Radiology

PS 360 Critical Results

Access to radiology critical results
Children's radiology department has a new project in the works that will help you access your patients' radiology results quicker and more efficiently.

Quicker access to reports in the EMR
The new reporting system uses voice recognition software for transcriptions and will significantly reduce transcription delays. As soon as the radiologist completes dictation, the results will be available for most exams.

Streamlined critical result notifications
The reporting system allows referring clinicians to specify their preferred means of receiving notification of critical results: page, text message, fax, or e-mail. The clinicians will then be able to easily access a voice recording detailing the critical result findings.

Set your preference for urgent result notifications, please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it. , 651-220-8451.

Options for notifications:

  • Text Message to a Cell Phone
  • Text Message to a Cell Phone with Link to Test Result
  • Pager – Alpha
  • Pager – Numeric
  • Email Messages
  • Fax
  • Outbound Call

Video

See PS 360 Critical Results in Action

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Interested in seeing the basic PS 360 Critical Results workflow for radiology? Check out this 2-minute video to watch an overview.

When your child is scheduled for a radiology test, both you and your child may have questions about it. We encourage parents to read this information, then talk about the test with their child.

What is an upper gastrointestinal series?

An upper gastrointestinal series (UGI) is a test that examines how the upper digestive system functions. The upper gastrointestinal system includes the esophagus (the tube from the mouth to the stomach), the stomach, and the small intestine (where food is digested and partially absorbed).

How is the test performed?

A technologist will take you and your child into an exam room. You will see a large table and camera connected to a television screen. If not pregnant, you may stay with your child during the exam.

The technologist will ask your child to put on a hospital gown and lie on the table. An initial X-ray may be taken of your child's stomach area. A radiologist will give your child barium in a bottle, a cup, or through a feeding tube. Barium is a liquid, which makes it possible to view the intestinal tract. The barium is flavored to make it easier for your child to drink.

The radiologist may gently push on your child's abdomen or move him into various positions to make the different parts of the intestinal tract more visible. The radiologist may also ask your child to think of her favorite food in order to stimulate stomach activity.

Several X-rays will be taken from different angles as the barium moves through the digestive system. It is important for your child to remain still while the images are being taken.

The radiologist will check the images to make sure they are complete before you leave the facility. A report will be sent to your child's doctor.

How do I tell my child about this test?

Because you know your child best, explain this test to your child in a way that he will understand before you come to Children's. The staff also will explain the procedure to you and your child before and during the test.

Will it hurt?

For many children, the most important thing to know is whether or not this test will hurt. Assure your child that although there may be some discomfort, it will only last a few minutes. Remind your child that this test is being done to help the doctor find out how her body is working inside. By talking about the test with your child, you may help her be more comfortable during the test, which will make the procedure easier for your child and you.

Does my child have to do anything

different before the test?

Your child's stomach must be empty for the test. She should not eat or drink anything, including water, for a number of hours before the test, depending on her age. A Children's staff member or your child's doctor will tell you how long your child must not eat or drink anything.

After the test, you should encourage your child to drink plenty of fluids. The test itself usually takes from 45 to 60 minutes. If your child's small bowel is also being examined, an additional 1 to 3 hours may be necessary.

Children under 18 years old must be accompanied by a parent or legal guardian.

What can my child expect after the test?

After the exam, your child might experience nausea or vomiting and have white–looking stools. This is normal. Encourage your child to drink plenty of liquids and resume normal activity.

General radiology requirements

  • Pregnant mothers: Women who are pregnant can't be in the exam room. They must have a family member or friend over the age of 18 accompany their child into the examination room during the exam (with the exception of the ultrasound and nuclear medicine rooms).
  • Family or friends under the age of 18 years old: If you are not the patient and under the age of 18 years old you will not be allowed to remain in the radiology exam room during the exam.
  • Siblings: Siblings are not allowed in the radiology room while the exam is being performed (with the exception of the ultrasound rooms). Please make arrangements to have an adult accompany them in the waiting room.
  • Attire: Children wearing clothing with snaps or buttons will need to change into hospital attire. Any item such as jewelry, undergarments with metal, or EKG patches in affected area will be removed prior to the exam.

NPO Guidelines (nothing by mouth)

These guidelines are for radiology exams requiring NPO status, but without sedation.

>12 months of age

4 hours NPO

0-12 months

3 hours NPO

Sedation Guidelines

Minimal Sedation Guidelines

(Chloral hydrate or Versed)

>12 months of age

4 hours NPO

0-12 months

3 hours NPO

Note: Sleep deprivation recommended for children requiring minimal sedation.

Moderate-Deep Sedation Guidelines

(Intensivist [Propofol or other IV sedation] is required)

Solid Foods

8 hours NPO

Infant Formula/Milk

6 hours NPO

Breast Milk

4 hours NPO

Clear Liquids

3 hours NPO

Note: Depending on dose Chloral Hydrate can be minimal or moderate sedation.

Our sedation nurses can help you understand our guidelines. Call them in Minneapolis-- (612) 813-5580, St. Paul--(651) 220-7140, or West--(952) 930-8679.

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Some of our procedures require sedation. Our radiology staff will contact you if sedation is required.

If sedation is required, your child will need to follow our guidelines about eating and drinking before the procedure. See our NPO and Sedation Guidelines for more information, as well as our patient / family education material to learn more about Nitrous Oxide Sedation (Spanish). Talk with your physician if you feel this may be an option for your child.

If you elect sedation for your child, your provider must order sedation when scheduling the radiology procedure.

Our sedation nurses can help you understand our guidelines. Call one of the following locations:

  • Children's – Minneapolis (612) 813-5864
  • Children's – St. Paul (651) 220-7140
  • Children's West (952) 930-8679

As children grow, their bones grow and develop too. Bone development can be adversely affected due to diet, exercise, a person's hereditary genes and other medical conditions.

One of the most common tools used to measure bone density, is called a DEXA scanner, or more formally called a Dual Energy X-ray Absorptiometry scanner, which Children's - St. Paul's radiology department now provides.

Using an x-ray procedure, the DEXA scanner helps determine the strength of the patient's bones by measuring their bone density. Other means of assessing bone strength are also available but a DEXA scan is currently the most accurate method and it uses the lowest amount of radiation for a pediatric bone scan.

The ins and outs of Children's new DEXA scanner

  • Direct referrals to Children's radiology department accepted. A separate order is required.
  • All scans are read by a Children's pediatric radiologist with specialized training in DEXA scanning.
  • DEXA scanner operated by American Registry of Radiologic Technologists (ARRT) certified technologists.
  • Coordinated, pediatric focused care – all in one location – with sedation capabilities when needed.
  • Hours of operation: Monday – Friday, 8 a.m. – 4:30 p.m.

DEXA scan appointments can be scheduled at Children's - St. Paul by calling centralized scheduling,

(612) 874-5399.

The technology

  • Is three to five times more efficient radiation doses compared to other systems.
  • Is the first system designed to look beyond bone mineral density.
  • Detects subtle bone changes in a variety of clinical applications.
  • Delivers rapid scans and near radiographic imaging.