The two new Siemens Artis zee angiography suites installed in the EJGH radiology department provide the high quality images necessary for today's complex interventional procedures. "The new biplane and single plane flat panels produce much higher resolution images with lower radiation exposure than the older systems they replaced," notes Dr. Charlie Sandoz, interventional radiologist. "With the dose-reduction enhancements, we are convinced that our patients will achieve better clinical results, especially during complex procedures." These unique state-of-the-art systems deliver lower radiation dose by a number of different methods, including CAREvision, which is variable rate pulsed fluoroscopy, CAREguard, a means of controlling skin dose, CAREfilter, in which a variable lead filter is automatically set according to the current transparency of the object, and CAREprofile, radiation-free adjustment of collimators. Thanks to these features, the contrast dose and the overall length of the procedure are also reduced.

Did you know that EJGH Interventional Radiology offers percutaneous gastrostomy tube placement? Although surgeons and gastroenterologists have traditionally provided gastric/small bowel access, interventional radiologists are able to provide the same access with a high success rate (99%), and few complications. This imaging-guided procedure can be performed safely and comfortably in most patients with minimal anesthesia, making this an attractive alternative to surgical or endoscopic gastrostomy tube placement in high-risk patients. Patients are required to be NPO a minimum of 6 hours prior to the procedure; air insufflated via an NG tube distends the stomach, facilitating identification of the stomach by fluoroscopy or ultrasound. A feeding catheter is placed directly into the stomach, under local anesthesia, via percutaneous abdominal wall puncture. Conversion of a gastrostomy to jejunostomy, or de novo jejunal access is also possible percutaneously, although technically more complex and usually reserved for patients with higher risk of aspiration.

Ricky ArbuckleRicky Arbuckle brings to East Jefferson 30 years healthcare experience. Serving as the EJGH Director of Radiology since 2009, Ricky has 11 years managerial experience in radiology. His vision is to move the EJGH Radiology Department forward with the most technologically advanced equipment and expert staff. His philosophy is "take care of the patients; that's why we're here."

Born in Houston, Texas, Ricky moved to New Orleans at an early age, and has lived here ever since. He and his wife Michelle have 3 daughters, ages 26, 25 and 19. He enjoys computers/electronics, woodworking and golf in his free time.

Mary Elizabeth Lobrano, M.D. and Carol Anne Luttrell, M.D.Since opening its doors in 2002, the EJGH Breast Care Center has built a reputation for excellent, personalized service, state of-the-art technology and physician expertise. Offering mammography, ultrasound, breast MRI (in the nearby Yenni pavillion) and image-guided breast procedures, the center is a comprehensive, full-service facility.

The center was one of the first adopters of digital mammography in the region, installing their first unit in 2002. "We believed in the potential of digital mammography, even before the results of the large-scale clinical trials were published," states Breast Care Center director Dr. Carol Anne Luttrell. Today, many advantages of digital mammography are evident, including higher cancer detection rates in younger and pre/perimenopausal patients as well as women with dense breasts. The technology lowers patient radiation exposure, decreases the time required for performance of procedures, allows online image storage preventing film loss/damage and enables physicians to review the images online. The center's commitment to providing the best technology for breast imaging continues in ultrasound; recently purchased ultrasound equipment includes an elastography module.