CT Guided Injection

Patient presentation:

  • Left sided lower neck pain, worsening with movement.
  • Lower back pain, radiating to both legs on walking and when standing for long periods of time.
  • Symptoms started after a workplace injury.

MRI Cervical and Lumbar spines:

  • Shows inflammation around the left C5/6 and left C6/7 facet joints, which is most likely the cause of the lower left neck pain.
  • Disc bulge at L4/5 level, causing compression of the exiting nerves to both sides, which is most likely the cause of the lower back and lower limb symptoms.

Requested cortisone injections:

  • CT guided left C5/6 and C6/7 facet joint injections – to treat left lower neck symptoms.
  • CT guided L4/5 level epidural injection – to treat lower back and bilateral leg symptoms.

The injections were performed on two separate days for the two different regions.

Cortisone is an anti-inflammatory to help treat joint and nerve injury/inflammation. It is administered via a needle, which is positioned by a radiologist under CT guidance. When the correct position has been obtained, a combination of anaesthetic and cortisone is injected which is designed to relieve the symptoms. This may take up to a week to reach full effect.

Our workers compensation cases are dealt with by dedicated staff who are specifically trained to assist in liaising with claims officers for pre-approval and to book an appointment and follow up with the referring doctor. All that is needed is a request from a medical practitioner, patient contact details and insurance details.

To make a workers compensation appointment, please contact our team:

Phone: (02) 8889 6317
Fax: (02) 8889 6333


3D Mammography (Tomosynthesis)


Patient presentation: Left breast lump on ultrasound for further investigation.

Requested examination: Bilateral mammogram

Examination Technique: Standard mammographic views with tomosynthesis

beast tomosynthesis


Encapsulated left breast lesion correlating to the lesion identified in the previous ultrasound report. The density of this lesion is similar to the surrounding breast tissue. A differential diagnosis is a breast hamartoma.

A breast hamartoma is a benign, well-demarcated mostly encapsulated nodule appearing as a mass composed of haphazardly arranged breast tissue components. 

A biopsy was arranged for tissue characterisation.

Biopsy result – overall features are that of a benign lesion. Most likely represents a hamartoma.

Breast tomosynthesis, also called three-dimensional (3D) mammography and digital breast tomosynthesis (DBT), is an advanced form of breast imaging, or mammography, that uses a low-dose x-ray system and computer reconstructions to create three-dimensional images of the breasts. Breast tomosynthesis aids in the early detection and diagnosis of breast disease. While mammography is the chosen screening tool for breast cancer available today, it does not detect all breast cancers. Breast tomosynthesis overcomes some of the limitations of standard mammography, but it is not yet available in all imaging facilities. 

Synergy Radiology offers this service at our Campsie, Norwest and Rouse Hill locations.

Introducing our new GE Apex Revolution Cardiac CT

Image courtesy of GE Healthcare


Our brand new Cardiac CT is now available at Norwest medical imaging! Designed to overcome the common CT cardiac challenges created by body habitus and heart rate variability, the new CT allows for extremely low dose radiation exposure, an increase in diagnostic accuracy and the highest resolution in the market.

Benefits of referring your Cardiac CT patients to us

  • A dedicated team of cardiac fellowship radiologists and CT radiographers providing high patient care and efficient report turnaround times
  • Lower dose for the patient
  • Wide coverage 16cm axial cardiac acquisition in one beat, every time, using task specific Autogating profiles
  • A gantry rotation of 0.28s and GE’s motion correction algorithm without any additional exposure provides us with industry-leading 24m/sec effective temporal resolution
  • Utilises the latest ‘next generation’ FDA-approved deep-learning reconstruction algorithm providing low dose scanning and exquisite image quality*.

Scan Example

Results: LIMA to LAD

VR Tree

AN EXAMPLE OF AUTOGATING AT WORK: Patient with CABG requiring a two volume scan to cover the heart and origin of LIMA. Smart Arrhythmia (SAM) detects Ectopic beat in between the two volumes, aborts scan and waits for heart to recover ready to scan end diastole phase during the next regular R to R.

Effective Dose: 4.8mSv

* JHsieh J, Liu E, Nett B, Tang J, Thibault JB, Sahney S (2019) A new era of image reconstruction: TrueFidelity™. Technical white paper on deep learning image reconstruction. GE Healthcare

Interested in knowing more about how we can help your patients?  Contact us at to discuss further.

Introducing our new GE Apex Revolution CT

We are excited to announce the addition of the GE Apex Revolution 16cm spectral CT to our Norwest practice in Bella Vista!  The CT is especially designed to reduce dosage for patients  while maintaining the highest image quality and an increase in diagnostic accuracy.
Image courtesy of GE Healthcare

What does this all mean? 

Spectral CT imaging is the use of two levels of x-ray energy simultaneously to image a region of interest. Materials imaged by x-ray have known characteristics at different peak x-ray energies providing a range of views of that tissue. The Revolution CT couples together with a 16cm wide Gemstone detector one of the largest detectors available on the market and a fast switching x-ray tube, capturing multiple CT images very quickly at different energies. This new dual spectrum CT scanner is top-of-the-line, incorporating next-generation image reconstruction method, True FidelityTM Deep Learning image reconstruction. True FidelityTM increases the quality of an image while being able to significantly reduce dose to patients.

Image courtesy of GE Healthcare

Interested in knowing more about how we can help your patients? Contact us at to discuss further.

Synergy Trading Hours for Labour Day

Monday 3rd October 2022 is Labour Day. As such, ALL Synergy sites will be closed. If you have any questions, please contact us on our webchat at our website.