Overview

X-rays use a small amount of radiation to create images of bones, organs and other internal structures.

An X-ray is a common medical test that helps doctors see inside your body. They are often used to check for broken bones, lung or abdominal conditions, joint injuries, foreign objects and other health concerns.

Some X-ray exams may use a contrast agent, such as iodine or barium, to help highlight certain areas of the body. If this is needed, your care team will explain what to expect.

The Ottawa Hospital follows the ALARA principle—“As Low As Reasonably Achievable”—to keep radiation exposure to a minimum while still getting the images needed for diagnosis. Most people receive more radiation from natural sources in daily life than from a single X-ray. 

A person in a hospital gown stands facing a medical imaging machine, with a technician beside them. A red alignment laser is visible across their back, indicating a diagnostic procedure.

What an X-ray feels like

X-ray exams are painless.

You might feel a bit uncomfortable because the room can be cool or the table may be firm. Holding certain positions during the exam may also be uncomfortable, especially if you’re injured.

Our technologists are trained to help you find a position that’s as comfortable as possible while still getting the images your doctor needs. 

Safety information

X-rays use a small amount of radiation to create images. There’s no strong evidence that this low level of exposure causes harm, but The Ottawa Hospital takes a cautious approach and treats all radiation as something that could carry a small risk.

To keep you safe, we follow the ALARA principle—“As Low As Reasonably Achievable.” This means we use the lowest amount of radiation possible while still getting clear images.

The amount of radiation depends on the type of exam and the part of the body being scanned. Some areas are more sensitive than others.

For certain exams, you may be asked to wear a lead apron or shield. This helps protect parts of your body that aren’t being imaged. 

Radiation in everyday life

People are naturally exposed to radiation that comes from the earth in rocks and soil and from outer space, in the form of cosmic rays. A small amount of radioactive material even exists naturally in our bodies.

Every year, each person is exposed to this natural radiation and radiation from a variety of other sources, including household smoke detectors, fertilizers and certain foods. Air travel also increases exposure to cosmic radiation due to higher altitudes and less atmospheric shielding.

Naturally occurring background radiation and modern activities such as flying in an airplane all contribute to lifetime exposure, which is only slightly increased by medical imaging. 

Getting your results

Once your images are ready, a radiologist (a doctor who specializes in reading medical scans) will review them and write a report.

This report is sent to your medical team to help guide your care.  

Sometimes, the Medical Imaging department may contact you directly—especially if there’s a concern or if part of the exam needs to be repeated or completed.

If you haven’t received your results within 30 days, contact your health care provider or the Medical Imaging department to follow up. 


Exams performed by X-rays at The Ottawa Hospital

X-rays are used for many types of exams. These include common tests like chest, abdominal and joint X-rays, as well as more specialized procedures.

Some exams use a type of X-ray machine called fluoroscopy, which shows real-time images. This allows doctors to see movement inside the body, such as how contrast flows through organs or how joints move. Fluoroscopy uses low doses of radiation and can also create short video clips to help with diagnosis.

Special procedures using X-rays are always done by a radiologist or another trained physician. They are supported by medical radiation technologists, and sometimes nurses or other staff, depending on the exam. 

Musculoskeletal system

These are minimally invasive procedures used to take detailed images of a joint. A small amount of contrast agent is injected to help highlight the area. In many cases, this is done along with a joint injection to help treat pain. 

These procedures use a sterile needle and syringe to collect fluid or tissue from a joint, bone or soft tissue. They are also minimally invasive and help your doctor diagnose or monitor certain conditions. 

Spine

A thin needle is gently inserted into the lower back to collect fluid for testing. This helps diagnose conditions affecting the brain, spinal cord or nervous system. You’ll stay in the department for a short time afterward to recover. 

During this procedure, pressure is measured and samples of cerebrospinal fluid (CSF) are taken and sent for testing. 

A contrast agent is injected into the spinal canal to help identify problems with the spinal cord, nerve roots or nearby tissues. You may be asked to have a CT scan afterward. 

A small amount of radioactive liquid is injected into the spinal canal to check how cerebral spinal fluid (CSF) flows through the brain and spine. 

Contrast is injected into the spinal canal to help diagnose spinal fluid leaks using a CT and/or an MRI scan. 

Cerebral spinal fluid (CSF) samples are collected and sent for testing, and then a cancer treatment medication is injected into the spinal canal to treat certain types of cancer. 

Gastrointestinal studies

This test looks at your esophagus, stomach and the first part of your small intestine. You’ll be asked to swallow a contrast liquid with gas granules during the exam to help highlight these areas. 

This exam checks for changes or problems in the large intestine (colon). A liquid is gently inserted into your rectum or into a surgical opening in the abdominal wall through a small tube to help show the colon on X-ray. 

This test helps find out why some people have trouble emptying their bowels. It shows how well the bowel works during a bowel movement. 

This test tracks how food moves through your digestive system. Five days before your exam, you’ll take a pill that contains small markers. These markers show up on X-ray and help your doctor see how things are moving through your colon. 

Insertion

A radiologist will gently guide a feeding tube through your nose, down your throat and into your stomach while you lie down. You may be asked to move your head, neck or body to help the tube slide into place. Swallowing or sipping water can also help. These steps are meant to reduce discomfort.

Check

Once the tube is in place, the radiologist will inject contrast through it to confirm the position. To keep the tube in place, it will likely be secured to your face with a piece of tape.  They can reposition it if it feels uncomfortable. 

Cholangiography is a test that looks at the bile ducts (also called the biliary tree). A contrast agent is injected through a small tube left in the bile duct, and X-ray images are taken to help identify any problems. 

Other procedures

These tests help your doctor see the size and shape of abnormal passages in the body called fistulas or sinuses. A contrast agent is injected into the opening to make the area visible on X-ray.

Fistulas often connect hollow organs like the intestines, bladder or vagina. They can form after surgery, injury, infection or radiation. Fistulograms may also be used to check for abscesses after drainage.

Sinuses are passages that usually open onto the skin. They can be caused by infection or injury. A sinogram shows the extent of the problem and helps plan treatment. 

These exams show the bladder and urethra. A contrast agent is injected through a catheter to fill the bladder, and X-ray images are taken to check for problems. 

This test is done by a urologist to study how your bladder stores and releases urine. A contrast agent is used to fill the bladder, and pressure and flow are measured during imaging. 

This test is done by a speech-language pathologist and a technologist. You’ll be given food and drinks mixed with barium, which shows up on X-ray and helps assess how you swallow. 

This procedure is done by a gastroenterologist to find and treat problems in the pancreas, bile ducts and gallbladder. Contrast is injected and X-ray images are taken during the procedure. 

This test is done by a gynecologist and technologist to look at the uterus and fallopian tubes. A contrast agent is injected through a thin tube, and X-ray images are taken to check for blockages or other issues.