“I was referred by my vet to Pieper Memorial for an ultrasound with Dr. Freer on my dog Bridgette. The staff was very friendly on the phone and in person… Dr. Freer who did the ultrasound was amazing. He was friendly with us and with Bridgette; he truly cares for his patients. Not every vet is passionate about their job, but Dr. Freer showed he was…If I ever have to have an ultrasound done again I will definitely be back.”Lyndsey F.
Pieper Veterinary offers state-of-the-art diagnostic imaging services, using the same pieces of equipment that you would find at your local hospital. Different methods of imaging can be used to help diagnose your pet, including digital radiography (x-ray), ultrasonography, echocardiography, fluoroscopy, computed tomography (CT), and magnetic resonance imaging (MRI).
X-ray and abdominal ultrasound (including echocardiography, or cardiac ultrasound) are the most commonly used imaging modalities in veterinary medicine. They are utilized on a daily basis by all primary care doctors, emergency doctors, and specialists at Pieper.
While in some cases sedation may be required in the interest of patient well-being, patient comfort, and image quality, the vast majority of these tests are performed without sedation or anesthesia. Results are typically available immediately.
Our capabilities include:
- Magnetic resonance imaging (MRI)
- CT scans
- Digital radiography (x-rays)
What is advanced imaging?
Traditional imaging in veterinary medicine has mainly consisted of X-rays. While X-rays are still useful in many situations, MRI, CT, and ultrasound are now available to aid in the diagnostic process. Ultrasound allows for an in-depth look at organs and soft tissues in motion, and MRI and CT scans provide detailed, cross-sectional information about the body in much higher clarity than traditional X-rays.
What’s the difference between MRI, CT, fluoroscopy, and myelography?
- MRI is safe, non-invasive, and is the ideal method to evaluate the nervous system. It gives us a detailed look at the brain, spinal cord, and nerves. MRI is also an advanced way to look at soft tissue structures such as muscle, ligaments, and tendons. Patients can have MRIs regardless if they have had implants such as pins, plates, or microchips, but pacemakers and neurostimulators may be contraindicated.
- CT takes x-ray images of “slices” of a patient’s specific organ, muscle, bone, or other internal body part. CT images are much more detailed than a traditional X-ray and can be reconstructed into multiple planes or a three-dimensional model of the affected area, resulting in even greater accuracy. Many conditions which would not be visible using a traditional X-ray can be seen on CT images. CT images are sometimes enhanced with the use of contrast, but MRI is generally preferred for evaluating the nervous system.
- Fluoroscopy uses x-rays to create both images and real-time moving views of the body. It's used for guiding orthopedic surgery, neurosurgery, interventional procedures, and contrast studies.
- Myelography involves injecting a contrast agent in the space next to the spinal cord and using X-rays to make images of the nervous system. Myelograms used to be the standard method for evaluating the nervous system, however, MRI has now replaced this type of imaging in most situations, due to the fact that MRI gives much more information and is non-invasive. Myelography can still be beneficial in situations where MRI is contraindicated.
Some indications for advanced imaging include:
- Cancer screening, staging, or surgical planning
- Neurologic disorders or injuries
- Vascular disease diagnosis and treatment planning
- Traumatic injury assessment
For patients undergoing MRI examination of the nervous system, the neurologist will be able to review the results of the MRI the same day to go over further diagnostic or treatment options. Owners of pets undergoing MRI for areas outside the nervous system will be able to discuss the results of the exam with the clinician who ordered the test.
Your primary care doctor may request that you come to Pieper for an outpatient ultrasound. These scans are performed by a board-certified radiologist. Appointments last less than an hour and results are available before you leave. We will communicate the results directly with your doctor so that you may continue your pet’s care with them. Please withhold food after 10 pm the night prior to ultrasound examination (unless contraindicated for medical reasons) in case sedation or anesthesia is required. Water should remain available for your pet throughout the night. Please note the examined area may need to be shaved to allow for the best image possible and an accurate diagnosis.
What is a radiologist?
Rapid advancements in veterinary care and increased availability of a variety of imaging techniques demand expertise in this area. An American College of Veterinary Radiology (ACVR) board-certified radiologist spends three or more years in a training program dedicated to learning image acquisition and study application and interpretation. Our radiologist works closely with your primary care veterinarian and attending Pieper clinicians to determine what imaging is best suited for the clinical scenario, ensure an accurate and timely diagnosis, and create a plan for further treatment. Additionally, we have access to board-certified teleradiologists for emergency imaging interpretation 24 hours a day.
Working with your primary care veterinarian
Your general practice veterinarian is an important part of your pet’s health and we work as an extension of their services when advanced or after-hours treatment is necessary. We will notify your veterinarian that your pet visited our diagnostic imaging service, and provide them with treatment and follow-up information to continue your pet’s care once you leave our hospital.