SIEMENS MAGNETOM SYMPHONY 1.5 TESLA MR MODEL: 2005

Our device has a power of 1.5 tesla. Device conductivity is of super conductive type. Our device is supported with regulator and UPS (Uninterrupted Power Source) systems. Gantry gap is 60 cm and there are illumination and ventilation systems within the gantry. If requested, a person can stay with the patient during imaging.

With our apparatus, electro-encefalogram, cervix, spinal canal, thorac, abdominal, pelvis, extremity, extremity of joints, cerebral angio, internal angio, peripherical angio, like routine imaging and bos dynamic sperctros copy, breast examination, functional diffusion, perfussion, angio cholitis, could be studied through imaging.

A CD-Rom is presented to each patient, if required.
By means of MR technology in the last decade, all cases which could not be resolved by computerized tomography and other radiological diagnosis, are spectro - imaged. Especially neurology and neuro- chirurgie are the medical branches using MR. Due to the high resolution of soft tissue imaging, angıological anomalies, aneurismorrhaphy, good and malignant tumours, epileptic forming diseases, could be diagnosed.
MR has become, a high accuracy and non- invasive radiological diagnosis method in orthopedical muscle-skeleton diseases, leading meniscus damages consequential and/or independent pathologies related to sports activity. It is a method supplying possibility of diagnosis with high accuracy to illnesses like, tendon bruises, bone injuries, tendon tears, additionally, imaging the arterial system from the brain to legs with out angiographic catheter is also possible for a large scale accurately. We can also realize, besides standard examination and determination of brain tumours, MR Spectroscopy bos dynamic study of cerebroside flow, radioactive upper extremity arteritis, angio, gallbladder imaging, MR of cholangiography in early determination of cerebral blocking of ventricles and diffusion- perfussion studies. It is also realized within our services, MR. entheroklizis, MR urography type of studies which are carried out commonly in the last years.
The magnetic power of siemens magnetom vision MR apparatus, whish is 1,5 tesla, with its broad coil alternatives, could image of the required section in high quality. The gantry (entrance section) of our apparatus is 55 cm, which allows almost all the patient's entrance, except obese occurrences. It is also possible for the patient to commumicate and to with be chekked by the expert doctor and/ or the operating technician, during the examination. Additionally the technician, during the anaesthsis and necessary emergency equipment is kept ready, against all kinds of probable medical disorders.
A Copy of the CD-Rom of the images saved could also be presented to the patient, if required.

High quality images of the requested zone can be taken with whether the magnetic power or with wide coil options of SIEMENS MAGNETOM SYMPHONY MT device with 1.5 tesla magnet power. The entry gap (gantry) of the device is 60 cm and it can provide the gap that almost all patients would enter, except morbid obese. During the examination, the follow-up and communication of the patient by the technician and specialist is possible. Also, there is an anesthesia technician and all required emergency equipment are available against any kind of medical negativity that may occur. A copy of the taken images can be given to the patient with a CD if requested.

The occurrence of possible system problems can be prevented by determining the parameter changes related to cooling of Chiller unit of Siemens Magnetom Symphony MR Device beforehand. The problems arising in the system are determined beforehand and intervened through Siemens Remote Service and prevented before a serious failure occurs.

ESAOTA BRAND C-SCAN CINE MR MODEL:2004

The CINE (extremity), which is exclusively provided by us in Turkey, has a power of MR 0,2. The apparatus, having gantry opening of 30 cm. and shot fov of 20 cm, has 6 total coils of array technology.

The C-Scan CINE MR has the capacity of taking routine shots of hands, wrists, kness, elbows etc.

Only the parts to be examined are placed in the coil and within the apparatus, while the other parts of the body remain out of the apparatus. In this way, the patients having claustrophobia (cabinet fever) are easily examined and so the comfort provided to the patients becomes an important advantage. Although the system has a low tesla power, it provides clearer and more qualitative MR examination in comparison to the routine open MR systems. This system has been entirely produced for orthopedic usage.

In some examinations, when the metallic materials, inserted to the body due to previous therapies or accidents, are close to the area examined, the MR examination is prevented; even if those foreign materials have not prevented the MR examination of the patient, some of them being close to the area examined may cause intense metallic imaging failures and this may prevent the net examination of the relevant area. Is such situations, the Cine MR provides a more reliable examination of the relevant area.

This apparatus, together with its available Kinematik junctions, is able to make Kinematik MR examination, which is important for the early diagnosis of specific diseases more evidently seen in the knee joints, as well as the hand wrests and more rarely in the foot wrests.

Due to its Windows operating basis new software can be easily uploaded every year. In this way, the new developments can be added to the operatinf system of the apparatus.


CD is provided if desired by the patients

SIEMENS SOMATOM BALANCE CT (2002)

1- Our instrument is the 4. Generation .90% of the instruments used in Turkey are of 3. generation
2- Matrix = 512
3- Gantry angle (tilt) =+ 22-22
4- Possibility of scanning at axial and coronal plane
5- Mpr (TRA, COR SAGITTAL)
6- 3 D Dimension Scanning
7- HRCT (High Resolution computerized tomography)
8- Hing resolution computerized tomography.
9- In computerized tomography, the property of lowering the average volume levels, occurring due to technical reasons during scanning
10- Laser Film

The medicines and medical products ( Aspirator, Ambu, air-way, oxygen tube and mask) will be ready- to -use, for the first Emergency aid, at the center of observation whose physical conditions are relevant to general health regulations, .

Computerized Tomography is an instrument widely used for the scanning of all parts of human body. Computerized Tomography is the best among all scanning methods in pneumonial illnesses. It is also widely used in abdominal illnesses ( like tumours, abscess etc.)

SIEMENS SOMATOM AR/SPIRAL CT
-Gantry gap: 60 cm
-Gantry angele(tilt):+30-30
-Maximum alowaed weight: 150 kg
-Matrix:512x512
-3 Dimension screening technique. Axial, Coronal, sagital MPR capability

The equipment can film secans and spiral screening obtaining an image per second.
The Unit is based on a Window platform thus is updated periodically.
Brain, Temporal bone,Sinus, Orbita, Neck, Spinal canal, tüm batım, toraks and extremities can be routinly screened and the capability of custom computorised dental tomography screening

Upon request all filming can be presented to all patients via CD.

The place of examination is compliant with all the general health regulations and for emergency cases medical equipment are present for usage.

PHILIPS OMNIADIAGNOST DIGITAL X-RAY AND ANJIOGRAPHY UNIT (2003)

Our set which is 2003 model, can commit all x-ray examinations in digital system, and also can commit a digital skolyoz-boy graph which is unique in Turkey and the ortho xray equipment examinations. Besides digital scopic examinations and digital shots, cassette shots can be made optionally. Since the image composer of the digital system is large (38 cm), wide areas can be included into graph extent. Thanks to high speed shooting capacity which can increase up to 8 shots per second in angiographic examination the imaging of high discharged vascular pathologies can be made properly. When compared with cassette shots in digital system the radiation dose is apparently low. Our digital set’s desk is revolving between +/- 90 angles and with this way examination in tredelenburg and such positions like it can be made.

In our center besides digital x-ray and DSA examinations, special radiological examinations such as PTK, bilier drainage and enterocosis can be made. Tube image distance varies between 110 and 150 cm and also by means of wall buggy tube image can be generated. Thanks to digital environment all images can be stored in the memory of the equipment, and also by writing on a CD, these can be given to patients if wanted. Another advantage of the digital environment is that we can print films relating to bone or soft tissue by changing the adjustment of window with one exposure.
With this equipment images relating to the scoliosis and lower extremity length and angle measurement can be generated. Scoliosis is the illness of bending of the backbone that is seen especially in childhood and adolescence. With these graphs the angles of the bendings and the shapes of them can be measured. According to these measurements and findings following treatments are decided. Lower extremity and height differences are a group of illnesses which causes walking disorders and limping which occurs because of various reasons. Healing treatments can be applied to these cases, accordingly examinations about differences of lower extremity before treatment and operation, angles between different bones, and whether these angles are normal or not are made and following treatments are decided according to that. Also after the treatment if following decision is made again by examining with the same methods one can be informed about matters such as the degree of the illness, healing process and whether it is changed or not. All measurements are made in digital environment and can be transferred into films. Accordingly it can be seen easily by the doctor who is demanding the research. Along with that the x-ray that has not been measured are filmed and these measurements can be made afterwards by the doctor or the applier.
The most important of all contrasted studies is Angiographic examinations. Besides lowering the radiation dose the given contrast quantity reduces considerably, comparing with previous conventional equipments and studies by using a very small amount of contrast material, images at the same or even better quality images are generated. Thanks to that the side effects of the contrast material that is given externally is reduced.

Especially the cognition of the aneurysmic enlargements in vessels known as bubble commonly has a great importance. The angiographic examination of these patients can be made with DSA method.

SIMENS ORBITER SPECT GAMMA CAMERA (2005)

Sintigraphy (Nuclear medicine) is the process of imaging, with a camera sensitive for Gamma-beam exposure, by intravenous injection of low level radioactive substance to the body, without an adverse side effect or harm to the body. It is a widely accepted method all over the world since long years of time, which could be used to the patients of all age groups.

Main sinthigraphic studies are used;

Thyroid (Diagnosis/ measurement/ control)
Heart (Thalium test)
Bone ( metaesthases, bone cancers)
Renal diseases
Metabolic system and metabolic refulgence
Inspiratory system
Liver-gall bladder diseases.

Injection and determination of focus of tumour and medical treatment controls.
The main medical examinations listed above, are also practiced in contemporary methods at our premises, with the latest cameras and imaging techniques as in developed and civilized countries

MAMMOGRAPHY Model 2005

It has the scanning capability, from the smallest to the largest boobs, due to the availability of small and large bookies.

KV Technique is used for obtaining the best imaging by giving the lowest dose to the patient through its special spoon and parts. With this technique, a higher quality imaging from the patient can be obtained by using lower dose radiation. The masses can be more clearly brought up in graphics which have been obtained by focal compression.

Mammography is the main apparatus used in the diagnosis of breast illnesses. The main advantage is the capability of showing the micro- calcifications, at the early stages of breast cancer.

It ,also, contributes tremendously in the diagnosis of the newly developed cancer in the examination of new developed tissue in comparison with the old images, in the new images obtained aimed for the control purposes.

The diagnostic value of the Mammography,is lessened obviously due to technical reasons , as the milk glands are thick in young patients. Due to this, the breast imaging is usually done by ultrasonography prior of 30-35 years of age. Despite other radiologic imaging methods, Mammography tests are periodically done for all women, for the sake of routine control of the women aged over 35. the first Mammography to be the base to the ages 35 and more, it is suggested as a routine examination Mammography, once at every two years between 40-50 and once a year over 50 years of age.

SIEMENS SONOLINE G 60 S ECOCARDIOGRAPHY UNIT
Echocardiography (EKO): It’s a fast and harmless test giving important information about heart.
Issues such as
-Heart valvula diseases
-Luxus heart
-Clotting in left ventricle and atrium
-IF (Injection fraction – The rate of the pumped blood in every heartbeat to the blood the heart takes in every breath, in other words the pumping power).It is normally %55 and up.
-Heart wall’s movements
-Heart chamber’s size
-Pressures within the heart
-Liquid collection in heart membrane and the harmful effects of hypertension on heart are assigned by echocardiography.

Techniques used in echocardiography; is the usage of ultrasonic rays. Ultrasonic: Is the sound beyond men’s capacity of hearing. These sound waves are directed towards heart with the help of a tool in tube shape which is called prob. Like the radar mechanism, they reflect from the heart walls or other structures in heart in different quantities and they are recollected in the equipment. These sound waves are converted into pictures with the help of computer; if wanted they can be printed on paper. The advantages and disadvantages of are the following: It is easy to use, don’t contain paint or radioactive. It is fast, functional, and painless at the same time it can be applied to pregrants. Since the talent of the one applying the test can affect the result, it should be applied by an expert doctor. In evaluating the right side of the heart and the branching points of the big arteries, and also in patients of obesity, it can be insufficient. In our times harmonic imaging and new Doppler methods let us get more successful results about heart physiology and cognition of heart diseases when they are adapted to modern equipment.

GE LUNAR DPX-PROX BONE DANSITOMETRI UNIT (2004)

Examination types:
-Ap spine measurement
-Femur and dual femur measurement
-Front arm measurement
-Ortapedic hip measurement
-Whole body measurement
-Pediatric measurement

System Components:
Five main components are the examination table, PC, monitor, keyboard and printer.
The examination table is composed of the x-ray source and the power cards for supplying power.
The filming handle bears the handle detector and acts as a channel between the detector and the table.
The PC records and analyzes the data obtained from the examination table.
The monitoring system is the SVGA monitor which shows the Lunar software screen, the filming images and the filmed data.
The standart keyboard is equipped for function definitions.

Upon request all filming can be presented to all patients via CD.

SIEMENS SONLINE G 60 DOPPLER-ULTRASOUND (2004)

Wit the use of best in class tranducer technologies the unit can be adjusted to high bandwidth eliminating the problems associated with penetration.
2/3.5/4/7.5/6 and 10 MHz linear convex, sector and endocavitier transducers. The examination of batın, tissues such as tirioid and screening of various different areas. With Power doppler functionality obtaining of optimal doppler signals can be acquired where blood flow is very slow.
The ability to switch between frequencies is a special function avaliable in many transducers. The image quality can be optimized with the adjusting of various parameters, the tranduscer frequency can be adjusted for various examining in which the sound demeti lesion levels can be focussed as required and the quality of the visual image can be optimised.

SCHILLER CS 200 EFFORTED EKG EQUIPMENT (2004 MODEL)

Exercise EKG test: In examining patients who have ischemic heart disease (coronary artery blocking, narrowing, and heart attack vs.) and arhythms depending on exercise, it is useful method. But, proper evaluation of EKG’s exercise has great importance in cognition.
Cases where EKG exercise would be useful:
-The ones with breast pain, the ones with risk factors (cigarettes, obesity, hypertension, diabetics, genetic heart disease, hypercholesterolemia, stress etc.)
-Risk evaluation after infracts
-Risk evaluation depending on arhytms depending on exercise
-Researchment of need of permanent pace maker(heart battery)
-Researchment of exercise tolerance
-Inspection of response to treatment
Risk exists though in small amount during the appliance of the test of after the appliance for this reason patients must be evaluated by a expert doctor and tests must be applied in suitable environment. Before 3 days of the starting of EKG exercise patients should end their other treatments (antianginal, breast ache and anti-hypertension treatment) they are taking. But under tongue remedies can be taken up to 1 hour before the test. To prevent any dangerous situation that may occur in testing environment, there should be people informed about CRP and necessary hardware. Many protocols may be applied for the test.

Widely used ones: are the Bruce and Modified Bruce protocols. During the test, the patient is tithed with EKG cables and put on the runner’s band, then the patient walks as the speed and slope of the band is increased in determined periods of time and EKG is measured constantly. After a 5-10 minute walking period, and a following 5 minute resting period the test is ended. The target to be reached during the test is the patient’s heart speed. Heart speed is the value got by subtracting the patient’s age from 220.When reached to this value test is ended. But due to patient’s own will or the occurrence of some special situation test is ended by the doctor.

When applied properly, EKG exercise gives very important ideas about what kind of a treatment would be appropriate after heart attack and about risks of heart attack or the existence of vessel blocking. In spite of all these certainty of cognition of the test is limited. In 80 of the 100 of the patients the test is applied the disease is cognized. For this reason even sometimes the effort test is negative, further tests may be required. The most valuable tests of these tests are talium and technesium sintigraphy (spect) methods.

24 - 48 HOUR TENSION AND RHYTHM HOLTER INSPECTION

Rhythm holter: Especially used with arhythmy (palpitation complain)It is a small walkman sized equipment which records the patient’s pulse and determined parts of the heart EKG and indicates the moments when patient feels palpitation and other ailments. With this equipment, heartbeat records and possible pathologic rhythms of the patients who have complaints like palpitation, head turn, eye darkening, nausea, over tiredness or patients who have abnormally fast heartbeat are recorded. Later by the help of a computer, these recordings are inspected. Recorded information is then inspected by expert doctor. By this way what kind of rhythm problems patients have are determined and then according to that the treatment type is determined properly by the doctor.

Tension holter: As in rhythm holter with the same mechanism, it records the tension rates of the patients occasionally all day long and records the pulse beat and tension during their daily activities, during their sleep, while they are resting. By this way it is determined what times of the day the patients of hypertension have the most tension rates, and treatments are added to these hours. In the cases of patients who do not have hypertension before, first cognition is made, and the treatment regulation is eased. This equipment is again in walkman size. Measurements are made for between 24-72 hours. Measurement periods can be determined by doctors, application and evaluation of the test is highly easy and it is a useful test.