Shri Sai Advance Imaging & Diagnostic Center
Hysterosalpingography (HSG) क्या है?
एचएसजी (Hysterosalpingography) एक प्रकार का एक्स-रे है, जो एक महिला के गर्भाशय (गर्भाशय) और फैलोपियन ट्यूब्स (संरचनाएं जो अंडा से गर्भाशय में अंडे का परिवहन करती है) की जाँच की जाती हैं I यह जाँच आपके मासिक धर्म होने के एक सप्ताह के बाद (6th , 7th & 8th days ) में किया जाता है ।
एचएसजी (HSG) टेस्ट का आदेश क्यों दिया गया है?
आपका डॉक्टर इस परीक्षा का आदेश दे सकता है यदि आपको गर्भवती होने में परेशानी हो रही है या गर्भवती समस्याएं हैं, जैसे कि एकाधिक गर्भपात (multiple miscarriages) तो Hysterosalpingography (HSG) बांझपन के कारण का पता लगाने में मदद कर सकता है|
निम्नलिखित बांझपन के कारण हो सकते है :-
फैलोपियन ट्यूबों की रुकावट
गर्भाशय में निशान ऊतक (scar tissue)
गर्भाशय फाइब्रॉएड
गर्भाशय ट्यूमर या पॉलीप्स
गर्भाशय में संरचनात्मक असामान्यताएं, जो जन्मजात (आनुवंशिक) हो सकती हैं या अधिग्रहीत कर सकती हैं
Intravenous Pyelogram (IVP)
Indications :-
Anatomical variant of KUB region.
To detect ureteric stones
Renal stone / ureteric stone with hydronephrosis. To rule out renal function.
USG Renal Artery Doppler
Indications :-
Acute / chronic hypertension
Follow up patient with renovascular disease
Renal artery stent patency
Renal vascular malformation.
Transplant kidney (rejection / acute tubular necrosis)
USG HEPATIC DOPPLER / HEPATOPORTAL DOPPLER
Indications :-
Portal hypertension
Cirrhosis of liver.
Portal vein thrombosis / hepatic vein thrombosis.
Chronic alcoholic.
Suspected liver disease.
Hematoemesis
Splenomegaly
PERIPHERAL DOPPLER
Indications :-
Varicose veins
DVT (Deep vein thrombosis)
Vascular malformation
Vascular injury
Peripheral arterial disease.
AV fistula patency.
X-RAY CHEST
Indications :-
Chronic fever, cough
Chronic allergy.
Chronic smoker.
Chest pain
Breathing problem.
History of trauma.
USG DATING SCAN
Indications :-
Rule out intrauterine / extra-uterine /ectopic pregnancy.
Fetal well being
Fetus cardiac activity.
Cervical length.
Sub chorionic bleed / hematoma.
Rule out twins pregnancy
USG NT SCAN
Indications :-
Rule out chromosomal abnormalities related to nasal bone & NT thickness with down syndrome risk assessment.
Rule out cystic hygroma / anencephaly / acrania.
Nasal bone length.
Fetal well being
Cervical length.
Sub chorionic bleed / hematoma.
Bilateral uterine artery doppler for placental blood flow resistance.
ANOMALY SCAN
Indications :-
Rule out chromosomal abnormalities related to fetus anatomy with down syndrome / other syndrome risk assessment.
Rule out cleft lip, club foot, club hand.
Thoracic & intra-abdominal abnormalities (diaphragmatic hernia, gastrochisis )
Fetal growth chart.
Bilateral uterine artery doppler for placental blood flow resistance.
Brain structures & abnormalities (ventriculomegaly, corpus callosum agenesis, holoprosencephly).
FETAL GROWTH CHART
Indications :-
Fetal growth chart for normal fetal growth assessment according to gestational age.
Appearance of body parts & internal organs according to gestational age.
Fetal growth assessment according to LMP.
FETAL ECHOCARDIOGRAPHY
Indications :-
To rule out congenital heart disease in intrauterine fetus.
Normal variants of pulmonary vascular flow assessment
Normal development of trachea & bilateral lungs.
Normal situs of fetus.
Normal / abnormal four chamber view with valves position.
CT CHEST
Indications :-
Suspected lung cancer.
Chronic fever, cough
Chronic allergy.
Chronic smoker.
Chest pain
Breathing problem.
History of trauma.
CT HEAD
Indications :-
Brain tumor.
Stroke/ paralysis
Tingling sensation in any limb & face.
High blood pressure.
Chronic alcoholic.
Chronic diabetes.
Chronic headache, giddiness.
Chronic migraine.
History of trauma.
Follow up with post operative status
CT WHOLE ABDOMEN
Indications :-
Chronic alcoholic with cirrhosis of liver.
Liver tumor / cancer.
Renal pathology to rule out stone / cancer / infection.
Ovarian cancer.
Uterine / cervical cancer/ Prostate cancer /Urinary bladder cancer
Abdominal tuberculosis.
Intestinal cancer / gastric cancer.
Pancreatitis
History of trauma.
CT NECK
Indications :-
Laryngeal cancer, oral cancer related to tobacco & smoking addiction.
Large palpable neck mass.
Chronic thyroid pathology.
Change of voice.
Cervical pain.
History of trauma.
CT PERIPHERAL ANGIOGRAPHY
Indications :-
Rule out vascular injury.
Chronic peripheral arterial disease to rule out thrombus / stenosis.
Diabetic foot.
Vascular malformation.
Before any complicated surgery to rule out assessment of vascular anatomy / pathology
History of trauma.
CT PULMONARY ANGIOGRAPHY
Indications :-
Rule out pulmonary artery thrombus.
Chronic / sudden chest pain.
Known case of heart patient with breathlessness.
Known case of acute / chronic DVT.
Anatomy of pulmonary vessels.
CT GUIDED BIOPSY/ PROCEDURES
Indications :-
Abdominal tumor / biopsy.
Pleural Tapping
Liver biopsy.
Pelvic abscess drainage.
Pseudopancreatic cyst drainage.
Bony pathology.
Lung cancer.
CT UROGRAPHY
Indications :-
Large renal stone.
Hydronephrosis of kidneys.
Renal cancer / bladder cancer.
Normal variant of ureters.
Chronic back pain with history of renal stone.
Normal excretory function of both kidneys.
USG (Abdominal) + KUB
Indications :-
Abdominal pain
Jaundice
Excess vomiting.
Recurrent loose motion / diarrhea.
Back pain.
Burning sensation in urine.
Weight loss.
Chronic alcoholic.
Decreased appetite.
To rule out renal / gall bladder / urinary bladder stone.
USG Pelvis
Indications :-
Acute / chronic pelvic pain
Infertility
Leucorrhea (White Discharge)
Menstrual problem
Follicular monitoring.
Screening for conceive
Day 2 scan with antral follicle count
USG LIVER / BREAST ELASTOGRAPHY
Indications :-
Chronic liver disease (to measures parenchymal fibrosis / follow up).
For doubtful / malignant breast nodules –can avoid unnecessary biopsy.
For benign / malignant liver nodules.
High grade fatty liver / alcoholic liver disease.
USG B-SCAN
Indications :-
Before cataract surgery.
Sudden vision loss.
Eye / ocular trauma
Swelling of eye.
Redness of eye
USG NECK / THYROID
Indications :-
Thyroid swelling.
Lump in Neck
Nodules in Neck
Difficulty in swallowing.
USG CAROTID ARTERY DOPPLER
Indications :-
Acute / chronic stroke.
Paralysis patient
High risk of brain stroke
High blood pressure / cholesterol
Chronic smoker.
Vascular malformation.
Obesity
Routine screening after 50 yrs to evaluate risk of brain stroke.
USG PENILE DOPPLER
Indications :-
Erectile dysfunction to rule out psychogenic or organic cause.
Infertility
Penile trauma.
USG SCROTUM
Indications :-
Painful scrotal swelling
Infertility
Hydrocele / varicoceles
Inguino-scrotal Hernia.
USG OBSTETRICS COLOR DOPPLER
Indications :-
Suspected intrauterine growth restriction
Pregnancy induced hypertension
Abnormal fetal heart rate.
Polyhydromnios
Oligohydramnios
Twin pregnancy.
Cord around neck.
USG GUIDED PROCEDURES
Indications :-
Liver abscess drainage.
Pleural effusion / ascites drainage.
Pelvic abscess drainage.
USG guided biopsy from suspected malignancy
X-RAY SPINE
Indications :-
Chronic back pain.
Known case of arthritis.
History of trauma to rule out fracture.
Routine checkup after 40 years in female & 50 years in male.
Slip disk, sciatica pain.
Chronic pain in both legs & hips.
X-RAY JOINT
Indications :-
Chronic joint pain.
Known case of arthritis.
History of trauma to rule out fracture.
Routine checkup after 40 years in female & 50 years in male.
Chronic pain in both legs & arms.
Pain during movement of knee & shoulder joints.
SPECIAL X-RAY & FISTULOGRAM
Indications :-
Difficulty in swallowing (advice –Barium swallow).
Gastric reflux with gastritis (advice Barium meal)
Chronic pain in abdomen with constipation / loose motion & fever (advice –Barium meal follow through).
Rectum & distal colon pathology (Advice --Barium enema)
Rule out perianal / anorectal fistula (advice –Fistulogram).
3DCT
Indications :-
Rule out trauma.
Dislocation displacement of traumatic fracture fragments.
Before any complicated surgery to actual assessment of bony / soft tissue pathology.
Facial asymmetry.
History of trauma.