Radiologists NYC, Expert Radiology in New York

ACL Tear Prevention and Diagnosis

POSTED ON WEDNESDAY, MAY 28, 2014 AT 5:25 PM by Dr. Marc Liebeskind

May is National Physical Fitness and Sports Month. Being physically active often means that movement is an integral part of your daily lifestyle. Physical activity has been shown to have health benefits for all stages of life. According to the U.S. Department of Health and Human Services, for children and adolescents, being physically active has a positive impact on heart and bone health and can improve muscular fitness. During your adult life, physical activity can lower risk for heart disease, type-2 diabetes, and certain types of cancer. Physical activity can also improve cognitive functioning in older adults, as well as reducing their risk of falling down. This month we raise awareness about the benefits of physical activity, and discuss ways in which we can work to avoid one particularly common sports injury, the anterior cruciate ligament (ACL) tear, while we stay active this year.

A new report says that certain training methods can significantly reduce a young athlete’s risk of serious and potentially debilitating knee injuries. The ACL provides the body with stability to the knee. ACL tears are on the rise among American children and teens, with girls being affected most commonly. After puberty, girls do not usually develop more powerful muscles as their body size increases leading to injury, according to the article published online April 28, 2014. An ACL tear is often caused by a sudden twisting motion. With specified training methods, it is being reported by the American Academy of Pediatrics that the risk of ACL tears can be reduced by as much as 72 percent. The report emphasizes that the focus should be on prevention, due to ACL injuries often having long-lasting effects. The American Academy of Pediatrics offers a list of ACL injury prevention resources

If an ACL tear is suspected, your doctor may send you to receive diagnostic imaging at a radiology facility such as Park Avenue Radiologists, P.C. At Park Avenue, our musculoskeletal radiologist, Amy Liebeskind, MD, is an expert in interpreting sports injuries in NYC. Dr. Liebeskind boasts an impressive background of educational and professional achievements. A musculoskeletal radiologist is a highly specialized medical doctor who is an expert in diagnosing and interpreting radiological images of the musculoskeletal system, the system that provides form, support, stability, and movement to the body. Dr. Liebeskind is Board Certified by the American Board of Radiology and is also a member of the American Roentgen Ray Society, Radiological Society of North America, Americares-Global Medical Advisors Board and the New York Roentgen Society.

When evaluating an ACL tear, your doctor may recommend x-rays to look for any possible fractures. Magnetic resonance imaging (MRI) may also be requested to evaluate the ACL, checking for evidence of injury to other knee ligaments, meniscus cartilage, or articular cartilage. An MRI examination is able to visualize soft tissue, for ligament and tendon injury, providing valuable information for diagnosis and surgical planning that x-rays alone would be unable to provide. Of equal significance is the ability for physicians to use MRI to avoid unnecessary surgery and more invasive diagnostic procedures.

One benefit of MRI versus other imaging modalities, especially for younger patients, is that MRI poses no risk of radiation exposure. The images are acquired through magnetic resonance, or using a very strong magnetic field. Electromagnetic energy is released when exposing a patient to radio waves in a strong magnetic field which is then measured and analyzed by a computer producing two and three dimensional images. The strength of the magnet is measured in units called teslas.

At Park Avenue Radiologists, P.C., we offer a state of the art Open 1.5 Tesla MRI. Traditional MRI examinations can sometimes be considered uncomfortable examinations, particularly for patients that are claustrophobic. The ultra-short bore on our Open MRI provides for the maximum openness and patient comfort without compromising clinical results. In addition, the table can be lowered to 18 inches from the floor for easier patient access. At Park Avenue Radiologists, P.C., we understand that you should not have to sacrifice quality for comfort. For more information on the diagnostic tools available at Park Avenue Radiologists, P.C., visit us online.

To schedule your radiology examination with us today, call 212-888-1000, email scheduling@parkavenueradiologists.com, or schedule online.

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Heart Health Beyond Heart Month: Extending February’s Special Offer

POSTED ON THURSDAY, MARCH 06, 2014 AT 9:44 AM by Dr. Marc Liebeskind

Due to the overwhelmingly positive response from our valued patients, we are extending February's special price of $99 for a CT Coronary Calcium Scoring through the end of March! Take control of your heart health this and every month.

Heart month serves as a reminder that heart disease is the number one cause of death in the United States for both men and women. Preventive screenings such as a Coronary Calcium Scoring can help predict your risk of future heart attack. Because your heart health is a year round priority, Park Avenue Radiologists, P.C. has extended our heart month special offer. Now, throughout the entire month of March, Park Avenue Radiologists, P.C. will continue to offer patients a special rate of $99 for a Coronary Calcium Scoring. A positive calcium score may mean that coronary artery disease (CAD) is present, even if you are not experiencing symptoms. The information provided in your cardiac score can help your doctor make informed recommendations to promote heart health.

Call 212-888-1000 or email scheduling@parkavenueradiologists.com to schedule your examination today.

How is a CT Coronary Calcium Scoring performed?

A Calcium Scoring is a safe and noninvasive examination, lasting approximately five to ten minutes. There is no contrast or injection involved and you will be able to return to normal activities immediately following the exam. During your Calcium Scoring, you will be asked to hold your breath in ten second intervals while our advanced 64-slice multi-detector CT scanner in NY acquires multiple images of the heart. From the images taken during your examination, our team of board-certified radiologists is able to determine your cardiac score. Our doctors share their report with your referring provider, who discusses the findings with you and determines a plan of care. If your results test positive for calcification, the amount present on your arteries is known as the score. Using this score, you and your doctor may better determine necessary lifestyle changes and preventive measures to help avoid future heart disease or attack.

Additional Noninvasive Heart Imaging

As one of the first outpatient facilities in Manhattan to install the latest generation of multi-slice CT scanners, we have the experience as well as the technology to achieve the highest quality noninvasive imaging of the coronary arteries. At Park Avenue Radiologists, P.C., we perform a comprehensive array of coronary examinations.

Coronary CTA is becoming part of standard screening evaluations in high risk patients. The ability to visualize the vessel wall as well as the vessel lumen represents a unique advantage of CTA over conventional catheter angiography. Studies are evaluated by our team of board certified radiologists on a dedicated 3D workstation with proprietary vessel imaging software, providing a virtual image of the arteries.

Cardiac MRI is performed at Park Avenue Radiologists, P.C. on our state-of-the-art MAGNETOM Espree Open 1.5T MRI. With the Espree technology, there's no need to sacrifice accuracy for comfort.  By combining an exceptionally spacious open bore with a short design and powerful performance, our Open MRI in NYC maximizes comfort, precision and speed. Cardiac MRI may be used to evaluate patients with heart muscle damage following a heart attack, birth defects of the heart, heart tumors and growths, weakening or problems with the heart muscle, or symptoms of heart failure.

When it comes to heart health, at Park Avenue Radiologists, P.C. we are proud to offer our patients the care, consideration, and expertise to make them feel at ease while our advanced diagnostic tools image the heart, arteries, and vessels surrounding your heart. At Manhattan’s Premier Radiology Practice, our goal is to provide our patients with unparalleled imaging services.

To learn your calcium score, schedule your examination at our private ACR- Accredited Upper East Side NYC radiology facility today:

212-888-1000

or

scheduling@parkavenueradiologists.com.

For more information on cardiac imaging, please contact our knowledgeable personnel at information@parkavenueradiologists.com.

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Announcing 38 Years of Expertise, Technological Advances, & Quality Patient Care: Physician-Owned, Private Medical Imaging Since 1976

POSTED ON WEDNESDAY, FEBRUARY 19, 2014 AT 10:36 AM by Dr. Marc Liebeskind

Offering patients the best radiology care, from the introduction of PET-CT to the acquisition of our Open 1.5T MRI that offers patients comfort without sacrificing the quality of imaging, over the years we have been apart of many changes in the healthcare industry. While our technology and services have remained on the forefront of medical advancement, our board certified physicians, technicians, and clerical staff are proud of our steadfast, practice goals. Since 1976, we have remained a dedicated, physician-owned and operated, private New York radiology facility. With board-certified physicians leading the daily tasks of friendly technical and clerical personnel, we have maintained a service-focused practice.   

 

Few things are more personal than your health. Our patients expect the best, personal attention while receiving radiology services without the worry of constraints on scheduling or insurance coverage. Whether your doctor has referred you for a screening, to confirm or rule out a particular diagnosis, aid in surgery, or to monitor an existing condition, our NYC radiologists act as consultants to your doctor. Following your examination, our physicians report their findings to your referring doctor via various modes of communication that are tailored to your physician’s specific preferences. We take great pride in giving outstanding service to both our patients and our referring doctors, so information is accurate, timely, and provided in the friendliest, most professional manner. 

 

At Park Avenue Radiologists PC, we were the first private medical practice in Manhattan to offer MRI scans and CT imaging technology outside the hospital setting. Our private facility offers patients a choice in radiology that is both patient and value oriented. We have the flexibility to accommodate patients that large institutions may not be able to accommodate because of our private setting and location. The ultimate goal of our team of experienced employees is to provide patients with unparalleled imaging services, and we are honored to have been able to serve our community for nearly four decades. 

 

Thank you for trusting us with your healthcare for all of these years.

 

To schedule your radiology exam today,

call 212-888-1000 or schedule online.

 

Additional Links:

New York Radiology 

MRI NYC

X-RAY NYC 

Heart Health at Manhattan's Premier Radiology Facility: Coronary Calcium Scoring, Coronary CTA, Cardiac MRI

POSTED ON TUESDAY, FEBRUARY 04, 2014 AT 10:46 AM by Dr. Marc Liebeskind

Take control of your heart health for American Heart Month. All of February, Park Avenue Radiologists, P.C. is offering patients a special rate of $99 for a Coronary Calcium Scoring.

Heart disease, most commonly coronary artery disease (CAD), is the number one cause of death in the United States for both men and women. A positive calcium score may mean that CAD is present, even if you are not experiencing symptoms. Unfortunately, a heart attack is often the first sign of heart disease for nearly half a million Americans every year, according to the Heart Foundation. The benefit of Calcium Scoring is that it may allow for early diagnosis of heart disease, prior to showing signs or symptoms, when heart disease is most treatable.

Call 212-888-1000 or email scheduling@parkavenueradiologists.com to schedule your examination today.

What To Expect:

During your Calcium Scoring, you will be asked to hold your breath in ten second intervals while our advanced 64-slice multi-detector CT scanner acquires multiple images of the heart. A Calcium Scoring is a safe and noninvasive examination, lasting approximately five to ten minutes. There is no contrast or injection involved and you will be able to return to normal activities immediately following the exam. From the images taken during your examination, our team of board-certified radiologists is able to determine your cardiac score. Our doctors share their report with your referring provider, who discusses the findings with you and determines a plan of care. If your results test positive for calcification, the amount present on your arteries is known as the score. Using this score, you and your doctor may better determine necessary lifestyle changes and preventive measures to help avoid future heart disease or attack.

According to the National Heart, Lung and Blood Institute, those who are at moderate risk for heart attacks may be recommended to have a Coronary Calcium Scoring. Moderate risk means that there is a 10-20 percent chance of having a heart attack within the next ten years. Using the National Cholesterol Education Program's Risk Assessment Tool, you can calculate your 10-year risk and discuss your personal risk factors with your doctor. Risk factors for CAD, according to the American Heart Association, include:

  • High Blood Pressure
  • High LDL Cholesterol
  • Low HDL Cholesterol
  • Physical Inactivity
  • Family History of CAD
  • Smoking
  • Diabetes
  • Age (over 45 for men; post-menopausal for women)
  • Obesity

If you have no risk factors, are at high risk for heart disease, or have already tested positive for heart disease, calcium scoring may not be the appropriate examination for you. For high risk patients, your doctor may instead recommend either a Coronary CT Angiography (CTA) or Cardiac MRI, both available at Park Avenue Radiologists, P.C.

As one of the first outpatient facilities in Manhattan to install the latest generation of multi-slice CT scanners, we have the experience as well as the technology to achieve the highest quality noninvasive imaging of the coronary arteries.

Coronary CTA

Coronary CTA is becoming part of standard screening evaluations in high risk patients. The ability to visualize the vessel wall as well as the vessel lumen represents a unique advantage of CTA over conventional catheter angiography.

The multi-detector CT maximizes the sensitivity for small lesions due to its volumetric image acquisition with near isotropic imaging; due to the high number of detectors, image resolution is nearly identical in all 3 dimensions. Studies are evaluated by our team of board certified radiologists on a dedicated 3D workstation with proprietary vessel imaging software, providing a virtual image of the arteries.

Your examination is performed in less than 10 minutes and does not require sedation. After placing ECG leads on the chest an initial scan is performed to assess for calcification in the coronary arteries. Then a standard intravenous injection is performed. The scan itself requires approximately 10 seconds for image acquisition.

Cardiac MRI

Cardiac MRI is performed at Park Avenue Radiologists, P.C. on our state-of-the-art MAGNETOM Espree Open 1.5T MRI. With the Espree technology, there's no need to sacrifice accuracy for comfort.  By combining an exceptionally spacious open bore with a short design and powerful performance, our Open MRI maximizes comfort, precision and speed. Cardiac MRI may be used to evaluate patients with heart muscle damage following a heart attack, birth defects of the heart, heart tumors and growths, weakening or problems with the heart muscle, or symptoms of heart failure.

During the examination, which most often lasts between 30 to 60 minutes, detailed pictures of the heart and blood vessels are acquired from multiple views. Cardiac MRI is often recommended for patients when more information is needed following an echocardiogram or heart CT scan.

When it comes to heart health, at Park Avenue Radiologists, P.C. we offer our patients the care, consideration, and expertise to make them feel at ease while our advanced diagnostic tools image the heart, arteries, and vessels surrounding your heart. By the end of this decade, experts suggest heart disease will be the leading cause of death throughout the world. In order to begin to lower heart disease's troubling statistics, preventive measures should be considered.

To learn your calcium score, schedule your examination at our private ACR- Accredited Upper East Side radiology facility today:

212-888-1000
or
scheduling@parkavenueradiologists.com.

For more information on cardiac imaging, please contact our knowledgeable personnel at information@parkavenueradiologists.com.

Connect with us. Join more of our health discussions on Twitter, Facebook, and Google+:

 

A Year in Review: 2013’s Top Radiology News

POSTED ON FRIDAY, JANUARY 03, 2014 AT 1:35 PM by Dr. Marc Liebeskind

From the rollout of the health insurance marketplace on Healthcare.gov and the decision of the FDA to begin phasing out trans fats, to the first guidelines for preventing heart attacks and strokes being issued by the American Health Association and the American College of Cardiology, 2013 offered no shortage of health related headlines.

The following are your top radiology news of the past year:

A Major Step towards Earlier Diagnosis of Lung Cancer:

In July of this year, the U.S. Preventive Services Task Force (USPSTF) announced their landmark decision of issuing a draft recommendation in favor of the annual lung cancer screening of heavy smokers by low dose CT scan, a major shift in policy that experts say has the potential to save 20,000 lives a year. The USPSTF chair, Dr. Virginia Moyer, noted that almost 90% of those who are diagnosed with Lung Cancer die from the disease because it isn't detected until it has reached an advanced stage. The 2011 National Lung Screening Trial (NLST) found a 20% mortality benefit in patients that were screened utilizing low dose CT.

The theme of the second annual International Day of Radiology, observed November 8, 2013, was that of lung imaging and the progress that has been made in the field of radiology in diagnosing lung disease.

In 2013, CT lung cancer screening was recommended for those that met the following criteria:

  • Current or former smokers aged 55 to 74 years
  • A smoking history of at least 30 pack-years
  • No history of lung cancer

Double Mastectomy brought Breast Cancer Awareness:

Angelina Jolie brought breast cancer awareness to a whole new level in 2013 choosing to undergo a preventive double mastectomy after learning that she carries the BRCA1 gene, a genetic mutation that is known to raise the risk of developing breast cancer. Jolie wrote an op-ed in the New York Times titled “My Medical Choice” that shed insight on the motivations behind her personal decision.

Breakthrough in Alzheimer’s Findings:

The benefit from early PET scanning was confirmed by a study that had its interim results presented in Sept. 2013 at the Medical Biotech Forum in China. The study confirmed that patients with symptoms of Alzheimer’s disease (AD) who are diagnosed early with PET scans receive medication earlier and, thus, have improved clinical results. Both amyloid plaques and neurofibrillary tangles are clearly visible by microscopy in brains of those afflicted by AD. The ability to detect amyloid during life, as opposed to during autopsy postmortem, is a breakthrough in establishing early and accurate diagnosis of AD. Through research and diagnostic imaging, it is now possible to detect beta-amyloid in the human brain during life using Amyvid and positron emission tomography (PET). Amyvid, the first FDA-approved diagnostic imaging agent for estimating amyloid plaque density, was approved by the European Commission in January 2013.

CT Virtual Colonoscopy Makes Strides:

CT Colonography, or Virtual Colonoscopy, was deemed a safe and effective screening tool for routine colorectal cancer screening. As reported by AuntMinnie.com, in 2013 virtual colonoscopy researchers presented the U.S. government with all of the evidence it had asked for, and as a result they've concluded the time is now for approval of this screening tool for colorectal cancer, according to an article published in the July American Journal of Roentgenology. This means that in the near future, the screening exam may be covered by insurance in cases other than following a failed traditional colonoscopy.

The end of the year is a time for reflecting on the past year’s landmark moments while planning for the next year’s growth. One of the most stimulating aspects of the healthcare industry is the constant progression of techniques and studies that work to make even speedier, accurate diagnosis possible for an array of diseases, allowing patients to choose more effective treatments. Most often when a disease is found in its earliest stage the treatment options and survival rates are far greater than when the disease goes undetected.

To schedule your screening or diagnostic radiology exam in New York City today, please contact our courteous personnel at 212-888-1000, email scheduling@parkavenueradiologists.com, or schedule online.

 

Wishing you and your loved ones a happy and healthy New Year,

 

From the Doctors and Staff of Park Avenue Radiologists, P.C.

 

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