108 X-Ray and Imaging: Private ultrasound and x-rays in London

108 X-Ray and Imaging in Harley Street, London offers an efficient modern and personalised service. In addition to rapid diagnostic breast imaging using digital mammography, ultrasound and where appropriate fine needle aspiration cytology or core biopsy they offer a full range of plain film investigations, general ultrasound including abdominal, gynaecological and small part imaging.

Recent improvements to the unit include digital mammography with facilities for stereotactic core biopsy, upgraded ultrasound equipment and digital plain x-ray.

The team of Consultant Radiologists working at 108 X-Ray and Imaging are nationally recognised and comply with professional guidelines for specialist training and research activities including recognised external quality assessment schemes.

Modern breast imaging requires strict quality control assurance to national specifications. Their dedicated digital mammographic equipment is maintained according to UK National Breast Screening Programme standards. A full and complete range of quality control procedures are applied daily to all the x-ray equipment in the department.

Consultant Radiologists report on the films daily and reports are available within 24 hours.

Breast Imaging

Digital mammography

This is a low dose x-ray examination of the breast using specialised equipment and is used as the first imaging investigation for symptomatic and screening purposes in women over 35, including women with a family history of breast cancer or those on hormone replacement therapy.

Breast ultrasound

Ultrasound is used where there is a focal abnormality in a part of the breast and will differentiate solid from cystic lesions. Increasingly this technique is used in conjunction with digital mammography as both techniques give complementary information. When small, impalpable masses are found within the breast, ultrasound is used to guide the needle centrally within the lesions to obtain tissue samples for either cytology or histology. In patients under 35, ultrasound is used in conjunction with clinical examination as a screening technique.

Cytology

An investigation where a fine needle is inserted and a sample taken from the breast under clinical or imaging control, so that cells can be examined microscopically.

Core biopsy

A slightly larger needle is inserted into the breast to remove a small tissue sample for histological examination. This may be performed under ultrasound or x-ray guidance, using computerised stereotactic control. This technique is relatively painless and it may be used to establish a tissue diagnosis, in certain circumstances it renders surgical excision of a confirmed benign lesion unnecessary.

Localisation

Should surgery be required for a non-palpable abnormality within the breast, guidance for the surgeon is provided using either wire placement or ultrasound guided skin marking, whichever is most appropriate.

General radiology

108 X-ray and Imaging is able to offer a general radiology service including a full range of plain film examinations of chest, abdomen, pelvis, skull, sinuses, spine, skeletal survey and stork views.

Ultrasound

The ultrasound equipment and probes used provide excellent high quality images. The department offers a wide range of general ultrasound examinations including abdominal, pelvic, urinary tract, testicular, thyroid and soft tissue, and transvaginal ultrasound scanning fro gynecological imaging.

Experienced consultant radiologists

Their team of Consultant Radiologists, in addition to general radiological skills, have special expertise in the field of breast imaging and are all trained and accredited within the NHS breast screening programme.

Dr Nick Perry MB FRCS FRCR

Consultant Radiologist and Director of Breast Screening at St Bartholomew’s Hospital, London, where he qualified in 1974. Chairman of many European screening committees. Advisor to the German and Irish National Breast Screening Programmes.

Dr Mike Michell MB DMRD FRCR

Qualified at Kings College Hospital, London in 1978, now Consultant Radiologist to that hospital and the National Breast Screening Training Centre. Chairman of Regional Radiological quality assurance committees and a member of European Group for Breast Cancer Screening.

Dr Nigel Barrett MBBS MRCP FRCR

Qualified at Charing Cross Hospital, London and appointed Consultant Radiologist to that hospital in 1990. Clinical Director of the West London Breast Screening Unit since 1990.

Dr Felicity Muncey MBBS MRCP FRCR

Dr Felicity Muncey qualified at Kings College Hospital, London in 1980 and has been a Consultant Radiologist since 1989, working within the National Health Service Breast Screening programme. Since then she has continued and developed her sub-speciality interest in all aspects of breast imaging, including MRI and biopsy techniques. She currently works in the Breast Imaging Department at St Bartholomews Hospital and in the Ultrasound Department at the Hammersmith Hospital.  Her other skills include general and gynaecological ultrasound, including ovarian cancer cancer screening.

Dr Andrea Schneidau MBBS FRCR

Qualified at the Middlesex Hospital in 1975. Appointed Consultant Radiologist to the Elizabeth Garrett Anderson Hospital UCLH Trust in 1987, leaving in 2000 to work in the Breast Screening Programme at St George's Hospital, London. She is also Consultant Breast Radiologist at the Portland Hospital for Women and Children.

Dr William Teh MBBS FRCR

William Teh qualified from University of Bristol in 1988 and undertook Radiology training at Barts and The London NHS Hospitals. Subspeciality Breast imaging training undertaken at Nottingham Breast Insitute in 1997. 

He was appointed Consultant Radiologist at Northwick Park Hospital in 1998 and Director of Screening at the North of London Breast Screening Service in 1999. Research interest and specialises in ultrasound and biopsy techniques including image guided vacuum excision of benign lesions. Acknowledged expert in Breast MRI and MRI guided vacuum biopsies of the breast.

Dr Neil Edmonds MRCS FRCR

Neil Edmonds qualified from Sheffield University Medical School and was appointed as Consultant to Greenwich Area Health Authority in 1980.  He is now Lead Consultant in Breast Imaging at Queen Elizabeth Hospital.  His special interest is in breast imaging and interventional procedures and he has been involved in the planning and inception of local services for the National Breast Screening Programme for 15 years.

Dr Richard Sainsbury MD FRCS

Richard Sainsbury qualified in 1977 from University of Newcastle Upon Tyne Medical School. Richard is Consultant Breast Surgeon at Southampton University Hospitals NHS Trust and IOW NHS Primary Care Trust having taken up the post in the summer of 2007. He moved from Royal Free and University College Medical School London where he had been Senior Lecturer and Honorary Consultant Surgeon and Head of Breast Services at UCH since 2000, having been previously been a Consultant Surgeon in Huddersfield for 12 years.  He has retained his ongoing research programme at UCH concerning the mechanisms of breast cancer,he is also actively involved in advising government bodies on the optimisation of breast services. He has written several books and many scientific papers on breast cancer. He joined the team in 2001.

Appointments

108 X-Ray and Imaging is open Monday to Friday from 8.00am to 5.30pm. Appointments can be made on 020 7563 1208/ 020 7563 1234

Payment and costs

Payment of all fees is required at the time of the investigation. This is in line with all other radiological units.

A receipt will be provided to enable you to claim reimbursement from your medical insurance company.

For procedures such as aspiration cytology, core biopsies, guidewire insertion and skin marking there is a Hospital charge, in addition to the fees for the investigation. This charge is agreed with all major UK medical insurers and does not affect the outpatient allowance. The hospital charge is sent directly to the insurance company.

Contact details

108 X-Ray and Imaging

108 Harley St

London W1G 7ET

Tel:   +44 (0)20 7563 1234

        +44 (0)20 7563 1208 (Appointments)

Fax: +44 (0)20 7563 1212

Email: info@108harleystreet.co.uk

Web: Visit the 108 X-Ray and Imaging website  

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