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Imaging Services


Ready for an Appointment?

To schedule an appointment at either of our convenient locations, call (607) 247 - 2218 .

St. James Hospital provides general imaging services 24 hours/day for inpatient, outpatient, and emergency needs. X-ray services are also available at the Hornell Medical Office Building.

The UR Medicine Women's Imaging and Breast Center is now open. Patients in Hornell can find the latest breast imaging technology, all in one place. And, right in our hometown.


Hornell Medical Office Building

7309 Seneca Rd. N.
Ste. 113, Entrance E
Hornell, NY 14843

Phone: (607) 247-2218

3D Mammography
Mon & Wed: 7:00 a.m. - 5:00 p.m.
Tue & Thu: 8:00 a.m. - 5:00 p.m.
Fri: 8:00 a.m. - 4:00 p.m.

DEXA Bone Density Scanning
Mon & Wed: 7:00 a.m. - 5:00 p.m.
Tue & Thu: 8:00 a.m. - 5:00 p.m.
Fri: 8:00 a.m. - 4:00 p.m.

Imaging (X-ray) (Suite 106, Entrance C; Walk-ins Welcome)
Mon-Fri: 8:00 a.m. - 8:00 p.m.
Sat & Sun: 10:00 a.m. - 8:00 p.m.
Phone: (607) 385-3780

Stereotactic and Ultrasound Biopsies

Women's Imaging and Breast Center
Mon & Wed: 7:00 a.m. - 5:00 p.m.
Tue & Thu: 8:00 a.m. - 5:00 p.m.
Fri: 8:00 a.m. - 4:00 p.m.
Phone: (607) 385-3900

Mon-Fri: 8:00 a.m. - 8:00 p.m.

Echocardiography (Heart Ultrasound)
Mon-Fri: 8:00 a.m. - 3:00 p.m.

Mon-Wed: 7:30 a.m. - 3:30 p.m.
Thur & Fri: 9:00 a.m. - 5:30 p.m.

Ultrasound (Non-Breast & Non-Pelvic)
Mon-Fri: 8:00 a.m. - 11:00 p.m.

X-ray (Walk-ins Welcome)
Sun - Sat: 7:00 a.m. - 11:00 p.m.


Imaging Services XrayX-ray images are typically captured to help diagnose disease and/or issues with the musculoskeletal system. An image is made by radiation in the form of X-rays passing through the body. The image is recorded digitally by St. James Hospital staff and stored in PACS (Picture Archiving and Communication System). University of Rochester Medicine Radiologists then interpret the images and generate a report that is provided to your physician/provider. X-ray services are available 24 hours/day at the hospital.

woman getting a mammographyMammography uses a dedicated digital X-ray machine to capture images of breast tissue. Regular mammograms are important to the early detection of breast cancer and other breast diseases, and should be performed annually per American Cancer Society guidelines. Biopsies, needle localizations, and cyst aspirations are done by recommendation of a radiologist. Mammography is often used in collaboration with ultrasound.  St. James offers the latest in 3D mammography, which provides clearer images especially for people with dense breast tissue. 3D mammography makes it easier for physicians to catch breast cancer early (such as calcifications) and it also helps us catch more cancers. Screening mammograms are covered by insurance and there is not a co-pay. People who are not covered by insurance can contact Cancer Services Program at (607) 385-3933 or (877) 778-6857. Walk-in mammograms are welcome at our Women’s Imaging & Breast Center.

Breast ultrasound uses ultrasonography (sound waves) to image the breast, both as a diagnostic or a screening procedure. It may be used either with or without a mammogram. If an abnormality is seen on mammography or felt by physical exam, ultrasound is the best way to find out if the abnormality is solid (such as a benign fibroadenoma or cancer) or fluid-filled (such as a benign cyst). It cannot determine whether a solid lump is cancerous, nor can it detect calcifications.

A breast biopsy is usually done after a suspicious finding is discovered on ;either mammography or ultrasound, so as to get tissue to determine whether cancer is present. Several methods for a breast biopsy exist. St. James offers stereotactic (mammogram-guided) and ultrasound-guided breast biopsies on site at its Women’s Imaging & Breast Center.

DEXA is an enhanced form of X-ray used to measure bone loss (osteoporosis). Typically, images of the lower spine and hips are captured with a dedicated machine, and a specialized computer system generates a report on total bone loss.

ctWith the opening of the new St. James Hospital, we are equipped with brand-new state-of-the-art imaging equipment, including a 64-slice CT scanner.  CT scans are X-ray beams that rotate through narrow sections of the body. Many scans are taken in a short period of time and produce multiple images. A computer reconstructs the scans to produce two- and three-dimensional images. Typical CT scans are captured of the head, chest, abdomen, and pelvis. The test can involve drinking contrast solution and/or getting an IV contrast, which helps capture a better image. CT services are available on-site 24 hours/day.

Our new in-house fixed MRI unit is equipped with headphones. MRI tests use a strong magnetiMRIc field, radio waves, and computers to create images. MRI does not use radiation. The MRI machine is cylindrical and creates a magnetic field around the patient. MRI is utilized in situations where organs or soft tissues are being studied. When examining the blood vessels, the MRI performs a specialized type of exam called an MRA (Magnetic Resonance Angiography). Our upgraded MRI service is provided via a mobile unit located adjacent to our Emergency Department entrance. The MRI unit is a GE Signa HDxt 1.5T. Interpretations are provided by the University of Rochester imaging team of specialists and sub-specialists.

echoUltrasound uses high-frequency sound waves to produce images. Doppler ultrasound may be used during the test. Doppler ultrasound is a technique that evaluates blood flow through a blood vessel. Typical ultrasound exams capture images from the abdomen (including during pregnancy), gall bladder, breast, kidneys, and arteries and veins. The heart can also be examined using ultrasound technology. Often, a stress test is conducted in conjunction with ultrasound.

A pelvic ultrasound uses sounds waves to assess organs and structures within the female pelvis.  It allows quick visualization of the female pelvic organs and structures including the uterus, cervix, vagina, fallopian tubes and ovaries. An obstetric ultrasound produces pictures of a baby (embryo or fetus), as well as the mother's uterus and ovaries. St. James has invested in new machines that include all the technological advances in obstetric ultrasound imaging. We can capture 3D images of your baby for you to display on your cell phone, allowing you to show images of your future blessing to family and friends. Our technology does not use ionizing radiation, has no known harmful effects, and is the preferred method for monitoring pregnant women and their unborn babies.

C-armAs part of its expanding Imaging capabilities, St. James has a new mobile C-arm machine, a high-tech device used by physicians to guide surgical instruments while watching the the instrument being driven on a live X-ray machine. The C-arm is also referred to as an X-ray image intensifier. It provides high-resolution X-ray images immediately, allowing the physician to monitor progress at any point to make any immediate corrections. At St. James, the C-arm is used during pain management and orthopedic procedures.

Nuclear Medicine Accreditation

Nuclear Medicine Accredited Facility - American College of Radiology (ACR)What Should I Know About Radiation Safety?

Before your imaging procedure ask your physician the following questions:

  • Why is the test needed?
  • How will having the test improve my care?
  • Are there alternatives that do not use radiation and deliver similar results?
  • Is the facility accredited by the American College of Radiology (ACR)?
  • Are pediatric and adult tests delivered using the appropriate radiation doses?

Why Should I Have My Imaging Exam Done at an Accredited Facility?

When you see the gold seals of accreditation prominently displayed in our hospital, you can be sure that you are in a facility that meets standards for imaging quality and safety. Look for the ACR Gold Seals of Accreditation.

To achieve the ACR Gold Standard of Accreditation, our hospital’s personnel qualifications, equipment requirements, quality assurance, and quality control procedures have gone through a rigorous review process and have met specific qualifications. It’s important for patients to know that every aspect of the ACR accreditation process is overseen by board-certified, expert radiologists and medical physicists in advanced diagnostic imaging.

What Does ACR Accreditation Mean?

  • Our facility has voluntarily gone through a vigorous review process to ensure that we meet nationally-accepted standards of care.
  • Our personnel are well qualified, through education and certification, to perform medical imaging, interpret your images, and administer your radiation therapy treatments.
  • Our equipment is appropriate for the test or treatment you will receive, and our facility meets or exceeds quality assurance and safety guidelines.

What Does the Gold Seal Mean?

When you see the ACR gold seal, you can rest assured that your prescribed imaging test will be done at a facility that has met the highest level of imaging quality and radiation safety. The facility and its personnel have gone through a comprehensive review to earn accreditation status by the American College of Radiology (ACR), the largest and oldest imaging accrediting body in the U.S. and a professional organization of 34,000 physicians. The mammography, computed tomography, nuclear medicine, and MRI services at St. James Hospital are all ACR accredited.