Radiography

Grove Referrals prides itself in providing a high quality radiography service. Current facilities comprise a dedicated X-ray room for all radiographic investigations. The transition to digital computed radiography is planned for the near future with the acquisition of a Konica-Minolta High Resolution Regius 190 processor, and following staged development of the practice a second digital X-ray suite will be introduced.

Radiography is the gold standard for investigation of many orthopaedic conditions and provides detailed images of bones and joints within the body. It is often the sole means of diagnosing many conditions and can often be performed using sedation rather than a general anaesthetic. This means that many patients can be discharged from the practice within several hours following radiography if no further treatment is indicated. Radiography is also used to evaluate fracture repair/healing and follow-up many surgical procedures such as cruciate surgery.

Colonic torsion

Radius & ulna fracture

 

Grove Referrals also provides a 24 hour turn-around radiographic reporting service for veterinary practices. A fee will be charged to the practice for this service, but will be waivered if the patient is ultimately referred for onward investigation and treatment. Radiographs can be submitted by post or digitally by email.

For certain conditions contrast radiography is necessary to help with diagnosis. This is especially true for conditions involving joints, spinal injury or soft tissue conditions.

Contrast arthrography

Contrast arthrography involves the injection of a small volume of contrast agent (Omnipaque) into the joint under investigation to highlight intra-articular soft tissue structures such as cartilage and tendons. It is often used to aid in the diagnosis of shoulder lameness such as biceps tenosynovitis and osteochondrosis.

Shoulder OCD

Shoulder OCD arthrography

Shoulder OCD arthroscopy

 

Myelography

Myelography is a radiographic contrast technique used to investigate spinal cord injuries, notably intervertebral disc extrusions. Contrast agent (Omnipaque) is injected into the cerebrospinal fluid (CSF) that fills the arachnoid space surrounding the spinal cord. This highlights the spinal cord and helps identify the location and character of any cord compression or swelling. Certain spinal cord conditions such as ischaemic (vascular) myelopathy may not demonstrate any myelographic abnormalities and would be an indication for advanced imaging (MRI).

Cervical radiography

C6 - C7 cervical intervertebral disc extrusion

 

Contrast radiography

Contrast radiography can also be useful in the diagnosis of a wide variety of other soft tissue conditions. Barium studies, whereby contrast agent is ingested, highlights the stomach and intestines for investigation of potential foreign bodies, obstructions or delayed gastric emptying.

Investigation of conditions involving the kidneys, ureters and bladder can be facilitated by the use of contrast radiography. Cystography involves contrast agent being introduced into the bladder to accurately document
position or identify masses or radiolucent stones within the bladder. Intravenous urography (IVU) takes advantage of the excretion of contrast agent in urine. This enhances visualisation of the kidneys and ureters and aids diagnosis of conditions such as renal calculi and ectopic ureters.

Extrahepatic portosystemic shunt

Intravenous urogram - aplastic bladder

 

Other applications of contrast radiography utilised at Grove referrals is for evaluation of abnormal blood vessels such as those that occur with certain congenital conditions e.g. portosystemic shunts (PSS).