Archive for August, 2013

August 29, 2013

Arthrography: What are the steps of the procedure? – Dr. Angela Noto

August 22, 2013

Arthrography: for joints? – Dr. Angela Noto

August 16, 2013

KC Business Journal Notes Our High Level of Care… and Affordable Level of Costs

When it comes to being experts, we are confident radiologists. We work hard, we work as a team, we learn and grow continuously, and we don’t treat knowledge like it’s a secret. We want you to be able to make the best possible health choices by arming you with the best possible information. This is why we are here – for you, for your health.

We are crazy about our patients, we are crazy about women’s health, we are crazy about radiology… and when a patient can’t get access to affordable care, that makes us the other kind of crazy.

Medical costs, insurance, the Affordable Care Act – these are all important things to talk about, and very difficult to discuss at times. This is why we generally focus on your health, with less emphasis on our clinics specifically. But we – Diagnostic Imaging Centers –  were recognized by the KC Business Journal because of our best practices. We strongly feel the need to impart a different kind of empowering information. Let’s talk:

1. You have a choice in where you go for medical imaging. When your doctor orders a medical imaging study.… You can say, “Stop. I want to look at my options. And I choose ___.”

2. Medical costs should not be shrouded in mystery. Call around. Some hospitals and clinics “can’t”/won’t give you a straight answer. But some will. (Take one guess what our policy is… hint: we share actual numbers.)

3. Quality is quantifiable. While bedside manner is hard to measure in numbers, there are important aspects of your health care that CAN be quantified, rated, ranked, accredited. For us, making sure we reach high standards of quality runs from our friendly call centers (no kidding – try us! 913-334-9989), to having a tech walk you through the steps of your procedure and not just pointing to an exit door at the end of your visit. We have radiologists available to speak with – and we are all accredited by the American College of Radiology. Surprise, that’s not a requirement for radiologists – that’s going the extra mile.

When we speak with pride about ourselves, we’re not just doing it to drum up business (full disclosure: we do work for a living). We believe in, and strive for, a higher standard.

How good are we? If you haven’t clicked the link to the Business Journal article, here’s a snippet:

“Prices for that [MRI of the brain stem without contrasting dye] procedure ranged from $1,619.64 at Diagnostic Imaging Centers of Kansas City to $3,909.76 at Olathe Medical Center. The lower-priced provider had a higher ACR accreditation than the higher-priced provider for this procedure.” 

We take this seriously and we take you seriously. You are invested in your health, and so are we. We hope to see you for your annual screenings… and not too soon for anything else!

Cheers to your best possible health, with the best care at the most affordable costs!

August 15, 2013

Arthrography: what body parts are studied? – Dr. Angela Noto

August 13, 2013

Arthrography: what preparations are necessary? – Dr. Angela Noto

August 8, 2013

Arthrography: what does it require? what does it do? – Dr. Angela Noto

August 6, 2013

Introducing Dr. Angela Noto

Noto, Angela: /n/ doctor of radiology. loves arthrography. and books, and languages and travel and theater and family and dogs…

We really like working with Dr. Angela Noto. As a lover of many things it’s easy to enjoy her company – pick a topic and she’s got something interesting to add. (Try it: Blackhawks to Jayhawks; classical music to Maroon 5; mysteries to biographies – and sci-fi… we recommend getting her started on our national parks though.)

Dr. Angela Noto with her husband and son

Dr. Angela Noto with her husband and son

Being the radiology geeks we are (did we just say geeks? we meant to say experts) we decided to get her talking about arthrography. And not just because she has the rare talent of being able to pronounce it, but because she has the truly rare skill of excelling in that field. Arthrography is a nuanced area of radiology.

What is it? Arthrography is the study of the cartilage and tendons to evaluate how they are in terms of tears or thinning using an injection of contrast into the joint space. It takes a gentle hand and a comforting bedside manner. In other words, you want your doctor to be skilled, smart AND nice. If you’ve got that, you’re golden. And Dr. Noto is, to us, gold.

We’d like to give her the floor for a short while and will be rolling out a series of videos by her about this subject. An interesting topic from an interesting woman. Roll camera…

August 1, 2013

HSG or Hysterosalpingogram: What to expect before you’re expecting

Hysterosalpingogram, or HSG, is a radiology procedure that uses x-rays to evaluate the uterus and fallopian tubes.  The examination is often ordered for patients experiencing difficulty in getting pregnant, women with prior fallopian tube surgery, or in women planning a reversal of prior tubal ligation.  It can be used to evaluate women who have a developmental or congenital deformity of the shape of the uterus. Some sterilization procedures (like Essure tubes) require an HSG to show the tubes are blocked.




Here’s what you can expect when you schedule an HSG:


You will be asked to schedule your appointment between days 7 through 11 of your menstrual cycle. Day 1 of your menstrual cycle is the day you start your period and the exam is done 7 – 11 days following when you are no longer bleeding. This should be a normal period – since the test uses low doses of xrays, we don’t want to do the test if there is a chance you are pregnant. The day of your exam we recommend taking ibuprofen (600 mg) 1 hour prior to your exam to limit menstrual cramping that can result from the procedure.


The HSG procedure will require an injection of contrast medication or x-ray contrast dye.  This colorless medication is injected through a small tube, called a catheter, placed in your cervix.  The contrast material will fill your uterine cavity and then flow into your fallopian tubes.  X-ray pictures will be taken during the test.


The images produced will be interpreted by the radiologist. Often times, the radiologist can show the images to you right after the test, as many people find them interesting to see. The procedure typically lasts about 10-15 minutes, not counting the setup time.


After your HSG is completed, you may experience mild cramping or a small amount of spotting. Most women return to normal activity that day without limitation.


Results will be interpreted by the radiologist and a final report will be sent to your provider.