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Services - Greater Regional Radiology/ X-Ray
& Imaging Services - We Take Great Pictures

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Greater Regional Medical Center is pleased to offer the most comprehensive and state-of-the-art radiology services and equipment in our region.

Greater Regional Radiology offers a vast array of imaging services including: Nuclear Medicine; 3D Mammography; Stereotactic Breast Biopsy, Ultrasound; Cardiac Ultrasound, PET Scan; in-house CT spiral scan and MRI scans; Bone Densitometry and all general X-ray procedures.

With our PACS system, you can easily complete your exams locally and we will ensure your exam results are quickly shared with your attending and specialty physician.

Nuclear Medicine:

Greater Regional installed a E. Cam Dual head machine in 2004.  This equipment is a variable dual headed system designed for cardiac imaging and general purpose nuclear medicine imaging. For this test, a patient is injected with a small amount of radioactive material called a tracer. The tracer will concentrate in the area of interest, and a nuclear camera will record the image for study by our radiologists.

The following exams are currently conducted in our Nuclear Medicine section:

  • Whole body bone scans
  • Limited bone scans
  • 3 phase bone scans
  • Myocardial perfusions
  • Hida scan
  • Solid gastric emptying
  • Liquid gastric emptying
  • Mugas
  • Venilation and perfusion lung scan
  • Parathyroid scan
  • I-123 Thyroid uptake and scan
  • TC Thyroid scan
  • Sentinel Node localization

For additional information regarding nuclear medicine exams available at Greater Regional, please call the Radiology Department at 641-782-3508.

3D Mammography:


Women who undergo routine mammograms now have the latest screening and diagnostic technology available to them at Greater Regional Medical Center in Creston. Greater Regional added the Selenia® Dimensions® breast tomosynthesis system in September 2013.

Greater Regional is one of the first women’s centers in Iowa to offer tomosynthesis for breast cancer screening. Breast tomosynthesis helps radiologists identify and characterize individual breast structures without the confusion of overlapping tissue. 

The center’s Selenia® Dimensions® breast tomosynthesis system is made by Hologic, a world leader in digital mammography. The system offers exceptionally sharp breast images, an advanced ergonomic design providing more patient comfort, and the ground-breaking tomosynthesis platform designed to deliver superior screening and diagnostic performance.

Breast cancer screening with tomosynthesis when combined with a conventional 2D mammography has a higher cancer detection rate than conventional 2D mammography alone.   Radiologists are reporting that tomosynthesis technology gives them increased confidence with a significant reduction in recall rates.


During a tomosynthesis exam, multiple, low-dose images of the breast are acquired at different angles.  These images are then used to produce a series of one-millimeter thick slices that can be viewed as a 3D reconstruction of the breast.

By offering women the latest technology in mammography, Greater Regional hopes to increase the number of area women who will be routinely screened.  Breast cancer is the second leading cause of cancer death among women, exceeded only by lung cancer.  Statistics indicate that one in eight women will develop breast cancer sometime in her lifetime. The stage at which breast cancer is detected influences a woman’s chance of survival. If detected early, the five-year survival rate is 98 percent. 

Greater Regional is committed to the fight against breast cancer. In offering breast tomosynthesis digital mammography. If you would like to schedule a mammogram or have questions about this important breast health procedure, please contact 641-782-3508.

Sterotactic Breast Biopsy:

Greater Regional Medical Center expanded its health and wellness services available to women in May 2015 with the addition of the Eviva® Breast Biopsy System from Hologic, Inc. for use under stereotactic (mammography) guidance.

The Eviva Breast Biopsy system is designed to improve the quality, accuracy and ease of stereotactic-guided breast biopsies. Greater Regional is the only southwest Iowa location offering this service in-house.

The Eviva device is a fully closed system that uses vacuum-assisted technology to perform a breast biopsy that typically lasts one-minute. The precision of the Eviva system allows for the ability to compassionately treat a broader spectrum of patients giving more women an alternative to open surgical biopsy. Samples are obtained through a very small incision in the skin, typically excluding the need for post-biopsy stitches and minimizing procedure time. These benefits allow most patients to return to daily activities immediately following the procedure.

The Greater Regional Radiology Services Department provides a comprehensive scope of services addressing the physical, emotional and educational needs of our clients. Each and every patient receives personalized care designed to meet her individual needs. Our staff is highly trained and our equipment is state-of-the-art. We are committed to providing exceptional care to the women in our community.

What You Should Know

This is a simple and safe procedure performed in the office by our team of breast imaging specialists. Advanced computer imaging technology is used
to map the precise location of the area of interest in the breast that was seen on your mammogram. This technology aids the physician in removing a small sectionof the suspicious tissue with pinpoint accuracy. The sample is sent to a pathologist, a physician specializing in the analysis of tissue samples under a microscope for diagnosis. The entire biopsy should take approximately one hour.

The Biopsy Procedure
On the day of the procedure, you will be asked to undress and will be given a gown to wear. The technologist will position you face down on a specially
designed table with your breast placed through an opening in the tabletop. The tabletop will be raised and the physician and technologist will perform
the procedure from beneath the table.

Your breast will be slightly compressed and held in a fixed position to ensure the accuracy of the procedure. X-ray images will be taken, and special software
will map the exact location where tissue samples will be taken. The skin over the biopsy area will be cleansed with a special disinfecting soap,and numbed with a local anesthetic injected into the breast with a small, thin needle. A small incision will be made and the biopsy instrument will be inserted.  You may feel some slight pressure during this time. As the samples are taken, you may hear a ‘click’ from the biopsy device. Several samples will be taken to ensure the most accurate diagnosis possible.

When the procedure is completed, a sterile gauze and an ice pack will be applied over the incision to minimize swelling and bleeding. Before you leave, a simple pressure bandage and some sterile strips will be placed over the incision. Stitches are not required for this procedure.  Once you receive instructions concerning the care of the biopsied area, you will be free to dress and go home.

Before the Biopsy Procedure
There are several things you can do to make your procedure easier and more efficient.

• Discuss any medication you are taking with your physician. You
may be asked to discontinue the use of blood-thinning medications,
including aspirin and aspirin-like products, a number of days prior to
your biopsy procedure.
• Wear clothing that is comfortable and easy to remove.
• Avoid the use of deodorant, underarm powders or creams before
the procedure. They may interfere with the quality of the images taken
during your procedure.
• Eat a light meal before your procedure.

After the Biopsy Procedure
Immediately following the procedure, you will need to avoid strenuous activity and heavy lifting for the remainder of the day. You may experience some discomfort
and notice some bruising of the area that usually disappears within five to seven days. This is a normal part of the healing process. The physician will review the
pathology report and discuss the findings with you. The results are usually available in 48-72 hours.
For additional information, please contact our office.   Early detection is the key.



Greater Regional added the Aplio Ultrasound and the Xario Ultrasound systems in 2009.  An ultrasound test is a non-invasive procedure that uses reflected sound waves to produce a picture of a blood vessel or internal organ. Ultrasound services are provided Monday through Friday by appointment at Greater Regional. Special instructions pertaining to your specific ultrasound examination will be provided by your physician.

Enhancing diagnostic confidence through the development of cutting-edge imaging technologies, Greater Regional Medical Center recently added the Toshiba America Medical Systems, Inc. -- AplioTM ultrasound system in 2012 which is the company's newest innovation for ultrasound examinations. This new technology offers the latest advancements in diagnostic performance and enhanced imaging and can perform a complete array of ultrasound exams including vascular, abdominal, obstetrics and gynecology procedures.

In addition, Greater Regional Radiology will now offer 3 dimensional and 4 dimensional real-time motion viewing for expectant moms between 24 and 32 weeks gestation who have had a normal fetal ultrasound.  Expecting parents will be able to purchase printed images and/or a CD of their baby.  This is a non-medical exam and not covered by insurance or interpreted by a physician.  To learn more about this opportunity, call 641-782-3508.  This technology purchase was made possible through contributions and donations made to the Greater Regional Healthcare Foundation. 

 Fetal Face 1 Fetal Face 2 

Types of Ultrasound Procedures performed at Greater Regional include:

  • Echocardiograms
  • Pediatric Echocardiograms --ages 6-17
  • Pelvic
  • Obstetric (1st, 2nd, and 3rd trimester)
  • Carotid (cerebrovascular duplex)
  • Abdomen
  • Spleen
  • Aorta
  • Gallbladder
  • Kidney
  • Bladder
  • Liver
  • Pancreas
  • Thyroid
  • Breast
  • Scrotum
  • Chest
  • Small parts, superficial lumps, structures
  • Venous duplex of arms and legs to rule out DVT (spell out)
  • Paracentesis, Thoracentesis
  • Thyroid biopsy
  • Ultrasound guided breast (cyst) aspiration

For additional information regarding ultrasound services available at Greater Regional, please call the Radiology Department at 641-782-3508.

Positron Emission Tomography Imaging (PET): 


Since 2005, Greater Regional has offered the Discovery ST, a PET/CT system completely optimized for cancer care. This system integrates a Positron Emission Tomography (PET) scanner with a multi-slice Computer Tomography (CG) scanner and is capable of 2D and 3D imaging with a larger bore for all patient studies or sizes. This Discovery ST system provides physicians with more sensitivity, speed, resolution, and diagnostic confidence when treating cancer patients. The “ST” in Discovery ST stands for “See and Treat,” which is what this system allows physicians to do. The Discovery ST assists our physicians in seeing the disease and planning radiation therapy treatment.  

Less time on the table means faster results and greater patient comfort.  The Discovery ST allows healthcare providers to not only “see” the disease, but begin to “treat” it.  

Before having a PET/CT scan, the patient receives a dose of a radiopharmaceutical tracer containing substances that mimic those normally used in the body including water, sugar, proteins, and oxygen. These tracers accumulate in diseased cells. During the scan, the tracers are detected by the system creating an image of the patient and highlighting any abnormal physiology. This image helps our physicians determine if disease is present, the location and extent of disease, and track how rapidly it is spreading.  

For additional information regarding PET scan exams available at Greater Regional, please call the Radiology Department at 641-782-3508.

Computerized Tomography Scan (CT):

To make CT exams as fast, safe and accurate as possible for patients, Greater Regional Medical Center  installed the AquilionTM PRIME CT system from Toshiba America Medical Systems, Inc. in March 2014.  Aquilion PRIME provides faster exams at as low as reasonably achievable doses, while producing high-quality images required for accurate diagnoses.

“The speed of the Aquilion PRIME enables our clinicians to obtain critical patient information for enhanced diagnoses faster than before,” explained JR Rockhold, Radiology Director.  “The design of the Aquilion PRIME allows us to successfully image a range of patients, from pediatric to bariatric, to further improve patient safety and comfort in our community. Our team is proud to have the most current state of the art technology to ensure the highest quality care and service for our patients.”

The Aquilion PRIME’s large bore opening offers a more spacious feeling for patients, while a higher table weight limit expands the range of patients who can be imaged. In addition, the Aquilion PRIME comes standard with industry-leading dose-reduction software.
In addition, the CT scan is also used for many of our cancer center patients in the preparation phases for radiation therapy. 

For additional information regarding CT scans available at Greater Regional, please call the Radiology Department at 641-782-3508.

Types of CT scans performed at Greater Regional include:


  • Head without or with contrast
  • Orbits
  • Mandible
  • Facial bones
  • IACs


  • Cervical spine
  • Thoracic spine
  • Lumbar spine


  • Soft tissue with or without contrast


  • Chest with or without contrast
  • Dynamic chest
  • Chest for pulmonary embolus


  • Abdomen with or without contrast


  • Bony pelvis
  • Pelvis with or without contrast


  • Elbows, wrist, hands, shoulders, humerus, knees, hips, femurs, tibia/fibula, ankles, feet 

Magnetic Resonance Imaging (MRI):

Greater Regional Medical Center added the Vantage Titan Magnetic Reasoning Imaging Equipment from Toshiba in-house in 2009. The Titan MRI system features Pianissimo TM technology, which reduces exam noise, to provide you with a quieter, more comfortable experience. Pianissimo is a musical term meaning play softly, so instead of the loud pounding other MRI systems produce, the sound you will hear is more like a gentle tapping. The quiet nature of our system also makes communications between you and the technologist easier.

Titan features an ultra-short, open bore providing a larger, more spacious environment during your MRI exam. The MRI sees through bone and soft tissue, and is especially helpful to diagnose brain and nervous disorders, such as tumors, certain spinal conditions, abnormal fluid in the skill, stroke and traumatic injuries. Like the CT scan, the MRI test is painless and non-invasive.

Your MRI exam provides doctors with high quality images they can use to diagnose and evaluate your physical condition. The Titan system provides more room in the magnet and less noise during the exam, so it is easier to remain motionless during your procedure.

Your comfort, combines with the latest exam techniques on our Titan, assures that your doctor gets the best possible images for the most accurate diagnosis.

What Should You Expect on Exam Day?

  • No special preparations are required prior to your exam. You may eat and drink normally, although it is best to limit your caffeine intake. Women should also refrain from wearing eye shadow or mascara.
  • Prior to the exam you will be asked to remove all jewelry and metal objects.  During the exam, just like a photograph, the most accurate images will be taken when you are still.
  • The technologist may place an MRI coil around the part of the body to be scanned.  Like an antenna, the closer the coil is to the area of interest on your body, the better the image quality of your exam.
  • MRI scans do not use any X-rays or other types of potentially harmful radiation.
  • Immediately following the scan, you may resume your normal activities unless otherwise directed by your physician.

For additional information regarding MRI exams available at Greater Regional, please call the Radiology Department at 641-782-3508.

Types of MRI exams include:


  • Pituitary
  • Internal Auditory Canals
  • Orbits
  • Circle of Willis
  • MRV (Venus Brain)


  • Cervical spine
  • Lumbar spine
  • Thoracic spine
  • Sacrum

Upper Extremities

  • Shoulder
  • Shoulder Artho
  • Humerus
  • Elbow
  • Forearm
  • Wrist
  • Hand
  • Finger

Lower Extremities

  • Femur
  • Knee
  • Tib/Fib
  • Ankle
  • Foot


  • Bony pelvis
  • Female pelvis
  • Hips


  • Brachial plexus
  • Carotids
  • Soft tissue neck


  • Liver
  • MRCP
  • Kidney
  • Adrenals
  • Non contrast renal
  • Abdominal mass 

Bone Densitometry/Dexa Scan:

Greater Regional has the GE Lunar Prodigy Bone Densitometry machine. It is the most commonly used test for measuring bone mineral density. It is one of the most accurate ways to diagnosis Osteopenia or Osteoporosis. Your results from this test can be a great help as you and your physician as you monitor your treatment plan.

For additional information regarding bone density exams available at Greater Regional, please call the Radiology Department at 641-782-3508.

General X-ray:

Greater Regional offers a wide variety of imaging exams to meet the need for orthopedic, general and fluoroscopy x-rays to assist our physicians in the diagnoses of illnesses.

For additional information regarding general x-ray exams available at Greater Regional, please call the Radiology Department at 641-782-3508.