Diagnostic Services

Radiography

• We use advanced digital X-ray machines that are equipped with Computed Radiography (CR) systems.
• All our wards, intensive care units and operating rooms in the hospital have a portable X-ray machine for easy bedside use.

Fluoroscopy Procedures

• A high-tech X-ray machine called an Image Intensifier Fluoroscopy unit helps our doctors view internal organs in real-time.
• The high-frequency X-ray generator allows clear and accurate images quickly, which means procedures are done efficiently and with great precision.

Gastro Intestinal (GI) Tract

• Oesophagogram
• Barium Meal
• Barium meal follow through
• Barium Enema
• Enteroclysis
• Loopogram

Urinary Tract

• Intravenous Urogram (IVU)
• Cystogram
• Voiding Cystourethrogram (VCU)
• Ascending Urethrogram (AUG)
• Opposing Urethrogram
• Nephrostogram

Ultrasound

Our ultrasound facility is equipped with the latest ultrasound scanners and we ensure comfort and privacy for all patients with private scan rooms for female/male/pediatric/special investigation patients.

2-Dimensional (2D) Ultrasound

• Abdomen
• KUB
• Pelvis

3-Dimensional (3D) Ultrasound

• 3D Angiography
• Tomographic Ultrasound Imaging (TUI)
• Volume Calculation on 3D Ultrasound

4-Dimensional (4D) Ultrasound

• 3D Ultrasound in real time
• Contrast ultrasound
• Elastography

Small Parts Ultrasound

• Thyroid
• Breast (Sonomammogram)
• Superficial Swelling
• Scrotum & Eye (Ocular)
• Thorax (chest) Ultrasound
• Transcranial (Pediatric Neurosonogram) Ultrasound
• Transvaginal (3D) Ultrasound
• Neonatal and Paediatric Ultrasound
• Musculoskeletal Ultrasound

• Peripheral Nerve and Joint Ultrasound
• Dental ultrasound
• Ophthalmic ultrasound

Doppler Studies

• Carotid and Vertebral Studies
• Portal Venous System
• Aorta and IVC Flow
• Arterial-Venous Systems
• Renal Doppler
• Transplant Kidney, Liver Doppler
• Iliac Vessels Doppler
• Foetal Doppler
• Specific Organ Doppler
• Transcranial Doppler
• Scrotal Doppler
• Penile Doppler
• Musculoskeletal Doppler
• AV Fistula and graft Doppler

Ultrasound Guided Aspirations

• Pleural
• Ascitis
• Pseudocyst
• Abscess
• Pelvis Collection
• Retroperitoneal
• Specific Areas
• Ultrasound-guided pigtail insertion

Biopsies

• Liver
• Kidney
• Breast
• Musculoskeletal

FNAC

• Breast
• Thyroid
• Mass lesion

Computed Tomography (CT)

The department has three modern CT scanners to aid diagnosis. 2 advanced 16-slice Multidetector CT (Philips Brilliance 16) and a state of the art 128-slice CT (GE Revolution EVO) helps with precise viewing of even complex cases.

Procedures done using CT unit include

• Whole Body Imaging and Angiography
• Cardiac CT with Calcium Scoring
• CT Angiography (Aorta, peripheral, and cerebral)
• Bowel Imaging
• High Resolution Computed Tomography
• CT Perfusion Imaging, including stroke and tumor
• CT-guided procedures
• Fine needle aspiration and biopsy
• CT-guided drainage procedures
• Virtual colonoscopy
• 3D Imaging
• The volume data of the CT images are processed in ADW 4.4 and centralised server-based workstations to produce excellent 3D reconstruction ima

Magnetic Resonance Imaging (MRI)

The Department has three MRI scanners. Our 3T system called Architect is our most powerful MRI machine, and the two 1.5 T machines called SignaHDxt and Magnetom Avanto help provide detailed images of even complex cases. There are between 50 and 60 MRI exams done every day. MRI is used for various services such as

• Whole body MRI
• Whole body MR Angiography
• Functional MRI, Fiber tracking
• MR Spectroscopy
• Perfusion and Diffusion Imaging
• Whole Spine Imaging
• Cardiac MRI
• MR Mammography
• Advanced abdominal imaging
• High Resolution Imaging of Joints
• Whole Body Metastasis Screening
• Fetal MRI
• MR elastography
• High-resolution MR imaging for Epilepsy

Breast Imaging & Interventions :

We provide patient’s concerned about their breast health advanced technologies that provide precise and detailed imaging. Our 3D Mammography (Tomosynthesis) machine is different from the older generation ones and takes 3D pictures of the breast and can pinpoint changes or potential problems even smaller than a cm. High resolution ultrasound is used for diagnosis as well as intervention of breast lesions. A dedicated breast MRI coil is used for patients referred for Breast MRI to provide patients with a complete evaluation.

Our department provides following services:

• Full field digital mammography
• 3D tomosynthesis
• High-resolution breast ultrasound
• MR Mammography
• Stereotactic Biopsies & Wire Localizations
• Ultrasound-guided biopsies, wire localizations & clip placements
• Ultrasound-guided ablation procedures, like microwave ablation.
• Galactography

Cystoscopy

A cystoscopy helps doctors look into your bladder and urethra using a lighted tube. A small tube with a camera inside it (the cystoscope) is put through the urethra and directed into your bladder. This surgery is carried out outside of the hospital with local anaesthesia.You could also have the procedure done in the operating theatre under regional or general anaesthesia. A semi rigid or flexible cystoscope is used during the procedure. A cystoscopy might be suggested for these common conditions:

A cystoscopy is recommended if you are experiencing unexplained urinary symptoms that haven’t improved with simple treatments such as:

• Recurrent urinary tract infections
• Blood in the urine (hematuria)
• Bladder stones and Bladder cancer
• Benign prostate hyperplasia (BPH)
• Urinary incontinence
• Difficulty in storage and/or emptying of urine

Double J Stent Removal

Double J (DJ) stenting is commonly performed for a variety of urological conditions such as renal and ureteric stones, hydroureteronephrosis, pyelonephritis, and ureteric strictures. The stent helps keep urine moving normally and takes some work off the kidneys while you are recovering.

At Sri Ramachandra Medical Centre, DJ stent removals are often done during a day visit where the patient doesn’t have to stay in the hospital overnight. Patients can go into the OPD and have their stents taken out using a special camera inside the bladder under local anaesthesia. This approach helps lower pain and keeps people out of the hospital unless it is absolutely necessary.

The procedure usually happens with a small tube called a cystoscope, which helps make it easier and less painful for the patient. Most patients can leave the clinic or hospital after a short observation period.

Please Note:

The patient should be accompanied by an attendant on the day they have the procedure.Before and after the procedure, make sure to do what your doctor advises you for a full recovery.

UROLOGY PROCEDURES

Urethral Dilatation

Doctors use local anesthesia and Teflon or metal dilators to gently open up the urethra. This is typically carried out when the urethra becomes tight and it becomes difficult to pass urine. Usually, self calibration of the test is done by a urologist, though trained patients might be able to do it with supervision.

Urodynamic Study (UDS)

UDS is performed to assess all symptoms of the lower urinary tract by checking bladder and urethral function. In this, some tests are not invasive, like uroflowmetry and ultrasound for post-void residual volume, invasive exams include insertion of pressure catheters into the bladder in females or into the rectum in males. It is listed as a treatment option for problems including overactive bladder, issues with voiding, and incontinence.
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Suprapubic Cystostomy (SPC)

IAn SPC procedure involves passing a catheter through the bladder in the lower abdomen using ultrasound. These are often needed if someone has a medical emergency, such as with urine retention, an injured urethra, an abscess next to the urethra, a connection made between the urine bladder and the skin or leakage from the urethra.

Ultrasound-Guided Percutaneous Nephrostomy (PCN)

PCN is a marginally invasive procedure that uses ultrasound scans to treat hydronephrosis. A catheter is placed from the belly wall into the kidney to drain the collecting system.

GASTROENTEROLOGY PROCEDURES

Endoscopy

It helps identify disorders in the upper digestive tract such as those in the esophagus, the stomach and the duodenum. Patients scheduled to undergo an endoscopy must complete their dinner meals before 10:00 p.m. the previous day. Arrive early around 8 a.m at the F1 Procedural Area with all documents. The procedure takes only 5 to 10 minutes.

Book your appointments by calling 044-24768403.

Colonoscopy

It is used to look at the lining of both the colon and rectum. Patients should stop eating anything after 11:00 p.m. and stick to the instructions from the doctor before the procedure. Clear liquid foods are recommended for non-diabetics (for example, coconut water, glucose, soft drinks). Please be at the F1 Procedural Area by 10:00 a.m. with your medical file and documentation. The procedure lasts 20–30 minutes.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

Through ERCP, doctors can explore the bile and pancreatic ducts. An endoscope is placed through the mouth, and a dye is injected to highlight the ducts seen on an X-ray. It is carried out when the bile duct is not working properly. A patient is required to consult a Medical Gastroenterologist before coming for screening.

Dilatation

The surgery is used to correct narrowing that leads to having trouble swallowing. Patients need to refrain from eating after 10:00 p.m. and should be present at the F1 Procedural Area at 8:00 a.m with relevant documents. The procedure lasts 20–30 minutes and is only performed after Gastroenterological assessment.

Esophageal Manometry

IThe test studies how well the muscles in the esophagus are functioning. A thin tube is put into the nose and down into the esophagus to assess swallowing. Before the procedure, patients are asked to fast for several hours, and it lasts for 15–20 minutes.

Anorectal Manometry

Administered to see how well the anal sphincter works in patients with fecal incontinence or chronic constipation. A tube with a small balloon tip is put in the rectum to measure the pressure. The bowel must be empty, giving patients enough time, since the procedure only takes 15–20 minutes.

PH Impedence Study

This test measures acid reflux. A flexible tube, or catheter, is set up to travel from the nose through the esophagus and is connected to a device that records pH for 24 hours. Contact the number 044-24768403 to schedule and for instructions.

Endoscopic Ultrasound (EUS)

EUS uses a special endoscope with a small ultrasound machine to detect any issues in the upper part of the digestive organs. Guided biopsies can also be carried out with CT scanning. Before going to a therapy center, make sure you get advice from your doctor.

Intragastric Balloon Placement (for Obesity)

In this procedure, the surgeon inserts a soft balloon into the patient’s stomach using an endoscope. It leads to a decrease in food intake and can only be used for a short span.

PULMONOLOGY PROCEDURES

Bronchoscopy

A flexible bronchoscope is used to inspect the airways for any blocks, lumps, or issues. People coming for an F1 must not eat for 12 hours and make sure they come as instructed to the F1 Procedural Area. The procedure takes about 30 minutes.

Thoracoscopy

It is often used to investigate and manage cases of fluid found in the chest. This helps the pulmonologist inspect the inside of the chest cavity and perform different procedures. It makes it easier to understand and treat pleural effusions.

Endobronchial Ultrasound Bronchoscopy (EBUS)

By combining bronchoscopy with ultrasound, EBUS can check and sample lymph nodes and airway walls by going through the mouth or nose without making an incision. This procedure is commonly utilized to recognize and classify lung cancer into different stages. Within 5–10 minutes, a pathologist uses Rapid On-Site Evaluation (ROSE) to give an immediate diagnosis.

Ultrasound-Guided Pleural Aspiration

After the doctor has examined the patient and done chest X-rays, ultrasound is used to identify and remove fluid from the chest cavity. It typically takes 10–30 minutes. The patients are monitored for one hour after surgery before being moved or released.

Ultrasound-Guided Intercostal Drain/Pigtail Insertion

The next step is the use of local anesthesia to have a drain or pigtail catheter put in the pleural space through ultrasound guidance. When used, it helps treat conditions such as pleural effusion, empyema, hemothorax, or pneumothorax and requires patient admission.

Rigid Bronchoscopy

A metal tube is put down the throat under general anesthesia. It is useful for conducting biopsies and performing surgical procedures such as excision of tumors, stent placement, removal of foreign objects from the system, and dilation of the airways. The Pulmonologist arranges the procedure together with the anesthesia team.