Fluoroscopy

Fluoroscopy is a study of  moving body structures, similar to an x-ray "movie." A continuous x-ray  beam is passed through the body part being examined, such as blood traveling through a blood vessel, the diaphragm moving up and down, or food moving through  the digestive tract, and is transmitted to a  TV-like monitor so that the body part and its motion can be seen in detail. It also can be used to help a health professional locate a  foreign object in the body, position a catheter or needle for a procedure, or realign a broken bone.

Fluoroscopy of lower intestine tract.

Fluoroscopy can deliver more radiation than conventional X-rays. A  dye (contrast material) that shows up on X-rays can be  injected or swallowed during fluoroscopy to outline blood vessels or  organs.

Fluoroscopy usually is done during other diagnostic procedures. For example, fluoroscopy is done during cardiac catheterization to evaluate the condition of  the  coronary arteries and the flow of blood through them. Fluoroscopy may also be used to evaluate the condition of the  urinary  tract or (during an  upper gastrointestinal series) the digestive tract. It may also be done during a  hysterosalpingogram to evaluate a woman's reproductive organs.

Fluoroscopy may be done to:

  • Screen for and help guide treatment for  coronary artery disease (CAD). During  cardiac catheterization, fluoroscopy is used to see the condition of the  coronary arteries. For more information, see the medical test  Cardiac Catheterization.
  • Assess lung expansion and contraction during quiet breathing, deep breathing, or coughing.  Fluoroscopy can detect uneven or decreased movement of the  diaphragm.
  • Evaluate blood flow through an  artery. Fluoroscopy is done during a diagnostic test called angiography to  evaluate possible problems with blood vessels that affect blood flow. For more  information, see the medical test  Angiogram.
  • Guide some diagnostic and  surgical procedures, such as the placement of a catheter during angiography,  the insertion of a needle for  biopsy, the removal of fluid from a body cavity, or  the insertion of a tube into the stomach or small bowel. Fluoroscopy also may  be used to help identify and remove a foreign object from the body. It also  allows for many minimally invasive treatments of the heart, such as  angioplasty.
  • Help diagnose some diseases  or conditions of the digestive tract, such as  ulcerative colitis, tumors, bleeding, bowel  obstruction, or an abdominal  hernia. When used to evaluate the stomach,  esophagus, and  duodenum, fluoroscopy is done with an  upper gastrointestinal series. Fluoroscopy is done  during a barium enema to evaluate the large  intestine or during an X-ray test (called small bowel studies) to assess  the  small intestine. For more information, see the medical  tests  Upper Gastrointestinal (UGI) Series and  Barium Enema.
  • Evaluate the  urinary tract. Fluoroscopy may be used during a test called a retrograde ureteropyelography to evaluate the structure and function  of the urinary tract. It sometimes is used during  intravenous pyelography (IVP). For more information,  see the medical test Intravenous Pyelogram (IVP).
  • Evaluate a  woman's  uterus and  fallopian tubes. During hysterosalpingography, an X-ray test to assess a  woman's reproductive organs, fluoroscopy may be used to identify problems with  the uterus or to help detect a blocked fallopian tube. Hysterosalpingography is  often done for a woman who is having difficulty becoming pregnant. For more  information, see the medical test  Hysterosalpingogram.
  • Treat bone fractures.  Fluoroscopy can be used during orthopedic surgery to help a health professional  realign a fractured bone or to place a pin in a fractured bone. A radiologist  may use fluoroscopy to assess whether a bone fracture is healing  properly.
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