Alzheimer's and Dementia Screening

Volumetric MRI – a new tool in the early diagnosis of Alzheimer’s – measures the memory centers of the brain and compares them to expected size. Clinical studies have shown the non-invasive exam to be effective in predicting the progression of mild cognitive impairment (MCI) to dementia or Alzheimer’s disease.

A Volumetric MRI is useful in distinguishing between MCI patients who will remain stable and MCI patients who will progress to Alzheimer’s. The exam results help physicians decide if treatments are needed to prevent or slow the neuro-degeneration, and provide information to help families plan for the optimal care of their loved ones.

Extremity MRI

The Extremity MRI is a specialty scanner for patients needing an exam of the arm, including elbow, wrist and hand, or the leg, including knee, ankle and foot. Designed to be more quiet and comfortable for patients needing these types of exams than a full-body MRI system, the new Extremity MRI provides the image quality previously available only with a whole-body MRI system.

Unlike the awkward and uncomfortable positions sometimes required for extremity scanning in whole-body systems, patients can relax on a padded chair beside the scanner, reclining comfortably…much like they would in a favorite chair at home. Yet the Optima MR430s features a high-strength 1.5T magnet that ensures uncompromised image quality.

Because the patient sits next to the scanner, the experience may not only provide a more comfortable exam, but also less anxiety for those who have concerns about going into a full-body MRI system.

How do I prepare?

You’ll be glad to know that there is no fasting or dietary preparation necessary for your exam with the Extremity MRI. Your only preparation is in what you wear. Since the MRI uses a strong magnet, you should not wear clothes that have snaps, buttons, zippers or other fasteners made from medal.

What should I expect?

You will sit in a comfortable reclining chair. Only the body part being examined will go into the magnet. Many patients even find the procedure so relaxing that they fall asleep during the scan.

During the exam, you will hear a humming or vibrating sound. When you hear this sound, it is important to keep still. Motion during the scan may result in the technologist having to repeat parts of the scan.

You can leave immediately after the scan is completed. The images from the procedure will be reviewed by a radiologist who will send a report to your doctor. You should arrange to see or talk to your doctor after the exam to discuss your results.

How do I make an appointment?

Most of the time, your physician will work directly with Inland Imaging to schedule an appointment for you. If you have been asked to make your own appointment, contact Inland Imaging for scheduling information at 509.455.4455 or toll-free at 1.800.826.2944. Before calling, be sure your physician's order and insurance information (including pre-authorization, if needed) are readily available.

Body MRI

Magnetic Resonance Imaging (MRI) produces remarkably clear, detailed images of the organs within the abdomen and pelvis, making it an ideal tool to evaluate problems that affect the liver, pancreas, kidneys, bowel, and the various organs of the male and female pelvis.

Breast MRI

Magnetic resonance imaging (MRI) is a powerful tool in the diagnosis of breast cancer. Its high-resolution imaging provides superior views of abnormalities in the breast that might otherwise go undetected by other imaging technologies. In fact, the American Cancer Society recommends MRI exams in addition to annual mammograms for women at an especially high risk for breast cancer.

Inland Imaging’s dedicated high-resolution breast MRI and biopsy table features the very latest in breast MRI technology, providing maximum patient comfort and superior image quality.

What should I expect?

For a breast MRI exam, you will lie face down on the specially designed breast MRI table, which is configured to allow the breasts to be positioned comfortably through two openings called breast coils. Sometimes, patients are given a contrast material through IV, which improves viewing of the targeted area.

A Breast MRI without IV Contrast takes approximately 45 minutes. For a Breast MRI with IV contrast, expect the exam to take 45-50 minutes.

How do I prepare?
  • Wear loose, comfortable clothing. You may be given a gown to wear during your study.
  • Leave metal objects at home. This includes jewelry, eyeglasses, dentures and hairpins. You may be asked to remove hearing aids and removable dental work.
  • Receive a blood test. If you are over 60 years of age and IV contrast is indicated, this may be needed prior to your MRI exam.
  • Inform your physician and the technologist of prior surgeries, metal implants, pacemaker, or aneurysm clips.
  • Inform your physician if you are claustrophobic or unable to lie down on your stomach for an extended amount of time due to pain so that appropriate pre-medication can be ordered.
  • Notify the technologist immediately if you are a woman who is nursing or may be pregnant.
  • Contact Inland Imaging for special prep instructions if any of these risk factors apply to you: renal disease, over the age of 60, history of high blood pressure, diabetes or liver disease.

Cardiac MRI

A Cardiac Magnetic Resonance Imaging (MRI) exam offers a clear window into the heart and vascular system, allowing physicians to view—with exceptional detail—the function and structure of the heart, heart chambers, valves and major vessels.

This information helps physicians diagnose and treat a variety of cardiovascular conditions. For example, a Cardiac MRI may help detect and evaluate coronary artery disease or defects with the heart chambers or valves. It is also used to determine the extent of damage caused by a heart attack or progressive heart disease and to measure the buildup of plaque and blockages in the blood vessels.

Head and Spine MRI

MRI produces remarkably clear, detailed images of the brain and spine, making it an ideal tool to help evaluate problems that affect the brain and nervous system, such as stroke, spinal cord or brain trauma, brain tumors, multiple sclerosis, Parkinson’s, and other neurological disorders.

Magnetic Resonance Angiography (MRA)

A Magnetic Resonance Angiography (MRA) is a special MRI study of the blood vessels. The technique is used to guide treatment of brain disorders, stroke, and blood vessel disease.

MRA can also be used to screen asymptomatic patients with a family history of arterial aneurysm, a ballooning of a vessel wall. If an aneurysm is found, it can often be treated before serious bleeding occurs.

Magnetic Resonance Spectroscopy (MRS)

A Magnetic Resonance Spectroscopy (MRS) uses MRI technology to evaluate the chemical activity of areas in the brain. MRS is a special technique used to characterize the biochemistry of tumors, infarcts, and other pathology. It can be a useful addition to conventional MRI to distinguish tumors, strokes, and other disease.

Magnetic Resonance Venography (MRV)

Magnetic Resonance Venography (MRV) is an MRI exam that uses special computer software to visualize blood flow in the veins of the head and neck with extreme accuracy. The technique is helpful in the evaluation of certain diseases of the veins.

Musculoskeletal MRI

Magnetic Resonance Imaging (MRI) is the imaging method of choice in the diagnosis and treatment of disorders of the muscle, joints and bone.

Injuries to the soft tissue, joints, and bones can be difficult to diagnose, even with a thorough physical examination by an expert. MRI provides physicians with the highly detailed images they need to accurately pinpoint and treat even the smallest soft-tissue injuries, including injuries to the muscle, ligament and meniscal tears, and problems with the cartilage and bone.

In many cases, MRI is a good, cost-effective alternative to surgery in the examination of injuries like rotator cufftendonitis and bone bruises. With MRI, patients with these conditions may avoid surgery and get the care they need faster.

MRI’s ability to detect subtle bone marrow edema and problems with soft tissues also makes it the preferred imaging method in the diagnosis of many bone and soft tissue tumors, infection, and avascular necrosis, a disease in which bone tissue dies due to a lack of blood supply.

Open MRI

Redefining the MRI Experience. Our New Open MRI is a Game Changer.

At Inland Imaging, we’re changing the way you experience an MRI exam. Our newest scanner, the Oasis by Hitachi, is an open, whole body MRI that provides maximum comfort while delivering the high quality medical images you and your health care providers rely on. Its open design helps make exams less stressful and more comfortable so it’s a great choice for a wide variety of people including individuals who are anxious, claustrophobic, have limited mobility, or are very young or elderly.

Our newest MRI features a spacious opening and a 270-degree view. Patients are able to maintain physical contact with a friend or family member during the exam. Faster scanning means less time on the table. And, the platform can be lowered to wheelchair height for easier access.

Available at our South Cowley Imaging Center beginning in late 2015, our new open MRI may be the right technology for your exam. Call 509.363.7799 for more information.

Prostate MRI

Aside from skin cancer, prostate cancer is the most common cancer in men. But with early diagnosis and treatment, it’s also one of the most curable. Nearly 99% of patients diagnosed with the disease survived after five years, and 93% of patients survived after 10 years. MRI is a tool that can contribute significantly to these promising survival rates. An ultrasound and biopsy are typically among the first steps after an abnormal PSA test and physical exam. 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. However, if results of these tests are negative and PSA levels are still high, the patient will often be monitored and asked to return six months later for a second biopsy. An MRI scan can help close that crucial gap in time. A primary advantage of MRI over ultrasound is that it offers full visualization of the pelvis. Doctors can often determine if the cancer is contained within the prostate, or if it has spread to nearby organs, bones or lymph nodes. Additionally, specialized computer software measures and analyzes enhancement patterns within the prostate. Color-coded images combined with kinetic data can help physicians more confidently identify tumors.

MRI Defecography

MRI Defecography is a non-invasive test that uses magnetic resonance imaging to evaluate how well pelvic muscles are functioning during various stages of a bowel movement or to assess pelvic floor disorders.

How is the procedure performed?

You will be asked to change into a hospital gown and remove any metallic objects. You will be asked to empty both your bladder and bowels prior to getting on the scanner table, prior to being positioned on the scanner table. A soft gel that acts as a contrast material will be placed in your rectum. You will be positioned on the MR exam table lying on your back with your knees bent. A towel will be placed under you to absorb any urine or feces that may leak out during the exam. A device called an MR coil will be strapped around your pelvis. This coil helps improve the quality of the images.

Images will be obtained as you contract your muscles as you would during a bowel movement, including squeezing, straining and defecating. Images will also be taken while your muscles are relaxed. The MRI technologist will give you instructions throughout the exam.

You will need to arrive 30 minutes before your scheduled exam time. The actual exam takes approximately 45 minutes.

There are no restrictions placed on you after the exam. The images will be interpreted by our radiologist, and a report will be sent to your health care provider. Your provider will review the results with you.To learn more contact MRI Scheduling at (509) 455.4455.