Diagnostics and laboratory

Bone density screenings use X-rays to evaluate bone mineral density and determine the chances of experiencing a fracture or developing osteoporosis. It may also help determine your risk of breast cancer. You are at a higher risk for both if you:

• Are 65 years old and older
• Are a current smoker
• Are deficient in Vitamin D
• Are of Caucasian or Asian descent
• Are postmenopausal
• Have a family history of osteoporosis
• Have a thin or small frame
• Have hyperthyroidism
• Have low estrogen levels
• Live a dormant or sedentary lifestyle
• Use certain medications (such as steroids)

Once the radiologist has completed the report for the bone density scan, your physician receives a copy.

Cardiac calcium scoring is a pain-free, noninvasive heart health procedure designed to detect plaque in your coronary arteries. The amount of plaque within the arteries determines your coronary calcium score. You might be a candidate for a cardiac calcium scoring test if you:

• Are concerned about your risk for heart disease
• Are a man who is 45 years old or older
• Are a woman who is 55 years old or older
• Currently smoke
• Have diabetes
• Have a family history of stroke or heart disease
• Are overweight by more than 10 pounds
• Have high cholesterol or high blood pressure
• Live a sedentary lifestyle

Based on age, gender and other risk factors, the score is a strong indication of your risk for coronary artery disease. Your physician can use this information to recommend the appropriate treatment, including diet and lifestyle changes, medication and/or further testing.

To schedule an appointment for a cardiac calcium screening test, please call (615) 695-7227.

Endoscopy is a process allowing physicians to better examine your digestive passageways, including the esophagus, stomach and colon. Through a piece of equipment known as an endoscope, the doctor can look directly at specific areas to better evaluate and detect problems.

We offer various standard and advanced endoscopy procedures, including:

• Cryotherapy
• Direct J-tube placement
• Endoscopic ultrasound
• Fine needle aspiration
• Manometry with impedance
• Percutaneous endoscopic gastrostomy placement
• Stent placements

A stereotactic breast biopsy is a needle biopsy using mammographic images for guidance. It is most commonly used in the case of microcalcifications (tiny calcium deposits in the breast) or if the lesion is best viewed mammographically.

During this test, samples are taken and examined to determine whether the patient needs an additional mammogram screening or surgery.