Preventive Screening Exams Promote Early Detection and More Effective Treatment

October 1, 2016: Inland Imaging offers a number of preventive screening procedures for the early detection of: Colon Cancer, Coronary Artery Disease, Lung Cancer, Breast Cancer and Prostate Cancer. These screenings are all performed by highly trained technologists and evaluated by our sub-specialty trained physicians in a caring, comfortable environment at one of our state-of-the-art facilities.
Colon Screening
Colon cancer is the second leading cause of cancer death in the U.S. Virtual colonoscopy, also referred to as computerized
tomography (CT) colonography, is a procedure that uses a combination of X-rays and computer technology to create images of the rectum and entire colon. Virtual colonoscopy can show irritated and swollen tissue, ulcers, and polyps, and is an effective aid in the early detection of colon cancer.
Stroke and Vascular Screening
Stroke and vascular diseases affect thousands of Americans each year. A screening for these diseases can measure your risk and provide important information to help improve your vascular health and prevent life-threatening problems. The stroke and vascular screening at Inland Imaging includes a check of the three areas of your body that are most susceptible to signs of vascular disease: the abdominal aorta, the carotid arteries, and the peripheral arteries.
Screening for Potential Heart Disease
A calcium scoring exam uses CT technology to screen for atherosclerosis and to evaluate your risk for heart disease. The exam measures the calcified plaque deposits on the artery and compares that measurement, or “score,” to normal ranges for your age and gender.
Lung Cancer Screening
A low-dose CT scan of the chest can help to determine whether or not long time smokers and others with a high risk for lung cancer should be further evaluated and treated.
Breast Cancer Screening
Screening Mammography is the most reliable and effective method for the early detection of breast cancer. Finding cancer sooner rather than later provides patients and their health care providers a broader range of treatment options and a higher chance for survival. Inland Imaging suggests that women 40 years of age and older receive a screening mammogram annually.
Prostate Cancer Screening
Prostate cancer is the second most common cancer in men. But with early diagnosis, it’s also one of the most curable. Screening prostate exams with Inland Imaging’s 3T MRI can provide men and their health care providers with the fast, accurate answers they need.
Ultrasound is also a useful imaging tool in the study of the prostate. The exam may be performed to determine the volume of the prostate, to investigate elevated prostate-specific antigen (PSA) levels, or to guide a needle biopsy of the prostate.
Early Detection Saves Lives
Taking advantage of screening exams from Inland Imaging can help eliminate worry and in some cases catch problems early — when treatment is most effective. Talk with your doctor to see if one or more of our screening tests might be right for you. Because early detection saves lives.

Higher Resolution MRI Images Can Detect Prostate Cancer Earlier

Sept 30, 2106: Prostate cancer is a man killer. It ranks number two (after skin cancer) as the most common cancer in American men. It also ranks second for leading cause of deaths in men. According to the American Cancer Society’s estimates, about 180,890 new cases will be detected in 2016.
Prostate cancer is a serious disease, but if it is detected in time, it is treatable. Currently, more than 2.9 million men who were
diagnosed with prostate cancer are still alive today. It’s all about early detection.
At Inland Imaging, our new 3T MRI scanner has the power to find small prostate cancer cells before they have a chance to grow into a bigger problem.
“It has a higher Tesla (more powerful) magnet that allows us to obtain images with higher spatial resolution, which provides a much clearer and more detailed image of the prostate. In addition, the higher strength also improves functional imaging, such as dynamic contrast enhancement and diffusion restriction. These improvements allow us to detect cancer when it is smaller and hopefully less advanced.”  Dr. John Bell, Inland Imaging Radiologist.
Getting an MRI is now a more comfortable experience for Inland Imaging patients too. The new 3T scanner has a larger center bore area to accommodate larger patients.
Men who are over 60 are more likely to develop prostate cancer than men under 40. The average age at the time of diagnosis is about 61.
Imaging can provide the answers that patients and their health care providers need to catch prostate cancer sooner rather than later. Early detection leads to early treatment, which greatly improves men’s chances of survival.

Inland Imaging Welcomes DR. RYAN GOFF to Our Subspecialist Radiology Team

July 16, 2016: Dr. Ryan Goff comes to Inland Imaging from Emory University in Atlanta, Georgia, where he recently completed fellowship studies in diagnostic neuroradiology. He’s participated in several research studies and contributed to a number of professional and academic publications.
Dr. Goff served as Chief Resident in the Diagnostic Radiology program at the Mayo Clinic College of Medicine and was the recipient of the Dr. Hugh J. Williams, Sr. and L. Isabel Williams Resident Recognition Award for dedication to the “Ideal of Service” in the practice of radiology in both 2013 and 2014.
Dr. Goff is married and has one son. He is an avid golfer and runner and enjoys travel and spending time with his family.

  • SPECIALTY: Neuroradiology
  • MEDICAL SCHOOL: Tulane University School of Medicine, New Orleans, Louisiana, 2006 – 2010. Transitional year internship, Riverside Regional Medical Center, Newport News, Virginia, 2010 – 2011.
  • RESIDENCY: Diagnostic Radiology Residency Program, Mayo Clinic College of Medicine, Jacksonville, Florida, 2011 – 2015.
  • FELLOWSHIPS: Diagnostic Neuroradiology Fellowship, Emory University, Atlanta, Georgia, 2015 – 2016.

June 28, 2016: Once again, Inland Imaging was on site for the world’s largest 3-on-3 basketball tournament. Our team provided free X-rays to injured players as part of the event’s first aid team. Here’s a quick recap:
Studies performed on Saturday and Sunday of the event included: ankles, calcaneus, chests, ribs, elbows, fingers, feet, forearms, hands humerus bones, knees shoulder, thumbs, tibulas, fibulas and wrists for a total of 131 studies.
All X-rays were free. The total value of X-rays performed $14,337 The cost to inland imaging (staff, supplies technology) was $15,375 (which was donated to community).

New MRI: Open. Comfortable. Fast.

Inland Imaging will soon upgrade its MRI services with a best-on-the-market scanner that will redefine the patient imaging experience.

The Oasis, by Hitachi, is a whole-body Open MRI system that provides maximum patient comfort while delivering excellent image quality. The scanner’s open design greatly improves the scanning experience for a wide array of patients, including those who are anxious, claustrophobic, large, very young or elderly.

With this new MRI machine, Inland Imaging patients will benefit from:

  • A spacious opening and 270-degree view
  • The ability to touch a friend or family member during the exam
  • Faster scanning (less time on the table)
  • A table that lowers to wheelchair height

The Oasis also features advanced imaging technology. motion compensation and high-contrast, high-detailed imaging—combined with ultra-fast scanning—make the new MRI system ideal for studying orthopedic conditions, neurology disorders, vascular disease and problems with the abdominal and pelvic areas.

“The Oasis is the most powerful, high-field, open system available on the market today,” said Shannon Tripp, MRI manager. “It delivers the diagnostic-quality images our physicians need, but at the same time, it provides the most pleasant scanning experience.”

We're Growing at Northpointe - Ultrasound Services Added

The north side is growing and we’re growing with it by adding ultrasound services to our Northpointe Center, 9631 North Nevada Street, Suite 101.

“Adding this capability at our Northpointe location, allows us to provide our patients more convenient access to the clinical services they need to keep their health on track,” said ultrasound services manager, John Crowley.

We've Moved! Varicose Vein Clinic Has Moved to a New Space!

Inland Imaging’s Varicose Vein Clinic and Interventional Radiology Consultants has moved to a new space in the Sacred Heart Doctors Building. Look for us in Suite 560 in the East Tower. Stop by and see us some time.

Vein Visualization Technology Introduced at Our Spokane Area Imaging Centers


No one likes being poked with a needle, let alone more than once. That’s why we invested in AccuVein, an emerging technology in infrared vein visualization. Not only is it great for venipuncture, but also aids in sclerotherapy.

Vein visualization helps locate peripheral vasculature for IV starts and blood draw by displaying a map of the vasculature on the patient’s skin.

Venipuncture is the most common invasive medical procedure with an estimated 2.7 million procedures conducted every day in the U.S. alone. Studies show that up to one third of these attempts to access a vein fail the first time.

AccuVein Inc. is the global leader in vein visualization with more than 80% market share. The AccuVein AV400 is a small, lightweight, handheld vein illumination device that projects a safe pattern of light on patient’s skin that reveals the position of underlying veins.

Independent studies of the AccuVein device have shown:

  • 100% improvement in first stick success rate
  • 45% reduction in escalation calls
  • 81% reported improved ability to cannulate (the insertion of a small tube into the vein.)
  • 59% reduction in pain
  • 93% of patients surveyed would give hospitals a higher satisfaction score if they used infrared vein illumination.

AccuVein vein visualization videos can be found at:


3D Mammography: Q & A with Dr. ROBERT Lloyd
By Dr. Robert Lloyd
Breast imaging radiologist at Inland Imaging, practicing at Pullman Regional Hospital

Recently, Inland Imaging introduced an exciting new technology, breast tomosynthesis (also referred to as 3D mammography) at our five Spokane area breast-imaging centers. This revolutionary technology is also starting to take hold in other markets in the surrounding region, including at Pullman Regional Hospital, where Inland Imaging’s Dr. Robert Lloyd brings his expertise to the interpretation of breast imaging studies.

How Does 3D Mammography Work?
During the 3D part of the exam, the x-ray arm sweeps in a slight arc over the breast, taking multiple breast images. Then a computer produces a 3D image of your breast tissue in one-millimeter slices, providing greater visibility for the radiologist to see breast detail in
a way never before possible. The radiologist can scroll through image slices of your entire breast like the pages of a book.

What are the benefits of tomosynthesis breast exams?
The additional 3D images make it possible for a radiologist to gain a better understanding of your breast tissue during screening, often indicating the need for additional follow up imaging.

With conventional digital mammography, the radiologist is viewing all the complexities of your breast tissue in a single 2D image. Sometimes breast tissue can overlap, mimicking an abnormality.

This can lead to “false positive” 2D screening interpretation.  Conversely, layered breast tissues may obscure a true abnormality. By looking at the breast tissue in one-millimeter slices, the radiologist can provide a more confident assessment. In this way, 3D mammography finds cancers that may be missed with conventional 2D mammography. It also means there is less chance you will be called back for further assessment of false positive areas.

What is the difference between a screening and diagnostic mammogram?
A screening mammogram is your annual mammogram that is done every year beginning at age 40. These are performed when you show no symptoms of a problem.

Sometimes the radiologist may ask you to come back for follow-up images. This is called a diagnostic mammogram, which further evaluates unclear areas on the screening exam. Diagnostic mammograms are also performed for patients with a specific breast complaint such as a palpable lump or breast pain.

What should I expect during the 3D mammography exam?
3D mammography complements standard 2D mammography and is performed at the same time with the same system. There is no additional compression required and it only takes a few seconds longer for each view.

Is there more radiation dose?
Very low X-ray energy is used during the exam, about the same amount as a traditional mammogram done on film.

Who can have a 3D mammography exam?
It is approved for all women who would be undergoing a standard mammogram, in both the screening and diagnostic
settings. It may be most beneficial for women with densely glandular breasts.

Does health insurance cover 3D mammography?
Many insurance plans including Medicare, Medicaid and Premera Blue Cross cover 3D screening mammograms in full. However plans and coverage can vary widely. We always recommend that you consult your insurance carrier for plan and coverage details.

About Dr. Lloyd
Dr. Robert Lloyd is trained in CT, ultrasound and guided biopsies. Through his affiliation with Inland Imaging, he brings his expertise and the expertise of his radiologist colleagues to interpretation of breast imaging at Pullman Regional Hospital. Dr. Lloyd is
originally from Southern Idaho and earned his bachelor’s degree at Boise State University. After attending medical school at Midwestern University in Arizona, he performed a transitional internship at Sacred Heart Medical Center in Spokane and was also a resident at the Oklahoma University Health Sciences Center in Oklahoma City, Oklahoma.

STAR treatment: Radiofrequency energy used to kill tumors in vertebrae

by Treva Lind at The Spokesman-Review

Cancer patient Jeff Hinz of Post Falls calls it a nuke, delivered by a new medical device that targets radiofrequency energy to heat and kill tumors in vertebrae, normally a tricky area for such precision.

“My understanding is they ablate the tumor, nuke it,” said the 43-year-old Hinz, diagnosed fall 2013 with lung cancer that spread to bones. “With this procedure, you’re in and out in one day and walk out of the hospital. You’re a little sore for a day or two, but there’s no major incisions.”

Called spinal tumor ablation radiofrequency, or STAR, the procedure with the specialized instrument was developed by San Jose-based medical device company DFINE. STAR rolled out into a limited number of U.S. medical sites in 2012, and to date, and it’s treated a little more than 2,200 tumors.

About 1.7 million Americans are diagnosed each year with cancer, and two-thirds of them develop bone metastasis, often in the spine. The pressure from tumors in the spine can cause extreme pain and fractures.

During STAR procedures, physicians also use the device to insert liquefied bone cement in spots where the tumors are destroyed, and that substance quickly hardens to stabilize the bone.

Dr. Jayson Brower, Inland Imaging interventional radiologist, began doing STAR procedures and using the needle-like probe on Spokane-area patients about a year ago, including three outpatient procedures since April to destroy tumors in Hinz’s spine. Each outpatient session took no more than an hour.

Read the Full Article at The Spokesman-Review.