Owner and Patient Instructions
Your pet is scheduled to have a CT scan. This information sheet will give you an idea of what is involved in the procedure and what to expect.
- How does a CT scan work?
- Computed tomography is commonly referred to as a CT scan. This technology is very useful when looking at parts of the body such as the lungs and thorax, nasal passage and sinuses, ears, abdomen and some orthopedic structures. CT scans are non-invasive and are not painful. The table on which the animal is laying is slowly advanced into the part of the machine that performs the scan (called the gantry). An x-ray tube rotates 360° around the patient to record the x-rays from many angles, creating slices. The number of images taken depends on the area and size of the suspected problem. When the computer finishes processing the information, the slices are stacked together to create a three dimensional image of your pet without superimposition of organs or other tissues.
- Why has a CT scan been recommended?
- Animals who are candidates for a CT scan include those with lung disease, screening the lungs for metastatic cancer prior to surgery, nasal disease, ear disease, abdominal and some orthopedic conditions and patients with metal implants that cannot be imaged with MRI. CT can also be used to guide tissue sampling of deep structures, particularly within the thorax. CT scans provide better differentiation of bones and soft tissues than conventional radiographs (x-rays) because this slice-based x-ray technology avoids the superimposition of structures that occurs with radiology, and because CT can differentiate between fluid and soft tissue. An iodine-based contrast media is usually injected intravenously to further increase the differentiation of tissue. The results of the CT scan will help your veterinarian make a definitive diagnosis and offer you the best options for treating your pet.
- Are there any known complications from a CT scan?
- CT scans are considered safe, but they do utilize ionizing radiation (like an x-ray). There can be some side effects associated with the iodine-containing contrast which may be injected during the procedure. If your pet has seizures, kidney disease, or cardiac disease, we may elect to use a different type of contrast or not give contrast at all. If CT is used to guide tissue sampling, side effects can include bleeding or a leak of the lung which leads to air around the lung.
- How should I prepare my pet for the CT scan?
- Pets having a CT scan must be anesthetized so that they remain still for the procedure, which lasts about 30-60 minutes. In preparation for general anesthesia, your pet should not eat after 8 p.m. the night before the exam. Please continue to provide free access to fresh water. Ask your veterinarian for instructions if your pet is on any medications.
- What should I bring to the appointment?
- We will ask your veterinarian to fax us a copy of the medical record so that you do not need to be responsible. However, if your veterinarian has any x-rays that they are unable to mail to us in time for the appointment, we ask that you please bring those to the appointment.
- What should I expect during the CT scan?
- Your pet will be anesthetized approximately 30-60 minutes for the CT scan. Before any anesthesia is given, we will make sure that your pet is healthy enough to undergo anesthesia. We will place an intravenous catheter for fluid administration throughout the procedure. Your pet's vital signs will be carefully monitored during and after anesthesia.
- What happens to my pet after the CT scan?
- After the CT scan, your pet will be disoriented and off balance for about half an hour. We will watch your pet closely until he/she has recovered. Once your pet is standing and able to move around safely, he/she will be hospitalized in our wards. Your pet will be able to be discharged between 3 p.m. and 4 p.m. You will be notified as to when you may pick up your pet.
- Your pet may urinate a large amount after they get home because of the fluids given during the anesthesia. Once home, it will be important to keep your pet away from stairs and obstacles and feed only a small meal. The effects of general anesthesia should be gone within about 24 hours. If you feel your pet has not fully recovered by that time, please call us or your regular veterinarian.
- How will I learn the results of the CT scan?
- The radiologist who performed your pet's procedure will complete a report which will be faxed to your veterinarian. Your veterinarian will call you with the results of this procedure.
Your pet is scheduleded to have an MRI. This information sheet will give you an idea of what is involved in the procedure and what to expect.
- What is MRI and how does it work?
- An MRI is an advanced imaging technology that has been used in human medicine for the last two decades. MRI is non-invasive and is not painful. Unlike x-rays or CTs, the MRI does not use ionizing radiation. Instead, it uses magnetic fields and pulses of radio waves to temporarily and harmlessly energize molecules in your pet's body. As they relax, these energized molecules give off signals that are transferred into images.
- Why has an MRI been recommended?
- MRI is a very powerful imaging modality. It has been recommended because it provides exceptional soft tissue detail. We can image areas such as the brain, spine and spinal cord, nasal passage and sinuses, abdominal organs, muscles, tendons, ligaments, and joints with more detail than a radiograph (x-ray) or CT scan. The results of the MRI will help your veterinarian make a definitive diagnosis and offer you the best options for treating your pet.
- Are there any known complications from an MRI?
- MRI exams are considered safe. The procedure does cause some heating in the body, but there are safe-guards to stay well below any harmful effect. There are reported side effects in people with severe kidney disease from the contrast which may be administered during the exam. Although this has not been documented in animals, if your pet has severe kidney disease, the contrast will not be administered. Pieces of metal in the body (bullet fragments, pellets, surgical devices) can cause artifacts on the MRI images, but generally do not harm the pet; however, it is important for us to know if there is the possibility of these metal objects in your pet.
- How should I prepare my pet for the MRI?
- Pets having an MRI must be anesthetized so that they remain still for the procedure, which lasts approximately one hour. In preparation for general anesthesia, your pet should not eat after 8 p.m. the night before the exam. Please continue to provide free access to fresh water. Ask your veterinarian for instructions if your pet is on any medications.
- What should I bring to the appointment?
- We will ask your veterinarian to fax us a copy of the medical record so that you do not need to be responsible. However, if your veterinarian has any x-rays that they are unable to mail to us in time for the appointment, we ask that you please bring those to the appointment.
- What should I expect during the MRI?
- Your pet will be anesthetized for approximately one hour for the MRI exam. Before any anesthesia is given, we will make sure that your pet is healthy enough to undergo anesthesia. We will place an intravenous catheter for fluid administration throughout the procedure. Your pet's vital signs will be carefully monitored during and after anesthesia.
- What happens to my pet after the MRI?
- After anesthesia, your pet will be disoriented and off balance for about half an hour. We will watch your pet closely until he/she has recovered. Once your pet is standing and able to move around safely, he/she will be hospitalized in our wards. Your pet will be able to be discharged between 3 p.m. and 4 p.m. You will be notified as to when you may pick up your pet.
- Your pet may urinate a large amount after returning home because of the fluids given during the anesthesia. Once home, it will be important to keep your pet away from stairs and obstacles and feed only a small meal. The effects of general anesthesia should be gone within about 24 hours. If you feel your pet has not fully recovered by that time, please call us or your regular veterinarian.
- How will I learn the results of the MRI?
- The radiologist who performed your pet's procedure will complete a report which will be faxed to your veterinarian. Your veterinarian will call you with the results of this procedure.
| Ultrasound or Ultrasound with Biopsy
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Your pet is scheduled to have an ultrasound procedure. This information sheet will give you an idea of what is involved in the procedure and what to expect. There are no known harmful effects associated with routine veterinary ultrasounds. When guided sampling (biopsy) is needed, there is a low possibility of complications occurring. Please discuss with your veterinarian.
- What is an ultrasound?
- Ultrasound is an imaging technique based on the use of sound waves and offers a non-invasive, non-painful method for diagnosis and staging of many diseases.
- Why has an ultrasound been recommended?
- Ultrasound is an excellent tool for evaluating the internal abdominal organs (liver, gallbladder, kidneys, urinary bladder, lymph nodes), checking for pregnancy, evaluating for thoracic masses, and other structures (for example, thyroid and parathyroid). Ultrasound is also an excellent tool to obtain tissue samples without submitting your pet to surgery. The results of the ultrasound will help your veterinarian make a definitive diagnosis and offer you the best options for treating your pet.
- How should I prepare my pet for the ultrasound?
- Pets having an ultrasound should not eat for twelve hours prior to the procedure; therefore, please do not feed your pet after 8 p.m. the night before the exam. Please continue to provide free access to fresh water. The presence of food in the stomach makes it more difficult for the ultrasound to penetrate to the organs to be studied. Even if the animal has only a small meal or a "cookie", he or she may swallow gas with it, which will block the ultrasound beam. Ask your veterinarian for instructions if your pet is on any medications.
- Pets having an ultrasound with biopsy
- A fine needle aspirate/core needle biopsy are methods of collecting cells or tissue from a specific site such as an organ (kidney or liver), an undetermined mass, or area to look for signs of infection, cancer, or other conditions. The veterinary radiologist inserts a needle or biopsy instrument into the area and withdraws a sample of tissue. The material is then examined under a microscope. A fine needle aspirate and/or core needle biopsy may be the only test you need to find out whether an area is diseased; however, in some cases your pet may need another procedure.
- Pets having an ultrasound with biopsy must be anesthetized so that they remain still for the exam. In preparation for general anesthesia, they should not eat after 8 p.m. the night before the exam. Ask your veterinarian for instructions if your pet is on any medications. If fasting is not possible (ie diabetic patient) keep the morning meal as small as possible, and schedule the ultrasound as close before the next meal as possible.
- Your pet will have an area of hair / coat shaved
- To ensure the best ultrasound results possible, we will shave the animal. For most abdominal exams, we shave from the last few ribs to the brim of the pelvis, and about one third of the way up the side towards the back. A larger area may be needed depending on the specific areas being examined and your pet's body shape. For non-abdominal exams, ask your veterinarian what area will be shaved if you are concerned. We make every effort to shave carefully, but some pets may experience mild "razor burn".
- What should I bring to the appointment?
- We will ask your veterinarian to fax us a copy of the medical record so that you do not need to be responsible. However, if your veterinarian has any x-rays that they are unable to mail to us in time for the appointment, we ask that you please bring those to the appointment.
- What happens to my pet after the ultrasound procedure?
- If an ultrasound with biopsy is performed in most cases you will be unable to see from where the sample was taken, but please watch for bleeding, redness, or swelling over the next couple of days.
- If sedated or anesthetized your pet will be disoriented and off balance for about half an hour. We will watch your pet closely until he/she has recovered. Once your pet is standing and able to move around safely, they will be hospitalized in our wards. Your pet will be able to be discharged between 3 p.m. and 4 p.m. You will be notified as to when you may pick up your pet.
- Your pet may urinate a large amount after returning home because of fluids that may be given during the anesthesia. Once home, it will be important to keep your pet away from stairs and obstacles and feed only a small meal. The effects of the sedation / anesthesia should be gone within about 24 hours. If you feel your pet has not fully recovered by that time, please call us or your regular veterinarian.
- How will I learn the results of the ultrasound?
- The radiologist who performed your pet's procedure will complete a report which will be faxed to your veterinarian. Your veterinarian will call you with the results of this procedure.
| Special Procedures - Cystourethrography
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Your pet is scheduled to have a special procedure. This information sheet will give you an idea of what is involved in the procedure and what to expect.
- What is cystourethrography?
- Cystourethrography is a radiographic contrast study for the evaluation of the urinary bladder and urethra. This procedure is performed by administering contrast into the bladder and urethra and then taking conventional radiographs (x-rays).
- Why has cystourethrography been recommended?
- The administered contrast allows better visualization of the bladder and urethra than conventional x-rays. This procedure can diagnose diseases such as bladder and urethral tumors, bladder and urethral stones, and bladder and urethral inflammation. The results of the cystourethrogram will help your veterinarian make a definitive diagnosis and offer you the best options for treating your pet.
- Are there any known complications from cystourethrography?
- This is a safe procedure with rare complications. Blood in the urine (hematuria) is the most commonly seen complication after the procedure, and this should resolve within a couple days. The other possible complication is a bladder infection after the procedure.
- How should I prepare my pet for cystourethrography?
- Pets having a cystourethrogram must be anesthetized so that they remain still for the procedure, which lasts 30-60 minutes. Additionally, the intestinal tract must be empty in order for good visualization of the bladder and urethra. Please withhold food from your pet for 18 hours to ensure that the intestinal tract is empty. Please continue to provide free access to fresh water. Ask your veterinarian for instructions if your pet is on any medications.
- Patient preparation will also include cleansing enemas in order to evacuate the colon so that fecal material will not obscure the bladder and urethra. The general practice technicians will perform this service the morning of the exam. Please do not administer at-home laxatives or enema products purchased over-the-counter for human or other use. Many of these products are not safe for use in dogs and cats.
- What should I bring to the appointment?
- We will ask your veterinarian to fax us a copy of the medical record so that you do not need to be responsible. However, if your veterinarian has any x-rays that they are unable to mail to us in time for the appointment, we ask that you please bring those to the appointment.
- What happens to my pet after the procedure?
- After anesthesia, your pet will be disoriented and off balance for about half an hour. We will watch them closely until he/she has recovered. Once your pet is standing and able to move around safely, they will be hospitalized in our wards. Your pet will be able to be discharged between 3 p.m. and 4 p.m. You will be notified as to when you may pick up your pet.
- Your pet may urinate a large amount after returning home because of the fluids given intravenously during the anesthesia. Once home, it will be important to keep your pet away from stairs and obstacles and feed only a small meal. The effects of the anesthesia should be gone within about 24 hours. If you feel your pet has not fully recovered by that time, please call us or your regular veterinarian.
- How will I learn the results of the cystourethrogram?
- The radiologist who performed your pet's procedure will complete a report which will be faxed to your veterinarian. Your veterinarian will call you with the results of this procedure.
| Special Procedures - Dynamic Esophagography
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Your pet is scheduled to have a special procedure. This information sheet will give you an idea of what is involved in the procedure and what to expect.
- What is dynamic esophagography?
- Esophagography is a radiographic study of the esophagus using contrast (barium) to outline the esophagus and to evaluate swallowing and esophageal motility. Fluoroscopy (continuous, low dose x-rays - "live-action" x-rays) along with digital recording is used to evaluate swallowing of liquid, canned food, kibble and paste substrates.
- Why has dynamic esophagography been recommended?
- The administered contrast allows excellent visualization of the location of the esophagus, as well as the mucosal surface and the contents of the esophagus. The combined use of fluoroscopy allows for excellent evaluation of swallowing. This procedure can evaluate for swallowing disorders, esophageal foreign bodies, esophageal strictures, esophageal reflux, and tumors and ulcers of the esophagus. The results of the esophagogram will help your veterinarian make a definitive diagnosis and offer you the best options for treating your pet.
- Are there any known complications from esophagography?
- This is a safe procedure with rare complications. Your pet may aspirate a little of the contrast (barium) into the lungs, but the contrast is inert in the lungs. If there is the possibility of a tear in the esophagus, a different type of contrast (iodinated) is used which is safer when contrast leaks around the esophagus. This contrast does not allow the excellent overall evaluation of the esophagus, which is why it is not routinely used.
- How should I prepare my pet for dynamic esophogography?
- Please withhold food after 8 p.m. the evening prior to the procedure. Please continue to provide free access to fresh water.
- What should I bring to the appointment?
- We will ask your veterinarian to fax us a copy of the medical record so that you do not need to be responsible. However, if your veterinarian has any x-rays that they are unable to mail to us in time for the appointment, we ask that you please bring those to the appointment.
- What happens to my pet after the procedure?
- Your pet will be hospitalized in our wards following the procedure. Your pet will be able to be discharged between 3 p.m. and 4 p.m. You will be notified as to when you may pick up your pet.
- Your pet may not be hungry for dinner after returning home because of the food given during the study. It is normal for your pet's feces to appear white or discolored following the esophogram because barium is white and often can be seen for a day or so until all the barium passes.
Your pet is scheduled to have a special procedure. This information sheet will give you an idea of what is involved in the procedure and what to expect.
- What is fluoroscopy?
- Fluoroscopy is a real-time radiographic procedure. Low dose, continual x-rays are transmitted through the body onto a fluorescent screen to generate a short dynamic movie-like study.
- Why has fluoroscopy been recommended?
- Fluoroscopy is beneficial in evaluating moving structures and is most commonly used in cats and dogs to evaluate the respiratory system (trachea, bronchi, larynx, pharynx and diaphragm) and movements with phase of respiration. Fluoroscopy is also used to evaluate movement of certain joints and other organ systems that move.
- Are there any known complications from fluoroscopy?
- Fluoroscopy is a safe procedure, but it does utilize ionizing radiation (like an x-ray).
- How should I prepare my pet for fluoroscopy?
- No special preparation is needed. Normal meals may be provided unless other procedures or tests are planned the day of your pet's visit.
- What should I bring to the appointment?
- We will ask your veterinarian to fax us a copy of the medical record so that you do not need to be responsible. However, if your veterinarian has any x-rays that they are unable to mail to us in time for the appointment, we ask that you please bring those to the appointment.
- What happens to my pet after the procedure?
- Your pet will be hospitalized in our wards following the study. Your pet will be able to be discharged between 3 p.m. and 4 p.m. You will be notified as to when you may pick up your pet.
- How will I learn the results of the fluoroscopy?
- The radiologist who performed your pet's procedure will complete a report which will be faxed to your veterinarian. Your veterinarian will call you with the results of this procedure.
| Special Procedures - Intravenous Urography (IVU)
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Your pet is scheduled to have a special procedure. This information sheet will give you an idea of what is involved in the procedure and what to expect.
- What is intravenous urography (IVU)?
- Intravenous urography (also called excretory urography [EU] and intravenous pyelography [IVP]) is a progressive radiographic study performed after the intravenous injection of a contrast agent (iodinated compound). This study allows visualization of the kidneys and ureters, including the termination of the ureters at the urinary bladder.
- Why has intravenous urography been recommended?
- The IVU is useful for evaluating the structure of the kidneys and ureters as well as providing a qualitative assessment of kidney function. Indications for this study include evaluating size, shape and location of a kidney that can't be seen on a radiograph (x-ray); evaluating the ureters for obstruction or for abnormal termination (ectopic ureter); or obtaining qualitative information regarding renal function. The results of the IVU will help your veterinarian make a definitive diagnosis and offer you the best options for treating your pet.
- Are there any known complications from intravenous urography?
- This procedure is generally safe and can be performed in patients with kidney disease, provided that they are not dehydrated. Side effects are rare, with the most common side effect seen being transient retching or vomiting. Rarely, other side effects seen include anaphylactoid reactions, hypotension, contrast-induced renal failure, urticaria, or bronchospasm. If your pet has seizures, cardiac disease, or kidney disease, we may elect to use a different type of contrast.
- How should I prepare my pet for IVU?
- The intestinal tract must be empty in order for good visualization of the kidneys and ureters. Please withhold food from your pet for 18 hours to ensure that the intestinal tract is empty. Please continue to provide free access to fresh water. Ask your veterinarian for instructions if your pet is on any medications.
- Patient preparation will also include cleansing enemas in order to evacuate the colon so that fecal material will not obscure the kidneys and ureters. The general practice technicians will perform this service the morning of the exam. Please do not administer at-home laxatives or enema products purchased over-the-counter for human or other use. Many of these products are not safe for use in dogs and cats.
- What should I bring to the appointment?
- We will ask your veterinarian to fax us a copy of the medical record so that you do not need to be responsible. However, if your veterinarian has any x-rays that they are unable to mail to us in time for the appointment, we ask that you please bring those to the appointment.
- What happens to my pet after the procedure?
- Your pet will be hospitalized in our wards following the procedure until discharge. Your pet will be able to be discharged between 3 p.m. and 4 p.m. You will be notified as to when you may pick up your pet.
- How will I learn the results of the IVU?
- The radiologist who performed your pet's procedure will complete a report which will be faxed to your veterinarian. Your veterinarian will call you with the results of this procedure.
| Special Procedures - Upper Gastrointestinal (GI) Series
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Your pet is scheduled to have a special procedure. This information sheet will give you an idea of what is involved in the procedure and what to expect.
- What is an upper gastrointestinal (GI) series?
- An upper GI series is a progressive radiographic study performed after the oral administration of positive contrast (barium). This study allows visualization of the stomach and small intestines.
- Why has an upper GI series been recommended?
- The upper GI series is useful for evaluating the structure of the stomach and small intestine as well as providing information regarding the motility of these structures. Indications for this study include assessing for motility reasons for vomiting or not eating, looking for foreign bodies, looking for lesions of the intestine wall (inflammation or cancer), or evaluating for ulcers. Sometimes the study is performed to look for a leak in the stomach or small intestines. The results of the upper GI series will help your veterinarian make a definitive diagnosis and offer you the best options for treating your pet.
- Are there any known complications from an upper GI series?
- This is a safe procedure with rare complications. If your pet vomits during the study, he/she may aspirate some of the contrast (barium) into the lungs, but the contrast is inert in the lungs and should not cause problems unless a large volume is aspirated. If there is the possibility of a leak in the stomach or small intestines, a different type of contrast (iodinated) may be used which is safer when contrast leaks into the abdominal cavity. This contrast does not allow the optimal evaluation of the stomach and small intestine, which is why it is not routinely used.
- How should I prepare my pet for upper GI series?
- The intestinal tract must be completely empty in order to ensure optimal evaluation, particularly when the study is used for evaluation of motility. Please withhold food from your pet for 18 hours to ensure that the intestinal tract is empty. Please continue to provide free access to fresh water. Ask your veterinarian for instructions if your pet is on any medications.
- Patient preparation will also include cleansing enemas in order to evacuate the colon so that fecal material will not obscure the small intestine or cause delayed motility. The general practice technicians will perform this service the morning of the exam. Please do not administer at-home laxatives or enema products purchased over-the-counter for human or other use. Many of these products are not safe for use in dogs and cats.
- What should I bring to the appointment?
- We will ask your veterinarian to fax us a copy of the medical record so that you do not need to be responsible. However, if your veterinarian has any x-rays that they are unable to mail to us in time for the appointment, we ask that you please bring those to the appointment.
- What happens to my pet after the procedure?
- It is normal for your pet's feces to appear white or discolored following the upper GI series because barium is white and often can be seen for a day or so until all the barium passes. Sedation is not commonly needed for an upper GI series; however, some animals can be anxious and for those, a small dose of sedative may be needed at the start of the study. If sedated at the start of the procedure, your pet should be recovered to their usual demeanor by the end of the study. Once your pet is standing and able to move around safely (or at the end of the study for non-sedated patients) your pet will be hospitalized in our wards. Your pet will be able to be discharged between 3 p.m. and 4 p.m. You will be notified as to when you may pick up your pet.
- How will I learn the results of the upper GI series?
- The radiologist who performed your pet's procedure will complete a report which will be faxed to your veterinarian. Your veterinarian will call you with the results of this procedure.
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