Advanced Imaging / MRI
Excelsior Orthopaedics takes pride in providing state-of-the-art technology and convenience to our patients. As a result we offer the following advanced imaging medical equipment onsite:
Magnetic Resonance Imaging (“MRI”) is a test that uses a magnetic field and pulses of radio wave energy to make pictures of organs and structures inside the body. In many cases an MRI gives different information about structures in the body than cannot be seen with an x-ray, ultrasound, or Computed Tomography (CT) scan.
For an MRI the area of the body is placed inside a special machine that contains a strong magnet. Pictures from an MRI scan are digital images that can be saved and stored on a computer for immediate review by your provider.
Excelsior Orthopaedics is proud to have our MRI facility Accredited by the ACR (American College of Radiology). This accreditation evaluates the qualifications of personnel, the quality control program, MR safety policies and image quality specific to MRI.
Why We Use It
An MRI may be ordered by your provider to provide more information about anything problematic seen on an x-ray, ultrasound scan, or CT scan. Contrast material may be used during an MRI to show abnormal tissue more clearly. Our team of Orthopaedic and sports medicine doctors typically use MRI imaging to check for problems of the bones and joints, such as arthritis, cartilage problems, torn ligaments, tendons, or infection. An MRI may also be used to tell if a bone is broken when x-ray results are not clear.
We have several upper and lower extremity x-ray machines. An x-ray can be done to see whether a bone has been fractured or a joint dislocated. It is also used to check for an injury or damage from conditions such as an infection, arthritis, bone growths (tumors), or other bone diseases.
X-rays are focused into a beam, much like a flashlight beam. They can pass through most objects. X-rays make a picture by striking dense tissues in the body, such as bones. Less dense tissues, such as muscles and organs, block fewer of the X-rays (more of the X-rays pass through) and look like shades of gray on an X-ray.
We use x-rays to identify:
- the cause of pain in an extremity
- a bone fracture or joint dislocation
- fluid built up
- if your bones are positioned properly after treatment for a fracture or dislocation, such as after placing a cast or splint on an arm or leg
- changes in your bones caused by conditions such as an infection, arthritis, bone growths (tumors), or other bone diseases
Ultrasound imaging is a non-invasive technology used by healthcare professionals to assist them in diagnosing conditions and in guiding medical procedures by enabling them to “see” in real time inside the body. Excelsior orthopaedics has point-of-care ultrasound machines which allow our team physicians to utilize the technology during regular in-office visits.
Using high-frequency sound waves (similar to sonar on a submarine), clinical ultrasound systems are comprised of a small probe attached to a computer-like device with a viewing screen and keyboard. The probe is run over an area of the body and scans it by pulsing high-frequency sound waves through the anatomy. When these sound waves hit various internal structures and boundaries, they are “bounced” (reflected) back to the probe and are relayed to the ultra sound system. The computerized technology within the system analyzes these signals and converts them into two-dimensional images which can be viewed “live” on the screen.
Why We Use It
Ultrasound may be used to:
- Image tendons, ligaments, muscles, soft tissue, and surfaces of bones
- Image abnormalities like muscle and tendon tears, soft tissue masses, inflammatory joint disease, and some nerve conditions (such as carpal tunnel syndrome)
- Image internal bleeding and fluid collection
- Aid in guiding needle insertions
Dr. Jason Matuszak is the only Sports Medicine doctor in WNY to be certified by the American Registry for Diagnostic Medical Sonography (ARDMS). ARDMS credentials represent the highest level of competence in the medical-imaging modality of musculoskeletal ultrasound. Dr. Matuszak uses the ultrasound technology to assist when providing patients with injections. The real-time video greatly enhances Dr. Matuszak's ability to precisely target the area of inflammation.