FAQs

General

Patients expect one thing above all from the wide range of imaging procedures available to medicine today: more security for their health. The Radiology Center offers state of the art technology, which was previously limited to hospitals, combined with the benefits of an optimally run specialist practice, detailed discussions with patients, individual care and extremely short waiting times. In the Radiology Center, the focus is on the patient: A very important principle for the medical, technical and organizational offer at the Radiology Center is orientation towards the patient and their individual needs. Additionally, the most modern radiology and nuclear medicine awaits you all under one roof. > About us

The well-being of our patients is a key concern for us. One of our daily tasks is to provide you with certainty and clarity about the status of your health. We have the latest generation of innovative medical technology equipment at our disposal, which enables us to use special examination methods. Modern radiology and nuclear medicine awaits you all under one roof! > About us

Personal support from our core team is important to us: of course, you can have your radiological examinations personally carried out by private lecturer Dr. Johannes Sailer or private lecturer Dr. Philipp Peloschek or Prim.i.R. dr Peter Peloschek to carry out. The nuclear medical examinations are carried out by Prof. Hoffmann.

A group of highly qualified experts is often required to offer all radiological options at the highest level. We pride ourselves on being able to draw on the expertise of a group of highly qualified experts when needed.
> Our Team

The Radiology Center is located directly opposite the renowned “Goldenes Kreuz” maternity clinic and women’s health center in Vienna’s 9th district and is connected underground to the renowned “Wiener Privatklinik”. However, it is particularly important to emphasize that it is an independent enterprise and has been frequented by many thousands of outpatients from all over Vienna, Lower Austria, Burgenland and all over the world for decades.> Directions

Our opening hours are from Monday to Thursday between 9:00 and 17:00 O’clock. Fridays we are open from 9:00 to 15:00 o’clock.

If required it is possible to book an appointment on Monday, Tuesday and Thursday between 17:00 and 19:00 o’clock for magnetic resonance imaging (MRI).

You need a referral from your doctor for an appointment at the Radiology Center for all examinations that use ionizing radiation or a contrast medium (X-ray, computed tomography).

No, in the radiology center you will receive your appointment in a few days time.

Many of the examinations at the Radiology Center can be settled with the Austrian social insurance (health insurance/e-card).

When offsetting our doctor’s office of choice for X-rays and ultrasound with health insurance (reimbursement of costs by social insurance of 80%), our secretariat will, if desired, take over the submission of the reimbursement of costs.

Since small insurance companies charge a deductible of 20%, additional costs only arise for WGKK patients (approx. EUR 3 to 19 depending on the examination). In addition to the health insurance contract services, there are many examinations that are not or only partially paid for by health insurance.

We will inform you in good time about any costs incurred and support you in processing reimbursements from the health insurance company. Private services can be paid for on site in cash, with a debit or credit card.

Do you have any questions and haven’t reached us?
Just write us an email or leave us a message and/or your telephone number.
Our employees will contact you immediately.

office@radiology-center.com (or click on the contact icons at the top right)

In the Radiology Center, data protection was structured in a compliant manner long before the Europe-wide General Data Protection Regulation (GDPR) came into force, since our images and data are transmitted electronically to authorized persons. This also applies to the transfer of data to third parties, and the patient must of course agree to this (opt-in). See also quality features.

In the Radiology Center, long before the European General Data Protection Regulation (GDPR) came into force, findings were transmitted electronically and securely to authorized persons via an online patient portal respectively online referrer portal. Of course, the patient must agree (opt-in).

Yes, because long before the European General Data Protection Regulation (GDPR) came into force, images were transmitted electronically and securely to authorized persons on an online referrer portal in the Radiology Center. Of course, the patient must agree (opt-in).

Yes, because in the Radiology Center, images were transmitted electronically and securely long before the Europe-wide General Data Protection Regulation (GDPR) came into force. Of course, the patient must agree (opt-in). Patients have access to their image data themselves and can manage it themselves in an Online-Portal.

In the Radiology Center, patient education is the verbal and written information given to each patient about intended diagnostic measures, where the possible risks and side effects of the planned examination are sufficiently explained. Furthermore, the patient is explained what to expect (noises, movements, etc.)

Patient safety is an important part of quality assurance in the Radiology Center and describes the structured effort to ensure error-free and damage-free medical treatment and all measures aimed at protecting patients from avoidable damage in connection with imaging diagnostics.

The Radiology Center is a certified location for radiological and nuclear medicine imaging procedures according to ÖNORM EN ISO 9001:2015. See also quality features.

A doctor’s office of choice is an office that provides health insurance services without a health insurance contract. This means that the services performed by the doctor (X-rays, ultrasound) are not billed directly to the health insurance company, but are billed directly to you in the form of a fee note. We would be happy to handle the reimbursement process for you with your health insurance company. You will be reimbursed 80% of our doctor’s fee. Our practice of choice offers several advantages for the patient: Short pre-registration times, quick appointments and drastically reduced waiting times in the practice (usually only waiting times of 15 to 20 minutes), quiet atmosphere, no overcrowded waiting areas, no stressed staff.

Many radiological and nuclear medicine services are provided in the Radiology Center that are not covered by health insurance, but mostly by private insurance. This means that the services provided by the doctor will be charged directly to you in the form of a fee note. Find out in advance from your insurance broker or health insurance company which outpatient services are covered.

Many nuclear medicine services at the Radiology Center are covered by health insurance, which means that they can be “paid for” directly with the e-card.

Yes, for many decades patients from all over the world have sought advice from the experts at the Radiology Center.

At the Radiology Center we value internationality, currently we can (together with interpreters) offer our services to patients in English, Russian, French, Romanian, Croatian and Spanish.

Clinical Images

Black skin cancer (the medical term is melanoma) is a highly malignant tumor of pigment cells and the most dangerous form of skin cancer.

There is white skin cancer and black skin cancer (melanoma).

Head

Neck

There are numerous types of malignant lymphoma.

The Radiology Center offers all types of examinations. In the case of malignant lymphoma (Hodgkin’s disease, non-Hodgkin’s lymphoma, mantle cell lymphoma, and many others), FDG-PET/CT is a crucial examination to evaluate the therapy success (Re-Staging, Early Response, Biopsy).

The Radiology Center offers an examination for dry mouth/xerostomia with sonography of the salivary glands and salivary glands scintigraphy.

Thyroid

Thyroid nodules are when individual areas develop within the thyroid gland where the cells of the organ proliferate and/or enlarge. Some nodules grow to a certain point and not beyond, others become progressively larger. Nodular changes in this hormone-producing gland are found in almost every third adult. Most of the time they are harmless and are not even noticed by the affected person. However, since in rare cases cancer can be the cause, thyroid nodules should always be examined.

The Radiology Center offers you all possibilities for examination. For thyroid nodules, primarily the blood test results , the sonography and in rare cases, the thyroid gland sonography.

Hot nodules trigger a metabolic disorder in the body, which leads to an overactive thyroid. Since hot nodules produce hormones uncontrollably, the body is constantly working at full capacity and is heavily strained. Hot nodules are usually benign.

The Radiology Center offers the following examinations if a hot nodule is suspected:

In many cases, a hot nodule can be treated with radio-iodine therapy.

A cold nodule is an area of the thyroid gland that is inactive and does not produce hormones. In rare cases, a cold nodule may contain cancerous changes.

The Radiology Center offers the following tests if a cold nodule is suspected:

Graves’ disease is an autoimmune disease of the thyroid gland and, if left untreated, leads to life-threatening hormonal dysfunction and sometimes eye involvement. In almost all cases, with the help of drug therapy, the disease comes to a halt after a short time.

Due to a disturbed production of thyroid hormones, hyperthyroidism occurs. Various symptoms can occur, such as:

  • Metabolic disorders (weight gain, hair loss, brittle nails)
  • Nervous system disorders (poor sleep, tremors)
  • Problems with heart and circulation (high blood pressure, shortness of breath)
  • Protruding eyes
  • Goiter
  • Cycle irregularities and reduced fertility
  • Osteoporosis

The Radiology-Center offers you all possibilities of examination. In case of Graves’ disease, mainly the doctor’s consultation, blood test, sonography and in rare cases thyroid scintigraphy are used.

Yes, the SVA, KFA, BVA cover a part of the costs of an examination for Graves’ disease.

This is the name given to an inflammation of the thyroid glands. Most often, the causes of thyroiditis are autoimmune diseases, bacteria, viruses, certain medications or injuries. There are acute, subacute and chronic forms of thyroiditis.

The Radiology-Center offers you all the possibilities for examination, in case of thyroiditis mainly the doctor’s consultation, the blood test results, the sonography and in rare cases the scintigraphy of the thyroid gland is used.

Yes, the SVA, KFA, BVA cover part of the cost of an examination for thyroiditis.

The autoimmune disease leads to a chronic inflammation of the thyroid gland, thus limiting the hormone secretion of the thyroid gland.

In most cases, the hyperthyroidism/ hypothyroidism is not noticed at the beginning and is often only detected by an incidental finding based on a routine check-up.

The Radiology-Center offers you all the possibilities for examination, in case of Hashimoto’s thyroiditis mainly the doctor’s consultation, the blood test results, the sonography and in rare cases the scintigraphy of the thyroid gland is used.

Yes, the SVA, KFA, BVA cover part of the cost of an examination for Hashimoto’s thyroiditis.

Yes, you can undergo both pre- and post-thyroid surgery exams at the Radiology Center.

Yes, at the Radiology Center we offer radioiodine therapy for benign thyroid nodules.

Thyroid diagnostics and thyroid therapy including in vitro diagnostics and sonography:
The care of patients with thyroid diseases by the specialist in nuclear medicine has a long tradition in Austria; it goes back to the well-known internist Prof. Dr. Karl Fellinger, a co-founder of the Austrian Society of Nuclear Medicine in 1967. This offers the great advantage that the entire diagnostic procedures and also a large part of the therapeutic concepts (apart from surgical interventions) are mastered by the nuclear medicine specialist. At the Radiology Center, there is a nuclear medicine thyroid coordination for the care of patients with thyroid diseases or for the clarification of thyroid nodules including ultrasound-directed fine needle puncture of the thyroid gland and also for the follow-up of patients with thyroid cancer.

As part of the follow-up of differentiated thyroid carcinoma, we offer the rhTHS (Thyrogen®) stimulation test in combination with neck sonography and iodine-123 whole-body scintigraphy.

The Radiology Center offers the possibility of outpatient radioiodine therapy for benign thyroid diseases such as Mb. Basedow (immunothyreopathy), focal or diffuse autonomy, struma nodosa, including the appropriate preparatory examinations (Sonography, Scintigraphy, laboratory tests) and also the necessary aftercare.

We offer the following examination options for suspected parathyroid adenoma:

Tc99m sestamibi parathyroid scintigraphy is used in cases of known primum or, in exceptional cases, sec. Hyperparathyroidism for preoperative localization diagnosis. This allows minimally invasive surgery.

Arms/Shoulders

Frozen shoulder is a disease of the shoulder joint capsule. Initially, sufferers only have severe shoulder pain, which subsides over time, but the shoulder stiffens more and more. However, it is possible that this stiffness will resolve after years.

At the Radiology Center, if you have a “frozen shoulder,” you can undergo a Ultrasound examination or a MRI of the shoulder.

Chest

Bronchus carcinoma is the medical term for malignant lung cancer. It is a variety of malignant neoplasms of degenerated cells of the bronchi or bronchioles. Lung cancer is one of the most common malignant diseases in humans.

Prolonged chronic damage, such as cigarette smoke, causes changes in the genetic material of the cells of the mucous membranes of the bronchi and alveoli. As a result, the control mechanisms for the growth and death of cells are no longer effective and a malignant tumor develops.

There are numerous subtypes of this disease, which is why a CT-targeted biopsy (tissue sampling) is most often performed prior to surgery or other therapy.

If early-stage lung cancer is discovered, it is usually by chance. Often, a lung x-ray is ordered for an entirely different reason.

That depends primarily on the spread at the time of diagnosis and the pathologic typing. Novel therapies have often made long-term survival possible. However, the most important thing to remember is that lung cancer is most often caused by smoking, and can be largely prevented by not smoking.

Treatment depends largely on the stage and form of the cancer. There are various options, ranging from radiotherapy and chemotherapy to molecular immunotherapy.

The Radiology Center offers the following examination options for lung metastases:

An attack-like pain in the chest, which is triggered by a sudden circulatory disturbance of the heart due to coronary artery disease, is called angina pectoris. It is not the actual disease, but a symptom.

Shortness of breath can be caused by a variety of triggers. Some of these causes are:
Narrowing or obstruction of the airway (for example, due to swallowing a foreign object, insect bite in the mouth, epiglottitis).
Disease of the lungs (for example, pneumonia, whooping cough, asthma, etc.).
Decreased oxygen supply (for example, due to drowning or poisoning)
Heart failure
Congenital heart defect

In cancer medicine, there are several ways to learn about a diagnosis. The Radiology Center offers the following options:

The Radiology Center offers the following examination options for lymph node metastases:

The Radiology Center offers the following examination options for pneumonia:

The Radiology Center offers the following options of examination in case of suspected pulmonary embolism:

The Radiology Center offers the following examination options in cases of suspected lymphedema:

Breast

Mammography is an early detection program for breast cancer. It is a modern imaging method for the gentle examination of the breast.

Mammography is currently the most widely used and established – although not infallible – method for the early detection of breast cancer. It allows the detection of malignant changes in the breast with a high degree of accuracy, before they are palpable as lumps or hardening. Mammography cannot prevent the occurrence of breast cancer; it is used to detect breast cancer as early as possible, as this disease can be treated much better in the early stages of the disease. In order to increase the quality and thus the detection rate of breast cancer, an independent second diagnosis by a second radiologist (= double diagnosis) is performed for all mammograms.

Using a special X-ray device, the breast is scanned in two, sometimes three, planes. This enables an exact spatial assignment of the imaged structures.
In order for the image to be as detailed as possible, the breasts must be flattened with the help of two plates, one of which receives the X-ray detector or the X-ray film. The breast placed on the detector plate is pressed against it by a second, sliding plastic plate. This somewhat unpleasant examination step is over after only a few seconds.

Because the breasts are compressed by the X-ray plates, it can be considered uncomfortable and painful.
It is best to have the mammogram between the sixth and twelfth day of the cycle, as the sensitivity to pain and the density of the breast change during the cycle and can be assessed particularly well during this phase.

Recommended:

  • 40 to 44 year olds can come in for a mammogram (including sonography) once a year if desired
  • over 54 years old should come every 1-2 years for mammography (incl. sonography), as long as no other disease causes a limitation of life expectancy to less than 10 years.

For some women at high risk (e.g. genetic, after radiotherapy, etc.), in addition to the Guidelines for the early Detection of Cancer, mammography should be performed every two to three years.

No. In Austria, only X-ray machines are used that have a very low radiation dose (about as much as a transatlantic flight) and therefore have a low radiation exposure.

The further course of action depends on the evaluated findings. If a palpable lump cannot be seen on an X-ray and the changes cannot be assessed on the mammogram, these must be further clarified in ultrasound examinations. However, it is not possible to make a 100 percent statement about the benign or malignant nature of a node found, even with the help of ultrasound.
For BI-RADS categories IV and V, a biopsie (small tissue sample) is taken from the breast and examined.

Breast pain can be symptoms of the following diseases:

  • Abscess
  • Breast inflammation
  • Breast cancer
  • Mastopathy

If a lump is palpated between two mammograms, especially if it is very hard and not painful, then urgent medical advice and immediate clarification is needed.

Benign lumps are left in the breast. Unclear lumps and lumps suspected of being cancerous are further investigated (MR mammography, ultrasound, biopsy, surgery).

Fibroadenoma is a benign lump in the breast. This is mainly composed of breast glandular and connective tissue.

Mastodynia refers to the cycle-related pain in the breast a few days before menstruation starts. However, mastodynia is not associated with a higher risk of breast cancer and is not considered a disease in the strict sense.

After menstruation, the breast should be palpated once a month in the form of a self-examination.

The following examinations are advised for breast pain:

  • Palpation of the breast
  • Blood test
  • Gynecological examination
  • X-ray
  • Mammography

Since it is not possible to assess malignancy or benignity with 100 percent certainty on the basis of a mammogram, a system has been introduced that enables risk assessment. BI-RADS actually means “Breast Imaging Reporting and Data System” and is divided into seven categories.

  • BI-RADS 0: Further imaging for assessment is necessary because mammography is not assessable.
  • BI-RADS I: BI-RADS I: Routine screening is recommended based on a normal appearance.
  • BI-RADS II: BI-RADS II: A clearly benign change is evident, so routine checks are recommended.
  • BI-RADS III: Because a benign change is evident with a cancer risk of less than 2%, repeat screening after six months is advised.
  • BI-RADS IV: It is possible that the finding is malignant, which is why a biopsy and a follow-up examination after six months are recommended.
  • BI-RADS V: Because a carcinoma (cancer) is thought to be present, the risk of cancer is greater than 95% and therapeutic action is taken accordingly.
  • BI-RADS VI: A carcinoma is histologically confirmed and is treated with surgery or chemotherapy.

As a rule, Mammography should be performed involving the patient and the treating physician.

MR mammography can also be used to diagnose complications after breast implants (rupture of the implant, etc.). In most cases, the use of contrast agents (gadolinium) is needed to differentiate between healthy and diseased tissue.

Another method is Sonography, ultrasonic examination. Here, however, the accuracy depends on the breast density and the so-called microcalcification cannot be detected, which in some cases indicates a surface carcinoma in the milk ducts.

We advise every woman to examine her own breast regularly by palpation in the period between mammograms.

The Radiology Center offers the following examination options for breast carcinoma:

No, if you feel a lump in your breast, you come directly to us. Otherwise, however, we require a physician’s referral to perform the proper examination.

Heart

The abbreviation stands for coronary heart disease.

In the case of a narrowing of the coronary arteries, fatty and calcium deposits on the inner walls of the vessels are among the causes.

At the Radiology Center, you can undergo the following examinations for coronary heart disease:

  • Lung/heart x-ray
  • Computed tomography angiography of the coronary arteries (so-called coronary CT)
  • Myocardial scintigraphy

If you suspect a heart attack, contact your primary care physician urgently. The Radiology Center offers you the possibility of a perfusion scintigraphy of the heart as well as a CT angiography of the coronary arteries.

Myocardial scintigraphy is a nuclear medicine examination procedure that provides information about the blood flow, vitality and function of the heart muscle or perfusion ratios.

The Radiology Center offers the following examination options for suspected coronary artery disease:

The Radiology Center offers the following examination options for suspected in-stent stenosis:

Abdomen (and Pelvis)

Osteonecrosis is the death (necrosis) of bone sections or bones due to an infarction of the bone. Osteonecrosis can occur at any age.

Osteonecrosis occurs when the nutrient supply to a bone section is interrupted. This can be triggered by an injury at the affected bone site or by infectious and non-infectious or degenerative processes.

Symptoms of osteonecrosis include pain or bone ache in the affected area, restriction of movement, and joint effusion.

In mild cases of osteonecrosis, it is sufficient to immobilize the affected body part and not to load it with weights. If X-ray, MRI or scintigraphy show signs of advanced osteonecrosis, surgery must be performed. In cases where the disease process is already very advanced, bone grafting with or without cartilage is also performed or an artificial joint is inserted.

Components of urine form compounds called kidney stones. These concretions form in the renal pelvis, renal tubules, and the draining urinary tract. Low fluid intake and, rarely, poor diet can be causes of kidney stones.

Colic is the term used to describe a severe, usually labor-like pain.

In the case of abdominal pain, different examinations can be helpful in finding a diagnosis, such as:

The Radiology Center offers the following examination options for suspected renal artery stenosis:

The Radiology Center offers the following options for examination in cases of suspected arterial hypertension:

The Radiology Center offers the following possibilities of examination in case of suspicion of renal insufficiency:

  • Sonography of the kidneys
  • Scintigraphy of the kidneys
  • Captopril isotope nephrography and determination of side-separated renal function
  • Computed tomography (CT) angiography of the renal arteries
  • Magnetic resonance imaging (MRI) angiography of the renal arteries

The Radiology Center offers the following examination options for suspected penile carcinoma:

The Radiology Center offers the following examination options for suspected ovarian cancer:

The Radiology Center offers the following examination options for suspected fibroids:

The Radiology Center offers the following examination options in case of suspected teratoma:

Prostate

Spine

Scoliosis is a lateral curvature of the spine with simultaneous twisting of the vertebral bodies. This is a progressive disease of the spine, which is why therapy is helpful and useful at every stage.

One form of scoliosis is “secondary scoliosis”. This is when the curvature of the spine is due to a demonstrable cause such as muscle disease, accidents or congenital malformations.
However, the most common form is idiopathic scoliosis, where the cause of the condition is unknown. It develops in childhood and adolescence and is one of the growth deformities.

  • Congenital malformations
  • Muscle diseases
  • Disorders/diseases of the nerves
  • Systemic diseases (diseases that affect the entire body or an entire organ system, such as neurofibromatosis or brittle bone disease, can cause scoliosis).
  • Accidents
  • Disturbed statics
  • Medical treatment measures (Medical measures such as scarring or radiation therapy can cause scoliosis).

The therapy depends on the individual patient. Depending on the age of the affected person and how pronounced the scoliosis is, different treatments are used.

If the suspicion of scoliosis increases, the entire spine is x-rayed in two planes (once in the front, once from the side) to be on the safe side. X-rays with Cobb angle measurement can be used to determine the extent of the curvature. Based on the value, the severity of scoliosis can be determined and therapy can be planned.
In the case of secondary forms of scoliosis, examinations such as magnetic resonance imaging (MRI) or laboratory analysis of the blood may still be required.

A rheumatoid nodule is located under the skin and is typical of rheumatoid arthritis (inflammatory disease of the joints). They usually develop during the course of the disease in areas with increased pressure, such as the extensor side of the joints (for example, at the elbow).

The building block in the diagnosis of rheumatic diseases is called rheumatoid factor (RF for short), which is determined in the blood.

An intervertebral disc (Latin: Discus intervertebralis) is a flexible, fibrocartilaginous, partly gelatinous connection between vertebral bodies. The human spine has 23 intervertebral discs.

In this spinal disease, parts of the disc enter the spinal canal, the area where the spinal cord is located. In the process, the fibrocartilage ring of the intervertebral disc is completely or partially torn through, although the posterior longitudinal ligament may remain intact. Symptoms include severe pain, often radiating to extremities, with numbness or paralysis.

At the Radiology Center, you can undergo the following examinations regarding a herniated disc:

Prolapse is the unnatural displacement of a part of an organ or an entire organ from its physiological position, such as a natural or an artificial opening. Examples of prolapse include a herniated disc, uterine prolapse, or urethral prolapse.

This is a pain in the lower back, sometimes extending into both legs. The most common cause is wear and tear and tension, very rarely a herniated disc in the lumbar spine is the cause.

The main symptoms of lumboischialgia are severe back pain. Other symptoms include:

  • Pain in the lower back
  • Numbness
  • Muscle weakness
  • Disorders of urinary and fecal continence

At the Radiology Center, we offer the following examination options for back pain:

The Radiology Center offers the following examination options for metastases:

The Radiology Center offers the following examination options for bone metastases:

Legs

A fluid-filled protrusion in the back of the knee is called a Baker’s cyst in medical terminology. Baker’s cyst is caused by weakness of the knee joint capsule, which is filled with synovial fluid. It is usually the result of other diseases of the knee joint. Often, a Baker’s cyst does not cause discomfort, but it can press on nerves and vessels, which can then lead to complications.

Examinations

General medical terms

In a biopsy, material (usually tissue) is removed from a living organism and examined by the pathologist. Chemical analyses are also part of the examination methods.

For patients with unclear breast diagnostic results, the following is offered: sonographically targeted or local anesthetic tissue removal (biopsy) during (MR mammography, which can avoid more stressful surgical procedures under anesthesia; or marking of a node for breast-conserving, tissue-sparing removal with a wire hook.

Ultrasound-targeted perineural (i.e. “around the nerve fiber”) infiltrations are administered to treat pain due to herniated discs, wear and tear, impingement syndromes (= painful movement restrictions, e.g. of the shoulder) and after injuries or operations.

The ultrasound-targeted insertion of a thin catheter through a thin needle allows the gentle drainage of pathological fluid accumulations under local anesthesia, for example when these fluid accumulations cannot be adequately treated by medication.

A cardiac catheter is a thin, flexible plastic tube that can be used to measure blood flow and pressure in blood vessels, heart chambers and vascular segments near the heart, as well as to place medications or stents directly at the site of a disease.

Infiltration describes the medical introduction of liquid substances directly into tissue, as well as the spread of tumor cells or pathogens into a tissue. CT- or ultrasound-targeted infiltration involves the targeted injection of drugs into small areas of tissue (nerves, inflammation, metastases).

At a tumor conference (or onco- or tumor board), physicians who are experts in different fields (e.g., oncologist, surgeon, radiation therapist, radiologist, nuclear medicine specialist) discuss and review a patient’s treatment options.

Hip replacements, knee replacements, dental implants, breast implants, heart valves, pacemakers, trauma surgery screws, drills and plates, as well as piercings and tattoos may affect exam results and can only be examined with special equipment settings.

Some patients with certain implants and prostheses must not be allowed in the magnetic resonance imaging room under any circumstances; there would be a danger to the patient’s life.

Please always take your implant ID card with you – if you have one. For your safety, we will clarify whether and how the requested examination, or a better alternative, can be performed.

In angiography – even faster than in fluoroscopy – images are calculated after administration of a contrast medium. This allows so-called “minimally invasive procedures” to be performed on blood vessels (angioplasty, balloon dilatation, stent implantation).

At our center, you can have the following examinations for early detection:

No, you do not need authorization from the chief physician for an examination.

Yes, a contrast medium allergy can (in extremely rare cases) lead to serious illness and death. Therefore, an examination with iodine-containing X-ray or CT contrast medium (KM) , especially in patients with a known contrast medium allergy, requires special caution. In general, we try to offer another examination without contrast medium or to use another contrast medium. If an examination with contrast medium is nevertheless medically necessary, we use an anti-allergic premedication.

Contrast media containing iodine and gadolinium have side effects, as do all other drugs. Therefore, we administer them only when really necessary and individually as little as possible. Our application systems (so-called contrast medium pumps) meet the highest technical and hygienic standards.

How much creatinine a person excretes depends on his muscle mass and kidney function. The creatinine value can therefore be used to assess kidney function. Above a creatinine value of >1.5mg/dl, intravenous contrast administration should be avoided due to the risk of worsening kidney function.

In some thyroid diseases (e.g. autonomic nodule, latent hyperthyroidism), the use of X-ray or CT contrast medium (KM) can have life-threatening effects (thyrotoxic crisis). For patients with iodine intolerance, we make every effort to offer another examination without contrast medium or to use a different contrast medium as well. If an examination with X-ray or CT (KM) contrast medium is nevertheless medically necessary, a medication will be administered before the examination to prevent the absorption of iodine into the body.

Hygiene prevents the spread of bacterial or viral pathogens. All of our staff receive regular training in medical hygiene, and equipment is hygienically cleaned or disinfected or sterilized. Where possible, we use disposable containers (syringes, tubing, many contrast media). See our quality features.

At the Radiology Center, our hygienist regularly monitors compliance with relevant guidelines, checks the hygienic handling of medical devices and teaches all employees in regular training sessions. See our quality features.

Radiation protection is a top priority at the Radiology Center, in particular the so-called ALARA principle (acronym for “As Low As Reasonably Achievable”) The ALARA principle calls for as low a radiation exposure as appears feasible when dealing with ionizing radiation, taking into account practical reason and weighing up the advantages and disadvantages. So whenever possible and reasonable, we use the examination technique with the lowest radiation, or set the device to the minimum possible radiation dose. See our quality features.

Medical physicists support physicians during patient treatments in radiotherapy, nuclear medicine and radiology. Furthermore, they also advise on all questions concerning radiation protection. In nuclear medicine, the medical physicist works intensively with physicians; in particular, in the field of nuclear medical therapy, he or she is responsible for dosimetric calculations and advises the physician on therapy planning. He or she sets up all necessary equipment-related quality assurance measures and regularly checks their implementation.
See our quality features.

Psychooncology is an interdisciplinary collaboration of several professional groups and aims to provide the best possible support to patients and their relatives in dealing with cancer. Regular psycho-oncology training sessions are held at the Radiology Center to train all employees in dealing with patients and their relatives. See our quality features.

Tumor boards are held weekly at the Radiology Center, where multiple physicians from different specialties determine the best possible therapy for each individual patient. At these conferences, the health status and treatment options of each cancer patient at each facility are discussed and then a treatment plan is jointly developed. This ensures that each patient’s care is best coordinated and that each patient is treated according to the latest knowledge.
Which physicians confer on the tumor board? That depends on the type of cancer of the patients concerned. Usually, specialists in the respective medical field (e.g., gynecologist for breast cancer, urologist for prostate cancer), oncologists (specialists in internal medicine with specialization in cancer), radiologists, nuclear medicine specialists and specialists in radiation therapy, as well as physicians who perform surgery depending on the type of tumor, discuss. See our quality features.

Radiology

The different tissues of the body have different densities and thus absorb X-rays to different degrees. Within fractions of a second, an image of the inside of the body is created – with today’s very low radiation exposure (imaging procedure). The Radiology Center’s X-ray equipment provides X-ray images in excellent digital quality immediately after they are taken.
X-rays are also used in computed tomography (CT), but in MRI the images are obtained using magnetic fields and radio waves.

X-rays are produced by the use of high voltage current in X-ray tubes. X-rays are “ionizing” rays, which are rays that can remove electrons from atoms or molecules. X-rays are used only with exact attention to radiation protection and when the examination is clinically justified. The amount of X-rays used varies – depending on the patient and the information required – and is therefore always individually adjusted.
In practical terms, X-rays pass through the human body in much the same way that sunlight passes through paper or flower petals. The different tissues of the human body have different shadowing effects on the X-rays used, so they also appear in different shades of gray, black and white (shading or brightening) on the X-ray image.
X-rays are the radiological method of first choice for all diseases of the musculoskeletal system (e.g. broken bones) or the lungs (e.g. pneumonia).

An X-ray is a procedure in which a short X-ray flash is triggered by an electric current, similar to photography with a flash light, which exposes a sensitive film (detector) on the other side of the patient through the patient. The imaged organs cast a shadow on the detector, and from these shadow images, specialists can deduce the correct information.

The Radiology Center performs the following X-ray examinations:

Fluoroscopy, similar to videography, involves the calculation of many sequential images from a series of X-ray flashes by very fast detectors.

The following examinations are performed at the Radiology Center:

  • Angiography (imaging of blood vessels).
  • Gastric and intestinal examinations

To the broad specialty of Radiology belong next to the X-ray also the Sonography (Ultrasound examination), the Computed tomography (CT) and the Magnetic resonance imaging (MRI).

Sonography (also echography or colloquially ultrasound sonography) is the use of ultrasound as an imaging procedure for the examination of organic tissue (thyroid, liver, etc.) in medicine and veterinary medicine as well as technical structures. Ultrasound can also be used safely in pregnant women and children for imaging internal organs, and also the gastrointestinal tract (appendicitis, appendicitis). However, air, gas and bone affect the possibilities of ultrasound examination. impenetrable barriers to this procedure.

In sonography, ultrasound waves are generated and measured by piezoelectric crystals in a transducer. The different tissues of the human body reflect and scatter sound waves to different degrees; images are calculated from the reflected signals Sonography Vienna. If the ultrasound waves hit a moving surface (such as blood cells in flow), they are reflected at a different frequency (= Doppler effect). Air, gas and bone form impenetrable barriers to this technique.

With a so-called duplex sonography, both flow direction and flow velocity of the blood stream within a blood vessel can be determined. The mobility of organs, joints and tendons can also be displayed and assessed as an image in real time with the active assistance of the patient.

Ultrasound examinations do not require X-rays, so they can also be used without hesitation in pregnant women and children.

After registration (with e-card or ID card), you will be seated in one of our waiting areas. From there, the Radiology Center staff will lead you to a changing room. There you will have the opportunity to provide information about your condition, and you will also receive information about the X-ray, computed tomography CT or ultrasound examination.
After the completion of the diagnostic radiology examination, you will receive the images and the information to view the findings online. The billing is done by the elective doctor Dr. Johannes Sailer (elective doctor of all health insurance private).

The following ultrasound examinations are performed at the Radiology Center:

  • Abdominal Sonography: Lliver, gallbladder, pancreas, spleen, kidneys, urinary bladder, prostate, uterus, ovaries.
  • Surface Sonography for “small organs” (English: “small parts”): Lymph nodes, thyroid gland, testicles, joints, muscles, breast
  • Doppler-Sonography: carotid artery, aorta, leg arteries, veins

In breast examinations of young women or in the diagnosis of cysts, sonography is often used as the sole examination. Furthermore, it represents an important complement to every mammography and a first-choice method for examinations between planned mammographies.

In the Radiology Center we offer the following possibilities of examination in case of suspicion of osteopenia: Bone density measurement with DEXA (osteodensitometry).

At the Radiology Center we offer the following examination options in cases of suspected osteoporosis: Bone densitometry with DEXA (osteodensitometry), X-ray, computed tomography CT in case of bone fracture.

In the Radiology Center we offer the following possibilities of examination in case of suspicion of reduced bone density: Bone densitometry with DEXA (osteodensitometry), X-ray.

The Radiology Center Radiology Vienna offers the following possibilities of examination in case of metastases from a basalioma:

Nuclear medicine

You can find a detailed description of the procedure on our Nuclear Medicine pages.

The examinations consist of three phases:

  • In the preparatory phase, the radioactive substance is prepared specifically for each examination and then administered to the patient (mostly intravenously).
  • The technical phase includes the performance of Scintigraphy, SPECT or PET measurement including image evaluation by a nuclear medicine physician.
  • This is followed by the information phase (specialist diagnosis). These examinations are provided by the Institut für Nuklearmedizin Hernals GmbH & CoKG.

Nuclear medicine examinations provide entire series of high-resolution images for the assessment of organ functions. For this purpose, a minimal amount of a radioactive substance with a short half-life is introduced into the bloodstream by a single injection. Highly sensitive measuring instruments can then be used to measure the temporal and spatial distribution of this substance in the body and to calculate images that reflect metabolism.
By using different radiopharmaceuticals, different metabolic processes can be measured and visualized. With the help of particularly sensitive measuring devices, the radiation is then imaged, which allows the examination of bodily functions or even their disorders.

We offer the following nuclear medicine examination options:

  • Scintigraphy
  • SPECT und SPECT/CT
  • Comprehensive thyroid diagnostics (including hormones, cold nodules, goiter, Hashimoto’s) and therapy
  • Heart scintigraphy

Certain examinations require special preparation, about which patients are informed in detail by the referring physician or when making the appointment.

Example: If you are coming for a cardiac scintigraphy, which serves to clarify coronary heart disease (CHD, precursor of a heart attack), you must be fasting for 6 hours and you must not have had any caffeine 12 hours before the examination (water and medication are, however, permitted).

Scintigraphy is the measurement and visual representation of the radioactively labeled substances (radiopharmaceuticals) described above in the body, using a gamma camera to depict organ function. This is done in the form of individual images (e.g., in thyroid scintigraphy), whole-body images (e.g., in skeletal scintigraphy), or serial (dynamic) images (e.g., in renal scintigraphy). With the help of scintigraphy, practically all organ systems can be tested for their metabolic function.

Depending on the organ to be examined, scintigraphy (or SPECT) requires a different accumulation time: in bone scintigraphy, it takes about two to three hours for the radioactive substance to accumulate predominantly in the skeletal system; in thyroid scintigraphy, it takes only about 20 minutes. For some examinations, such as checking for side-separated kidney function, the scintigraphy begins immediately after the tracer is administered.

Salivary gland scintigraphy is used to assess the function of the major salivary glands of the head (parotid gland, submandibular gland). In cases of suspected Mb. Sjögren’s disease, salivary gland scintigraphy may be useful to confirm the diagnosis and to assess the severity of the disease. Furthermore, salivary gland scintigraphy is useful in the clarification of xerostomia, as well as before and after radiotherapy (external neck irradiation).

SPECT (single photon emission computed tomography), like radiological computed tomography (CT), allows cross-sectional imaging, i.e. a slice-by-slice representation of organ function in a volume; SPECT can also be combined with radiological computed tomography in the form of “SPECT/CT”, which allows better spatial mapping.

Above all, so-called hybrid imaging – the combination of complementary imaging methods in one device (gamma camera with SPECT/CT, but also PET/CT) and thus also in one examination procedure – opens up completely new possibilities for diagnosis, treatment planning and therapy success monitoring of many organs; this is especially true for cancer (PET/CT), but also in orthopedics (skeletal system), cardiology (heart attack risk assessment) and many other areas.

Common applications:

  • Neurology (e.g., in Parkinson’s disease diagnosis).
  • Clarification of heart diseases such as angina pectoris
  • In orthopedics, the combination with CT helps in the diagnosis of, for example, inflammation of bones and joints, fracture healing disorders, prosthesis loosening or bone cancer.
  • Many other procedures for the clarification of other organs with nuclear medicine

The Radiology Center offers the following procedures, among others:

  • Thyroid scintigraphy including uptake measurement (goiter, hyperfunction)
  • Stress myocardszintigraphie (coronary artery disease)
  • Side-separated renal function (dysfunction, obstruction, hypertension)
  • Sentinel lymph node (optimal surgery preparation for melanoma and breast cancer)
  • Bone scintigraphy (staging of bone metastases)
  • Somatostatin receptor scintigraphy (neuroendocrine tumors)
  • PSMA scan (prostate cancer)
  • Parathyroid scintigraphy (preoperative localization)
  • Iodine whole-body scintigraphy (thyroid cancer)

Bone densitometry uses X-rays to determine the mineral salt content of the bones. The examination is performed lying down, is painless and the radiation exposure is extremely low. The lower the mineral salt content detected, the greater the risk of bone fractures in the context of osteoporosis.

The medical background of bone density measurement: Osteoporosis is one of the most common metabolic diseases of the skeletal system. Increased bone resorption leads to a loss of substance, which weakens the bone. Compared to healthy bone, the latter becomes less resilient and therefore more susceptible to fractures. The disease mainly affects women after menopause and usually begins unnoticed. It is often diagnosed – too late – only during the treatment of an unexpected bone fracture (e.g. of the femoral neck).

The result of the bone density measurement, together with other findings (such as laboratory tests regarding kidney function, parathyroid function, etc.), then forms the basis of the therapy proposal, which is discussed with the patient in the nuclear medicine office.

Some health insurance companies will reimburse you for the cost of an examination, these would be:

  • SVA
  • KFA
  • BVA

PET/CT

The PET/CT (Positron Emission Tomography) does not differ in principle from the other nuclear medicine procedures (The scintigraphy, SPECT). Here, too, the patient receives a radioactive substance (radiopharmaceutical) and is examined with the PET scanner after a certain enrichment phase. The special feature of PET results from the decay type of the radioisotopes used, the so-called “positron emitters”: these have particularly favorable physical properties for measurement and imaging, which is why they achieve a higher spatial resolution compared to the other nuclear medicine procedures, which means that even very small lesions in the organism can be detected.

The most commonly used PET radiopharmaceutical is FDG (18FluorDesoxyGlucose). FDG is used to examine glucose metabolism, which can be elevated in tumor diseases or inflammation, for example. In FDG-PET examinations of the brain, areas with a reduced glucose metabolism are of particular interest, e.g. in the context of epilepsy and dementia diagnostics.

Apart from this, there are other radiopharmaceuticals by which very specific targets in the body can be detected and imaged. Due to the necessary special delivery and short life of the PET radiopharmaceuticals used, it is important to make an appointment in time and to keep the appointment on time.

In computed tomography (CT), many X-ray images of an object are taken from different directions; so-called “cross-sectional images” are subsequently reconstructed from the acquired volume using these images. Computed tomography is used only in exact compliance with radiation protection and when the examination is clinically necessary.

Sometimes the use of contrast medium (iodine) is required for differentiation between individual structures and between healthy and diseased tissue. Adverse side effects are (extremely) rare.

The Radiology Center offers the following computed tomography (CT) examinations:

  • Brain, skull (hemorrhages, tumors, stroke), facial skull, paranasal sinuses, jaw/dental CT).
  • Diagnosis and follow-up (“staging”) of cancers
  • Angiography (cerebral basal arteries, carotid artery, aorta, renal arteries, iliac arteries)
  • Lung (also with “low-dose technology” for early detection of lung cancer)
  • Liver, pancreas, kidneys, intestines (so-called colon CT for early detection of colon cancer)
  • Spine, joints, bones (exact treatment planning for bone fractures)

The combination of PET and CT (PET/CT) combines the metabolic-functional imaging capabilities of positron emission tomography with the anatomic-morphologic imaging in computed tomography. Therefore, this method is particularly useful in the care of oncology patients for assessing the extent of disease before initiating therapy.

This is especially true when it comes to determining whether and at what point a surgical intervention can improve the chances of recovery. In addition, the combined procedure documents – during and after treatment – the status of the response to cancer therapy.

The following examinations are performed at the Radiology Center:

  • 18F-FDG: This uses a radioactively labeled sugar solution, which makes it possible to visualize the energy requirements of tumors, for example, but also brain metabolism.
  • Oncology: PET in combination with CT as PET/CT (imaging of tumor activity); for diagnosis, “staging” and monitoring of therapy response in many tumors.
  • Neurology: metabolic function of the brain, dementia diagnostics.

These examinations have to be paid privately and can be submitted to a supplementary insurance/private insurance.

In oncology, the part of diagnostics that is helpful in determining the degree of spread of a malignant tumor is called staging. It is also the basis for deciding which therapy is suitable for each individual patient.

MRI

High-resolution cross-sectional images without X-rays – only magnetic resonance imaging (MRI) can do that. The strong magnetic field of the tomograph causes the hydrogen atoms in the human body (which consists largely of water) to rotate in the same direction, and a radio signal causes them to oscillate. The resulting response signals provide finely graded slice images. As a procedure without radiation exposure, MRI can also be used on pregnant women and children.

Patients are composed of approximately one to two-thirds water, depending on age and gender. The hydrogen atoms (protons of water), as well as the protons in the solid portions of the tissues, are tiny magnets whose properties are exploited in magnetic resonance imaging (MRI) for imaging:

Patients are placed in a very strong magnetic field (currently 1.5 tesla, about 15,000 times stronger than the Earth’s magnetic field) so that their protons spin predominantly in one direction. Then their protons are vibrated with a radio signal so that they in turn emit radio signals that are measured by antennas (called coils that are placed on the body). These signals are converted into slice images by the computer.

Magnetic resonance imaging is performed without X-rays and can therefore be used without hesitation in children and – for special questions – also in pregnant women. Occasionally, contrast medium (gadolinium) is required to differentiate between individual structures and between healthy and diseased tissue. Adverse side effects occur much less frequently compared to contrast agents used in computed tomography.

Yes, but rarely, and only after a specialist’s decision, contrast agents are needed in the MRI, for example when visualizing the arteries (angiography) or assessing liver lesions (liver-specific contrast agent, e.g., Primovist).

The following MRI examinations are performed at the Radiology Center:

  • Brain, spinal cord, skull, facial skull, paranasal sinuses.
  • Angiographies (cerebral basal arteries, carotid artery, aorta, renal arteries, iliac arteries)
  • Breast tissue (including biopsy or marking if needed)
  • Liver, bile ducts, pancreas, kidneys, uterus, ovaries, prostate, intestine, spine and all joints.

After registration, you will take a seat in our waiting area 3. There you will be called and taken to a changing room. There you will have the opportunity to give all the information about your condition or to ask any questions.

They must remove all metallic objects and inform the specialist staff about piercings, tattoos and permanent make-up.

Patients are then led into the examination room, and MRI images are taken. These are then printed, burned to a CD, and sent to an image data storage device to be interpreted by a radiology specialist.

No. The Radiology Center experiences short wait times when scheduling MRI appointments.

These examinations are provided by Diagnoseinstitut Alsergrund GmbH. These examinations have to be paid privately and can be submitted to a supplementary insurance/private insurance.

For further information, please contact your insurance company.

At the Radiology Center, we offer the following examination options for bone marrow edema: Magnetic resonance imaging (MRI)

In the Radiology Center we offer the following possibilities of examination in case of bone fracture/bone fracture: