From being discovered as accidental unknown rays in 1895 by William Roentgen to using artificial intelligence as a tool for radiologist, the field of radiodiagnosis has taken a great leap of expansion. The constant innovations in medical technology have shifted the paradigm of medical diagnosis enabling   doctors’ countless ways to identify and diagnose different medical conditions in the most non-invasive way. Newer imaging modalities have become more sophisticated and safer however imaging that deals with ionizing radiation isn’t without its risk. The justified focused use of these modalities in the hands of well-trained specialist offers timely identification and diagnosis of various condition to ultimately ensure good health. 

  The department of radiodiagnosis at CMCTH is one of the most competent and versatile medical departments in the country with full range of imaging services to find and treat illnesses and injuries. It aims in providing simple solution for the most complex tricky medical conditions by using the latest equipment that deliver accurate, high-quality result at earliest possible duration   often within few minutes to hours depending upon the modality ensuring the early definite treatment. The department of radiodiagnosis focuses on providing convenient, cost-effective radiological services of highest quality to play a direct role in patient’s care. We perform more than two hundred thousand diagnostic studies annually at our center. 

  All our radiologists are board certified and well trained in the field of radiology. Our team also includes registered radiology technologists with advanced certifications and nurses. Our trained experienced team is centered in providing safe, patient centered care using sophisticated equipment putting patients’ health safety and wellbeing first. One can always expect a top-quality care from a dedicated team. PACS is an important tool for digitizing, archiving and transmission of the image in a cost-effective way. Its installment has made the departments more efficient, reduce operating costs, and improve communication among physicians

The procedures offered at the department of radiodiagnosis at CMCTH offers a cost-effective alternative to conventional medical and surgical treatments possessing fewer risks and very little recovery time. These procedures have mostly been as a boon to critically ill patient who are unable to undergo the stress of various surgical modalities. Our 3D imaging lab provides detailed reconstruction of the internal areas of your body to help doctors plan surgeries with great precision.  Interventional radiology is a rapidly growing speciality in the field of radiology that uses minimally invasive approach to percutaneously treat vascular and non-vascular disease. These procedures are typically performed with local anesthesia and radiological imaging technique such as x-rays, ultrasound, computed tomography (CT) or fluoroscopy. 

We work collaboratively with specialist throughout CMCTH to deliver comprehensive care. We work closely with specialist in a wide range of specialties, including primary care, orthopedics, cardiovascular disease, digestive disorder, urology, liver transplantation and many more. We work as a team to provide complete care and personal attention. 

Equipment

The department of Radiodiagnosis at CMCTH is equipped with state-of-the-art diagnostic equipment such as:

a) Direct DR General radiography system

b) 500 mA General radiography/ fluoroscopy system along with Computed Radiography system

c) 128 slice CT scanner

d) 1.5 Tesla MRI scanner

e) USG machines with color Doppler and 4D imaging systems

f) DEXA system

g) Digital mammography system (in process)

h) Single plane cardiac Angiosuite

With the availability of latest equipment, it is possible to provide various special investigations. Round a clock 24/7 services are provided to the emergency patient by the on duty trained personnel. All special investigations are done with a prior appointment between OPD hours of 8: 00 AM – 4: 00 PM. Requisition forms for various investigations are distributed in all OPDs, which are completed by clinicians. For inpatient special investigations are performed round the clock. 

Services

Conventional radiography:

Intravenous urography 

MCU/RGU (Micturating cysto-urethrography/ Retrograde urethrography) 

Hysterosalpingography (HSG) 

Fistulogram/Sinogram 

Loopogram 

Barium studies 

T-tube Cholangiogram 

USG 

Diagnostic procedures of any body parts

Anomaly scan, 3D/4D

Peripheral doppler

Carotid doppler Renal Doppler

Mesenteric Doppler 

AV fistula study 

Pre and post liver transplant vascular study. 

CT 

Diagnostic procedures of any body parts

Angiogram (all parts) 

CT Urogram 

CT fistulogram/Sinogram 

Interventional 

Vascular intervention (Angiosuite procedures)

Digital subtraction angiography (cerebral/ body)

Angioembolization (Glue, coil) for hemorrhage, aneurysm, AVM, AVF

Angioplasty, Venoplasty (artery, vein, dialysis fistula/graft)

Hepato-biliary intervention (TACE - Transarterial chemoembolization, TIPS, Cholangioplasty, Cholecystostomy)

Renal/splenic/Uterine/Prostate/Lower limb/ Aortic intervention (EVAR)/IVC filter placement 

Lymphatic intervention (lymphangiogram, sclerotherapy)

Neuro intervention: Stroke treatment (Mechanical Thrombectomy), aneurysm/AVM, Carotid-cavernous fistula (CCF), Carotid angioplasty/stenting

Venolympatic disorders intervention- Bleomycin injection

Non-vascular intervention

FNAC (USG/CT) 

Biopsy (USG/CT)

Percutaneous tumor ablation (Microwave, Radiofrequency ablation)

Pigtail catheterization 

Percutaneous nephrostomy tube 

PTBD (Percutaneous transhepatic biliary drainage) 

Vertebroplasty

Central line placement (Permanent, temporary, chemoport, PICC line)

Adrenal venous sampling

MRI 

Diagnostic procedures of any body parts

MRCP (Magnetic resonance cholangiopancreatography) 

MR angiogram/ venogram 

MRS (Magnetic resonance spectroscopy) 

Diffusion/ perfusion study 

MR arthrography 

Cardiac MRI (Structural)

 

Dr. Mukund Raj Panthee

Professor

Dr Deepak Adhikari

Associate Professor

Dr. Dipesh Paudel

Assistant Professor

Dr. Bigyan Paudel

Assistant Professor

Dr. Pradip Kumar Chapagain

Sr. Lecturer

Dr. Pradesh Ghimire

Sr. Lecturer

Dr. Neha Bista

Sr. Lecturer

Mr. Sudil Paudyal

Mr. Deepak Bhusal

Publications

Ongoing Research

With radiodiagnosis being a constantly evolving field, the department pursues for continuous improvement in radiologic training and research. There is ongoing research in collaboration with various other subspeciality on the COVID-19 pandemic that will help to analyze the different trends of the pandemic in our country which can be utilized in making comparison to the world scenario.  The areas of research include musculoskeletal conditions, 

Ongoing researches at the department: 

1. HRCT characteristics of serology positive PCR negative late COVID- 19 pneumonia.

2. Moderate Hydronephrosis among Acute Ureteral Calculus on Ultrasonographic Imaging in a Tertiary Care Center in Nepal: A Descriptive Cross-sectional Study.

3. Computed Tomography measurement of Paranasal sinus at a tertiary care center of Nepal.

4. Assessment of Nasolacrimal canal morphology with multidetector CT in a tertiary care center of Nepal.

In collaboration with other specialty 

1. Correlation of CRP and D-Dimer with CT severity scoring in COVID-19 patients. 

2. High resolution computed tomography chest findings during admission and follow-up in severe coronavirus-19 infection.