Fluoroscopy
What is Fluoroscopy?
Fluoroscopy is a radiology imaging modality that uses x-rays to produce real time images during diagnostic or interventional procedures. Radiologists use the real time information to answer clinical questions relating to anatomical structure and function of the body part being examined.
To assess the function of the area being examined, x-ray contrast media or x-ray dye can be used during the procedure for further informational enhancement of the anatomy and its associated pathological question. At PCH, we commonly use barium, iodine and air contrast media agents.
The most common Fluoroscopy examinations performed at PCH are micturating cystourethrograms (MCU) and barium studies including enemas and swallows.
Our fluoroscopy room
The PCH fluoroscopy room is a colourful environment designed to capture patients’ imaginations. We provide a non- threatening clinical setting equipped with modern technology to accommodate paediatric patients of all ages. Vibrant wall murals provide a positive distraction for children so we can deliver a high quality imaging service while optimising patient comfort. The room is also equipped with digital technology to help entertain our patients during procedures.
How are the images taken?
Your child may be asked to lay on their back or to stand on or next to the imaging table while the camera (imaging detector) moves around them without touching them. The movements of the camera are controlled by either the radiologist or radiographer during the procedure so they can follow the contrast while images are being taken. Most images are taken with the patient lying down but the table may be tilted.
The x-ray contrast is given while the radiologist is performing the examination. This may be swallowed, injected or introduced via tubes depending on the examination.
There will be a radiologist, nurse and radiographer present during the examination to answer any questions that you or your child may have.
Who looks at the images?
One of our paediatric radiologists will look at your child’s images and send a report to your child’s referring physician.
What do I do before the test?
Your child may need to prepare for their fluoroscopy examination by fasting for three hours from solids and two hours from all fluids to prevent nausea during their procedure.
What you need to do before your child’s examination will be explained to you when you book your appointment. If you are unsure about the instructions you are given or need further information, please do not hesitate to contact the department before your child’s examination.
What happens after the test?
The radiologist, MIT or nurse will let you know when your child can leave.
Unless your child’s doctor tells you otherwise, your child can eat and drink normally after their test.
When will I get the results?
One of our radiologists will review the images taken during your child’s examination and send a report to your child’s referring doctor. If there is a serious problem that requires treatment, your child’s doctor will be notified before you leave the department.
In some cases, your doctor may ask you to return immediately after the scan to see them and they will contact us to get your child’s results.
How should I prepare my child?
Infants
- Bring along a special toy or dummy
- Talk to your child during the test
- Explain the test to your child just before their appointment as they may become anxious if they are told about it too far in advance.
- On the day of the test, let your child know they will be having some images taken and tell them that you will stay with them during the test.
- Bring their favourite toy or book and a snack for after their test.
- If your child needs to fast before their procedure, bring along a snack for after the test.
Toddlers and preschool aged children
- Explain the test to your child just before their appointment as they may become anxious if they are told about it too far in advance.
- On the day of the test, let your child know they will be having some images taken and tell them that you will stay with them during the test.
- Bring their favourite toy or book and a snack for after their test.
School aged children
- Explain to your child in simple language that they are going to hospital to have some images taken of their body and that you will stay with them during the test.
- If your child needs to fast before their procedure, bring along a snack for after the test.