Ang 24
Quick booking and friendly pregnancy ultrasound technologists made the visit worth the drive.
Erin, Ontario diagnostic imaging clinic
Frequently Asked Questions
Answers to common appointment, preparation, requisition, result and Rho screening questions.
Frequently Asked Questions
Answers before your appointment
We provide state-of-the-art, high-quality diagnostic imaging services. If you have a related question, please search here or contact our team.
General
Do I need to bring my OHIP card?
Yes. Please bring your valid OHIP card to every visit, even if you have been here before. It is required for registration and billing purposes. If we do not have your current health card number and version code, OHIP will not reimburse us for your test and we will send you a bill in the mail.
Do I need a requisition?
Yes. A requisition from your healthcare provider is required for most imaging exams. If you already booked your appointment, you still need to bring the original requisition with you.
What if my OHIP card is expired or needs renewal?
Please ensure your health card is valid before your appointment. If your card is expired, you may be asked to reschedule or provide updated coverage information.
Why do I need to arrive early for my appointment?
Arriving late may result in a longer wait time or the need to reschedule your appointment. To help us stay on schedule and minimize disruptions, please plan to arrive at least 10 minutes before your scheduled appointment time.
Do I need to book all imaging tests in advance?
Most diagnostic imaging exams require an appointment. Some walk-in services may be available depending on the exam type, but booking ahead is recommended.
Why do I need to bring my requisition if I already booked?
Just like a prescription, your requisition is a legal order from your doctor; it contains important clinical information required for your exam and radiologist interpretation. It must be reviewed at the time of your visit. We are unable to perform any tests on you without this paper.
Will the technologist tell me my results?
No. A technologist is not legally allowed to give you any results. The examination must be read by a doctor who specializes in reading these tests.
Why is scent awareness important?
For the comfort and safety of all patients and staff, we ask that you avoid wearing strong scents such as perfumes, colognes, or scented lotions, as some individuals may have sensitivities or allergies.
Can I pick up my images to take to my doctor or specialist?
If your physician or specialist asks you to bring a copy of your images, we can provide access through our secure online patient portal at the time of your appointment whenever possible or later when requested. This allows your doctor or specialist to conveniently view and download your images and report. If you are taking the portal access with you, you will be required to sign a consent form confirming authorization for personal access and sharing of your records. If preferred, copies of your images and report may also be faxed directly to another physician or specialist with your consent. Simply contact our office with the doctor’s name and fax number so we can assist with the request.
How can I access my results?
Your results will be sent directly to your referring physician. You can also access your images and reports online through PocketHealth. Visit www.pockethealth.com to sign up.
How long does it take for my doctor to get my results?
Most results will be available within 2-3 business days, though in some cases it may take up to a week.
What should I do if I am late?
Please call the clinic as soon as possible. Late arrivals may result in delays or rescheduling to ensure fairness to all patients.
What should I bring to my appointment?
Please bring:
- Valid OHIP card
- Your requisition
- Any relevant prior imaging, if requested
Can I reschedule or cancel my appointment?
Yes. Please notify the clinic as early as possible so your appointment time can be offered to another patient.
Can I bring my child or children to my appointment?
We kindly ask that patients make childcare arrangements prior to their appointment, as children are not permitted in the examination room during imaging procedures. This policy helps ensure the safety, privacy, and comfort of all patients, while also allowing our technologists and sonographers to focus fully on performing the examination.
We understand that unexpected situations and emergencies can occur. If you need to bring a child or children to your appointment, please contact our clinic in advance so that special arrangements or preparations can be discussed when possible.
Ultrasound
Do I need an appointment?
Yes, ultrasound exams are performed by appointment only.
Do I need a referral?
Yes, a requisition from your healthcare provider is required for ultrasound examinations.
How long does the exam take?
Most ultrasound examinations take less than 20 minutes depending on the area or type of examination.
Is Ultrasound painful?
Ultrasound is generally painless. You may feel mild pressure from the probe during the exam, especially if the area is tender or if a full bladder is required.
How long will it take to get my results?
Results are typically sent to your healthcare provider within 2-3 days, but it may take up to a week depending on the type of examination.
Obstetrical Ultrasounds
What types of pregnancy ultrasounds are performed?
Common obstetrical ultrasounds include:
- Dating ultrasound
- NT / IPS ultrasound
- Anatomy ultrasound
- Growth ultrasound
- Biophysical Profile (BPP)
- Follow-up or reassessment ultrasounds
Your healthcare provider will determine which examination is appropriate for your stage of pregnancy.
Do I need a full bladder?
A full bladder is required for obstetrical examinations. You must finish drinking 32 ounces (1 litre) of clear fluids (water is preferred) 1 hour before your appointment time. For example, if your appointment is for 10:00, start drinking at 8:30 and finish drinking by 9:00. Do not go to the washroom. Eat as usual.
Please note: If 5 months pregnant, or more, 16 ounces (1/2 Litre) of fluids should be adequate.
How long does the exam take?
Appointment times vary depending on the examination type and baby’s position. Most obstetrical ultrasounds take approximately:
- Up to 30 minutes for routine scans
- Longer for detailed exams such as anatomy scans
Additional time may sometimes be required to obtain all necessary diagnostic images and in cases of multiple fetuses.
Why can't I watch the screen during the scan?
During the examination, the sonographer requires full concentration to obtain accurate diagnostic images and measurements. For this reason, the screen will not be visible while scanning is in progress.
This helps ensure the highest quality imaging for radiologist interpretation and patient care.
Why is my guest only allowed in at the end of my Obstetrical Ultrasound?
We are committed to providing high-quality medical imaging. Your obstetrical ultrasound includes multiple detailed views required for diagnostic reporting by our radiologist. To ensure accuracy and allow the sonographer to focus fully on these measurements, guests are asked to wait outside during the exam. Your guest will be invited in at the end of the scan, if you choose, once all measurements are complete, and you will then be able to view the baby together. Thank you for your cooperation and understanding.
If you require a chaperone, please refer to our chaperone policy.
Why might I not be able to see the baby during the ultrasound?
The primary purpose of your obstetrical ultrasound is to allow the sonographer to obtain the information your physician requires to assess the viability and development of your baby. An obstetrical ultrasound is a medical examination that provides your physician with important information about the progress of your pregnancy and helps support the health and safety of both you and your baby.
Please note that the primary focus of this examination is to obtain the necessary diagnostic images and measurements. In some cases, factors such as fetal position, maternal body habitus, gestational age, or technical limitations may make it difficult to obtain clear or conclusive images. This may especially occur during first-trimester ultrasounds. If the images obtained are unclear or inconclusive, this does not necessarily mean that there is a problem with your pregnancy. However, your physician may recommend additional follow-up testing, which may include repeat ultrasound examinations and/or bloodwork, to obtain further information.
As a result of these limitations, the sonographer may be unable to provide a viewing opportunity for you and your guest during the examination.
We appreciate your cooperation and understanding should the sonographer be unable to show the baby or provide images for viewing during your appointment.
Can I bring someone with me?
We allow one guest to join at the end of the examination whenever possible.
This policy allows the sonographer uninterrupted time to focus on obtaining all required medical images and measurements. Depending on the examination or findings, guest viewing may not always be possible.
Can children attend the appointment?
For safety, space, and to maintain a focused examination environment, we recommend arranging childcare whenever possible unless another adult is present to supervise the child.
Will the technologist tell me the results?
No. Sonographers are specially trained to acquire diagnostic images but cannot interpret or discuss results during the appointment.
All images are reviewed by a radiologist, and results are sent directly to your referring healthcare provider.
Can the technologist tell me the fetal sex? (sometimes referred to as baby's gender)
Assessment of the baby’s genitalia (fetal sex) is a routine part of the anatomy examination done approximately at 20 weeks gestation. If you would like to know the fetal sex, please inform the technologist at the beginning of your appointment. If the fetal sex can be determined during the examination, the technologist will document this information, and the radiologist can include it in the final report. Technologists are not permitted to provide a written disclosure of the fetal sex at the time of the examination.
When can I find out the fetal sex (or baby's gender)?
Visualization of the fetal genitalia is typically best during the anatomy ultrasound, which is usually performed at approximately 20 weeks of pregnancy.
The fetal sex cannot be reliably identified during a dating ultrasound or a nuchal translucency (NT) scan, as it is too early in the pregnancy for accurate assessment.
In the third trimester, visualization may be limited due to factors such as fetal position, advanced gestational age, and shadowing from surrounding structures.
What if the baby is not in a good position?
Sometimes babies are positioned in a way that limits visibility of certain anatomy or measurements. In these situations:
- The technologist may ask you to change positions, move around or eat something sweet
- Additional images will be attempted during the same visit
- A follow-up ultrasound may be required
This is common and does not necessarily indicate a problem.
Why can't I listen to the baby's heartbeat during my ultrasound?
Your sonographer will assess and confirm your baby’s heartbeat as part of the examination. Fetal heart rate is typically evaluated using M-mode (Motion Mode) ultrasound, which measures and records the movement of the baby’s heart over time. This allows the heart rate to be accurately calculated while using standard ultrasound imaging.
By comparison, the familiar “heartbeat sound” heard during some scans is produced using Doppler audio, which uses a different ultrasound technique to detect motion and blood flow and convert it into an audible sound. Because Doppler technology uses higher acoustic energy than M-mode, current ultrasound safety recommendations support using M-mode for routine fetal heart rate assessment.
While the heartbeat is carefully monitored and documented to ensure your baby’s well-being, audio playback of the heartbeat is not provided during the examination.
When will my doctor receive the results?
Reports are usually sent to your healthcare provider within 2-3 business days.
Will I receive copies of my ultrasound images?
Patients can enjoy free access to both their ultrasound images and reports through PocketHealth following their examination. PocketHealth is a secure online portal that allows you to view, download, and share your imaging records anytime, from any device. This provides an easy and convenient way to keep your pregnancy images and reports accessible throughout your care journey. https://www.pocket.health/en-US/EDI/intro
Can you print pictures of my baby after my pregnancy scan?
We do not provide printed images of your obstetrical examination. However, you can enjoy free access to both ultrasound images and reports through PocketHealth following your examination.
PocketHealth is a secure online portal that allows you to view, download, and share your imaging records anytime, from any device. This provides an easy and convenient way to keep your pregnancy images and reports accessible throughout your care journey. https://www.pocket.health/en-US/EDI/intro
Are obstetrical ultrasounds safe?
Ultrasound uses sound waves to create images and does not involve radiation. Obstetrical ultrasounds are considered safe when performed by trained healthcare professionals for medically indicated diagnostic purposes.
Ultrasound examinations are performed using the lowest acoustic output and shortest scanning time necessary to obtain the required diagnostic information.
Do I need a requisition?
Yes. A requisition from a physician, midwife, or authorized healthcare provider is required for all diagnostic obstetrical ultrasounds.
X-Ray
Do I need an appointment for an X-ray?
No, X-ray examinations are available on a walk-in basis, but we do offer appointments as well if you prefer.
Do I need a requisition from my doctor?
Yes, a requisition from your healthcare provider is required for all diagnostic X-ray examinations.
How should I prepare for my X-ray?
X-rays require no preparation. Depending on the area being examined, you may be asked to remove jewelry, eyeglasses, or metal objects and change into a gown if necessary.
How long does an X-ray take?
Most X-ray examinations take less than 20 minutes, although this can vary depending on the type of exam.
Is an X-ray painful?
No. X-rays are painless. You may be asked to hold certain positions briefly during the exam.
Is X-ray radiation safe?
Yes. X-rays use a very low dose of radiation, and every effort is made to keep exposure as low as reasonably achievable while still obtaining high-quality images.
Should I tell the technologist if I am pregnant?
Yes. Please inform the technologist if you are pregnant or think you may be pregnant before your examination.
What happens during the X-ray exam?
A medical radiation technologist will position you properly for the images. You may be asked to stand, sit, or lie down and hold still for a few seconds while the images are taken.
When will I receive my results?
Your images will be reviewed by a radiologist, and a report will be sent to your referring healthcare provider within 2-3 days. Your provider will discuss the results with you.
What if I am unable to stand or move easily?
Please let staff know ahead of time if you require mobility assistance or accommodations. Our team will do their best to ensure your comfort and safety throughout the exam.
Why do I have to pay for my report ordered by my chiropractor?
If your chiropractor has ordered an X-ray for you they may request a report along with the x-ray images. Reports ordered by chiropractors are not covered by OHIP. This charge covers the cost associated with the radiologist’s time and expertise in interpreting the imaging studies and preparing comprehensive reports. The cost will depend on how many body parts are requested for imaging.
BMD
Do I need a referral for a bone density exam?
Yes, a referral from your healthcare provider is required for a bone density exam.
How do I prepare for my appointment?
Preparation is minimal:
- Wear comfortable clothing without metal zippers or buttons
- Do not take calcium supplements for 24 hours before your exam
- Let staff know if you recently had a barium study or CT scan with contrast
- Bring a list of medications if possible
How long does the exam take?
The exam takes less than 20 minutes.
What happens during the exam?
You will lie comfortably on an exam table while a scanning arm passes over specific areas of your body, usually the lower spine and hips. You will need to remain still during the scan.
Is there any radiation exposure?
Bone density exams use a very low dose of radiation, much lower than a standard X-ray.
When will I receive my results?
A radiologist will review your images and send a report to your referring healthcare provider within 2-3 days, who will discuss the results with you.
Mammography
Why is mammography important?
Mammography can help detect breast cancer early, when treatment is most effective and outcomes are often better.
What is the difference between screening and diagnostic mammography?
- Screening mammography is performed routinely for patients who have no breast symptoms.
- Diagnostic mammography is used to further evaluate symptoms such as a lump, breast pain, nipple discharge, or an abnormal screening result.
What is 3D mammography (tomosynthesis)?
Tomosynthesis, also called 3D mammography, is an advanced imaging technique that creates multiple detailed images of the breast from different angles. It is often performed in addition to standard 2D mammography and can improve cancer detection while reducing callbacks for additional imaging.
Who should get a mammogram?
Mammograms are recommended for women based on age, personal risk factors, and healthcare provider recommendations. In Ontario, women ages 40-74 may be eligible for screening through the Ontario Breast Screening Program (OBSP).
Do I need a referral for a mammogram?
Requirements may vary depending on your age, symptoms, and eligibility for screening programs such as the OBSP. Some screening mammograms do not require a doctor’s referral. Please call the clinic to determine if you need a requisition.
How do I prepare for my mammogram?
- Do not wear deodorant, powders, lotions, or perfumes on the day of your exam
- Wear a two-piece outfit if possible
- Advise staff if you are pregnant or breastfeeding
How long does the appointment take?
Most mammogram appointments take less than 20 minutes.
Does a mammogram hurt?
Some patients experience temporary pressure or discomfort during compression of the breast, but the exam is usually quick and well tolerated.
Why is breast compression necessary?
Compression helps produce clearer images, reduces radiation exposure, and minimizes motion during the exam.
Is mammography safe?
Yes. Mammography uses a very low dose of radiation and is considered safe. The benefits of early breast cancer detection greatly outweigh the minimal radiation exposure.
What happens during the exam?
You will stand in front of the mammography machine while each breast is positioned and compressed briefly to obtain images from different angles.
What if I have breast implants?
Patients with breast implants can still have mammograms. Please inform the technologist before the exam so special imaging techniques can be used if needed.
When will I receive my results?
Your images will be reviewed by a radiologist and results will be sent to your referring healthcare provider. Results may take up to a week or longer, particularly if previous mammogram images are being requested for comparison.
For patients screened through the Ontario Breast Screening Program (OBSP), result letters are also mailed directly to patients. If additional imaging is needed, the clinic will contact you directly regarding a recall appointment, which may include additional mammogram images and/or a breast ultrasound.
What does it mean if I am called back after my mammogram?
A callback does not necessarily mean cancer is present. Additional images or ultrasound may simply be needed to obtain a clearer evaluation.
Will I receive reminders for future mammograms?
Patients participating in the Ontario Breast Screening Program (OBSP) may receive reminder letters when they are due for their next screening mammogram.
Can men have mammograms?
Yes. Although less common, men with breast symptoms such as lumps or nipple changes may require mammography.
Can I resume normal activities afterward?
Yes. There are no restrictions after a mammogram, and you may return to your normal activities immediately.
RHO
What is Rho?
Rho is a software program that analyzes a standard x-ray using artificial intelligence, and lets the radiologist know if you possibly have low BMD. Radiologists may include findings of low BMD in their report to your referring physician to prompt them to conduct a clinical fracture risk assessment related to bone health.
Source: 16 Bit Rho FAQ
I was given an RHO Screening result, what does this mean?
You were identified as having low bone mass, which may indicate osteopenia or osteoporosis. These conditions can increase your risk of bone fractures. While RHO is not a diagnostic tool, it helps identify patients who may benefit from further evaluation. You should discuss your results and further steps with your doctor.
What further evaluation is needed?
Your doctor may recommend a BMD test using Dual-Energy X-Ray Absorptiometry (DXA) to confirm the diagnosis and assess fracture risk.
What is low bone mass?
Low bone mass, also known as osteopenia, is a condition where your bone mineral density (BMD) is lower than normal, but not low enough to be classified as osteoporosis.
Osteoporosis is a medical condition in which bones become weak and brittle, making them more likely to break (fracture) even from minor falls or, in severe cases, simple movements like bending or coughing.
Why is this important?
Early detection of low bone density allows for:
- Fracture risk assessment
- Timely intervention or treatment
- Monitoring bone health over time
Why is Rho an "opportunistic screening test"?
Rho analyzes an x-ray that has already been acquired. It takes the opportunity to assess your bone health while you are undergoing x-ray for another medical indication (i.e. cough, pain). It provides bonus information that a radiologist would not typically be able to see with their own eyes.
When and how does Rho screen my x-ray?
If you are undergoing an x-ray of the chest, pelvis, knee, lumbar spine, thoracic spine, or hand and are over the age of 50, Rho will automatically screen your x-ray as soon as it is performed. Rho will provide results to your radiologist to consider while they are reviewing your x-ray.
If you have requested Rho to analyze your x-ray through a patient imaging portal, it will analyze your x-ray and provide the report to you. We encourage you to discuss the report with your healthcare provider.
What information does Rho provide?
Rho lets the radiologist know if your x-ray suggests you may have low BMD. The radiologist can choose to include this finding in their report of your x-ray. This information will give your healthcare provider insight into your bone health and may prompt additional screening measures such as a fracture risk questionnaire.
If you have accessed Rho through a patient imaging portal, you can share your report with your healthcare provider. This information will give your healthcare provider insight into your bone health and may prompt additional screening measures such as a fracture risk questionnaire.
What are the risks?
Since Rho is a technology that analyzes an x-ray that has already been acquired, there is no additional radiation risk to you. If you may have low BMD, your healthcare provider might ask you a series of questions to assess your risk of fracture and may recommend that you have a different type of x-ray (a DXA) that includes a very low dose of radiation (about the same amount as you get by just living on earth for a few days).
If you are found to have low BMD or are at increased risk of future fracture, there are treatment and prevention options including lifestyle modification and pharmaceutical interventions.
What are the benefits?
If Rho identifies that you may have low BMD, and your healthcare provider is not already aware, then this early detection could enable earlier initiation of preventative or treatment strategies to help maintain bone health and prevent future fractures.
Was my x-ray transferred to a third-party when it was screened by Rho?
Rho is installed at healthcare institutions and analyzes x-rays without transferring any information to the manufacturer or other third-parties.
If you accessed Rho through a patient imaging portal, the x-ray was not transferred, the patient imaging portal analyzes it on their server using our software.