Nuclear Cardiology (Mobile) :: Mobile Ultrasound
Nerve Conduction Studies :: Videonystagmography (VNG) Testing

Nuclear Cardiac and General Imaging, Echo, Vascular, and General Ultrasound

MedWorks has been offering imaging services since 1999, and during that time it has been repeatedly demonstrated that in-office imaging is good for both the patients and the practice.

Nuclear Cardiology (Mobile)

Nuclear Medicine Solutions from MedWorks provides everything you need to offer complete nuclear cardiac or general imaging services in your practice, diagnostic center, or hospital. By combining the latest state of the art imaging equipment and highly trained technologists you are able to offer excellent diagnostic imaging services to your patients. Partnering with MedWorks will provide added convenience to your patients as well as increasing the bottom line to your practice, clinic, or facility.

Our Mobile Nuclear Medicine Services Include:

• Mobile Nuclear Medicine System
  • MedWorks utilizes the state-of-the-art Digirad nuclear cardiac camera, which was developed specifically to meet the needs of office-based nuclear imaging
  • Moves easily in and out of an 8x10 exam room, and can fit in a 7x9 room if needed
  • The exam room used goes back to patient use after we roll the camera out at the end of the service day
• Stress EKG Equipment
  • The stress EKG is portable and rolls in and out of the office on each day of service
  • Treadmills are offered if the practice does not currently own one.
• Registered or Registry-Eligible Nuclear Medicine Personnel
  • MedWorks hires only qualified technologists who are registry eligible or registered
  • MedWorks' technologists are able to adapt to your clinic to
    maintain a smooth, seamless operational environment
  • MedWorks' professional staff provide the utmost in patient care and quality diagnostic imaging
    

ACLS Certified Stress Personnel

• Preps patients for treadmill and pharmacological stress
• Monitors patients during stress portion of test

Radioactive Materials License and Radiation Safety Officer

• Utilization of MedWorks' Radioactive Materials License for mobile nuclear medicine sites
• Completion of Radioactive Materials License for fixed sites and for consultation

Nuclear Licensing and Image Interpretation

• Partnerships with local physicians who are “Interpreting Physicians” and "Authorized Users"

Billing Expertise and Training

• MedWorks management spends time in your practice prior to startup to review billing
• Training is supplied to include all forms, paperwork, radiation safety inservice, etc.

All Necessary Information included in Site Manual

• We will work with physicians and staff to establish an optimal schedule
• The custom schedule will give the best quality images while maximizing  patient comfort
• MedWorks follows the ASNC guidelines to ensure your lab is of the utmost quality
• A complete site manual will be customized for your facility, complete with all forms, patient information, superbills, etc., basically everything needed to get started
• MedWorks patient education information to ensure your patients thoroughly
  understand the nuclear medicine procedure

Management

• MedWorks will work with your practice to ensure courteous services and maximum throughput for your facility.

Accreditation

• At your request, MedWorks will assist your facility in receiving accreditation through the Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories "ICANL."
  

Mobile Ultrasound

MedWorks offers a unique combination of the most state of the art imaging systems and highly trained, registered Sonographers right to your hospital, imaging center, or private office setting. Experience total control over your patient exams, imaging protocols, as well as final and preliminary report formats. Our mobile ultrasound solution generates new revenue streams for our clients and flexible scheduling for your patients.

Our Ultrasound Imaging Services

Utilize a complete array of ultrasound imaging services, including cardiac, general, and vascular imaging with state-of-the-art equipment from leading ultrasound manufacturers. These services can be provided in a standard exam room. Exams can be offered one or more days per week, bi-weekly, or on a monthly basis.

Cardiac

• 2D and 3D Echo (Adult and Pediatric)

Vascular and General

• Complete Carotid Imaging
• Upper and lower Venous and Arterial Imaging
• Segmental Pressures
• General (Thyroid, Renal, etc)
• Complete Abdominal Imaging

Nerve Conduction Studies

Nerve conduction studies are a great addition to current in-office ancillaries. These diagnostic studies are key in identifying causes of symptoms such as numbness, tingling, and continuous pain in extremities as well as other areas. Studies are easily performed in a standard exam room, and can be provided one or more days per week, as well as biweekly and monthly. Half-day scheduling options are also available. MedWorks provides the expertise and equipment to include:

• Cadwell Sierra Wave System
• Technical Personnel
• All Associated Paperwork and Information

Some examples of diseases or conditions that may be evaluated with NCV include, but are not limited to, the following:

• Carpal Tunnel Syndrome - A condition in which the median nerve, which runs from the forearm into the hand, becomes pressed or squeezed at the wrist by enlarged tendons or ligaments. This results in pain and numbness in the fingers.
• Guillain-Barré Syndrome - A condition in which the body's immune system attacks part of the peripheral nervous system. The first symptoms may include weakness or tingling sensations in the legs.
• Charcot-Marie-Tooth Disease - A hereditary neurological condition that affects both the motor and sensory nerves. One characteristic is weakness of the foot and lower leg muscles.
• Herniated Disc Disease
• Chronic Inflammatory Polyneuropathy and Neuropathy - Conditions resulting from diabetes or alcoholism
• Sciatic Nerve Problems
• Pinched Nerves
• Peripheral Nerve Injury

Medworks has cultivated relationships with neurologists to provide professional interpretations of the studies with twenty-four hour turnaround times. This ensures a “Total Quality” service which will meet and exceed your practice expectations.

Videonystagmography (VNG) Testing
(Also known as Dizzy or Balance Testing)

MedWorks is excited to offer Videonystagmography (VNG) technologies for testing inner ear and central motor functions, and, just as with our other diagnostic offerings, provide VNG testing in-office. VNG testing is considered the new standard for testing inner ear functions over Electronystagmography (ENG) because:

• VNG measures the movements of the eyes directly through infrared cameras, instead of measuring the mastoid muscles around the eyes with electrodes.
  
  
• VNG testing is more accurate, consistent, and comfortable for the patient. By having the patient more comfortable and relaxed, consistent and accurate test results are more easily achieved. VNG testing is used to determine if a vestibular (inner ear) disease may be causing a balance or dizziness problem, and is one of the only tests available today that can decipher between unilateral and bilateral vestibular loss. VNG testing is designed to document a patient’s ability to follow visual objects with their eyes and how well the eyes respond to information from the vestibular system.
  
  

This test also addresses the functionality of each ear and if a vestibular deficit may be the cause of a dizziness or balance problem. To monitor the movements of the eyes, infrared goggles are placed around the eyes to record eye movements during testing. VNG testing is non-invasive and the actual testing takes approximately 45 minutes.

VNG Testing: There are 4 main parts to the VNG test:

1. Occular Mobility: The patient will be asked to follow objects with their eyes that jump from place to place, stand still, or move smoothly. The technician will be looking for any slowness or inaccuracies in the ability to follow visual targets.
   
   
2. Optokinetic Nystagmus: A large, continuously moving visual image is used to see if the patient’s eyes can appropriately track the movements. Like the occular mobility tests, the technician will be looking for any slowness or inaccuracies in the ability to follow visual targets.
   
   
3. Positional Nystagmus: The technician will move the patient’s head and body into various positions to make sure that there are no inappropriate eye movements (nystagmus), when the head is in different positions. This test checks the inner ear system and the condition of the endolymph fluid in the semi-circular canals, verifying that small calcium carbonate particles called canaliths or otoconia are not suspended in the fluid and causing a disturbance to the flow of the fluid.
   
   
4. Caloric Testing: The technician will stimulate both of the patient’s inner ears (one at a time) with warm and then cold air. Eye movements are monitored using goggles, making sure that both ears can sense this stimulation. Caloric testing confirms that the vestibular system for each ear is working and responding to stimulation. This test is the only test available that can decipher between a unilateral and bilateral loss.
   
   

Treatments

About 65%-85% of patients with abnormal tests are recommended for the Epley Maneuver (also known as Canalith Repositioning Procedure). This simple maneuver is performed by the doctor during an office visit.

Vacation Coverage for Nuclear Medicine and Ultrasound

Call us now for vacation coverage. We will make every effort to cover emergency and last minute requests, however our schedules fill quickly. Coverage can be arranged months in advance, so if you are planning a vacation call us now.

Consulting

Accrediting your Nuclear Medicine or Ultrasound laboratory can be a time-consuming business. Understanding, developing, and implementing the infrastructure in your laboratory to meet ICANL, ICAVL and ICAEL standards and guidelines is crucial to the accreditation process. MedWorks accreditation consulting division can help you achieve accreditation for your vascular or echocardiography laboratory and greatly simplify the accreditation process for you.