Services Overview
Western Radiology is a comprehensive radiology and intervention service. We are committed to provide prompt and personalised service at as low cost as possible. We strive to exceed our patients’ and referrers’ expectations of what a community-based radiology service can be. With many years of experience, accredited sub-specialisation and training; Western Radiology’s team of radiologists have the requisite expertise to deliver excellent diagnosis and support your decision making. Equally, our technical staff have spent many years in their respective field and have a fully developed skills repertoire. Therefore, the services we provide are available every day, in every branch; meaning referrers can access all imaging and interventions at each of our branches at all times. Our mantra of same-day means we have and will continue to maintain the capacity required to serve patients an appointment within 24 hours, now and in to the future. Western Radiology’s service meets referrers needs by being both timely and comprehensive.
A Comprehensive Service
- Modalities – CT, MRI, X-ray, Ultrasound, DEXA, OPG
- Cardiac scans – CT Calcium Scoring & Coronary Angiogram, Cardiac MRI.
- Ultrasound – Specialist sonographers. Doppler (Venous & Arterial). Nuchal
- Translucency. Paediatric hips. Liver fibrosis.
- Interventions – C-spine NRSI & FJI, greater occipital nerve. Oncology (FNA, core biopsy), nursing on site. Radio Frequency Ablation (US & CT) incl. Morton’s Neuroma. PRP (joints, spinal & tendon). Osteoarthritis injections.
- 128 (Siemens) & 160 (Canon) slice CT systems
- Hospital grade – latest Cardiac-capable Siemens MRI
- Philips Digital X-ray – delivering excellent image clarity at low-radiation levels
- CT, MRI and Ultrasound – same or next day appointments
- X-ray, DEXA and OPG – walk-in, no appointment required
- Interventions – daily appointments
- Radiologists are available to discuss patient management pre or post imaging and to discuss or review results whenever required.
- Fellowships & subspecialisations include – Neuroradiology, Musculoskeletal, Advanced body and Thoracic imaging.
- See here for full details on our team.
- 4 – 24 hours. Critical cases – verbal report to referrer.
- HealthLink direct to practice software (including images, embedded by Zed Technologies).
- InteleConnect & InteleViewer in public and private hospital, including specialists. New accounts and logins available on request.
Vascular Imaging Services
Ultrasound Doppler Services include:
- Lower Limb Varicose Veins
- Upper and Lower Limb Venous Doppler for DVT
- Scrotal Doppler for Varicocele
- Renal and Portal Vein Studies
- Carotid Doppler
- Upper and Lower Limb Arterial Doppler including ABI
- Renal Artery Doppler
- Abdominal Aortic Aneurysm
- Abdominal Doppler- Celiac Axis and SMA
- Renal Dialysis Fistula
- Neck and Cerebral Angiogram
- CT Coronary Angiogram (Cardiac)
- Thoracic and Abdominal Aortogram
- Upper and Lower Limb Angiogram
- Renal Artery Angiogram
- Mesenteric Angiogram
- CT Venogram for pelvic congestion syndrome
- MRA for Circle of Willis, Carotids and Neck Vessels
- Breath Hold MRA for Abdominal Vessels
- MRA for upper and lower limb Arteries
- Peripheral and Whole Body MRA (include both 2D and 3D imaging)
Intervention Services
A comprehensive Intervention service normally reserved for hospital-based branches, Western Radiology’s interventions are available daily at all branches and include:
- Facet Joint Injections
- Lumbar Epidural Injections
- Selective Nerve Root Block
- (Cervical and Lumbar Nerve roots)
- Sacroiliac Joint Injections
- Greater Occipital Nerve Blocks
- Pars Defect Injections
- Sacrococcygeal Joint Injections
- Rhizotomy – Facet Joints, Morton’s Neuroma, etc
- Ethanol Ablation of Morton’s Neuroma
- Radio frequency Ablation of Morton’s Neuroma
- Autologous Tenocyte Implantation
- Autologous Blood Injections
- Platelet Rich Plasma Injections
- Hyaluronan Injection
- Corticosteroid Injections
- Fine Needle Aspiration (Thyroid, Lymph Node, Superficial lumps, etc.)
- Core biopsy (Breast, Lymph Node, etc.)
- Ascitic drainage
- Pleural effusion
Cardiac Imaging Services
Headed by Dr Adil Rajwani MBChB PhD FRACP, Western Radiology’s cardiac imaging service is of the highest calibre both in terms of technical capability and reporting. It is unique in a community radiology branch in that both CT Coronary Angiogram (CTCA) and CT Calcium Scores are reported by the Cardiologist. Rather than provide diagnosis on the basis of a population, each patient’s individual history and circumstances are carefully considered to provide reporting that is personalised, thus aiding in next steps and ongoing care. Dr Rajwani is contactable to discuss specific cases and provide support to referring physicians in patient management where requested.
Coronary artery calcium (CAC) scoring has emerged as the most precise predictor available for future cardiovascular risk. CAC provides incremental risk stratification over and above traditional risk calculators, yet is a simple and quick test that is acquired in minutes. In a move towards individualised medicine, CAC may be of particular value in recategorising those (i) at intermediate cardiovascular risk where management might otherwise be uncertain, and (ii) those with risk factors that are not captured by conventional scoring tools, such as adverse family history, or inflammatory conditions such as rheumatoid arthritis.
Non-invasive CT coronary angiography is a key investigation (and in some guidelines the first-line imaging test) in the evaluation of chest pain and / or coronary anatomy. Sequential iterations in CT technology now afford exquisite image resolution, which in turn facilitates precise and accurate detection of atherosclerotic burden, vessel-by-vessel. 3D datasets also allow high-resolution imaging of the heart for structural intervention work-up, such as pulmonary vein isolation and left atrial appendage closure. Through the use of modern multi-slice CT technology, meticulous heart rate control and the experience of our team of radiographers, we are able to routinely acquire high quality studies at considerably lower radiation dose than invasive angiography.
Cardiovascular magnetic resonance imaging (CMR) is widely regarded as the gold standard in the quantification of ventricular volumes, ejection fraction, and myocardial mass. In a single study, contrast-enhanced CMR also provides a ‘virtual histology’ of the myocardium, detecting and distinguishing scar from healthy myocardium. International guidelines position CMR as a central diagnostic tool in the assessment of unexplained heart failure, unexplained left ventricular hypertrophy, myocardial viability to guide revascularisation, abnormalities of the right ventricle, and pericardial disease. CMR is also ideal for the serial evaluation of aortic dilatation, with novel sequences now allowing the acquisition of 3D whole-heart datasets to a resolution of 0.8mm without any radiation and no contrast (and therefore no venous cannulation). Studies are individually supervised and reported by our imaging cardiologist Dr Rajwani, who has a specialist interest in CMR and is one of the very few cardiologists in WA to hold accreditation with the SCMR at Level III (highest level).
