Understanding your imaging

The right scan. A clearer diagnosis.

Plain-language guidance on how CT, ultrasound, MRI and X-ray help your doctor — and how to prepare for your visit.

Educational information, not a diagnosis; local protocols and clinician assessment determine imaging.

CT and ultrasound: different tools, different strengths

Neither test is “better” in every situation. Your doctor chooses based on your symptoms, age, pregnancy status and what they need to see.

CT (Computed Tomography)

  • Fast, detailed cross-sectional images of the whole abdomen
  • Very good at showing stones, bowel and many causes of pain
  • Not affected by body size or bowel gas as much

Uses ionizing radiation; contrast may need kidney/allergy checks. Usually avoided in pregnancy unless essential.

Ultrasound

  • No radiation — uses sound waves
  • Often first choice for gallbladder, pelvis, pregnancy and children
  • Real-time, and blood flow can be checked with Doppler

Views can be limited by bowel gas or body habitus; results depend on the area examined and operator.

Available at Centre — contact reception

Common clinical pathways

Tap a scenario to see how imaging is often chosen. These are general patterns, not rules.

Adults (not pregnant)

Low-dose non-contrast CT is commonly preferred to detect stones and their size and position. Ultrasound may also be used, depending on the clinical question.

Pregnancy & children

Ultrasound first in pregnancy, and often first in children, to avoid radiation.

Safety note

Fever with flank pain, a single kidney, or inability to pass urine needs urgent assessment.

CT uses ionizing radiation. If you are or may be pregnant, always tell your doctor and our staff before any CT or X-ray.

Preparation hub

Search your test to see how to get ready.

CT — non-contrast

  • Usually no fasting needed
  • Remove metal items, jewellery and belts
  • Bring previous reports and scans

Clinical exceptions

Tell staff if you are or may be pregnant.

Follow your appointment-specific instructions.

CT — with contrast

  • Screening for contrast allergy and kidney function (e.g. creatinine) as advised
  • Fasting is individualized — follow what you are told
  • Drink water afterwards unless told otherwise

Clinical exceptions

Diabetes medicines (e.g. metformin), prior contrast reaction, kidney disease, thyroid disease or pregnancy — inform staff in advance.

Follow your appointment-specific instructions.

MRI

  • Complete metal and implant safety screening
  • Remove all metal, cards, watches and hearing aids
  • Expect 20–60 minutes of lying still

Clinical exceptions

Pacemakers, cochlear implants, metal fragments, aneurysm clips, claustrophobia or pregnancy must be discussed before the scan.

Follow your appointment-specific instructions.

Ultrasound — whole abdomen

  • Fast 6–8 hours, per local protocol
  • Water may be allowed — ask reception

Clinical exceptions

People with diabetes, children and frail patients may need adjusted fasting.

Follow your appointment-specific instructions.

Ultrasound — pelvis

  • Full bladder if the scan is transabdominal
  • Drink water about an hour before; do not pass urine

Clinical exceptions

A transvaginal scan, if needed, is done with an empty bladder and your consent.

Follow your appointment-specific instructions.

Obstetric ultrasound

  • Preparation depends on gestation and the type of exam
  • Early pregnancy may need a full bladder
  • Bring antenatal records

Clinical exceptions

Bleeding, severe pain or reduced baby movements — seek urgent care, do not wait.

Follow your appointment-specific instructions.

Renal ultrasound

  • Often a full bladder is needed
  • Drink water before as advised

Clinical exceptions

If you have fluid restriction (e.g. heart or kidney failure), ask before drinking extra water.

Follow your appointment-specific instructions.

Doppler ultrasound

  • Preparation is exam-specific (e.g. fasting for abdominal vessels)
  • Wear loose clothing

Clinical exceptions

Sudden leg swelling with chest pain or breathlessness is an emergency.

Follow your appointment-specific instructions.

X-ray

  • Usually no preparation
  • Remove jewellery and metal over the area

Clinical exceptions

Tell staff if you are or may be pregnant.

Follow your appointment-specific instructions.

Mammography

  • Avoid deodorant, powder or lotion on the day
  • Bring previous mammograms for comparison

Clinical exceptions

Breast implants, pregnancy, breastfeeding or a new lump — inform staff.

Follow your appointment-specific instructions.

Fasting blood sugar / lipid profile

  • Fasting blood sugar: typically 8–10 hours fasting
  • Lipid profile: fasting may or may not be required — as advised
  • Plain water is usually allowed

Clinical exceptions

If you take insulin or diabetes tablets, ask your doctor how to adjust doses — watch for low sugar.

Follow your appointment-specific instructions.

Urine sample

  • Collect a mid-stream sample in the sterile container provided
  • First morning sample if requested
  • Deliver to the lab promptly

Clinical exceptions

Menstruation or recent antibiotics can affect results — tell staff.

Follow your appointment-specific instructions.

For referring doctors

Supporting appropriate, radiation-conscious imaging decisions.

Clear clinical indication

Include the clinical question, relevant history, pregnancy status and prior imaging on the request.

Radiation-safe decisions

Consider ultrasound or MRI first where diagnostic yield is comparable, especially in children, pregnancy and young adults. Use low-dose CT protocols where appropriate.

Contrast safety

Share renal function, prior contrast reactions and relevant medications to support safe contrast use.

Appropriateness guidance

Pathways on this page reflect common practice patterns (e.g. ACR Appropriateness Criteria); final protocol is decided with the reporting radiologist.

Frequently asked questions

Is CT always better than ultrasound?

No. Each answers different questions. Ultrasound is often first for the gallbladder, pelvis, pregnancy and children; CT is often preferred for stones and many causes of acute pain in adults.

How much radiation is in a CT scan?

CT uses more radiation than an X-ray. We use the lowest dose that answers the clinical question. The benefit should outweigh the small risk.

I might be pregnant. What should I do?

Tell your doctor and our staff before any CT or X-ray. Ultrasound and MRI are usually preferred in pregnancy.

Can I book ultrasound online?

Ultrasound is available at the centre — please contact reception to schedule. CT, MRI, X-ray and mammography can be booked online.

Should I stop my regular medicines?

Do not stop any medicine unless your doctor tells you to. Ask about diabetes medicines before fasting or contrast scans.

Red-flag symptoms: seek emergency care now

Do not wait for a scheduled scan. Go to the nearest emergency department or call 108 / 112 if you have:

  • Severe or rapidly worsening abdominal pain, or a hard, rigid abdomen
  • Fainting, confusion, very fast heartbeat or low blood pressure
  • Vomiting blood, black stools or heavy bleeding
  • High fever with flank pain or inability to pass urine
  • Pain or bleeding in pregnancy
  • Chest pain or sudden breathlessness

Questions about your scan?

Our reception team can help with appointments, ultrasound scheduling and preparation.

Available at Centre — contact reception