SimonMed - Summer 2015

SUMMER 2015

See Tomorrow Today

SPORTS INJURIES are on

the rise

Sometimes exercise comes with a price

Saving a life

SimonMed key in patient’s diagnoses, care

Take a drink!

Healthy living starts with hydration

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ASK THE EXPERT // Breast imaging // X-ray exposure SUMMER 2015

// SimonMed 1

gehealthcare.com

The hidden truth on breast cancer.

Over 40% of American women have dense breasts.1 Do you?

Dense breasts have more tissue than fat and can hide cancer on a mammogram. If you have dense breasts, additional testing may be required to help you achieve peace of mind after a mammogram.

A new automated breast ultrasound exam designed for screening dense breasts is now available in your community. Ask your doctor if an Invenia™ ABUS automated breast ultrasound exam would be right for you.

Learn more about breast cancer risks including breast density and options for testing at knowyourrisk.gehealthcare.com.

1. Pisano, E.D., Gatsonis, C., et. al. Diagnostic Performance of Digital versus Film Mammography for Breast-Cancer Screening, N Engl J Med 2005; 353. 1-11.

Invenia ABUS is a prescription medical device. Consult with your doctor about your breast density, your personal breast cancer risk factors, and potential risks and benefits of supplementary exams like breast ultrasound. ©2015 General Electric Company – All rights reserved.

GE, GE monogram and Invenia are trademarks of the General Electric Company or one of its subsidiaries.

JB30990XX

SUMMER

2015

FEATURES

Welcome to SimonMed!

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s the founder of SimonMed® Imaging, I’d like to take the opportunity to thank you for choosing us as your full-service diagnostic imaging provider. As a leader in advanced and specialized diagnostic imaging services, we have been caring for patients in 70 locations throughout Arizona, California, Florida, Nebraska and Nevada for more than 25 years At SimonMed, you can count on our dedicated team of highly trained and specialized board certified radiologists for a personalized approach to quality care. With our state-of-the-art imaging technology, we offer a wide variety of services including MRI, CT, ultrasound, nuclear medicine, X-ray, DEXA scan for bone density, interventional procedures, thyroid therapies and more.

Through our comprehensive women’s imaging program, we feature digital mammography technology at many of our clinic locations staffed by dedicated and compassionate breast imaging radiologists. Other diagnostic imaging techniques include stereotactic, ultrasound- guided and MRI-guided breast biopsy to meet the needs of women in the communities we serve.

We are proud of our newest, most advanced and revolutionary mammography technology: 3-D breast tomosynthesis, which provides a clearer, more accurate image for early breast cancer detection. SimonMed was one of the first imaging centers in the country to offer this screening system, which delivers high performance and patient comfort. Later this year we plan to expand our 3-D digital mammography units to additional locations across the country.

When visiting SimonMed, our patients can expect excellent customer service, same-day or next day appointments, convenient locations and expanded hours that include nights and weekends, so unnecessary trips to the hospital can be avoided.

We’re truly committed to providing top notch diagnostic imaging at affordable pricing. We also proudly support a variety of charitable health initiatives through our community outreach programs.

Finally, as we continue to improve our technology and explore opportunities for growth, we still remain solely focused on caring for our patients. It is my hope that we remain steadfast in our journey to maintain the largest specialized outpatient physician imaging practice in the country.

If you’re new to SimonMed, I hope you will find the content enclosed to be insightful and informative. I encourage you to learn more about our advanced diagnostic imaging services.

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COVER Sports injuries on the rise Protect your body from joint dislocation, ligament tears and bone fractures

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Focus on care SimonMed key in patient’s life-saving surgery

DEPARTMENTS

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Ask the Expert

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Employee spotlight: Women’s Care Coordinator Nancy Castillo

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Healthy Living: Hydration tips

For your good health,

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John Simon, M.D. Founder, SimonMed Imaging

> Meet our Musculoskeletal Trained Radiologist

> What we do

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SUMMER 2015

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Ask the expert

+ QA

This month, we’re focusing on two topics that have been discussed lately in the news and on social media: breast self-exam, and ionizing radiation exposure from medical imaging.

We’ve asked two experts at SimonMed to answer commonly asked questions on these topics.

Breast self exam Q

Is there still value in breast self-exam (BSE) or is a clinical breast exam from your doctor followed by a yearly mammogram (if you’re 40 or older) enough to protect you?

I still encourage patients to at least become familiar with their breasts in order to be more prepared to recognize changes. I encourage high-risk patients (those with a family or personal history of breast cancer or who have other risk factors such as later-age menopause) to perform regular self-exams, ideally once monthly (just following menses, when the breasts are not as tender and lumpy). I often educate younger high-risk patients on signs and symptoms to watch for and how to perform BSE if they are uncertain.

Q

Why have opinions shifted in the past few years in the medical community on the topic of BSE? There is concern that the BSE will lead to

Susannah Thurman, D.O. specializes in breast imaging at SimonMed. She answers questions about breast self-exam.

unnecessary benign breast biopsies. Research has shown that very few findings on BSE or clinical breast exam will be due to cancer, and BSE does not improve breast cancer survival.

However, I still see many women present with palpable breast cancers, even occurring within the year following a negative mammogram, and we may find cancers at an earlier stage.

I have been told by patients that though they have always been “lumpy,” the breast cancer felt much different. This is why I still encourage BSE.

Q

Is it worthwhile to practice BSE less often than every month, or has BSE fallen out of favor altogether?

Much of the stress related to BSE is that the patient has not been educated on signs or symptoms of breast cancer (palpable lump, skin dimpling, nipple retraction, nipple discharge). The best time to get comfortable with BSE is after having a negative breast imaging evaluation.

Safe radiation exposure Q

How is exposure to radiation typically expressed?

For medical imaging, such as x-rays and CT scans, we express exposure to radiation in “millisieverts,” abbreviated as mSv. For comparison and greater understanding, a chest x-ray exposes a patient to about 0.10 mSv. Natural background radiation is approximately 3.1 mSv each year.

Q

How much of a health risk does ionizing radiation actually pose?

There is some risk associated with all medical procedures and one needs to consider the benefit of whatever procedure is being contemplated. There is controversy about the real risk of radiation exposure in medicine, especially for doses at one time in the 10 to 4 SimonMed // SUMMER 2015

Brian Holtan, M.D., F.A.C.C., specializes in cardiovascular radiology, mammography and general radiology at SimonMed. He answers questions about safe radiation exposure.

100w mSv range. At doses less than 10 mSv per exam, there is no direct data for increased cancer risk.

Twenty- five years’ worth of mammograms, from age 40 to 65, produces a total dose of approximately 20.4 mSv. That translates to a cancer risk of 0.130656 or 1 out of every 765 patients. A chest CT scan exposes a patient to about 7.0 mSv. There has been a lot of discussion recently about cumulative exposure over a lifetime to ionizing radiation. We all would like to keep our exposure ALARA—as low as reasonably achievable. When we exceed cumulative doses greater than 100 mSV, there is statistical evidence that we are increasing our risk of developing a radiation cancer, but we must weigh that with the benefits.

Researchers have concluded that yearly ex-

posure under 3 mSv per year is considered low.

Up to 20 mSv per year is considered moderate exposure. Up to 50 mSv per year is considered high exposure.

Q

How is SimonMed reducing radiation exposure for patients?

SimonMed continually customizes our CT (computed tomography) scanning protocols to maintain diagnostic quality and minimize radiation dose. We also upgrade our equipment as frequently as feasible. There are other software/equipment solutions we are currently evaluating.

Q

How can I keep track of my radiation exposure?

You can keep track through this site: xrayrisk. com/calculator/calculator-normal-studies.php.

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I’m living a different life thanks to Dr. Brown and The CORE Institute.”

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KEEP LIFE IN MOTION®

Profile | Nancy Castillo Women’s Care Coordinator Nancy Castillo.

Spotlight:

Women’s Care Coordinator Meet Nancy Castillo

W

By Suzanne Wright

hen you’re a in a place you’ve never been before, it helps to have a guide, right? That’s where a Women’s Care Coordinator can make a huge difference in a patient’s life.

For most, the radiology process can seem daunting. A Women’s Care Coordinator works with patients to assist them and answer questions about the process. For Nancy Castillo, it was perfect job.

Though she says she “stumbled” into the healthcare field, as the Women’s Care Coordinator Lead for SimonMed, Castillo is ideally suited to her role. Considering there’s a history of breast cancer in her own family, it seems like fate that she is helping patients navigate their way

6 SimonMed // SUMMER 2015

through a diagnosis that often prompts fear and anxiety.

The position is pivotal in providing emotional support and coordination of care for SimonMed breast cancer patients and their families.

Castillo and four colleagues work as personal guides to ensure that women (and men) who have recently had mammograms and require further testing understand the next steps in the radiology process. In this role, Castillo works closely with radiologist and breast imaging staff to coordinate diagnostic care and follow-up. That includes rapid scheduling of appointments and explaining procedures including follow-up mammograms and biopsies.

Castillo, who worked her way up “from the bottom” over 20 years, has been a Women’s Care Coordinator for eight. She

says the federal government mandates that all imaging facilities provide a proactive tracking system for patients who receive a mammogram.

“When people hear they have to come back for additional tests, they immediately think it’s cancer,” Castillo says.

“I try to ease their minds. As many as 10 percent mammograms we perform come back ‘abnormal’ and require additional screening.”

That number may sound alarming, but Castillo explains that even if MRIs, ultrasounds or biopsies are performed, the majority does not result in a breast cancer diagnosis. Rather, the numbers are high because Castillo’s department is seeing more patients than ever. And that’s a good thing, especially in minority communities, where education about the importance of screening has had a positive impact.

“Both the Latino and African-American communities are now more inclined to have mammograms,” says Castillo. “Helping my community become more aware and more diligent about screening has been especially rewarding. I’ve observed firsthand the difference it makes.”

She underscores how important it is to spend a few minutes every year getting a mammogram, saying that “being aware of what you need to do for yourself pays off in the long run.”

Her role requires compassion, patience, persistence and attention to detail. With hundreds of patients seen daily across SimonMed, Castillo serves as a vital link between patients, referring physicians and radiologists. She is calling patients, relaying results and getting them scheduled so they don’t “fall through the cracks” out of fear or lack of funds. In effect, she and her colleagues are shepherding patients through a difficult time, ensuring that they receive the best care possible with the utmost respect. Castillo believes this is what all patients deserve and she’s honored to be in a position to help.

“When I hear from a patient personally, when they are so thankful that they hug me after a benign result or say ‘God Bless you,’ that’s the best feeling. I’m making a difference in their lives and they are making a difference in mine.”

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SPORTS INJURIES ON THE

RISE

Protect your body from joint dislocation, ligament tears and bone fractures

BY MEGHANN FINN SEPULVEDA

8 SimonMed // SUMMER 2015

Are you thinking of training for a marathon or joining a softball team?

Take the American College of Sports Medicine’s Physical Activity Readiness Questionnaire to find out if that new activity is right for you.

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

1

ith so much focus on the overall health benefits of regular physical activity, it doesn’t come as a surprise that sports-related injuries occur in more than 2 million Americans, according to the U.S. Consumer Product Safety Commission’s National Electronic Injury Surveillance System (NEISS).

Sometimes sports injuries are a result of poor training or improper muscle conditioning, but can also be blamed on sheer overexertion. Whether participating in a sport as a professional or recreational athlete, it’s important to be educated on the various types of injuries, potential risk factors, and prevention techniques.

Common sports injuries

Board certified and fellowship-trained musculoskeletal and orthopedic imaging specialists like Pamela Lund, M.D., are seeing a higher volume of sports-related injuries at SimonMed Imaging, a physicianbased advanced and specialized diagnostic imaging practice with more than 60 locations across the country.

“The most common include sprains, strained ligaments, bone fractures, muscle tears and tendon injuries,” said Lund, director of musculoskeletal and orthopedic imaging at SimonMed. “Herniated discs also can cause back pain.”

Bone and joint dislocation of the ankle, knee, shoulder and hip have a high occurrence especially in contact sports like football, basketball and soccer.

“Often poor technique, lack of experience or simple overuse can be contributing factors that lead to injury,” said Doug Freedberg, M.D., orthopedic surgeon at Arizona Sports Medicine Center. “Building endurance, utilizing appropriate warm-ups and stretches allow the body time to get ready.”

Throwing injuries to the arm are frequent in baseball and softball, while more localized impact injuries can occur in sports such as hockey and lacrosse. Swimmers and golfers typically experience upper body injuries in the back, neck and shoulders.

High-mileage runners, especially females, are reported to be more prone to develop specific knee joint injuries than males, according to the United States National Library of Medicine.

“Runners often put an abnormal amount of pressure on their body that can cause stress fractures and fatigue injuries as a result of overused and degenerative cartilage,” Lund said.

Diagnostic imaging

Once an injury takes place, it’s important to assess the level of discomfort to determine the next steps in care.

Musculoskeletal and orthopedic imaging specialists at SimonMed utilize X-ray and MRI technology to diagnose injuries and evaluate the density of the soft tissue to determine if the issue is acute or chronic.

“We need to look at the anatomic issue to find out if there is anything else going

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Do you feel pain in your chest when you do physical activity?

3

In the past month, have you had chest pain when you were not doing physical activity?

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Do you lose your balance because of dizziness or do you ever lose consciousness?

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Do you have a done or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?

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Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?

Do you know of any other reason why you should not do physical activity?

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If you answered yes to one or more of these questions, see your doctor before you start becoming much more physically active or before you have a fitness appraisal.

Learn more at acsm.org.

SUMMER 2015

// SimonMed 9

“Following evaluation, treatment for a sports injury can range and may include rest, physical therapy, rehabilitation and surgery.”

– DOUG FREEDBERG, M.D.

Tips to prevent a sports injury • Don’t bend your knees more than half way when doing knee bends • Don’t twist your knees when you stretch. Keep your feet as flat as you can • When jumping, land with your knees bent • Do warmup exercises before you play any sport • Always stretch before you play or exercise • Don’t overdo it • Cool down after hard sports or workouts • Wear shoes that fit properly, are stable, and absorb shock • Use the softest exercise surface you can find; don’t run on asphalt or concrete • Run on flat surfaces Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases

on,” Lund added. “There may be co-existent medical issues that need to be addressed.”

Symptoms, treatment

Pain, in certain circumstances, may be accompanied by swelling and numbness.

In more severe cases, an injury may require emergency medical attention.

“Never keep pushing through pain,” Lund said. “Be sure to rest and have the injury evaluated by a medical professional if there isn’t improvement.”

If there are no severe symptoms, experts often recommend the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain.

When surgery is needed, Lund and her team work directly with orthopedic surgeons to determine the best course of treatment.

“We look at the patient-specific issues, age, clinical stability and desired level of activity, which may impact the surgeon’s decision,” Lund said.

Because each injury is individualized, treatment varies.

“Following evaluation, treatment for a sports injury can range and may include rest, physical therapy, rehabilitation and surgery,” Freedberg said. “Our goal is to help patients get back to the life and activities they enjoy.”

Risk factors

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Learn more about SimonMed at simonmed.com

10 SimonMed // SUMMER 2015

While the reasons may be unknown, it’s evident that over time, the tissue surrounding the muscles changes during the aging process.

“As we get older our ligaments and

tendons don’t have as much elasticity as they once did,” Lund said. “That’s why there is such a big focus on strengthening the core to avoid added stress on the lower back, hips, knees and shoulders.”

Excess body weight, performance enhancement drugs and certain antibiotics can all contribute to weakened tendons which could ultimately lead to injury.

Children are especially susceptible to sports injuries because their bones are not fully developed.

Injury prevention

Those interested in joining a recreational sports team should be aware of the injuries that can occur.

“Be sure to get in a good program that is led by a professional coach,” Lund said.

“He or she has the knowledge to train an athlete better to develop stronger muscles surrounding the ligaments and tendons which protect the body.”

Lund also recommends that people have good perspective on their overall health, maintain a reasonable body weight, use moderation and speak to a physician prior to starting any new activity.

“Improving performance may just be a matter of fine tuning your mechanics,” said Freedberg. “Take a lesson in the sport you are trying to learn.”

Sometimes an injury can result in permanent, irreversible damage.

“It’s heartbreaking to tell someone they can no longer participate in a sport they love,” she added.

Healthy Living

Hydration tips Maintaining proper hydration key to better health outcomes By Brian Sodoma

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t’s not uncommon for radiologists to advise a patient to avoid food and water for a period of time before an imaging procedure. While these guidelines are in place to maximize the effectiveness of the procedure and for patient safety, daily proper hydration is still the key to preventing many daily discomforts and even major health concerns.

Water’s role in our bodies

Water helps the body regulate its temperature, absorb important macronutrients like proteins and carbohydrates and also works as a lubricant and protector for the brain and joints. It even aids in digestion. The Institute of Medicine recommends 3 liters (about 13 cups) of water daily for men and 2.2 liters (about 9 cups) for women.

Depending on your body compo-sition (lean body mass contains more water than fat mass), water makes up between 50 and 75 percent of your body mass. Going to the bathroom, sweating and even breathing deplete water.

Hydration basics

Obviously, drinking water is the best way to re-hydrate. But being mindful of your food intake, caffeine and sugar is also important.

Sports Drinks: Sports drinks are designed to give a carbohydrate boost, primarily from glucose (sugar) while also replenishing electrolytes like potassium, sodium and magnesium lost in sweat. But some experts argue the sugar content is too high for moderate exercisers, and the excessive sugar can lead to other health concerns. Many experts suggest diluting sports drinks with water. And if you’re really concerned about replenishing potassium after a workout, a banana with water works great too.

Food: Food choices can help with hydration as well. Fruits and vegetables contain a high percentage of water along with fiber and critical vitamins and minerals. If you’re dehydrated and feeling the urge for a snack too, avoid processed candy and even energy bars if possible.

Fruit, along with a glass of water, is better for your sweet tooth and for hydration.

Choosemyplate.gov, a website created by the U.S. Department of Agriculture to support proper nutritional habits, recommends half your plate for every meal be made up of fruits and vegetables.

Dry skin: Chapped lips and dry patches on the arms, legs and face are also signs your body needs more fluids for its largest organ – your skin.

Sleepiness: Having a hard time staying alert at work? Water doesn’t bring the caffeine jolt, but if you are getting normal sleep and are still tired, your body is probably saying it needs more water.

Sources: Centers for Disease Control and Prevention, Mayo Clinic, www.choosemyplate.gov

Caffeine: While caffeinated drinks can cause a diuretic effect, it is considered minimal. Water is still the preferred option for hydration, but that morning coffee, in moderation, is OK too. If you do feel dehydrated when drinking coffee, enjoy a glass of water after or alongside it.

Signs of dehydration

Headache: When dehydrated, the water needed to protect the brain may be at a low level, possibly causing a headache. Before you reach for the painkiller, try drinking a glass of water first.

Constipation: The body needs water to eliminate toxins, and that also means moving waste through the colon. When dehydrated, we are often constipated too.

Urine warning signs: If you feel the urge to go to the bathroom but have a smaller stream than usual, it’s time to reach for water. Also, urine should be a light, almost clear color — some say it should look like lemonade. A darker, deeper yellow color indicates dehydration.

Recomended daily water cosumption

3Litres

2.2Litres

Source: The Institute of Medicine

SUMMER 2015

// SimonMed 11

Focus on care SimonMed was key in patient’s life-saving surgery

BY STEPHANIE CONNER PHOTOS BY RICK D’ELIA

Jessie Johnson was experiencing occasional minor dizzy spells. But she shrugged them off, thinking they were related to the recent birth of her daughter. Then, when she had numbness in her bottom lip, she attributed it to recent dental work.

But while participating in a motor skills class with her daughter — who was then 9 months old — last September, Johnson, 29, experienced an intense headache accompanied by nausea and temporary vision loss.

She knew it was time to call her doctor.

Finding the problem

On Sept. 25, her doctor ordered a CT scan of her brain. A CT (computed tomography) uses X-rays to produce images of the inside of the body. Johnson went to a local SimonMed location that afternoon and quickly received her results.

“My physician said they found a mass in the brain stem,” says Johnson, who works as a neurology nurse. “They were pretty sure it was not a bleed, but they weren’t sure what it was.”

Another test was needed to provide the information her doctor needed. Johnson went straight to SimonMed that evening for an MRI (magnetic resonance imaging) scan.

An MRI uses a powerful magnetic field and radio frequency pulses to produce images of the body.

“The MRI provides better definition of the anatomy and tissue characteristics,” explains John Uglietta, MD, director of Neuroradiology for SimonMed. “This allowed us to see what was causing the abnormality on the CT.” Since it was after hours, Johnson was asked to wait at 12 SimonMed // SUMMER 2015

Jessie Johnson, with daughter Teagan, and husband Preston.

SimonMed until the MRI was read. A radiologist wasn’t MRI images and told them to go right to the ER and speak on-site, but the radiologic technologist performing the test to the triage nurse when they arrived.” knew Johnson’s scan needed to be reviewed right away.

Then, Dr. Uglietta called the hospital and spoke directly “We train all the technologists to look out to the ER triage nurse so the team would for abnormalities on the scans. If a radiologist be prepared. isn’t there, the techs are our eyes for surveying “The process was so smooth,” Johnson “Everyone at the scans,” Dr. Uglietta says. “We don’t want a says. “When you’re going into the ER SimonMed is in the patient to go home at night or on the weekend or surgery, you may not know what to and risk hemorrhaging, a stroke or other expect. But because of that conversation, business of taking complication that could have been picked up my husband knew what he needed to do. care of patients. on the MRI study before the patient leaves I knew what was going to happen. I knew our facility.” what they were going to ask me for. We We are completely were over-prepared going into the ER.” dedicated to patient On call to help That’s exactly what SimonMed SimonMed’s radiologists are on-call 24/7. So, hopes for. care, and we all when the technologist observed an abnormality “We want patients to know it’s strive to go above on Johnson’s MRI, he called Dr. Uglietta serious, but we don’t want them to panic immediately. or to get overly emotional about the and beyond to care “I saw a large mass in the right side of situation,” Dr. Uglietta says. “We want for our patients.” the posterior fossa (the back of the brain),” patients to be aware but functional. At Dr. Uglietta explains. “The mass was that moment, we want them thinking – JOHN UGLIETTA, M.D. compressing the brain stem and causing an about the process rather than the obstruction of the fourth ventricle.” pathology.”

Even though the tumor was not cancerous, Johnson arrived in the ER around its size made it dangerous.

9 p.m. on a Friday night. She was monitored over the “It was so large that it was pressing on the vital structures weekend, and had lifesaving surgery Monday morning in the brain,” Dr. Uglietta says. to remove the tumor. As both a patient and a nurse, she’s It was critical that Johnson get to the hospital immediately. grateful for her experience at SimonMed. “Everyone at SimonMed is in the business of taking Getting immediate treatment care of patients,” Dr. Uglietta adds. “We are completely “I spoke to her and her husband and told them I wanted dedicated to patient care, and we all strive to go above them to go to St. Joe’s,” he says. “We gave them copies of the and beyond to care for our patients.”

SUMMER 2015

// SimonMed 13

What we do

Patient-focused imaging, world-class care

Meet our Musculoskeletal Trained Radiologists

Jason Chesley, M.D. University of Arizona

Perry Hiscock, M.D. Cleveland Clinic

Sarah Kao, M.D. UC San Diego

David Kassen, M.D. University of Nebraska

Pamela Lund, M.D. University of Illinois

Janet Martin, M.D. University of Virginia

Michelle Omura, M.D. UC San Diego

Mari Schenk, M.D. Ohio State University

Stephen Shinault, D.O. University of Miami

Is a diagnostic imaging test, like an ultrasound or an MRI, on your to-do list?

I

f so, you can count on getting the latest and most specialized outpatient radiological services at SimonMed Imaging, a Phoenix-based imaging provider staffed by compassionate professionals dedicated to first-rate patient care. Founded by local radiologist Dr. John Simon in 2003, SimonMed has grown to 32 locations within Arizona. All facilities are accredited testing sites, and each technologist is certified, as is each piece of diagnostic equipment. Patients can expect their scan to be performed by a technician, who will then send the image to a physician.

In most cases, scans are read within a day.

The patient-focused approach is even evident in the imaging equipment found at SimonMed. Patients who feel cramped or claustrophobic inside a traditional MRI machine, for example, will be thrilled to know they can undergo their test in a wider, “open” MRI scanner, which puts many patients more at ease since they’re not confined. A friend or loved one can even stand by and hold your hand during the procedure.

SimonMed is also considered a forerunner in the realm of women’s imaging and is pleased to offer a variety of digital mammography technologies, including ultrasound-guided, stereotactic and MRI-guided breast biopsies. Another cutting-edge technology offered is 3-D breast tomosynthesis, the most advanced mammography procedure currently available and the one usually recommended for women with dense breast tissue.

Emerging, newer specialties are also offered by SimonMed, such as interventional radiology – which is performed with image-guided and minimally invasive efforts – and therapies such as Xofigo®, an injection used to treat prostate cancer, and I-131, a radioactive iodine treatment for thyroid cancer. These are just a few of the many services offered.

Others include: • PET/CT • Dexa-Bone Density • MRI (Magnetic Resonance Imaging) • Ultrasound • Nuclear medicine • X-ray • Fluoroscopy • CT Scans While SimonMed is one of the country’s largest imaging providers, it’s also one of the most affordable and certainly one of the most convenient.

A wide range of insurance plans are accepted, and clients always know in advance what their portion of the payment will be. In addition, our imaging centers are thoughtfully located around the Valley and some offer evening appointments for certain exams.

SimonMed – it’s where you can “See Tomorrow Today.”

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Michael Richardson, M.D. Michael Rosellini, M.D. Tulane University Creighton University

SimonMed is now offering NeuroQuant®!

NeuroQuant® can be used to facilitate diagnosis, monitor progression for Alzheimer’s Disease, Dementia, Memory Loss, and Mild Cognitive Impairment.

Experience the SimonMed Difference

Advanced Technology • Subspecialty Radiologists • Caring Staff

Scheduling: 623-972-9669 simonmed.com

Serving You With 29 Convenient Locations Across The Valley!

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McQueen

Arizona Ave.

Dobson

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Power Rd.

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202 University Dr. Main St. Southern Ave.

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Power Rd. S. 63rd St.

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Southern Ave. Guadalupe Ray Rd. Chandler Bl.

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Broadway Rd.

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Sky Harbor

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Camelback Rd.

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To Queen Creek

3T 1.5T Open UltraNuc Breast PET Digital MRI MRI MRI CT Sound X-Ray Fluoro Mammo Dexa Med Biopsy CT X X X X X X 1. Ahwatukee 15810 S. 45th Street, #110, Phoenix, AZ 85048 X X 2. Ahwatukee North 13838 S. 46th Place, #200, Phoenix, AZ 85044 X X 3D 3. Arrowhead 6320 W. Union Hills Drive, #A-120, Glendale, AZ 85308 X X X X X 3D X 4. Avondale 10815 W. McDowell Rd., #102, Avondale, AZ 85392 X X X 3D X 5. Chandler-Dobson 1 235 S. Dobson Road, Unit 1, Chandler, AZ 85224 X X 6. Chandler-Dobson 2 1870 W. Frye Road, #3, Chandler, AZ 85224 X X X X 7. Chandler-South 725 S. Dobson Rd., #105, Chandler, AZ 85224 X X X X X X 8. Deer Valley 20414 N. 27th Avenue, #150, Phoenix, AZ 85027 X X X X X X X 9. Desert Ridge 20830 N. Tatum Blvd., #190, Phoenix, AZ 85050 X X X X X 3D X 10. Gilbert Spectrum 2680 S. Val Vista Dr., Bldg. 7, #135, Gilbert, AZ 85295 X X X X X X X 11. Goodyear Palm Valley 13657 W. McDowell Rd., #111, Goodyear, AZ 85395 X X 12. Maryvale 4616 N. 51st Ave., #104, Phoenix, Arizona 85031 X X X X X X 13. Mesa Baywood 130 S. 63rd St., Bldg. 4, #123, Mesa, AZ 85206 X X X X X 3D X X 14. Mesa Desert Campus 1111 S. Dobson Rd., Mesa, AZ 85202 X X X 15. Mesa Drive 456 N. Mesa Drive, Mesa, AZ 85201 X X X X X 3D X X X X 16. Mesa Greenfield 1425 S. Greenfield Rd., Bldg. 2, #114, Mesa, AZ 85206 COMING SOON 17. Metro Center 3201 W. Peoria, # B402, Phoenix, AZ 85029 X X X X 18. North Gilbert-Superstition 875 N. Greenfield Rd., #107, Gilbert, AZ 85234 X X X X 19. Peoria/Sun City 9403 W. Thunderbird Road, Peoria, AZ 85381 X X X X X X X X 20. Phoenix 2620 N. 3rd Street, #102/#103, Phoenix, AZ 85004 X X X X X X 21. Phoenix /19th Avenue 6707 N. 19th Avenue, #108, Phoenix, AZ 85015 X X X 22. Phoenix-High Field Open 1331 N. 7th Street, #150, Phoenix, AZ 85006 X X X X X X 23. Queen Creek 36297 N. Gantzel Rd., #101, Queen Creek, AZ 85140 X X X X X X X X X 24. Scottsdale/Fashion Square 6740 E. Camelback Rd., #100, Scottsdale, AZ 85251 X 25. Scottsdale/McCormick Ranch 8630 E. Via De Ventura, #208, Scottsdale, AZ 85258 X X X X X X 3D X X 26. Scottsdale/Mountain View 9201 E. Mountain View Rd., #137, Scottsdale, AZ 85258 X X X X X X 27. Sun City West 13624 W. Camino Del Sol, #300, Sun City West, AZ 85375 X X X X X X 28. Surprise Stadium Village 14823 W. Bell Rd., #110, Surprise, AZ 85374 X X X X X 3D X X X 29. Thunderbird 5410 W. Thunderbird Rd., #100, Glendale, AZ 85306 Location

Address/City

Scheduling: 623-972-9669 simonmed.com