3 Tesla (3T) MRI at Radiology Associates of Ridgewood

Radiology Associates of Ridgewood, 20 Franklin Turnpike Waldwick, NJ (ridgewoodradiology.com) now has over 1 year of experience with the GE Discovery 750w 3 Tesla MRI.

Doubling the magnetic field strength of the MRI from 1.5 to 3 Tesla provides an increased signal-to-noise ratio (SNR) translating into faster imaging and better image quality, particularly improved spatial resolution. These improvements span the gamut of all MRI examinations, but are particularly important when imaging small structures.  For example, imaging at 3T helps enhance the detection of orthopedic abnormalities such as tears of the labral cartilage of the shoulder and hip.  It provides a particular advantage in imaging of small parts areas such as the wrists, hands, and feet.  Similar improvements are seen across the breadth of brain and spine imaging.  Evaluation of peripheral vascular disease is markedly improved at 3T, especially in those patients who are unable to receive contrast material.

MRI breast imaging, in conjunction with dynamic contrast enhancement, provides for improved detection and characterization of breast cancer.  We have found these benefits are better appreciated with 3T MRI.

Radiology Associates is now offering prostate MRI for the detection and localization of prostate cancer.  We are utilizing the 3T MRI for this purpose, as it produces high quality images without the need for an endorectal coil.  Prostate MRI findings allow directed biopsy of tumors rather than the random biopsies so often performed in patients with elevated PSA levels.

An imaging sequence called MAVRIC is utilized on our 3 Tesla magnet to improve imaging of joints in patients that have had a joint replacement.

The new scanner provides a much improved patient scan experience. The 70 cm wide bore diminishes claustrophobia and allows scanning of larger patients.  Soft flexible coils and a completely redesigned table surface help alleviate pressure points for a more relaxed examination.

These are just highlights that this technology provides for the detection, diagnosis and treatment of various diseases. We endeavor to offer our community world class imaging just minutes away with a friendly, compassionate personalized touch. Feel safe and secure that we are here if and when the need arises to utilize our 3 Tesla MRI system at Radiology Associates of Ridgewood, ridgewoodradiology.com

 

“Dual Energy” CT Scanning

RAR offers “Dual Energy CT”, the latest advance in CT scanning technology.  By varying the energy level of the x-ray beam in the CT scanner, this technology allows us to optimize certain types of images, as well as identify and quantify certain chemical substances.  Although this theoretical concept was first suggested in the 1970s, it took over 3 decades for CT technology to progress to the point that it could be applied clinically to real patients.  Some of the exciting new capabilities include:

  • Characterization of chemical composition of urinary stones – This is of great clinical importance because it influences treatment options.  Uric acid stones, which comprise approximately 10% of stones in the United States, can be treated medically (by alkalinizing the urine), whereas calcified stones cannot.
  • Improved imaging of patients with orthopedic hardware such as joint replacements – Metal hardware can cause severe artifacts on CT scans.  Dual Energy CT reduces this artifact both by using a higher energy beam as well as by applying special reconstruction software that minimizes the propagation of the artifact into the adjacent soft tissues.
  • Diagnosing gout – Gout is a common inflammatory arthritis (in fact, it is the most common inflammatory arthritis in males).  It is caused by deposition of uric acid crystal in and around joints.  Diagnosis is often challenging, and atypical presentations are frequent.  The diagnosis is traditionally made by aspirating the affected joint with a needle.  However, these aspirations can be technically challenging and even when performed, are negative in 25% of acute cases.  Although high levels of uric acid may be present in the blood, they are not in 42% of acute attacks.  Using Dual Energy CT, we assist in making the diagnosis by directly imaging uric acid crystal deposition in and around the joints.
  • Reducing radiation – CT examinations sometimes require scanning both prior to and after administration of a contrast agent intravenously.  For some applications, dual energy CT allows us to scan only after contrast and reconstruct “virtual” non-contrast images without having to scan the patient twice, significantly reducing radiation.

We look forward to future developments on this exciting new technology!

New GE 3T MRI

Radiology Associates of Ridgewood is proud to introduce our latest investment in advanced imaging technology, the new GE 3 T MRI with extra large 70 cm gantry for improved scan experience. Beyond the widened bore and soft flexible coils the table surface has been completely redesigned to help alleviate pressure points for a more relaxed exam.

Doubling the strength of the MRI from 1.5 to 3 Tesla provides an increased signal-to-noise ratio (SNR) translating into faster imaging and improved spatial resolution. High field strength MRI can delineate tiny structures down to the micron level, smaller than the head of a pin. This includes small intricate anatomic structures such as small blood vessels and nerves. We have a powerful diagnostic tool that will become an essential weapon in the fight against cancer. Through the analysis of brain function combined with exquisite detailed mapping of anatomic structures, presurgical MRI studies can directly impact on the success of each surgical procedure. This can be accomplished through functional MRI and diffusion tensor imaging to accurately localize specific areas of the brain responsible for language and motor skills and trace white matter tracts with relationship to brain abnormalities. The ability for us to communicate with our neuroscience team of physicians the extent of a brain tumor or to potentially locate a small area in the brain that is the cause for a seizure disorder is now more feasible than ever before. Treatment decisions are often based on our imaging studies which can be the difference between a patient offered a palliative versus curative therapy.

3 Tesla imaging outside of the brain and spine has also taken on a new and exciting level of precision facilitating accurate diagnosis. The higher SNR and increased spatial resolution at 3T helps enhance the detection of orthopedic abnormalities such as tears of the labral cartilage of the shoulder and hip, triangular fibrocartilage complex tears of the wrist, and  various internal derangements of other bones and joints such as the knee and elbow.

MRI breast imaging, in conjunction with dynamic contrast enhancement, provides for improved detection and characterization of breast cancer.  These benefits are potentially better appreciated with 3T MRI.

3T MRI can be an integral tool for the detection and localization of prostate cancer, without the need for an endorectal coil.  This will allow direct biopsy of tumors rather than the random biopsies so often performed in patients with elevated PSA levels.

Evaluation of peripheral vascular disease is markedly improved at 3T, especially in those patients who are unable to receive contrast material.

These are just highlights of the immediate impact on how we are raising the bar of imaging excellence for the detection, diagnosis and treatment of various diseases. We endeavor to offer our community world class imaging just minutes away with a friendly, compassionate personalized touch. Feel safe and secure that we are here if and when the need arises to utilize our new 3Tesla MRI system at Radiology Associates of Ridgewood, ridgewoodradiology.com


NEW ARRIVAL !

Radiology Associates of Ridgewood is proud to introduce the newest member of our family of imaging modalities – The GE Discovery MR750w 3.0T Wide Bore MRI  – The first of its kind in Bergen County.


This 3T MRI produces the clearest images possible of the human anatomy thus improving diagnostic accuracy.  Equally as important, the 70 cm wide bore (158 square inches) will provide a more comfortable experience for our patients, especially the elderly, pediatric, claustrophobic, and obese patients.  The wider bore adds 12.4 inches to the circumference maximizing patient comfort and easing claustrophobia.  Also, with a weight limit of 500 lbs, we will be able to offer the benefits of MRI imaging to almost everyone.  Additional benefits include reduced patient repositioning, shorter exam times, more headroom, legroom and elbow room, feet first or head first scanning for all anatomies, and design features to embrace patients of a wide variety of shapes and sizes.

Our commitment to our patients and our referring physicians is to provide the most current technology.  This new addition, along with our CT Veo Ultra Low Dose CT scanner and our Hologic Breast Tomosynthesis unit, clearly positions our imaging center as the premier imaging center in the tri-state area.

Our new MRI scanner will be available to patients on or about October 14th.

"Dual Energy" CT Scanning

RAR is now offering “Dual Energy CT”, the latest advance in CT scanning technology.  By varying the energy level of the x-ray beam in the CT scanner, this technology allows us to optimize certain types of images, as well as identify and quantify certain chemical substances.  Although this theoretical concept was first suggested in the 1970s, it took over 3 decades for CT technology to progress to the point that it could be applied clinically to real patients.  Some of the exciting new capabilities include:

  • Characterization of chemical composition of urinary stones – This is of great clinical importance because it influences treatment options.  Uric acid stones, which comprise approximately 10% of stones in the United States, can be treated medically (by alkalinizing the urine), whereas calcified stones cannot.
  • Improved imaging of patients with orthopedic hardware such as joint replacements – Metal hardware can cause severe artifacts on CT scans.  Dual Energy CT reduces this artifact both by using a higher energy beam as well as by applying special reconstruction software that minimizes the propagation of the artifact into the adjacent soft tissues.
  • Diagnosing gout – Gout is a common inflammatory arthritis (in fact, it is the most common inflammatory arthritis in males).  It is caused by deposition of uric acid crystal in and around joints.  Diagnosis is often challenging, and atypical presentations are frequent.  The diagnosis is traditionally made by aspirating the affected joint with a needle.  However, these aspirations can be technically challenging and even when performed, are negative in 25% of acute cases.  Although high levels of uric acid may be present in the blood, they are not in 42% of acute attacks.  Using Dual Energy CT, we assist in making the diagnosis by directly imaging uric acid crystal deposition in and around the joints.

We look forward to future developments on this exciting new technology!

 

 


3D Mammography / Tomosynthesis Now Available

Radiology Associates of Ridgewood is pleased to offer our patients a breakthrough technology that revolutionizes how breast cancer is detected today – 3D Mammography, also known as breast tomosynthesis.  3D Mammography is the most exciting advancement in breast cancer detection in more than 30 years and Radiology Associates of Ridgewood is the first free-standing imaging center in northern New Jersey to provide this technology.

A 3D mammogram consists of multiple breast images taken in just seconds to produce a 3D image.  The radiologist looks through the tissue one millimeter at a time seeing detail inside the breast in a way never before possible making breast abnormalities easier to see, even in dense tissue. It improves the radiologist's ability to detect potential breast cancers by helping to pinpoint the size, shape and location of abnormalities and also enables the radiologist to distinguish harmless structures from tumors, leading to fewer false positives, fewer call-backs and less anxiety for women.

The 3D mammogram is currently performed at the same time as the standard 2D digital mammography  and does involve a minimal amount of additional radiation.  The additional radiation is well within FDA’s recommended guideline limits for mammography.
Since this new technology has only recently received FDA approval, 3D tomosynthesis is currently not covered by insurance.  Patients choosing to have a 3D Mammography will be charged a nominal fee to help offset the costs of offering this new technology.  Patients will be required to sign a waiver and pay for this additional exam prior to imaging.
We are pleased to have the continued opportunity to offer our patients the latest innovations in high tech digital imaging and breast cancer detection and proud to be designated as a Breast Center of Excellence by the American College of Radiology..


From left to right: Howard Seigerman, MD, Elliot J. Lerner, MD and Glenn Krinsky, MD

Top Doctors Glenn Krinsky, Elliot J. Lerner and Howard Seigerman are representative of the reasons why Radiology Associates of Ridgewood has consistently remained the leader in providing outpatient diagnostic imaging services for more than 40 years.

Dr. Seigerman, a Diplomate in Diagnostic Radiology specializing in Neuroradiology, notes, "At Radiology Associates of Ridgewood we are always exploring opportunities to provide our patients with state of-the-art, cutting-edge imaging technology. We understand and never take for granted the sensitive issues and challenges our patients may be faced with. Our goal is to streamline and expedite accurate diagnoses and promptly communicate the results to our patients and referring doctors so that our patients can return to their normal activities as soon as possible."

The equipment at Radiology Associates rivals that of leading academic institutions across the country. This free-standing imaging facility was the first in Bergen County to offer Breast Tomosynthesis-3D Mammography. The most exciting advancement in breast cancer detection in more than 30 years, a 3D mammogram consists of multiple breast images taken in just seconds to produce a three-dimensional image. The radiologist can look through the tissue one millimeter at a time and pinpoint the size, shape and exact location of any abnormalities. Radiology Associates has been designated as a Breast Imaging Center of Excellence by the American College of Radiology.

Radiology Associates is also the first and only facility in Bergen County to employ the GE 750HD Ultralow Dose "Veo" CT Scanner that reduces radiation exposure by up to 90 percent. Reducing radiation levels is particularly beneficial to younger patients, and those individuals requiring multiple follow-up studies, including patients suffering from cancer, lung nodules, urinary stone disease and aortic aneurysms.

Radiology Associates will also be the first and only facility in Bergen County to offer its patients the superconducting GE 3.0 Tesla Wide Open Bore MRI which is scheduled to be installed Summer 2013. Among the other services offered are Ultrasound, Digital X-ray, Bone Densitometry, Digital Fluoroscopy, Digital Mammography, Breast Ultrasound, Stereotactic, Ultrasound and MRI Guided Breast Biopsy. All modalities are accredited by the strict standards of the American College of Radiology. Continually striving to improve their service, Radiology Associates recently added additional evening and weekend hours. As a rule, same-day or next-day appointments can be scheduled.

A team of 17 top radiologists recognized as authorities in their respective subspecialties staff Radiology Associates. Dr. Krinsky is a widely published expert in the field of Body/Musculoskeletal Imaging and a Diplomate of the American Board of Radiology. His colleagues, Dr. Lerner and Dr. Seigerman, are Diplomates in Diagnostic Radiology with added qualifications in Neuroradiology by the American Board of Radiology. In addition, Dr. Seigerman is Director of Diagnostic Imaging at The Valley Hospital in Ridgewood.

Radiology Associates has also earned their outstanding reputation because of a strong emphasis on patient care and compassion – from the first welcoming smile at the reception desk and continuing throughout the entire process. As Dr. Seigerman points out, "We firmly believe in a team approach."

Radiology Associates:
Forerunners in Their Field

From left to right: Glenn Krinsky, M.D., Elliot J. Lerner, M.D., Lauren Levy, M.D.,Jaclyn Calem-Grunat, M.D., Louis E. Rambler, M.D., Not Present: Jonathan Smith, M.D., Edward Lubat, M.D. Ronald Arams, M.D., Howard Seigerman, Dawn Lazarus, M.D., Kyung-Hwa Rhee, M.D., Jill Zimmerman, M.D., Karen J. Rybak, M.D., Joseph Platnick, M.D., Stephen W. Chang, M.D., Scott D. DeGregorio, M.D., Keith F. Dockery, M.D.

Radiology Associates has long been heralded as a forerunner in their field. Their breakthrough technology is matched only by their renowned staff of 17 board certified physicians. Dr. Howard Seigerman, a Diplomate in Diagnostic Radiology, explains, "Because each member of our radiology team is a recognized authority in their respective subspecialty, we are able to render the best possible diagnosis and, as a result, the best treatment options." Radiology Associates' equipment rivals that of leading academic institutions across the nation. Their free-standing imaging facility is the first in northern New Jersey to offer recently FDA-approved Digital Breast Tomosynthesis, also known as 3D Mammography. It enables the radiologist to look through the breast tissue one millimeter at a time, thus helping to pinpoint the size, shape and location of abnormalities. The center also boasts the first commercial installation of the new GE "Veo" Ultra Low Dose High Definition CT Scanner which reduces radiation exposure by up to 90 percent, depending on the examination type and the clinical indication. Other services include MRI, Ultrasound, Digital X-rays, Bone Densitometry, Digital Fluoroscopy, Digital Mammography and Breast Ultrasound, plus Stereotactic, Ultrasound and MRI Guided Breast Biopsy. The results are usually forwarded to the patient's doctor the very same day. Radiology Associates has also earned their outstanding reputation because of a strong emphasis on patient care and compassion. This is clearly evident from the first welcoming smile at the reception desk and continues throughout the entire process. Dr. Seigerman says, "We firmly believe in a team approach."

Congratulations to our 2012 Castle Connolly Top Doctors

Congratulations to our 2012 Castle Connolly Top Doctors
From left to right: Glenn Krinsky, M.D., Elliot J. Lerner, M.D., Lauren Levy, M.D.,Jaclyn Calem-Grunat, M.D., Louis E. Rambler, M.D., Not present: Edward Lubat, M.D.
  • Radiologists with Subspecialized Expertise
  • Breakthrough technology including Breast Tomosynthesis, also known as 3D Mammography – which makes abnormalities easier to see, even in dense breasts
  • Cutting Edge Equipment including the GE "Veo" Ultra Low Dose CT Scanner – which reduces radiation emission up to 90 percent depending on the examination and clinical indication
  • Compassionate, Knowledgeable Staff

Radiology Associates of Ridgewood provides a full range of outpatient imaging services including: MRI, Low Dose CT, Radiology (X-ray), Fluoroscopy, Digital Mammography with Computer Aided Detection and Breast Tomosynthesis, Interventional Breast Biopsy, Ultrasound and Bone Density.

201 Magazine top doctors for 2012

The patient is always the main focus at Radiology Associates of Ridgewood. That is why the practice invests steadily in breakthrough technology and in recruiting the very best physicians and staff available.

"The medical field has become so specialized that we take the time and effort to handpick radiologists who can render optimal interpretations and care in each of the sub-specialties," states Dr. Howard Seigerman, who is also Director of Diagnostic Imaging at The Valley Hospital. Each of our 17 physicians is a recognized authority in their respective radiology subspecialty.

Radiology Associates is also innovative in its approach towards patients. From a welcoming smile at the reception desk to interaction with the technologist, there's a prevailing feeling of understanding and caring. Dr. Seigerman, who specializes in neuroradiology, concurs: "We firmly believe in a team approach."

Radiology Associates' equipment rivals that found at leading academic institutions across the tri-state area. It is the first freestanding facility in northern New Jersey to offer 3D Mammography that is capable of taking multiple breast images within seconds. It is also the site of the first commercial installation of the GE "Veo" Ultra Low Dose CT scanner that reduces the level of radiation by up to 90 percent. Other services include MRI, Ultrasound, Digital X-rays, Bone Densitometry, Digital Fluoroscopy, Digital Mammography, Breast Ultrasound, and Stereotactic, Ultrasound and MRI Guided Breast Biopsy.

 

Radiology Associates of Ridgewood Appear in 201 Magazine

Taking full advantage of the latest innovations, Radiology Associates of Ridgewood recently became the first commercial installation in the United States of the "VEO" Computed Tomography (CT) scanner. This FDA approved scanner and reconstruction algorithm system boasts a reduction of up to 90 percent in the CT radiation dose, while improving image quality.

Although half of the radiation tallies to the general population are derived from natural sources like the sun and the soil, the vast remainder arises from medical use, primarily imaging equipment, with CT scanning accounting for roughly 50 percent.

Addressing the concerns that have surfaced in both lay and medical circles regarding the potential dangers of radiation, Radiology Associates has become a completely "low dose" CT facility, taking the final step by implementing the latest "VEO" technology to ensure the added safety of its clients.

Reducing radiation dose is particularly beneficial to younger patients, and those individuals requiring multiple follow-up CT studies. This includes patients suffering from cancer, lung nodules, urinary stone disease and aortic aneurysms, according to Dr. Edward Lubat, managing partner of Radiology Associates for the past 11 years. In addition, the "VEO" technology is applied to CT studies that typically involve higher radiation doses such as CT angiography and CT Urography.

A forerunner in the field, Radiology Associates boasts cutting-edge technology such as digital mammography, breast ultrasound, stereotactic, ultrasound and MRI guided breast biopsy, MRI, general ultrasound, digital X-ray, bone densitometry, and digital fluoroscopy, in addition to the low dose CT scanners that are capable of capturing images of the heart and coronary arteries within five heartbeats.

"We are continually striving to keep abreast with the latest technology, and were already in negotiations when GE informed us that the FDA had approved the 'VEO.' Naturally, we jumped at the opportunity. To get the word out to area doctors, we hosted a series of open houses and will be happy to field any further requests for more detailed information," Lubat says.

"Aside from the equipment, our most important asset, however, is our board certified staff of 17 physicians, who work out of both The Valley Hospital and our Waldwick office. Each is a recognized authority in their respective Radiology subspecialty."

Dr. Lubat, who completed his Radiology residency at New York University School of Medicine with additional training in Nuclear and Abdominal Radiology, continues, "Radiology has made such tremendous strides in recent years, that it's virtually impossible for any one person to keep up with all the various developments and advancements. Having a staff of doctors with the full spectrum of training in so many subspecialties enables us to render an expert opinion thus insuring the best possible care, treatment, and outcome for each patient."

 

Now Offering Digital Mammography in NJ

Women who undergo mammograms at Radiology Associates of Ridgewood New Jersey now have the latest generation of diagnostic technology available to them -- digital mammography. 

Digital mammography allows high resolution images of the breast to be viewed by radiologists and also offers a unique ability to enhance certain areas of the breast.  On a computer following the mammogram, a radiologist can magnify the image, increase or decrease contrasting shades, and invert black and white values while reading the images.  These image enhancements improve diagnostic potential and limit radiation exposure.

To supplement this technology, we have incorporated digital Computer-Aided Detection (CAD).  Digital CAD highlights characteristics commonly associated with breast cancer.  When activated, it flags abnormalities to help a radiologist detect early breast cancer.
The cutting-edge digital technology is called the Selenia™ digital mammography system from Hologic, Inc.  For more information or to schedule an appointment, please call us at 201-445-8822.

 

NJ Breast Imaging Center of Excellence

Certification Mark for ACR Breast Imaging Centers of Excellence (BICOE)Radiology Associates of Ridgewood has been designated as an American College of Radiology Breast Imaging Center of Excellence. This designation is given to Centers that demonstrate excellence in all phases of breast imaging,including mammography, stereotactic breast biopsy, breast ultrasound, and ultrasound guided breast biopsy. We are very proud to be one of the few centers in Northern New Jersey to achieve this designation. This designation as a Breast Imaging Center of Excellence is a tribute to our outstanding mammography staff, who continue to maintain high standards, combined with a caring, personal and compassionate approach towards your patients’ needs.

New Top of the Line Digital Fluoroscopy combined plain film system installed.

Radiology Associates has recently acquired Siemen's Axiom Luminos dRF fluoroscopy system. We are proud to be one of the first imaging centers in North America to offer a remarkably convenient and efficient system designed for the complete spectrum of patient profiles. The system combines digital fluoroscopy, a dynamic way to evaluate body function such as the esophagus during swallowing ,with digital plain radiographs, the equivalent of the modern day x-rays. Ease of use, Image quality, Radiation reduction and DICOM capability make this system a perfect match for our patients.