Halifax Medical Specialists, P.A.
270 Smith Church Rd.
Roanoke Rapids, NC 27870
Business Phone:
(252) 537-0134
(252) 537-6515
For Appointments, Call:
(252) 537-8857
For Insurance Information, Billing and Medical Records:
(252) 537-0134
Monday - Thursday
8:00 AM - 4:30 PM
8:00 AM - 2:00 PM

Halifax Medical Specialists, P.A.

Serving Roanoke Rapids, NC



Radiography is the use of ionizing electromagnetic radiation such as X-rays to view foreign objects, bones, and internal organs, tissues such as the lungs and heart, and bony pathology, such as osteoarthritis, infection, and cancer. Diagnostic radiography involves the use of both ionizing radiation and non-ionizing radiation to create images for medical diagnoses. Medical diagnostic radiography is undertaken by a specially trained professional called a radiologic technologist.


An echocardiogram is a test that uses sound waves to create a moving picture of the heart. The picture is much more detailed than a plain x-ray image and involves no radiation exposure.

How the Test is Performed

TTE is the type of echocardiogram that most people will have.

• A trained sonographer performs the test, then a heart doctor interprets the results.• An instrument called a transducer that releases high-frequency sound waves is placed on your ribs near the breast bone and directed toward the heart. Other images will be taken underneath and slightly to the left of your nipple and in the upper abdomen.• The transducer picks up the echoes of sound waves and transmits them as electrical impulses. The echocardiography machine converts these impulses into moving pictures of the heart.• Pictures can be two-dimensional or three-dimensional, depending on the part of the heart being evaluated and the type of machine.• A Doppler echocardiogram uses a probe to record the motion of blood through the heart.
Ultra Sound


A cardiac stress test is a medical test that indirectly reflects arterial blood flow to the heart during physical exercise. When compared to blood flow during rest, the test reflects imbalances of blood flow to the heart’s left ventricular muscle tissue – the part of the heart that performs the greatest amount of work pumping blood.

The results may also be interpreted as a reflection on a person’s overall physical fitness.

Test Overview:

The patient either walks on a treadmill or is given an intravenous (IV) medication that simulates exercise while connected to an electrocardiogram (ECG) machine, usually with the standard 10 connections used to record a 12-lead ECG. The level of exercise is increased in 3-minute stages of progressively increased grade (% incline) and speed (mph, km/h, etc). The patient’s symptoms and blood pressure response are repeatedly checked.

The American Heart Association recommends ECG treadmill testing as the first choice for patients with medium risk of coronary heart disease based on the risk factors of smoking, family history of coronary stenosis, hypertension, diabetes, and high cholesterol.
Stress Test


Nuclear medicine is a branch of medicine and medical imaging that uses the nuclear properties of matter in diagnosis and therapy. More specifically, nuclear medicine is a part of molecular imaging because it produces images that reflect biological processes that take place at the cellular and subcellular level.

Diagnostic tests in nuclear medicine exploit the way that the body handles substances differently when there is disease or pathology present. The radionuclide introduced into the body is often chemically bound to a complex that acts characteristically within the body; this is commonly known as a tracer. In the presence of disease, a tracer will often be distributed around the body and/or processed differently. Any increased physiological function, such as due to a fracture in the bone, will usually mean increased concentration of the tracer. This often results in the appearance of a ‘hot-spot’ which is a focal increase in radio-accumulation, or a general increase in radio-accumulation throughout the physiological system. Some disease processes result in the exclusion of a tracer, resulting in the appearance of a ‘cold-spot’.

The end result of the nuclear medicine imaging process is a “dataset” comprising one or more images.
Nuclear Cardiology


A medical laboratory or clinical laboratory is a laboratory where tests are done on clinical specimens in order to get information about the health of a patient. Laboratory tests are an integral part of the workup of any patient, and constitute up to 80% of a physician’s diagnosis and treatment choice.


“Dual energy X-ray absorptiometry” (DXA, previously DEXA) is a means of measuring bone mineral density (BMD). Two X-ray beams with differing energy levels are aimed at the patient’s bones. When soft tissue absorption is subtracted out, the BMD can be determined from the absorption of each beam by bone. Dual energy X-ray absorptiometry is the most widely used and most thoroughly studied bone density measurement technology.

Women over age 65 should get a baseline DXA scan. Men with history of vertebral fractures or history of use of corticosteroids should also get a DXA scan.

The official position of the ISCD (International Society for Clinical Densitometry) is that a patient may be tested for BMD if; he suffers from a condition which could precipitate bone loss or is going to be prescribed pharmaceuticals known to cause bone loss or he is being treated and needs to be monitored.

The National Osteoporosis Foundation recommends BMD testing for the following individuals:

  • All women aged 65 and older regardless of risk factors
  • Younger postmenopausal women with one or more risk factors.
  • Postmenopausal women who present with fractures (to confirm the diagnosis and determine disease severity).
  • Estrogen deficient women at clinical risk for osteoporosis.
  • Individuals with vertebral abnormalities.
  • Individuals receiving, or planning to receive, long-term glucocorticoid (steroid) therapy.
  • Individuals with primary hyperparathyroidism.
  • Individuals being monitored to assess the response or efficacy of an approved osteoporosis drug therapy.
Dexa Scan


Chemotherapy, in its most general sense, refers to treatment of disease by chemicals that kill cells, specifically those of micro-organisms or cancer. In popular usage, it will usually refer to antineoplastic drugs used to treat cancer or the combination of these drugs into a cytotoxic standardized treatment regimen as opposed to a targeted therapy. All chemotherapy regimens require that the patient be capable of undergoing the treatment. Performance status is often used as a measure to determine whether a patient can receive chemotherapy, or whether dose reduction is required.

Most chemotherapy is delivered intravenously, although a number of agents can be administered orally. In some cases, isolated limb perfusion (often used in melanoma), or isolated infusion of chemotherapy into the liver or the lung have been used. The main purpose of these approaches is to deliver a very high dose of chemotherapy to tumor sites without causing overwhelming systemic damage.

Depending on the patient, the cancer, the stage of cancer, the type of chemotherapy, and the dosage, intravenous chemotherapy may be given on either an inpatient or an outpatient basis. For continuous, frequent or prolonged intravenous chemotherapy administration, various systems may be surgically inserted into the vasculature to maintain access.

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