NeuroQuant

Elevate your ability to quickly diagnose and closely monitor neurodegenerative brain disorders with reliable automated tools.

Identify Evidence of Neurodegeneration

Three convenient locations: Turkey Lake Orlando, Maitland, and Lady Lake

Whether it’s a neurodegenerative disease or a curable mimic, NeuroQuant provides objective support for your clinical impression.

Achieve More Accurate Predictive Prognosis for Your Patients

With NeuroQuant, common statements like “mild involutional changes” and “age-appropriate atrophy” can be explored more thoroughly and objectively to help you predict your patients’ clinical course.

Perform Ongoing Evaluation

Longitudinally track the rate of neurodegeneration in patients with atrophy due to Alzheimer’s frontotemporal dementia, corticobasal depression, epilepsy, multiple sclerosis or traumatic brain injury.

Streamline Your Review

Get color-coded brain segmentations and all studies perfectly aligned to one another — regardless of patient positioning. This enables efficient inspection on a PACS or other DICOM viewer and allows optimal assessment of hemispheric asymmetry or changes across time. Highlight coronal, sagittal and axial findings using NeuroQuant reports that provide example images back to the referring physician.

NeuroQuant® provides fast and reliable quantitative brain image analysis.

As the leading FDA-cleared and CE Mark quantitative brain image analysis software. NeuroQuant is an MRI measurement. It provides volumetric information of subcortical brain structures, bringing powerful, accurate, and fully automated MRI post-processing capabilities to your desktop.

How Does NeuroQuant Work?

As input, NeuroQuant takes a high-resolution 3D T1- weighted sagittal, non-contrast-enhanced MRI scan from a disk or one that is auto-routed from a scanner or PACS server. After adjusting for distortions and aligning the brain to atlas, NeuroQuant identifies and segments multiple brain structures. It then measures their volumes and compares the volumes to a normative database
adjusted for age, sex, and cranial volume.

Atrophy, Quantified, Interpretation, Simplified.

In minutes, with no user intervention, NeuroQuant returns a new, full-volume, spatial-corrected, and automatically labeled data set, along with printable patient reports. These reports contain absolute and relative volumes of the hippocampus, temporal horn, and other structures in a DICOM compiled format.

Your Ally for Comprehensive Analysis

NeuroQuant® is a powerful tool for evaluating patients from ages 18 to 95, providing critical information for the assessment of neurological conditions and neurodegenerative diseases such as Alzheimer’s disease, epilepsy, traumatic brain injury, MS, and more. With NeuroQuant, you can improve your assessment of neurodegeneration in its earliest stages and identify cases where a more thorough workup for curable etiologies might be appropriate.

Works the Way You Do

Incorporate fast and consistent quantitative MRI measurement into your existing workflow — a powerful asset from earlier diagnosis to longitudinal tracking in your clinical routine.

Automates Your Analysis

NeuroQuant automatically segments and measures volumes of the hippocampus, ventricles and other brain structures and has also proven to be consistent with segmentation performed by expert neuroanatomists.

Get it Right the First Time

NeuroQuant corrects image artifacts including gradient nonlinearities and 1 RF field inhomogeneities, while also accommodating for scan alignment issues.

Available Anytime, Anywhere

Web-based system means you can log on anytime from virtually anywhere, and support is always a call or click away.

Priced to Perform

Volumetric analysis and reporting are made convenient and cost-effective with a price-per-scan pay plan.

Complete Reporting for Complete Insight

Get precise volumetric brain data in just minutes to help with clinical assessment, monitoring of disease progression, and evaluation of treatment effectiveness.

Reports

Age-Related Atrophy:
Absolute and relative volumes of the hippocampus and inferior lateral ventricles.

General Morphometry:
Absolute and relative volumes for 11 different structures of the right and left side of brain structure.

Hippocampal Volume Asymmetry:
Absolute and relative volumes of the left and right hippocampus on age and gender-matched reference charts.

Color-Coded Brain Segmentation:
A 3D MR series enabling closer inspection on a PACS or other DICOM viewer.

Coronal Loop:
Video illustrates a color-coded, segmented brain.

Longitudinal Studies:
Assess the same patient at multiple scan intervals to examine regional atrophy over time.

Vascular Ultrasound

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One of our dedicated technicians with an ultrasound machine

The Ultrasound machine can be used for many different purposes, such as detecting various heart and vascular issues.

Venous ultrasound helps determine the cause of long-standing leg swelling. Sonography can help locate the exact site of the troublesome vein and avoid complications such as bleeding. In people with a common condition called varicose veins, the valves that keep blood flowing back to the heart in the right direction may be damaged, and venous ultrasound can help the radiologist decide how best to deal with this condition and aid in the placement of a needle or catheter into a vein.

The Arterial Doppler study is able to demonstrate blocked or reduced blood flow through the major arteries of the arms and legs. This procedure uses sound waves to produce images on a monitor for the purpose of evaluating the arterial blood flow to the upper extremities (arms) and lower extremities (legs). As well as the vessels supplying the visceral/abdominal organs.

Carotid Doppler Ultrasound is a non-invasive test that uses sound waves to measure the flow of blood through the large carotid arteries that supply blood to the brain. These arteries can narrow due to arteriosclerosis or other causes and this can lead to TIA (mini-stroke) or CVA (stroke).

Ultrasound Aspiration Biopsy of the Thyroid

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Ultrasound view of a thyroid

During a biopsy of the thyroid, a small sample of tissue is removed from the thyroid gland.

The thyroid gland is located in front of the neck just below the Adam’s apple and is shaped like a butterfly, with two lobes on either side of the neck connected by a narrow band of tissue. Nodules on the thyroid are often detected by imaging examinations. However, it is not always possible to tell from these imaging tests whether a nodule is benign or cancerous.

A needle biopsy, also called a needle aspiration, involves removing some cells from the suspicious area on the thyroid and examining them under a microscope to determine a diagnosis.

Interventional Radiology

inter-introInterventional Radiology at SLI involves experienced radiologists performing minimally invasive procedures.

Interventional radiology can help diagnose and treat diseases in nearly every organ system. These types of procedures are the most cost-effective and timely procedures available, thanks to Sand Lake Imaging’s cutting-edge technologies and highly-trained staff.

“Not only was the staff at Sand Lake extremely professional, they made me feel like my results meant as much to them as they did to me!”

 – Debra B.

See the drop-down menus below for more details about our Interventional Radiology Services.

 

Aspiration of the Body
An example of fine needle aspiration

Fine-needle aspiration is a method of collecting cells from various parts of the body to look for signs of cancer, infection, or other conditions.

A doctor inserts a thin needle into a lump and withdraws a sample of cells or fluid. The material is then examined under a microscope.
Fine needle aspiration may be the only test you need to find out whether a lump is cancerous. But in some cases, you may have another procedure, such as a core needle biopsy. In a core needle biopsy, you will have a local anesthetic to numb the area.

The doctor places the core needle, which is larger than the needle used in an aspiration, into the lump. Then he or she takes out a thin section of tissue (about the size of a pencil lead), rather than a few cells.

Breast Biopsy
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The Hologic Selenia is used in a stereotactic breast biopsy

A breast biopsy is performed to remove cells from a suspicious area in the breast and examine them to determine a diagnosis.

Stereotactic breast biopsy is an x-ray procedure that uses multiple coordinates to precisely determine the location of a tumor or nodule so that a tissue sample may be obtained.

In MRI-guided breast biopsy, magnetic resonance imaging is used to help guide the radiologist’s instruments to the site of the abnormal growth.

An ultrasound-guided breast biopsy uses sonic pulses to create images, rather than relying on low-dose radiation (as in a stereotactic biopsy) to do the same.

Image-guided needle biopsy is not designed to remove the entire lesion, but most of a very small lesion may be removed in the process of biopsy. Image-guided biopsy is performed when the abnormal area in the breast is too small to be felt, making it difficult to locate the lesion by hand (called palpation). With the help of some kind of imaging, your doctor will be better able to locate the lesion, thus ensuring the accuracy of the test.

CT Arthrogram
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CT Arthrogram of the shoulder

A CT arthrogram is a diagnostic study of the joint structures within the body by injection of x-ray contrast (dye).

As the dye disperses, the radiologist documents whether the dye is contained or is leaking, which indicates the stability and integrity of the joint and reveals cartilage tears and other injuries. An arthrogram is sometimes performed as a sole diagnostic test. If the site and nature of the injury are clearly apparent, the diagnostic process may stop here.

In other cases, arthrography can be the first phase of a diagnostic process that also includes CT or MRI scans. At the time of the procedure, your provider will allow you the chance to ask any questions you may have. You will be asked to sign a consent for treatment.

 

CT Guided Bone Marrow Biopsy

The soft tissue inside the hollow part of the bone is called marrow. A CT-guided bone marrow biopsy uses a needle carefully inserted into the pelvic bone to obtain a sample of bone marrow and bone. This imaging test is performed at the Turkey Lake Orlando and Maitland offices only.

At the time of the procedure, your provider will allow you the chance to ask any questions you may have. You will be asked to sign a consent for treatment. These biopsies are done using local anesthesia. Medications may also be given through your IV to help you relax. As with any surgical procedure, complications of bleeding or infections may occur, though rarely.

CT Guided Liver Biopsy

Used to evaluate for fibrosis scoring and metabolic disorders, this procedure is only performed at the Turkey Lake Orlando and Maitland offices.

During biopsy, one of our physicians will use images generated by a CT scanner (also called a cat scan) to accurately insert a needle into the liver, allowing a sample to be removed for testing.

At the time of the procedure, your provider will allow you the chance to ask any questions you may have. You will be asked to sign a consent for treatment. These biopsies are done using local anesthesia. As with any surgical procedure, complications of bleeding or infections may occur, though rarely.

Fine-needle Aspiration Procedure

A thin needle is guided into an abnormality to remove a small sample of cells and/or fluid. This procedure is commonly used to address thyroid nodules, neck masses, fluid collections, and lymph nodes throughout the body. Guidance methods include CT and ultrasound.

At the time of the procedure, your provider will allow you the chance to ask any questions you may have. You will be asked to sign a consent for treatment. As with any surgical procedure, complications of bleeding or infections may occur, though rarely.

Ultrasound Aspiration Biopsy of the Thyroid
ultrasound-thyroid
Ultrasound view of a thyroid

During a biopsy of the thyroid, a small sample of tissue is removed from the thyroid gland.

The thyroid gland is located in front of the neck just below the Adam’s apple and is shaped like a butterfly, with two lobes on either side of the neck connected by a narrow band of tissue. Nodules on the thyroid are often detected by imaging examinations. However, it is not always possible to tell from these imaging tests whether a nodule is benign or cancerous.

A needle biopsy, also called a needle aspiration, involves removing some cells from the suspicious area on the thyroid and examining them under a microscope to determine a diagnosis.

Ultrasound

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An ultrasound display

Ultrasound imaging involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body.

Ultrasound exams do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they show the structure and movement of the body’s internal organs as well as blood flowing through blood vessels.

Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions. Vascular ultrasound provides pictures of the body’s veins and arteries. Prenatal ultrasound provides pictures of a developing fetus. A Doppler ultrasound study may be part of a vascular ultrasound examination. Because of its many uses, an ultrasound is a handy, noninvasive diagnostic tool for doctors to use.

Ultrasound Procedures Performed at Our Facilities:

  • Complete Abdomen
  • Right Upper Quadrant, Limited Abdomen
  • Renal
  • Aorta
  • Obstetrics, 1st Trimester
  • Obstetrics with Fetal Anatomy
  • Fetal Biophysical Profile
  • Ultrasound Pelvis
  • Pelvis Transvaginal (as needed)
  • Thyroid
  • Scrotum/Testicular
  • Lower Extremity – Non-Vascular
  • Thyroid Biopsy
  • Echocardiography
  • Carotid Doppler
  • Arterial Doppler
  • Venous Doppler
  • Abdominal Doppler
  • Renal Doppler

 

Digital X-Ray

X-ray of a chest

An x-ray is a medical test that physicians use to diagnose and treat their patient’s medical conditions.

An x-ray is a painless and quick test for the patient to endure. It involves exposing the part of the body that is being examined to a small dose of ionizing radiation to produce pictures of the inside of the body.

X-ray is also used to diagnose various conditions of the lungs including pneumonia, tumors, and changes in heart failure. It also is used to diagnose fractures and other abnormalities of bones, joint conditions, and causes of abdominal pain.

X-Rays Performed at Our Facilities:

  • Chest, PA & Lat
  • Chest – 1 View
  • Ribs with Chest (R & L)
  • Complete Abdomen
  • KUB (Kidneys, Ureter, Bladder)
  • Acute Abdomen with Chest X-Ray
  • Sinus, 3 Views
  • C-Spine
  • T-Spine
  • L-Spine
  • Hip/Pelvis (R & L)
  • Knee
  • Upper Extremity (Arm)
  • Lower Extremity (Leg)

Digital Mammography

Sand Lake Imaging is now offering the Genius 3D Mammography Exam, a more accurate way to screen for breast cancer.

These digital mammography systems create clearer, more accurate images than an x-ray mammography.

Our top-of-the-line Hologic Selenia Dimensions Tomographic Mammography systems allow for sharp, detailed images with superior resolution, reduced exposure, and less compression time. The fully automatic, self-adjusting, self-releasing tilt compression paddle conforms to the natural contour of the breast, making positioning easier and offering incomparable patient comfort.

Unlike other parts of the body, the breast is composed mainly of soft tissue. When breast tissue is x-rayed, it creates an image that looks something like a smoky haze, making it difficult to see tiny “spots,” called microcalcifications, and other subtle signs of early cancer.

Digital Mammogram (Left) vs. X-ray Mammogram (Right)

With digital tomosynthesis, the radiologist reviews electronic images of the breast using special high-resolution monitors. The physician can adjust the brightness, change contrast, and zoom in for close-ups of specific areas of interest. Being able to manipulate images is one of the main benefits of digital technology. Another convenience of digital mammography over film-based systems is it can greatly reduce the need for retakes due to over or under-exposure. This potentially saves additional time and reduces exposure to x-rays.

Because they are electronic, digital mammography images can be transmitted quickly across a network. Digital images can also be easily stored and copied without any loss of information, and transmitted in a more streamlined manner, eliminating dependence on only one set of “original” films. It is also more cost effective because there are no films to develop since the images are rendered digitally.

 

 

Breast MRI

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Cross-sectional MRI view of the breasts

Breast MRI uses Magnetic Resonance Imaging (MRI) to look specifically at the breast.

It is a non-invasive procedure that doctors can use to determine what the inside of the breast looks like without having to do surgery or flatten the breast (as in a mammogram).

Each exam produces hundreds of images of the breast, cross-sectional in all three directions (side-to-side, top-to-bottom, front-to-back), which are then read by a radiologist. No radiation is involved, and the technique is believed to have no health hazards in general.

The hope is that such non-invasive studies will contribute to our progress in learning how to predict the behavior of tumors and in selecting proper treatments. Breast MRI is an evolving technology and should not replace standard screening and diagnostic procedures (clinical and self exams, mammogram, fine needle aspiration or biopsy). This procedure can be helpful for getting a second opinion, or another look at the breast.

Magnetic Resonance Angiography (MRA)

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An MRA image of the kidneys

An MRA is a minimally invasive test that helps physicians diagnose and treat various medical conditions.

It can help detect aneurysms of the brain and major arteries, or narrowing of the blood vessels (stenosis). MRA does not use ionizing radiation (x-rays), and may be performed with or without contrast material. If needed, the contrast material is usually injected using a vein in the arm.

A computer then processes the signals and generates a series of images each of which shows a thin slice of the body. The images can then be studied from different angles by the interpreting radiologist. Overall, the differentiation of abnormal (diseased) tissue from normal tissues is often better with MRI than with other imaging modalities such as x-ray, CT and ultrasound.

When a contrast material is introduced to the bloodstream during the procedure, it clearly defines the blood vessels being examined by making them appear bright white. To learn more about MR Angiography, you can visit Radiology Info.

MRAs Offered at Our Facilities:

  • MRA Brain
  • MRA Neck (Carotid)
  • MRA Chest (Thoracic Aorta)
  • MRA Abdomen (Abdominal Aorta)
  • Renal
  • Extremity Runoff
  • Chest Pulmonary Veins Left Atrium and Esophagus

3T MRI – Magnetic Resonance Imaging

Magnetic Resonance Imaging (MRI) is a safe, painless way for doctors to get a clear look at your internal anatomy.

In fact, a scan may be the only way your doctor can get diagnostic information without surgery. The technology produces sharp computerized images of internal body tissues that can’t be viewed through x-rays. Doctors can request an MRI image for your brain, your knee, your spine, or just about any part of your body that needs diagnosis.

See our latest MRI procedure here!

Other MRI Procedures Performed at Our Facilities:

  • MRI Brain
  • MRI Pituitary
  • MRI Orbits
  • MRI Maxillofacial
  • MRI Neck
  • MRI Chest
  • MRI Heart
  • MRI Abdomen
  • MRI Pelvis
  • MRI Shoulder
  • MRI Knee
  • MRI Hip
  • MRI Ankle
  • MRI Upper Extremity (Arm)
  • MRI Lower Extremity (Leg)
  • MRI C-Spine
  • MRI T-Spine
  • MRI L-Spine