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Radiology-Medical Imaging

Pancreatic Cancer

Your pancreas is an organ behind your stomach. It produces chemicals that help you digest your food. Pancreatic cancer happens when cells in the pancreas grow out of control. This cancer is usually difficult to detect until it has spread, making it hard to treat.

Prevention

Providers don’t understand pancreatic cancer well enough to identify ways to prevent it. But there are a few things you can do to reduce your risk. Quitting tobacco is one of the most important things you can do. Talk to your provider about how to quit for good and call the Maine Tobacco Helpline at 1.800.207.1230 for extra support. Maintaining a healthy weight is also important. Also avoid exposure to harmful chemicals at work, especially if you work in the dry cleaning or metal-working industries.

Detection & Diagnosis

People usually have no symptoms of pancreatic cancer until it has already spread to other organs. That’s why it’s important to be aware of risk factors that may indicate you’re at a high risk for the disease. If you are at high risk, talk to your provider about how to recognize signs and symptoms of the disease. These may include loss of appetite or unintended weight loss, pain in the upper abdomen that radiates to your back, yellowing of your skin and the whites of your eyes (also known as jaundice), depression, new-onset diabetes, blood clots, and fatigue.

Treatment

Our cancer care team will discuss the treatment options that will work best for you, depending on the stage of your cancer, your overall health and personal preferences. Typical pancreatic cancer treatment options include surgery, chemotherapy, radiation therapy, or a combination of these three. In some cases these are combined to attempt to cure the cancer and/or to relieve pain or other symptoms of the disease.

Support

Central Maine Comprehensive Cancer Center offers a variety of support services to help you on your journey to better health. Our nurse navigators are dedicated to guiding you to resources that will support you and your family, including oncology social workers who can direct you to a variety of counseling services, from nutritional to financial.

Screening and Diagnosis

If you’re worried you may have pancreatic cancer, we understand you want answers quickly. At Central Maine Healthcare, we can answer all your questions and will work to provide an accurate diagnosis as quickly as possible.

Screening for Pancreatic Cancer

A screening test is used to find cancer before it produces any symptoms. Pancreatic cancer is one of many cancers for which there are no recommended tests that will detect this cancer early in those who are at average risk for the disease.

If you are at high risk for the disease your provider may recommend an endoscopic ultrasound, which uses a thin, flexible tube (called an endoscope) to insert a small ultrasound probe into your digestive tract. Providers use the ultrasound to look for any evidence of cancer. If they find a tumor, a needle can be inserted in the endoscope to take a sample which can be further examined.

Risk Factors for Pancreatic Cancer

A risk factor is anything that increases your risk for a disease. In pancreatic cancer there are a few risk factors you can control: not smoking, maintaining a healthy weight, and limiting exposure to workplace chemicals in the dry cleaning and metal-working industries.

There are more factors you can’t change, but you should be aware of them so you can tell your provider. These include:

Family history of pancreatic cancer
African American descent
Over the age of 45
Diagnosed with diabetes
History of chronic pancreatitis
Cirrhosis (scarring) of the liver
Genetic syndrome
Stomach problems such as ulcers or excess stomach acid

Diagnosing Pancreatic Cancer

If your provider suspects you may have pancreatic cancer, they will start by doing a physical exam and getting your medical history. Depending on what they find, they will order one or more of the following tests:

Imaging Tests: X-rays, sound waves, radioactive substances or magnetic fields create images of the inside of your abdomen. An endoscopic ultrasound is commonly used.

Biopsy: This procedure involves removing a small bit of tissue to examine under a microscope. In some cases, your provider may use a needle inserted through the skin to the pancreas to remove the tissue. Other times, they will get a sample during an endoscopic ultrasound.

Blood Test: To diagnose your condition, your provider may draw blood to test it for tumor markers. These markers are specific proteins shed by pancreatic cancer. One of these tests is called CA19-9. It isn’t always reliable and it’s not always clear how to use the results. But it can still be helpful to providers, in addition to other tests.

Treatment

At Central Maine Healthcare, our oncologists treat patients with pancreatic cancer, so they understand the disease well and apply their depth of experience to provide the best care for each person. You can take on your treatment with peace of mind.

Personalized Treatment Plans: If you’ve been diagnosed with pancreatic cancer, your cancer care team at Central Maine Healthcare will work together to create the treatment plan that will work best for you. It will take into account the stage and location of your cancer, your overall health and personal preferences.

Surgery: An operation to remove the cancer is one option you and your providers may consider. There are two kinds of surgery for pancreatic cancer. The first is done only in situations where providers are confident they can remove all the cancer. It’s called “potentially curative,” meaning it may cure the cancer. The second – called “palliative” — is done when imaging tests show that the cancer is too widespread to be removed by surgery. Its goal is only to relieve symptoms or prevent complications, not to cure the cancer.

In rare instances, a third approach is done by surgeons who are highly experienced with operating on pancreatic tumors and only in patients whose cancer has not spread too far. It begins with chemotherapy and radiation to weaken the cancer over several months. After these treatments, a surgeon will conduct a very long surgery – as much as 14 hours – to remove the remaining cancer. It’s a difficult surgery for both provider and patient. Talk to your provider about whether this treatment may make sense for you.

Radiation Therapy: Radiation therapy is the use of x-rays and protons to kill cancer cells. It may be used in situations where surgery is too dangerous. It may also be used before or after surgery, and/or in combination with chemotherapy.

Chemotherapy: This treatment uses anti-cancer drugs injected into a vein or taken by mouth (orally). It is sometimes combined with radiation treatment (called chemoradiation) to treat cancer that has spread to organs near the pancreas, but not to more distant areas of the body.

Palliative Treatment: Your cancer care team may advise palliative treatments to help relieve pain and other symptoms. These treatments may use any of the techniques listed above. Palliative is not the same as hospice care.

Taking Care of the Whole You: Wherever your journey takes you, we’re here to support you. We offer a complete range of support services designed to pick up where medical treatments leave off. They include a nurse navigator whose job is to guide you through the entire process of cancer diagnosis and treatment. An oncology social worker can put you in touch with resources including financial counseling, nutritional support and cancer education classes. And our Arbor House hospitality facility offers residential options free of charge for you and your family.

Diagnosis: Cancer Care

How is Cancer Diagnosed?

Sometimes an infection can be the cause of many of the same symptoms cancer produces. That’s why your provider will need to conduct multiple tests to accurately diagnose your condition. Diagnosis starts with your provider giving you a physical exam and finding out about your family history. Based on what they find, they will discuss next steps with you and explain the tests they think are needed. These may include any of the following:

Imaging Tests

Imaging procedures are painless and are often the first step in determining a patient’s condition. Central Maine Healthcare’s partnership with Shields Health Care allows us to offer a variety of imaging services including x-rays, PET scans, CT scans, and MRI. We feature some of the best MRI technology in the region, with the open-bore MRI scanner at Central Maine Medical Center providing extra space for maximum patient comfort and sharp clarity for more accurate diagnoses. Our mobile open bore MRI allows us to provide this same comfort and accuracy at our critical access hospitals, Rumford Hospital and Bridgton Hospital.

Lab Tests

Cancer often produces what providers call markers. These chemicals found in the blood give clues about whether cancer is present and what type it may be. Your provider may take a sample of tissue from the area they are concerned about (called a biopsy) and send it to the Cancer Care Center’s pathology lab. There, specially trained providers called pathologists will study the sample and look for cancer markers.

Endoscopic Exams

With this exam, a scope (a camera attached to a flexible tube) is inserted into an opening in your body. It allows your provider to see your organs and look for evidence of cancer. They may use the scope to also take a sample of the tissue (called a biopsy) for examination under a microscope in the pathology laboratory. 

Genetic Tests

Your provider may want to learn more about the genes in your DNA. Some of these genes may provide further clues to the type of cancer you may have and how best to treat it. At the Cancer Care Center at Central Maine Healthcare, we offer genetic testing and counseling to help you understand the test and what its results may mean for you.

A to Z Search for Services

Central Maine Healthcare covers all of your physical and mental health needs.
Click on a service below to learn more about what we offer and where to find care near you.

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  • Addiction Services

    We are committed to understanding and serving people who are living with addiction. We provide compassionate trauma-informed care based on best practi… Learn More >

  • Bariatric Surgery

    Central Maine Bariatric Surgery understands how important weight loss is for patients. We have been established since 2007 and have a team ready to su… Learn More >

  • Breast Health

    When it comes to caring for your breast health, Central Maine Healthcare offers a spectrum of services to help screen, diagnose, and treat. From the m… Learn More >

  • Cancer care

    The Cancer Care Center at Central Maine Medical Center is an integrated, multi-disciplinary program that combines a full spectrum of services and med… Learn More >

  • Cardiovascular services

    Central Maine Heart and Vascular Institute (CMHVI) brings skilled medical specialists and innovative treatments to the people of central Maine and bey… Learn More >

  • Diabetes and Endocrinology

    Diabetes and other endocrine-system conditions are complex, and when you’ve been diagnosed with one, it’s hard to know what to do next. Learn More >

  • Ear, Nose and Throat

    At Central Maine Healthcare, our board-certified ear, nose and throat (ENT) specialists understand how this connected system works and can identify th… Learn More >

  • Emergency Care

    If you’re experiencing a life-threatening emergency, dial 9-1-1 immediately or go to your nearest ER. Emergencies happen when you least expect them,… Learn More >

  • Gastroenterology

    Your digestive system involves so many parts of the body – your throat, stomach, intestines, colon, rectum, pancreas, gallbladder and liver. So, whe… Learn More >

  • Imaging Services

    Welcome to Central Maine Medical Center Imaging Services. We take pride in providing our community with technologically advanced, up-to-date imaging s… Learn More >

  • Integrative Medicine

    At Central Maine Healthcare, we’re focused on the whole you — mind, body and spirit. That’s why we specialize in integrative medicine, with a va… Learn More >

  • Laboratory Services

    Central Maine Healthcare offers lab services at convenient locations for tests as part of your routine appointment or for screening of specific condit… Learn More >

  • Long-Term Care

    At Central Maine Healthcare, our long-term care feels exactly like home. We believe in taking complete care of you or your loved one’s physical, med… Learn More >

  • Neurology

    Central Maine Healthcare's neurologists and other doctors are specialists in epilepsy, movement disorders and other neurological disorders. Learn More >

  • Nutrition Services

    Clinical Nutrition A Registered Dietitian (RD) is a “food and nutrition expert” who has completed a Bachelor’s or Master’s degree ... <a class… Learn More >

  • Orthopedic care

    The Orthopedic Institute of Central Maine (OICM) serves the people of Central, Western and Midcoast Maine. OICM works collaboratively with our outpati… Learn More >

  • Palliative Care

    Central Maine Healthcare's palliative care is specialized medical care for people with serious illness. This type of care is focused on providing reli… Learn More >

  • Pediatrics

    CMH’s kid-friendly team members and ambience — as well as our kid-sized examination tables and tools — instantly put children at ease. And we fi… Learn More >

  • Pharmacy

    The CMMC Pharmacy is open to the public and accepts all major insurance plans. As part of your healthcare team, let our pharmacy assist you with manag… Learn More >

  • Plastic and Reconstructive Surgery

    Plastic and reconstructive surgery is a personal choice, and a personal journey. At Central Maine Healthcare, our double-board certified physician a… Learn More >

  • Primary Care

    At Central Maine Healthcare, we make primary care easy and accessible to community members like you. We believe in providing compassionate, quality ca… Learn More >

  • Pulmonary

    At Central Maine Healthcare we provide diagnosis and treatment to our patients as well as education to both the patient and family. Learn More >

  • Rehabilitation and Therapy

    Whether you have suffered an injury at work or on the field, are recovering from surgery or just want to better manage pain, the Orthopedic Institute… Learn More >

  • Rheumatology

    Rheumatology is the study and treatment of rheumatic disorders, a wide range of conditions affecting the joints and connective tissue and typically ca… Learn More >

  • Sleep Medicine

    At Central Maine Healthcare, we know what a peaceful night’s sleep means for your health and life. Our board-certified sleep medicine specialist and… Learn More >

  • Surgical services

    Central Maine Heart and Vascular Institute (CMHVI) brings skilled medical specialists and innovative treatments to the people of central Maine and bey… Learn More >

  • Telehealth Services

    Central Maine Healthcare now offers telehealth services, bringing you the care you need when you’re unable to leave home. Online and telephone visit… Learn More >

  • Trauma Center

    We offer three ERs right in the communities we serve – each staffed 24/7 with board-certified emergency providers and specialty trained team members… Learn More >

  • Urology

    Using the latest and most advanced screening technology allows our medical team to scan with amazing detail. This allows us to more accurately detect… Learn More >

  • Women’s and children’s health

    Women of all ages have unique health and medical needs, which is why Central Maine Healthcare has spent decades building services, treatment, educatio… Learn More >

  • Wound Care

    Central Maine Medical Center’s Comprehensive Wound Center is a centralized location for all aspects of wound care. Our team of specialists provides… Learn More >

Central Maine Medical Center

Central Maine Medical Center (CMMC) in Lewiston is the flagship facility of Central Maine Healthcare. CMMC is a 250-bed, not-for-profit, Level III Trauma Center, offering comprehensive inpatient and outpatient services to the people of central Maine. CMMC provides 24-hour emergency care, a state-of-the-art Cancer Care Center, an award-winning stroke center and extensive specialized care. CMMC is also the southern Maine base for LifeFlight of Maine, the state’s only medical helicopter service.

300 Main Street
Lewiston, ME 04240

Main: (207) 795-0111
Emergency: (207) 795-2200
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A to Z Search for Services
Bridgton Hospital
Rumford Hospital

Imaging Services

Central Maine Healthcare has cutting edge Imaging technology that allows us to see patient anatomy clearer and better than ever before. And what’s more is that we do not have to sacrifice patient comfort in the process — our equipment is always clean and comfortable. Our Technologists make sure your images are completed as quickly and accurately as possible and the Radiologist provide detailed reports for each exam.

CMH offers a full range of imaging technology, services and centers including X-Ray, Interventional Radiology, Open-Bore MRI, Computerized Tomography, Mammography, Ultrasound and Nuclear Medicine.

Find a Location Near You

Central Maine Medical Center
300 Main Street
Lewiston, ME  04240
Imaging:  207-795-2410

Bridgton Hospital
10 Hospital Drive
Bridgton, ME  04009
Imaging: 207-647-6092

Rumford Hospital
420 Franklin Street
Rumford, ME  04276
Imaging: 207-369-1131

Shields Health Care Group offers state-of-the-art imaging, including MRI, PET/CT, Mammography, CT, Echocardiography and Ultrasound. As a reminder, your health records are confidential. Should you need access to your mammography images and/or reports from the Topsham Care Center location, please call 1-800-258-4674 and select option 3 to speak with the Shields Health Medical Record Department.

CT Scan: A CT (computerized tomography) scan combines a series of X-ray images taken from different angles around your body. Then, it combines the differently angles together to show a composite image. Because of this, CT scan images provide more detailed and comprehensive image than plain X-rays do.

Why a CT Scan? A CT scan has many uses, but it’s particularly well-suited to quickly examine people who may have internal injuries from car accidents or other types of trauma. It is also used to identity cancers or progression of diseases, stoke and other neurological changes. Invasive procedures may be performed as well to include biopsy, drainage, catheter placements and at CMMC Cryo-Embolizations. CT scans can be performed for head, chest, abdomen, pelvis, spine and many more body areas. Staffed by advanced trained or CT certified CT Technologists. Radiologists with advanced expertise in performing procedures as well as timely and detailed reports. Benefits to our CT services include:

  • Inpatient services – 24/7 availability
  • Outpatient services – 7:30 a.m. – 8 p.m. by appointment only
  • CMMC CT is accredited through the American College of Radiology
  • CMMC CT also has a specialized distinction for CT Lung Screening with a fully accredited CT lung screening program through the American College of Radiology

Interventional Radiology

Interventional Radiology (IR) uses minimally invasive, image-guided procedures to diagnose and treat conditions, while also minimizing risk for infection or complication. Conscious sedation as well as anesthesia is provided when needed. Staffed by highly trained Interventional Radiologic Technologists and IR Registered Nurses. Radiologists with advanced expertise in performing procedures who provide timely and detailed reports. Our IR procedures include, but are not limited to:

  • Port-a-Catheter insertions: This procedure refers to surgically implanting a device beneath the skin to allow long-term access to a patient’s veins with low risk of infection.   Medications are injected into the port, and then the attached catheter spreads them throughout the body. This is often used to deliver chemotherapy in cancer patients.
  • Gastrostomy tube insertions: Commonly known as a feeding tube, this device is inserted through the abdomen to provide nutrition when a patient has trouble eating.
  • Embolizations Venous and Arterial: Allows for catheter-based restriction of blood flow to reduce tumor size or stop a trauma patient bleeding in venous or arterial vessels.
  • Dialysis AVF interventions: Dialysis patients who are having problems with their AV fistula can be treated with various balloons and/or stents to improve their dialysis treatment.  A temporary catheter may be placed for dialysis treatment in patients who may not have an AV fistula.
  • Y90 Yitrium Procedures. Allows the injection of radioactive micro spheres targeted to cancer in the liver and improves/extends the lives for end stage cancer patients.

Mammography

We offer mammography services at Central Maine Medical Center, Bridgton Hospital and Rumford Hospital. Locations and Services below:

Sam and Jennie Bennett Breast Care Center, Lewiston, ME

Benefits of our Bennett Breast Cancer Center include:

  • 3D Mammography (Tomosynthesis) and Biopsy
  • Bennett is fully accredited by the National Accreditation Program for Breast Centers
  • Bennett has specific accreditation by the American College of Radiology for stereotactic breast biopsies and ultrasound-guided breast biopsies
  • All sites hold certification by the FDA’s Mammography Quality Standards Act
  • All sites accreditation by the American College of Radiology
  • Bennett offers 3D Tomosynthesis and other sites offer Digital Mammography
  • Bennett holds Breast Ultrasound Accreditation through the American College of Radiology
  • All sites dedicated Mammographers and Sonographers on-site daily
  • Team members include Mammographers, Sonographers, Radiologist, a Breast Surgeon, Breast Nurse Practitioner, a RN, and a RN Breast Health Navigator.
  • All sites provide Bone density scans to check for osteoporosis

Rosina Marie Carlise Mammography Suite at Bridgton Hospital

  • Screening and diagnostic mammograms

Lariviere Oncology Suite at Rumford Hospital

  • Screening and diagnostic mammograms

Nuclear Medicine

Nuclear medicine imaging uses small amounts of radioactive material that is typically injected into the bloodstream, inhaled, or swallowed. The material travels through the body and gives off energy in the form of gamma rays. A special camera detects these rays, making it possible to create images of the inside of your body. Identifies early stages of a variety of diseases:

Nuclear medicine provides unique information that often can’t be obtained through other imaging procedures and can identify disease — including cancer, heart disease and gastrointestinal conditions — in the early stages. Team members are highly trained certified Nuclear Medicine Technologists. Radiologists with advanced expertise in performing procedures as well as timely and detailed reports. Benefits to our nuclear medicine services include but are not limited to:

  • Cardiac Stress Tests
  • Thyroid Treatments
  • Zofigo Studies
  • Bone Scans

Open-Bore MRI

Using a powerful magnetic field, radio frequency pulses, and a computer, an MRI can produce pictures of virtually all internal body structures including soft tissue, bone, joints, and ligaments.

Central Maine offers the latest MRI technology with a 1.5T high-field, open-bore MRI unit. This unit takes pictures with sharp detail and amazing clarity, while the wide opening provides maximum comfort and prevents claustrophobic feelings for the patient. Staffed by advanced trained MRI Technologists. Radiologists with advanced expertise in performing procedures as well as timely and detailed reports. Benefits to our MRI technology include:

  • More than one foot of headroom in the MRI Unit
  • Short machine length, allowing for exams to be performed with head outside of scanner
  • Faster scan times and shorter breath holds
  • Exceptional image clarity so there are few repeat scans

MRI locations:

  • Central Maine Medical Center – in-house MRI unit
  • Bridgton Hospital – Mobile MRI unit
  • Rumford Hospital – Mobile MRI unit

All units offer the same high level 1.5T platform. This way, all patients in the Central Maine Healthcare system, have access to the same top-of-the-line MRI imaging services.

Ultrasound

Ultrasound is an imaging method that uses high-frequency sound waves to produce images of structures within your body. Most ultrasounds are done using a handheld probe/transducer outside your body, but some involve placing a probe/transducer inside your body (transvaginal study).

Ultrasounds Versatile and Non-Invasive: What makes ultrasounds so useful is that they can be used for a variety of conditions and reasons. From providing an image of a growing baby to checking a patient’s kidneys to examining the thyroid and soft neck tissue, an ultrasound is one of the most versatile and non-invasive imaging services. ARDMS Sonographers obtain certification in Abdominal/Small Parts and OB/GYN as well as advanced certification in Breast, Neuro and Pediatric. Our Radiologists have advanced expertise in performing US guided procedures as well as detailed and timely reporting. Benefits to our Ultrasound services include:

At CMMC, full accreditation by the American College of Radiology in Diagnostic Ultrasound and for Breast Ultrasound.

At CMMC, Bridgton Hospital and Rumford Hospital:

  • Exams offered in a wide range of specialties: obstetrics, gynecology, vascular, etc.
  • Newborn ultrasounds
  • Ultrasound-guided biopsy procedures

X-Ray

X-ray works by using X-ray beams that pass through your body. They are absorbed in different amounts depending on the density of the material they pass through. They are often used to see very dense body structures like your bones, making them very helpful in diagnosing and treating fractures and breaks. Staffed by highly trained Radiologic Technologists and Radiologists with advanced expertise in performing procedures as well as timely and detailed reports. Benefits of our X-Ray Services:

  • 24/7 availability
  • Highest standard image quality with lower radiation exposure than conventional technology
  • Fluoroscopy services, which provide real-time images, for upper and lower GI studies, lumbar punctures (spinal tap) and much more.

Bridgton Hospital

Bridgton Hospital is a 25-bed, not-for-profit critical access hospital (CAH) that serves the people of western Maine. Founded in 1917, Bridgton Hospital provides 24-hour emergency services and features medical and surgical services, intensive care and a variety of other services including oncology, hematology, podiatry, orthopedics, cardiology and diabetes education. The hospital provides a comprehensive range of diagnostic services with a full-service lab and a radiology department boasting 3D mammography, ultrasound, CT scan and MRI.

10 Hospital Drive
Bridgton, ME 04009

Main: (207) 647-6000
Emergency: (207) 647-6070
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