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General Ultrasound | Intra-Operative / Laparoscopic Ultrasound | Vascular Ultrasound | Women's Health Imaging Center | Vascular and Non-Vascular Interventional Radiology (IR) | Magnetic Resonance Imaging (MRI) | CT Scan | Digital Radiography and Flouroscopy | Radiological Sciences Services | Procedure PreparationHow to avail the procedures? | Contact Us | Our Medical Expert Team | Radiological Equipment


The NKTI-Department of Radiological Sciences is committed to provide excellent medical imaging and perform interventional procedures with timely and accurate diagnosis with the least economic impact to its patients. The combination of consultants and staff with the highest level of training in the field of Diagnostic and Interventional Radiology especially for genito-urinary, vascular diseases and organ transplantation and the acquisition of the latest advances in technology makes the Department one of the premier radiology centers in the country today.

The Department of Radiological Sciences is located at the NKTI Diagnostic Center which is a state of the art facility that houses all the cutting edge-technology in today’s modern medical imaging.  It is the living “proof of concept” that the government can actually be at par with the private sector in terms of equipment and services, providing access to quality healthcare for all walks of life.  As a commitment in providing the best possible care to its patients, the NKTI has acquired the latest innovations in medical imaging technology in order to support the thrust of the Department of Health in providing “universal healthcare” for the Filipino people...


General Ultrasound

The section is equipped with the latest innovation in ultrasound technology including 3D, 4D, volume scan, and elastography for breast and liver. It is manned by experienced and competent sonologists. The section continues to lead the way in ultrasound imaging not only within the institution but entire country.

 

 

                Routine Examinations

    • Upper Abdomen

      • Adrenal
      • Liver
      • Gallbladder and hepatobiliary tree
      • Pancreas
      • Kidneys
      • Spleen
      • Aorta and paraaortic regions
    • Pelvic

      • Uterus
      • Ovaries
      • Urinary bladder
      • Prostate
      • Scrotal / Inguinal
    • Chest

    • Neonatal Transcranial

    • Neck / thyroid / parathyroid

    • Musculoskeletal

    • Endocavitary

      • Transrectal
      • Transvaginal
    • Liver Elastography


Intra-operative / Laparoscopic Ultrasound

The section is equipped with an ultrasound machine with specialized intra-operative and laparoscopic probes to aid surgeons with surgical planning and decision-making during procedures. It can be wielded as an adjunct to laparoscopic nephrectomy, partial hepatectomy, hepatic segmentectomy, cholecystectomy and pelvic surgery.


 Vascular Ultrasound 

The section is equipped with an ultrasound machine with specialized intra-operative and laparoscopic probes to aid surgeons with surgical planning and decision-making during procedures. It can be wielded as an adjunct to laparoscopic nephrectomy, partial hepatectomy, hepatic segmentectomy, cholecystectomy and pelvic surgery.

  • Abdominal Doppler (Liver, Pancreas, Spleen, Aorta)

  • Aorta-Iliac Doppler

  • Carotid Doppler

  • Color Doppler Imaging of Mass

  • Iliac Vessels Doppler

  • Lower Extremity Doppler (Arterial And Venous)

  • Penile Doppler

  • Renal (Native and Graft) Doppler

  • Testicular Doppler

  • Transcranial with Carotid Doppler

  • Transrectal Ultrasound (Ultrasound of the Prostate) CDI

  • Upper Extremity Doppler (Arterial And Venous)

  • Venous Mapping for AVF Creation


Women's Health Imaging Center

The Women's Health Imaging Center has a state-of-the-art digital mammography machine capable of high-resolution images and can be utilized to guide invasive & interventional procedures.

                                                      

  • Obstetric

    • Biophysical Profile Score (BPS)
    • Pregnancy evaluation
    • 3D/4D ultrasound
    • Congenital Anomaly Screening
  • Gynecologic

    • Hysterogram
    • Saline Infusion Hysterosalphingography
  • Breast

    • Ductography
    • Sonomammography package (ultrasound + mammography)
    • Stereotactic breast biopsy
    • Breast wire needle localization biopsy
    • Breast MRI
    • Breast Elastography

Vascular and Non-Vascular Interventional Radiology (IR) 

The Department offers vascular and non-vascular interventional radiology procedures from simple angiography to cerebral angiography using digital radio fluoroscopy with Digital Subtraction Angiography. IR utilizes minimally-invasive image guided procedures to diagnose and treat diseases in nearly every organ system. The concept behind interventional radiology is to diagnose and treat patients using minimally-invasive techniques currently available in order to minimize risk to the patient and improve health outcomes.

Fluoroscopy-Guided Interventional Procedures

  • DSA-4 Vessel Angiogram (Cerebral)

  • DSA-Angiogram / Arteriogram (Abdominal, Renal, Extremities)

  • Transarterial Chemoembolization (TACE)

  • Intraoperative angiogram

  • Inferior vena cava filter insertion (IVC FILTER)

  • Inferior venocavogram

  • Venogram

  • Percutaneously inserted central catheter (PICC)

CT-Guided Interventional Procedures

  • CT-Guided Biopsies

  • CT-Guided Gene Therapy

Ultrasound-Guided Interventional Procedures

  •  Biopsy (Fine/Core)Paracentesis

    • Breast
    • Thyroid
    • Liver
    • Kidney
    • Prostate
    • Abdominal and Retroperitoneal Masses
  • Paracentesis
  • Thoracentesis

  • Percutaneous Nephrostomy tube insertion (PCN)

  • Hemodialysis access catheter insertion (IJ, Subclavian, Permcath)

  • Insertion/removal/replacement of drainage tube

  • Radio Frequency Ablation (RFA)


Magnetic Resonance Imagin (MRI) 

The NKTI has a 3.0 Tesla MRI machine, one of only a handful in the country and also the first in a government hospital. It is capable of high-level diagnostic capabilities.

                      

  •  Brain

    • Functional MRI
    • Tractography (Tens of imaging)
    • MR Spectroscop
  •  Head and Neck

    • Orbits
    • Nasal cavity
    • Paranasal sinuses
    • Temporal bone
    • Infratemporal fossa
    • Nasopharynx
    • Oropharynx
    • Hypopharynx
    • Larynx
    • Salivary glands
    • Tongue
    • Buccal mucosa
    • Temporomandiblar joints
  •  Spine and Chest

    • Cervical
    • Thoracic
    • Lumbar
    • Sacro-coccygeal
  • Abdomen and Pelvis

  • MRCP with Biliary stonogram

  • Musculoskeletal

  • Whole body MRI

  • Prostatic MRI using endorectal coil

  •  Angiography

    • Cerebral
    • Carotid
    • Aorta
    • Renal

CT Scan 

The 256-slice CT scan machine, one of the few in the country and the first in a government hospital, has superior imaging capabilities, allowing accurate diagnosis at greater speeds. Because of its 256-slice feature, the machine can perform biopsies on nodules that measure less than a centimeter accurately, with minimal risk for complications.

Image post-processing (VRT) facilitates communication to patients and their attending physicians of the nature and extent of the patient's pathology/problem

                            

  •  HeadNeck

    • Brain
    • PNS screening
    • FESS protocol
    • Orbits / nasopharynx/larynx/sella
    • Mastoid / mandible / temporal
  •  Chest

    • HRCT
  •  AbdomenPelvic

    • Stonogram (Genitourinary, Biliary)
    • Urogram
    • Upper/whole abdominal
  •  Angiography

    • Cranial
    • Coronary
    • Renal
    • Extremities
  •  Spine BMD

    • Cervical
    • Thoracic
    • Lumbar
    • Sacrum
  • CT-guided biopsy

  • 3D reconstruction

  • Virtual colonoscopy

  • Virtual bronchoscopy

  • Coronary Calcium Scoring

  • Liver Segmentation

  • Oncologic Imaging-Lung Lesions and Lymph Nodes

  • Sialogram

  • DENTAL CT


Digital Radiography and Fluoroscopy 

The section offers routine x-ray, fluoroscopic studies providing real time imaging of your body, specialized x-ray and interventional procedures. Every special procedure is supervised by a radiologist and verified by a consultant, thereby ensuring quality service. It also provides much lower dose of x-ray exposure compared to conventional x-ray machines.

Routine Examination

  •  Bones (trauma, surveillance)

    • Bone aging
    • Skeletal survey
    • Scoliosis studies with automatic image stitching
  •  Chest

  • Abdomen

    • Abdominal series
    • KUB / Plain abdomen

Fluoroscopy-Guided Special and Interventional Procedures

  •  Gastrointestinal

    • Esophagogram (Barium Swallow)
    • Upper GI Series (UGIS)
    • Small intestinal series (SIS)
    • UGIS with SIS
    • Barium enema
    • Distal colonogram
  •  Hepatobiliary

    • Percutaneous Transhepatic Biliary Drainage (PTBD)
    • Percutaneous Transhepatic Cholangiogram (PTC)
  •  Hepatobiliary

    • Intraoperative Cholangiogram (IOC)
    • ERCP
    • T-tube cholangiogram
  •  Chest

    • Chest fluoroscopy / sniff test
  •  Pelvic

    • Hysterogram
    • Saline Infusion Hysterosalphingography
  •  Genitourinary

    • Antegrade pyelogram
    • Cystogram
    • Voiding cystogram (VCUG)
    • Intravenous pyelogram (with urethrogram) (IVP)
    • Retrograde pyelogram (RGP)
    • Retrograde urethrogram (DRUG)
    • Tube nephrostogram
  •  Others:

    • Fistulogram
    • Fluoroscopy

Radiological Science Services 

The Department is among the first in the country to perform digital subtraction angiography. With roots dating back to 1983, it continues to lead the way in the field of interventional radiology and vascular imaging. Because of its exceptionally high volume of studies, the department’s research data particularly on sonographic measurements, is being used as Filipino reference values by most institutions/hospitals throughout the country. Competent radiologic technologists under the supervision of radiologists perform the radiographic procedures. To ensure quality and accurate diagnosis, all sonographic procedures, including color Doppler studies, are performed by two doctors in succession.


Procedure Preparations 

Procedure Preparations for X-Ray and Ultrasound

Barium Enema

  • Light Dinner;

  • 30cc flavored castor oil after dinner and 30cc before bedtime;

  • Nothing by mouth post-midnight except sips of water;

  • Fill-out and sign Consent Form.

UGIS or SIS

  • Fasting (after midnight)

  • Fill-out and sign Consent Form

IVP-KUB

  • Light Dinner;

  • Two (2) tablets Dulcolax before bedtime and two (2) suppositories two hours prior to procedure

  • If taking metformin, consult your physician before the procedure

  • (METFORMIN SHOULD BE STOPPED 48 HOURS BEFORE AND 48 HOURS AFTER THE PROCEDURE)

  • Creatinine should be less than 2mg/dl

  • Pre-medications consisting of hydrocortisone will be administered to patients with history of allergies, asthma or previous reactions to IV contrast procedures

  • Fill-out and sign consent form

Angiograms/Venograms

  • Your procedure should be referred to Anesthesia Department for monitored sedation and proper scheduling

  • Fasting for eight (8) hours

  • Creatinine should be less than 2mg/dl

  • Pre-medications consisting of hydrocortisone will be administered to patients with history of allergies, asthma or previous reactions to IV contrast procedures

  • Fill-out and sign consent form

Ultrasound Procedures with Fasting of Six (6) to Eight (8) hours

  • Whole Abdomen

  • Upper Abdomen

  • Hepatobiliary Tree

  • Gallbladder

  • Whole Abdominal Doppler

  • Renal Native Doppler

Non-Fasting Ultrasound Procedures With Full Bladder

  • Lower Abdomen

  • KUB

  • Urinary Bladder

  • Prostate

  • Transvaginal Ultrasound

  • Pelvis

Ultrasound Procedures With No Preparations

  • Scrotal

  • Testicular

  • Liver

  • Thyroid

  • Breast

  • Renal

  • Chest

  • BPS

  • Lower Extremities

  • Upper Extremities

  • Carotid Doppler

  • AVF Doppler

  • Renal Graft Doppler

Transrectal Ultrasound (Male/Female)

  • Fasting six (6) to eight (8) hours

  • Take two (2) Dulcolax tablets before bedtime

  • Insert two (2) Dulcolax suppositories into the rectum two (2) hours before the procedure

  • Fill-out and sign consent form

  • Drink water until with urge to void

General Instructions for Biopsy and other Interventional Procedures
Secure and present recent (not more than 1 month) results of the following:

  • Pro-thrombin (PT)

  • Partial Thromboplastin Time(PTT)

  • Platelet count

Trup with Biopsy

  • Secure and present recent (not more than 1 month old) ECG and Urinalysis

  • Stop Anticoagulants (Consult your physician)

  • FLEET ENEMA two (2) hours before the procedure

  • Fasting after enema

  • Fill-out and sign consent form

  • Secure prescription from the doctor for the prophylactic antibiotics

Renal Biopsy

  • Four (4) hours fasting

  • EMLA application for pediatric patients at least two (2) hours before the procedure

  • Fill-out and sign consent form

Liver Biopsy, FNAB, Thoracentesis, Paracentesis

  • Stop Anticoagulants (Consult your physician) one (1) week before the procedure

  • Four (4) hours fasting, 4 hours fasting

  • Fill-out and sign consent form

Procedure Preparations for CT Scan
Normal creatinine with four (4) hours fasting for the following CONTRAST-ENHANCED CT Scan procedures:

  • Cervical/Thoracic/Lumbar/Hip

  • Chest

  • Cranial Angiography

  • Renal Angiography

  • Aorta/Chest/Abdomen CT Angiography/Aortogram

  • CT Angiography of the extremities

  • CT Bronchoscopy

  • Facial CT

  • Cranial

  • Lower abdomen/Pelvic

  • Mastoid/Mandible/Temporal

  • Neck/Parotid

  • Orbits/Nasopharynx/Larynx/Sella/PNS

  • Urogram

  • Upper Abdomen

Whole abdomen with contrast

  • Normal creatinine (not more than 1 month old)

  • Bowel Preparation

  • Four (4) hours fasting

  • Full bladder

CT Guided Biopsy

  • Normal bleeding parameters (PT, PTT, Platelet)

  • Four (4) hours fasting

Procedure Preparations for MRI
Normal creatinine with four (4) hours fasting for the following CONTRAST-ENHANCED MRI procedures:

  • Brachial plexus

  • Brain/Head

  • Cervical/LSS/Thoracic

  • Chest

  • Foot/Ankle

  • Hip

  • Knee

  • Lower Abdomen

  • MRA of the Brain, Carotid and Renal

  • Neck

  • Posterior Fossa, Sella, Orbits, Nasopharynx, TMJ

  • Sacro-coccygeal

  • Upper Abdomen/MRCP

  • Whole spine

  • Temporomandibular joint

Whole abdomen MRI with contrast

  • Normal creatinine (not more than 1 month old)

  • Bowel preparation

  • Four (4) hours fasting

  • Full bladder


How to avail the procedures? 

For Ultrasound and X-ray Procedures:

  1. Get a number and wait to be called up by the automated queuing system;

  2. Present your physician's request/order and hospital number to the receptionist (for returning patients). Hospital number will be provided to new patients

  3. A charge slip will be issued to you;

  4. Pay the stated amount to the cashier;

  5. Present your official receipt to the next generation counter to get consultation request;

  6. You may now proceed to the second floor for your procedure

For CT Scan Procedures

  1. Get a number and wait for your number to be announced by the automated queuing system;

  2. Present your physician’s request/order and hospital number to the receptionist (for returning patients). Hospital number will be provided to new patients;

  3. For plain CT Scan procedures, a charge slip will be issued to you for payment to the cashier;

  4. For contrast-enhanced CT procedures, the following must be secured;

    1. Result of recent (not more than one (1) month) creatinine examination;
    2. Patients with elevated creatinine must be cleared by the referring physician before the procedure.
  5. You may now proceed to the CT Scan Section for your procedure.

  6. Pay the stated amount at the cashier.

For MRI Procedures

  1. Call the MRI Section for the scheduling of the procedure;

  2. Proceed to the MRI section two (2) hours before your schedule and present your doctor’s request for assessment;

  3. Proceed to the reception area and get a number;

  4. Present your hospital number and the MRI assessment form to the receptionist for registration and charging. A hospital number will be provided to new patients;

  5. For contrast-enhanced MRI procedures, the following must be secured:Pay the stated amount at the Cashier;

    1. Result of recent (not more than one (1) month) creatinine examination;
    2. Patients with elevated creatinine must be cleared by the referring physician before the procedure.
  6. You may now proceed to the MRI Section for your procedure.

For Special Diagnostic X-ray, Ultrasound, CT Scan and MRI Procedures:

  1. Procedures that require a day of preparation should get a schedule at the second floor reception area;

  2. Follow the prescribed preparations for the procedure;

  3. Show up on your schedule date time;

  4. Payment will be done after the procedure.

Important Note: Patient with Letter of authority from Health Maintenance Organizations (HMOs), Priority Development and Assistance Fund (PDAF or Guarantee Letter) or sponsoring private companies must first present these papers/documents to the receptionist PRIOR to the issuance of charge slip.


Contact Us 

Mailing Address:



Department of Radiological Sciences
2F Diagnostic Center, National Kidney and Transplant Institute
East Avenue, Quezon city 1100
Philippines

Email Address:

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Contact Numbers:








Direct Line: (63) (2) 981-0300 / 981-0400
Trunk Line: (63) (2) 981-0300 / 981-0400

Locals:
1439 – Reception
2454, 2455 – Releasing and Borrowing
2440 – X-ray Reading Room and Vascular Ultrasound
2409, 2410 – Ultrasound and Mammography
1447 – CT Scan
1461 – MRI

Business Days & Hours:



Monday-Saturday, 7am-5pm (Ultrasound)
Monday-Saturday, 7am-5pm (CT Scan)
Monday-Friday, 7:30am-5:30pm (Releasing)
Saturday, 8am-5pm (Releasing)


Our Medical Expert Team

Despite being located in a specialty hospital, the Department offers a wide variety of radiological and sonography services which includes various diagnostic and interventional procedures to the public. With the top radiologists in the country among the regular active medical staff, the department prides itself as being one of the premiere radiology centers in the country today.
 

Department Manager III (Diagnostic Center):

Ferdinand L. Morabe, MD, FPCR

Department Chairman:

Gerardo M. Silva, MD, FPCR

Executive Officer:

Rosanna E. Fragante, MD, FPCR

Training Officer:

Maureen Emily S. Salarda, MD, FPCR

Quality Assurance Officer and Concurrent Assistant Executive Officer:

Rene D. Bautista, MD, FPCR

Training Officer for Radiologic Technologist:

Joel P. Majuk, RRT

Chief Radiologic Technologist:

Ariel M. Barros, RRT

Section Heads and Section Chief Technologists:

Diagnostic X-ray

Rene D. Bautista, MD, FPCR
Section Head

 

Joel P. Majuk, RRT
Section Chief Technologist

General Ultrasound

Maureen Emily S. Salarda, MD, FPCR
Section Head

 

Ma. Lourdes D. Sali, RRT
Section Chief Technologist

Vascular Ultrasound

Ferdinand L. Morabe, MD, FPCR
Concurrent Section Head

 

Ma. Lourdes D. Sali, RRT
Concurrent Section Chief Technologist

Computed Tomography (CT)

Rosanna E. Fragante, MD, FPCR
Concurrent Section Head

 

Imelda A. Teves, RRT
Section Chief Technologist

 

Peter Henry M. Latorena, RRT
Assistant Section Chief Technologist

Magnetic Resonance Imaging (MRI)

Gerardo M. Silva, MD, FPCR
Concurrent Section Head

 

Imelda A. Teves, RRT
Concurrent Section Chief Technologist

 

Roderick P. Notar, RRT
Assistant Section Chief Technologist

Women’s Medical Imaging

Rosanna E. Fragante, MD, FPCR
Concurrent Section Head

 

Lucila C. Sioson, RRT
Assistant Section Chief Technologist

Interventional Radiology (IR)

Ferdinand L. Morabe, MD, FPCR
Concurrent Section Head

 

Ariel M. Barros, RRT
Concurrent Section Chief Technologist

Radiology Department Nursing Services:

Jimmy A. Jaime, RN
Section Chief

Radiology Consultants:

Fernando C. Caguete, MD, FPCR

 

Jose D. Alfonso Doria, MD, FPCR

 

Jaime G. Tomas, MD, FPCR

 

Orlando Ignacio, MD, FPCR

 

Angela Umali-Crisostomo, MD, FPCR

 

Glenn Marc Ignacio, MD, FPCR

 

Edilberto JV. Fragante, MD, FPCR

 

Riza D. Marquez, MD, FPCR

 


Radiological Equipments 

As a commitment in providing the best possible care to its patients, the NKTI-Department of Radiological Sciences has acquired the latest innovations in medical imaging technology in order to support its mission and vision of providing quality health care for all.