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SPECIALS

Hysterosonography, also called sonohysterography, uses sound waves to produce images of the inside of a woman's uterus and to help diagnose vaginal bleeding for no apparent reason. Hysterosonography is performed similar to a gynecological exam and involves inserting a transducer into the vagina after you have emptied your bladder. Using a small tube inserted into the vagina, your doctor will inject a small amount of sterile saline into the cavity of your uterus and study the lining of the uterus using the ultrasound transducer. Ultrasound does not use ionizing radiation, has no harmful effects, and allows a clear view of soft tissues that cannot be seen well on X-ray images.

It is best to perform hysterosonography one week after menstruation to avoid the risk of infection. Little or no preparation is needed for this procedure. Talk to your doctor if there is any chance that you are pregnant.

It is a valuable technique for evaluating unexplained vaginal bleeding, which may be the result of uterine abnormalities such as:
- Polyps
- Fibroids
- Endometrial atrophy
- Endometrial adhesions (or fibrosis)
- Malignant lesions / masses
- Congenital defects

Hysterosonography is also used to investigate uterine abnormalities in women experiencing infertility or multiple miscarriages.

Doppler ultrasound images can help the doctor see and evaluate:
- Blockages in blood flow (such as clots).
- Blood flow in polyps, tumors or congenital malformations.
- Varicose veins and pelvic aneurysms.

Hysterosonography/Sonohysterography

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Ocular ultrasound has multiple uses today: structural assessment in ocular trauma, prediction of intracranial hypertension, diagnosis of retinal detachment, retinal artery occlusion, foreign body, etc.

Technique
The patient remains with the eyes closed, a copious amount of gel is applied to optimize contact, and with the linear transducer.

Current Uses of Ultrasound
1. Trauma
- CONTUSOUS TRAUMA:

• Anterior segment:
Hyphema
Waterfall.
Lens (sub) luxated.
Posterior capsule rupture.
• Posterior segment:
Hemovitreous.
Retinal tear.
Retinal detachment.
Retinochoroidal edema.
Posterior scleral rupture.
- PENETRATING TRAUMA:
• Anterior segment:
Hyphema
Narrowed anterior chamber.
Capsular rupture.
• Posterior segment:
Hemovitreous (posterior vitreous detachment –VD–).
Posterior scleral rupture.
DR.
Hemorrhagic DC.
2. Foreign bodies
It is useful in the detection of foreign bodies in 95% of those located in the globe and in 50% of those located in the orbit. The foreign body presents as a hyperechoic focus with posterior artifact or shadow.
3. Surgical
It is used in the postoperative follow-up of the following entities:
Endophthalmitis
Expulsive hemorrhage.
Macular edema
Sympathetic ophthalmia.
Intraocular lens and cataract remains in the vitreous cavity.
Cerclages.
Gas, silicone, air.
4. Vitreoretinal pathology
The most frequent indication in ophthalmology is the presence of media opacity.
5. Intraocular tumors
We resort to ultrasound even though there are transparent means to assess their dimensions, progression and regression after treatment.
It detects tumors with a minimum size of 0.8 mm.
Currently, its use is being displaced by ultrasonic biomicroscopy in iris tumors and in choroidal tumors, ultrasound scanners with 20 mHz probes and 3D ultrasound scanners provide greater precision.
The use of ultrasound in the follow-up of choroidal nevus should be highlighted, as well as its differential diagnosis with melanoma, one of the tumors most frequently detected by this technique.
In retinoblastoma it should be the initial diagnostic method, since its diagnostic reliability is very high since it can detect masses smaller than 2 mm and the presence of calcifications in up to 85-90%.
In addition, its harmlessness must be added both due to the total absence of ionizing radiation and because it is performed without any type of sedation of the patient.

Ocular Ultrasound

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Teleradiology is the specialty of the medical branch that allows us to view your radiological images in a distant way; Through digital files the doctor consults them and gives a diagnosis even though you, as a patient, are not present.

Studies without diagnosis?
We will solve that problem for you.
We know the importance of having a proper, truthful and accurate diagnosis, to expedite your treatment, for legal reasons or a second opinion.
Get closer to our specialists.
We are here to help you.

Advantage
1.-We provide you with a fast and reliable way to obtain previous imaging studies of a patient, helping the radiologist to optimize the time available to it.

2.-Since the images and reports are transmitted digitally, when combined with an effective work flow, they are an excellent reporting system. This prompts our doctors to make a quick diagnosis.

3-It makes it much easier to comply with current legal requirements, such as security requirements and the Organic Law on Data Protection, among others.

4.-It allows the review of reports (and images) by third parties, thus obtaining second opinions in a much more effective way, a fact that allows a patient to be diagnosed by a doctor on the other side of the world.

5.-We give you access to all the patient's information from a single point.

6.-We help you to reduce the cost of operation by eliminating the need to have physical supports (X-rays or CD for each study, with the space required to store them.

Teleradiology and Reinterpretation

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