The department of radiology and medical imaging was founded to answer the needs of the community. The technology that we use is the newest, and the personnel that uses it, and also the diagnosticians are well known performers. The technology is digital, of high performance, allowing complex operation for the acquisitions with a direct impact over the diagnosis, the data bases are of great capacity, secured, and the image's storage possibilities are  .

   The specialized activity in the area of radiology and medical imaging in   SOMEȘAN CLINIC is performed by: Dr. NEMEȘ BOTA SABIN, Dr. FETCU DAN MIHAIL, Dr. BUTE NICOLETA, Dr. ARPĂȘTEUAN ANNEMARIE, Prof. Univ. Dr. PETCU STELIAN, Dr. OPRIȘ LIGIA, Dr. BONCIU EMANUELA, Dr. STEGERAN ANDREEA, Dr. IRICIUC MAGDALENA, Dr. UNGUREAN IOANA, Dr. POP FLAVIUS, Dr. LACAU IOANA SMARANDITA

          History of the RADIOLOGY

      The discovery of X-ray, in 1895, represented the beginning of a revolutionary change in our way of understanding the physical world. In the year that he turned 50, while being chancellor of Wurtsburg University, Wilhelm Conrad Rontgen was making a series of experiments with cathodic radiation, using a Crookers tube, when he observed that a screen covered with barium salt, that was nearby, became bright every time there was a discharge in the tube. When he placed his hand next to the fluorescent spot, from the Crook tube's wall, on the screen a diffuse contour of his hand and palm bones appeared, and when he placed a bag, he could clearly see it's contour. Laving aside his duties toward the university and his students, Rontgen spent his next six weeks in the laboratory, without sharing anything of his new discovery, to his colleagues.

     Three days before Christmas, he called his wife to the laboratory, where, with the help of a photographic plate, covered in black paper, obtained "the first photo of the hand, without flesh", a photo of his wife's hand bones, together with the ring on her finger. A new radiation was emitted, that could easily get through materials that were opaque to the normal light. He called it "X radiation", due to its enigmatic nature.

     Rontgen announced his discovery on 28 of December 1895. The doctors immediately understood the immense use the medicine can draw from the properties of X-rays. Today, we all know the terms of radioscopy and radiography. The applications of these radiation are used in many areas, nowadays, not only in medicine.

 SOMEȘAN CLINIC'S RADIOLOGY SERVICES OFFER

1. MAGNETIC RESONANCE IMAGING (MRI)

Imaging through nuclear magnetic resonance is a test that uses a magnetic field and radio frequency beats, to visualize images of different organs and tissues of the human body. In many cases, MRI offers information that can not be visualized through X-ray, ultrasonography or computerized tomography (CT). During MRI, the body area that needs to be investigated is placed in a special apparatus that represents a giant magnet. The information that MRI gives can be stored and saved in a computer. Also, pictures or films can be done, id requested. In some cases, a contrast substance can be used, to visualize, more clear, some body structures.

MR investigations, on Siemens Magnetom Essenza 1,5 T system, can be performed for all the anatomic segments and diagnosis suspicions, due to the fact that all existent types of antennas were acquired  .

2. COMPUTERIZED TOMOGRAPHY

Computerized tomography (CT) uses X-ray to create detailed images of the structures inside the body.

During the test, the patient will lay down on a plane surface (table), that is connected to a scanner; this has a cylindrical form. The scanner sends X-ray impulses to the part of the body that needs to be investigates. A part of the apparatus is mobile, so it can effectuate images from more positions. The images are stored in a computer.

Computerized tomography is used to investigate different body parts like chest, abdomen, pelvis or limbs. Also, it can take images of the organs like liver, pancreas, intestines, kidneys, suprarenal glands, lungs and heart. Also, it can give information over blood vessels, bones and spinal cord. During the scan fluoroscopy can be used, the method that uses a stabile X-ray beam, to visualize the motility and aspect of different organism parts.

A iodate substance (contrast substance) can be used for a better visualization of the investigated structures and organs. This contrast substance can be used to investigate the blood flow, to differentiate tumors or other affections. The substance can be administrated intravenous (I.V.), orally or can be introduced in different body parts (for example: rectum). The images can be done before and/or after the administration of the contrast substance.

3. CT ANGIOGRAPHY

CT angiography is a minimally invasive medical procedure, not painful, that is performed with the help of X-ray and can help to detect aneurysms . The procedure implies the injection of a contrast substance, and exposure to X-ray, for an extremely limited amount of time. Multidimensional images are taken .

4. MAMMOGRAPHY

A mammography is a special type of breast radiology examination, performed with the help of a special equipment that can frequently highlight tumors that are to small to be felt. Mammography is the best radiology method, available today, that can discover breast cancer very early. Is an ideal and compulsory method  for women that are over 40, and that have an increased  risk to develop breast cancer.

The procedure is quite simple. Most breast affections are not malignant, and even is the rest of the affections are due to cancer, over 90% of these are curable, if they are found early and  treated promptly.

Although mammography, as the majority of the medical analysis, is not 100% accurate, a periodic control, with the help of mammography, is the best radiology method to discover early breast cancer, before any obvious signs or symptoms appear. Some studies have shown that mammography can reduce the breast cancer death ratio with more than a third.

The senology department offers very accurate clinical diagnosis services, digital mammography with a Siemens Mammomat 3000 Nova system, and also ecography with Acuson S 2000, with facilitation even for elastography, doppler etc.

5.  DEXA OSTEODENSITOMETRY

DEXA osteodensitometry is the newest method that allows measuring the bone (mass) density, through which the risk of osteoporosis is determined. The method in non invasive, the radiation quantity that we use is very small, and the patient does not feel any discomfort during the test, and it can be performed in more levels, most frequent being the hip, lumbar spinal cord and forearm. The obtained scores allow the diagnosis of osteopenia or osteoporosis, that have different therapeutic approach. Osteodensitometry is recommended to all the women, after menopause. OSTEOPOROSIS is an affection that is characterized through the bone resistance diminution, that predisposes to an increased risk of fracture. 

   6. Conventional radiology with a Siemens Multix system with phosphor-plates.

7. General and special ecography, including liver elastography, in the clinic there are another three Acuson X300 ecographs, in different ultramodern variance, dedicated to divers types of special ecography investigations: cardiology, urology, obstetrics and gynecology, 4D, vascular doppler, fetal morphology etc.

8. HYSTEROSALPINGOGRAPHY

Hysterosalpingography is a radiology investigation method for the uterus and fallopian tubes, using a contrast substance. It is being performed for the first time in the county of Maramures, through the collaboration between the gynecologist and the radiologist.

Hysterosalpingography is the exam that associates the hysterography- radiology exam of the uterus- with the salpinography- radiology exam of the fallopian tubes.

The time when the hysterosalpinography exam can be performed is between day 7 and 11 of the menstrual period- first day of menstruation is day 1.

Hysterosalpinography is an investigation method that is recommended to women that can not get pregnant or suffer spontaneous miscarriages, that have intense menstrual pain or abundent uterine hemorrhage (menstrual or not)

It is a simple procedure, minimally invasive, fast, accessible, that can offer important information, referring to a certain area of the genital apparatus.

Hysterosalpinography is not performed during the pregnancy, an acute pelvic infection or a hemorrhage.

The patient must announce the doctor if she is allergic to iodine or has any other types of allergies. The women who suffer from diabetes and use a metformin treatment must interrupt the medication for a few days before the investigation. This is due to the fact that in combination with the contrast substance, metformin can produce a severe renal affection. The day before the investigation, an enema is recommended or laxative administration to empty the colon, with the sole purpose of obtaining better images.

The investigation results can indicate modifications of the uterus (malformations, adherence, inflammatory sequelae, tumoral formations etc.) or of the fallopian tubes (narrowed tubes, rigid, with abnormal tract, not regular or blocked, modifications that are usually the result of local inflammation).