DOSE CT (LDCT) with CAD (for early detection)

 

MRI SERVICES:

A. PLAIN OR CONTRAST STUDIES

  • BRAIN
  • ORBITS 
  • SELLA
  • INTERNAL ACOUSTIC CANAL 
  • TEMPOROMANDIBULAR JOINT 
  • NECK
  • NASOPHARYNX
  • CHEST
  • BREAST
  • HEART
  • UPPER ABDOMEN 
  • LOWER ABDOMEN
  • WHOLE ABDOMEN
  • LIVER
  • MRCP
  • ADRENAL
  • PROSTATE
  • HIP/PELVIS 
  • CERVICAL SPINE 
  • THORACIC SPINE
  • LUMBOSACRAL SPINE
  • EXTREMITIES
  • SHOULDER
  • ELBOW
  • WRIST 
  • KNEE
  • FEMUR/LEG
  • ANKLE/FOOT 

B. PLAIN OR CONTRAST MRA

  • BRAIN 
  • BRAIN AND NECK
  • CHEST 
  • ABDOMEN
  • EXTREMITIES

C. MR SPECTROSCOPY

 

 

 

 

 

 

         

 

INTERVENTIONAL RADIOLOGY

rad 20Interventional Radiology refers to a range of techniques which rely on the use of radiological image guidance (such as X-ray fluoroscopy, ultrasound, computed tomography [CT] and/ or magnetic resonance imaging [MRI]) to precisely target treatments for different organ system.

The Interventional Radiologists perform a broad range of procedures such as treating tumours, taking organ biopsies, and etc.

The Interventional Radiologists at the Lung Center of the Philippines performs a wide range of procedures, including the following

  • Ascitic Tap
  • Image Guided Liver Biopsy
  • Peripheral Lung and Mediastinal Mass Biopsy
  • Joint Injection and Aspiration
  • Prostatic Mass Biopsy/Guidance
  • Nephrostomy
  • Pleural Fluid Aspiration and Pleurodesis
  • Bronchial Embolization
  • Thyroid Fine Needle Aspiration (FNA)
  • Transarterial Chemoembolization (TACE)
  • Venous Access
  • Percutaneous Biliary Drainage

       

 

RADIATION ONCOLOGY

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OVERVIEW

Radiotherapy is a procedure which involves delivering powerful waves of energy to disrupt the ability of cancer cells to grow and divide, killing cancer cells, slowing their growth, and shrinking tumors to relieve the patient or enable surgery.

The Section of Radiation Oncology of Lung Center of the Philippines features highly-trained cancer specialists, medical physicists, specialty nurses, radiotherapy technologist and state-of-the-art linear accelerator machine.

The following are the services offered by our section:

  • Conventional Radiation Therapy  
  • Three-Dimensional Conformal Radiation Therapy (3DCRT)  
  •  Intensity Modulated Radiation Therapy (IMRT)  
  • SBRT as Treatment option for early lung cancer

And now introducing our newly acquired OBI (On-Board Imaging) for the Liner Accelerator that enables the addition of the following services

  • Image-Guided Radiation Therapy (IGRT) 
  •  Stereotactic Body Radiation Therapy (SBRT)

The facility has the following state of the art equipment:

  • Varian Medical System`s Acuity - use for planning, simulation and verification of treatment sites.

  • Siemens Go.Now CT Scan CT Simulation - use to acquire multi-sliced images of the patient for the planning, simulation and treatment.

  • Varian CLINAC-CX80 and CLINAC-CX120 - use to execute the radiation treatment into the patient.

  • ARIA Oncology Information System - a comprehensive information and image management solution that lets you oversee all aspects of oncology care for your patients.

  • ECLIPSE treatment planning system, allows for treatment planning on a variety of modalities from a single platform and streamlines the planning process with clinical protocols and templates.

          

 

NUCLEAR MEDICINE SECTION

OVERVIEW

 

Lung Center of the Philippines’ Nuclear Medicine section of the Department of Radiology is an advance diagnostic imaging and therapeutic facility.

This newly restored and renovated facility boast with the acquisition of the latest state-of-the-art Siemens Symbia Intevo BoldTM SPECT-CT Dual Head gamma camera as the centre’s answer to meet the growing needs of its patients.

Patients can expect clinical service and cutting-edge expertise, integrated and complemented with an equally competent team composed of highly trained and skillful Nuclear Medicine Specialist, as well as efficient and accommodating staff.

 INTRODUCTION

What is Nuclear Medicine?

nuc med1Nuclear Medicine is a medical specialty that uses small amount of radioactive material or radiopharmaceuticals (radiotracers) to diagnose or treat diseases.

Radiotracer is a chemical attached to a radioactive label that is administered into the body via injection, inhalation or swallowing. It accumulates in specific areas in the body and emits radiation that will be detected by a scanner (gamma camera).

For imaging different organs and diseases, different radiopharmaceuticals are used.

Nuclear Medicine procedures generally do not cause any side effects. The dose of radiation that your body receives is very small. The radiotracer will lose its radioactivity in the body over time. Patient is required to drink plenty of fluids to eliminate the radiotracer through urine.

Special precautions have to be taken such as drinking lots of water to induce urination and washing the hands thoroughly post administration of radiopharmaceuticals.

SERVICES OFFERED

The Section of Nuclear Medicine provides a full range of scintigraphic diagnostic, therapeutic and Radioimmuno assay (RIA) services, and also available Bone Mineral Densitometry using Dual Energy Xray Absorptiometry (DXA).

A. Scintigraphic (Diagnostic) Procedures

1. Genitourinary system

  • GFR scan
  • Renal scan
  • Diuretic scan
  • Renal Cortex scan

 2. Gastrointestinal system

  • Liver/Spleen scan
  • Hepatobiliary scan
  • Meckel's Diverticulum
  • GI Bleeding

3. Skeletal system

  • Bone scan

4. Endocrine system

  • Thyroid scan and Uptake (Tc99m / l-131)
  • Parathyroid scan

5. Cardiac system

  • Myocardial Perfusion Imaging (Treadmill / Dipyridamole - TI201 / Tc99m Sestamibi)
  • MUGA scan

6. Respiratory system

  • Lung Perfusion / Ventilation scan

7. Oncology

  • Whole Body Scans (l-131, Ga-67, Tl201, MIBG I-131)

8. Lymphatic system

  • Lymphoscintigraphy
  • Sentinel Node scan

9. Infectious / Inflammation

  • WBC Imaging with or without Bone Marrow Imaging
  • 3-Phase Bone scan (Bone Infection)

10. Others

  • Scintimammography
  • Salivary scan
  • Testicular scan

B. Therapeutic Procedures

  1. Low Doses l-131 RAI Therapy
  2. High Doses l-131 RAI Therapy

C. RadioImmuno Assay Test (RIA)

D. Bone Densitometry Procedures (DXA)


PREPARATION

  • No special preparation is required for imaging involving the bones, inflammatory, lymphatics, renal and pulmonary systems.

  • Imaging involving the gastrointestinal and cardiac system requires fasting of at least 4 hours.

  • Some scans require premedication.

  • Thyroid scan may require cessation of certain medication prior to the scan (with the discretion of the attending physician).

MORE INFORMATION

How are nuclear medicine scans done?

Nuclear medicine scans may be performed on many organs and tissues of the body. Each type of scan employs certain technology, radionuclides, and procedures.

A nuclear medicine scan consists of 3 phases: radiotracer (radionuclide) administration, image acquisitions, and image interpretation. The amount of time between administration of the tracer and the taking of the images may range from a few moments to a few days. The time depends on the body tissue being examined and the tracer being used. Some scans are completed in minutes, while others may need the patient to return a few times over the course of several days.

For more information and for further inquiries, please contact us at:

LCP Direct line: (02) 924-6101 @local numbers:.

Digital Radiography (X-ray) 1323

Ultrasound: 1326

CT/ MRI: 1331

Radiation Therapy 1751

Nuclear Medicine TBA

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The Lung Center of the Philippines (LCP) was established through Presidential Decree No. 1823 on January 16, 1981 to provide the Filipino people state-of-the-art specialized care for lung and other chest diseases. 

 

Contact Us

Lung Center of the Philippines
Quezon Avenue, Quezon City 1100
Philippines
Phone: (63) (2) 89246101
Website: lcp.gov.ph

 

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