MRI (Magnetic Resonance Imaging), which is one of the most advanced and developed radiological methods used in medical diagnostics, creates the imageby using the natural parameters in the human body. MRI devices consists of devices with magnetic field strength between 0.2 and 3 Tesla. Liv HospitalRadiology Clinic offers high-quality image and patient comfort with large magnet (70 cm) 3-Tesla MRI device, which is present in very rare centers in our country. Thus, detailed images are obtained.

The Advantages of 3-Tesla MRI

• The width of the inside of the device increases the patient’s compliance and comfort to MRI imaging and makes MRI imaging of the patients with claustrophobia and excess weight possible.
• One of the most important factors that affect patient comfort in 3T device is also high volume level occurring during the examination. Some patientsmay be much disturbed from this. Sound reduction technique that can reduce the sound patient hears up to 40% is present in 3T GE device.
• Audio and video broadcasting is also available for patients in order to spend enjoyable time during the examination.
• The image quality in all imagings is high through the program that prevents image distortion induced by movement, MRI compatible metal prosthesis and implants placed into the body.

When and why is it requested?

MRI, which is one of advanced radiological examinations that play a key role in the diagnosis of diseases when faced with a problem in direct X-ray, or in the presence of findings that the clinical condition of the patient cannot be explained.

MRI is are among the first tests requested also in the evaluation of many organs such as brain that can not be shown in radiographs. Computed Tomography provides more successful images in in the evaluation of bone structures, while MRI in demonstrating soft tissues.

Advanced Imaging Techniques that can be performed with Liv Hospital MRI device

• • Advanced MRI imaging
  • Virtual Colonoscopy
  • MRI-Enterography
  • Multiparametric Prostate MRI
  • MR-Defecography
  • MR-Fistulography
  • Functional MRI
  • MRI Spectroscopy (Multivoxel, single voxel and 3D voxel)
  • Diffusion Tensor Imaging (DTI)
  • MRI Perfusion
  • MRI Cisternography
  • MRI Myelography
  • MRI Arthroscopy
  • T2-mapping imaging examination of cartilage

Also, color mapping and investigation from different angles can be performed through the latest technology computer programs in Liv Hospital Radiology Department.

Computed Tomography provides obtaining cross-sectional image of the examined region using by X-ray. It is used in the assessment of internal organs, soft tissue and bones. The GE Discovery CT750 HD(Spectral Imaging) tomography device that Liv Hospital has is a system, which can use dual energy technique with HD detector and single tube, and capable of advanced imaging in addition to the features found in all CT systems.

Advanced Examination in the Diagnosis of the Diseases
It is among the first tests requested also in the evaluation of many parts such as brain that can not be shown in radiographs. It is among the further investigations requested in the diagnosis of the diseases when faced with a problem in direct X-ray or in the presence of findings that do not describe the patient’s clinical status.

Much Lower Radiation
Examinations such as MRI and ultrasound are radiation-free methods, so the patient is not exposed to radiation. While, the patient is exposed to a little radiation in imaging performed using X-ray such as direct graphy, CT and angiography device. Liv Hospital Radiology Department reduces the dose of radiation exposed by 80% with the technology that uses.

Imaging specific for the Children

tomographic imaging can be performed with minimum radiation dose close to X-ray doses according to height and weight ratio in pediatric patients that admit to Liv Hospital through specific pediatric parameters found in the system.

Advanced Imaging

• Characterization of the lesion, types of kidney stones, determining the hypoperfusion areas in pulmonary embolism investigation, metastasis characterization, gout – pseudo gout differentiation, the reduction of artifacts of metal implants within the imaging area, plaque characterization of the entire body vessels and cardiac vessels can be performed via Spectral Imaging imaging technique.
• The evaluation of cardiac lumen and intra-stent can be performed conveniently and safely through HD algorithms. These algorithms provide achieving very high diagnostic quality in all joints and regions that require high resolution.

Liv Hospital Radiology Clinic offers treatment for many diseases, from brain aneurysm to brain tumors, without surgery with interventional radiology techniques. The patient can be discharged directly after the procedure.

The clinic has a high-tech angiography device guiding the interventions.

The treatment of varicose veins without surgery that provides 100% recovery is perfomed in the clinic and the patient is immediately discharged home after the treatment.

Vascular diagnosis and treatments

• Stenting and angioplasty procedures (aorta, iliac, renal, mesenteric, femoral and veins under the knee, upper extremity, dialysis fistula stenosis)
• Aneurysm Treatment
• Preoperative embolization of hypervascular tumors (metastatic bone tumors, RCC, neural tumors, etc.)
• Treatment with embolization is a minimally invasive option without surgery in the symptomatic treatment of fibroid and adenomyosis
• Tissue biopsies, drainages and RF ablation treatments in oncological patients
• The treatment of local advanced liver tumors
• Local tumor ablation in patients without surgery candidates (RF ablation, microwave ablation, Nanoknife etc.) (liver, lung, kidney and thyroid)
• Fine-needle and tru-cut biopsies of all organs (liver, kidney, lung, bone, prostate, thyroid, pancreas, etc.)
• Abscesses, collections, biliary tract, urinary tract, pleural and peritoneal fluid drainage is performed.

To get performed colonoscopy is very important to identify polyps early in bowel cancers, which is in the second place in the list of fatal cancers. Virtual colonoscopy becomes a solution to help patients, who are afraid of preparation and imaging process of conventional colonoscopy. Virtual colonoscopy, which is performed under the guidance of tomography in 5 minutes and whose preliminary preparation is much lighter, is successfully performed by expert physicians of Liv Hospital Radiology Clinic.

What is virtual colonoscopy?
It is an examination performed under the guidance of tomography. It is used in the examination of the colon. It is used to find polypoid lesions in the colon, colon tumor and colon cancer.

How is it performed?
Patients come on an empty stomach, and laid into the tomography device. The colon is inflated with control under the guidance of tomography. Gone up to the cecum with a pipe in normal colonoscopy. A very small urinary catheter is placed through the rectum and large intestine is inflated in virtual colonoscopy. The patient is performed supine and prone position imaging. A scan takes 30 seconds. The entrance and exit of the patient takes a total of 5 minutes. The patients are not sedated, no drug is given. It is not a painful procedure. 3D Navigating in the large intestine is possible with aid of computer after performing imaging. Thus, polyps and lesions here can be observed.

What is the difference of virtual colonoscopy from the conventional so to say normal colonoscopy?

The patients are given reduced bowel cleansing before the procedure. The patients are given a strict diet in normal colonoscopy. While, a very lighter diet and half dose of diarrhea medications are given in virtual colonoscopy. The patient goes to the toilet several times. A light diet of solid food is forced to be made the day before. Because, it will not be a even if there is stool remained in the colon. The remaining stool can be eliminated in the machine with a switch.

Advantages of Virtual Colonoscopy

• It is a minimally invasive examination compared to colonoscopy.
• There is no need for sedation. It is very useful in patients that cannot receive anesthesia.
• Patient comfort is high. Because preparation phase is much easier, and it is not an unpleasant procedure.
• All of the organs in the abdomen are observed. It is in a complete check-up nature.
• Curved colons are better assessed.
• It shows the tumor spreaded into the abdomen if there is a tumor in the abdomen or colon.
• It shows whether there is another tumor or not in obstructive tumors.
• It is used in conditions that colonoscopy cannot be performed (serious cardiac and pulmonary patients, bleeding diathesis, warfarin treatment, those who have sedation allergy, patients who refused conventional colonoscopy, patients with positive fecal occult blood test.

How sensitive method is it?

Studies are performed on tens of thousands of patients in both the US and Europe. Detection sensitivity for polyps over 10 mm is increased over 90% in both.

Who is it performed?

• Colorectal cancer screening
• Incomplete colonoscopy (spasms, colonic tortuosity, dolichocolon, diverticulosis, lack of cooperation)
• To investigate whether there is another tumor in the colon in obstructive colon cancers
• Conditions that conventional colonoscopy cannot be performed (may be patients in advanced age, use blood coagulants, can not receive anesthesia)
• Patients who refused conventional colonoscopy
• Patients with positive fecal occult blood test

Thanks to the latest technology Luminosa Fusion device both radiography fluoroscopy are performed in a system. In addition, low dose images are obtainedwithout compromising image quality. Barium swallow, small bowel follow through, voiding cystourethrography, HSG, Colonography, IVP (intravenous pyelogram) examinations are performed.