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About Vanguard Specialty Imaging

Doctors find it very challenging to diagnose thoracic outlet syndrome on clinical examination. Typical clinical tests like Adson’s test or the Wright test do not have good accuracy. Some doctors use scalene injections to help with the diagnosis. There are significant questions surrounding these tests. And even when a doctor makes an accurate diagnosis of thoracic outlet syndrome, the underlying cause is very difficult to prove. Are abnormal scalene muscles causing compression of the brachial plexus? Do the rib and clavicle approach too closely? Is there a blood clot? Is there an aneurysm? We are incredibly passionate about collecting and sharing information that can assist patients with TOS. Since 2001, our medical director has interpreted over 3000 cases to assist this patient population, expending a great deal of time matching our diagnostic imaging interpretations to surgical outcomes. What, exactly is NeoVista®? NeoVista® combines all of the individual ideal imaging components into a single comprehensive test. The full NeoVista® examination includes: -Detailed anatomy of each thoracic outlet -Images of each brachial plexus -Angiograms of both subclavian arteries and their branches -Venograms of the subclavian veins, jugular veins, and chest veins -Soft tissue anomalies, including scalene muscles, muscle variants, and fibrous bands -Demonstrating cervical ribs or anomalous first ribs -Changes that occur on arm motion -Proprietary method to measure shoulder girdle movement on each side -Evaluation of the cervical spine and upper thoracic spine -Confirming the clinical diagnosis of TOS when it is present; confirming alternate diagnoses when present

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