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Diagnostic Services

The following diagnostic services are available under various departments:


      Pathology Services
  • Diagnostic Pathology Services
    • Surgical Pathology
    • Haematopathology
    • Cytopathology
  • Ancillary diagnostic techniques
    • Immunohistochemistry (IHC)
    • Frozen Section reporting
    • Flow cytometry
    • FISH, LBC, PCR, RT-PCR
          Procedure for obtaining opinion on referral material

      Requests may be addressed to Head of the Division / Consultant Pathologists. Samples already processed as slides and paraffin blocks are accepted in Room No: A102 (Room No.2, Pathology Division), on all working days, between 9 AM and 4 PM. The material should be submitted personally and reports should be collected from the Division of Pathology. Patients should bring the bill for collecting the report. The report will neither be sent by post nor be communicated over telephone.

      The following details are essential:

      • Requesting physician's address, contact number and e-mail ID
      • Patient's name, age, sex, full postal address, Telephone number / E-mail address (if available)
      • Clinical details including X ray/scan reports, intraoperative and gross specimen findings
      • Sample to be submitted as slides and paraffin blocks
      • Specimen to be provided on request by the consultant Pathologist in the required instances
      • Site of disease, type of biopsy, nature of material and details of previous surgery/ biopsy
      • Radiological images with radiology reports are essential for Bone & Soft tissue and CNS cases
      • Results of hematological and biochemical tests, blood smears and tumour marker levels in relevant cases
      • Slides/Blocks prepared elsewhere can be returned on Physician's request after filing minimum representative material in the Division of Pathology, RCC

      Specimens are not accepted as such without initial pathology report from outside hospitals/laboratories.

      Imaging Services

    State-of-the-art imaging facilities are available at RCC for the accurate diagnosis and intervention for cancer patients.

    Digital Radiography System (DR X-ray unit)
    Computerised Radiography system (CR)
    Plain & contrast X rays (Special Investigations)    		 256 slice Dual source CT scan including CT angiography, interventional procedures when needed, sedation by an Anesthesiologist
    Full field Digital Mammography, Prone table biopsy, Stereotactic biopsy
    Wire localisation etc.
    		 3-Tesla MRI with breast biopsy facility. Anaesthesia can be given, if needed.
    High end Ultrasonography with colour Doppler
    		 PACS system for filmless transfer of images to the clinician
    Radio Frequency Ablation facility, DEXA scan for assessing bone density.

      Nuclear Medicine Services

    The Facility utilises very small amounts of radioactive materials (radiopharmaceuticals) to provide doctors with details about both structure and function of diseased organs.

    PET-CT Scan
    Gallium-68 scan DOTATATE scan for neuroendocrine tumours
    PSMA scan for prostate cancer
    MDP bone scan
    131-I scan for thyroid
    99mTcO4 scan for thyroid
    DTPA Renograms
    DMSA for renal scan
    DMSA(V) scan for medullary Ca thyroid    		 Sestamibi scan for tumor imaging, parathyroid imaging & cardiac imaging
    Hepatobiliary imaging
    Sialoscintigraphy
    MUGA scan
    RBC labelled blood pool imaging

      Microbiology Services

    The division has the state-of-the-art facilities like BacT/Alert automated blood culture system, VITEK 2 automated identification and sensitivity system, VIDAS enzyme linked fluorescent assay, GeneXpert Cartridge Based Nucleic acid Amplification Test (CBNAAT) automated PCR system, BIOFIRE Filmarray Infectious Syndromic Panel testing system, BIORAD- Real Time PCR, VITEK MS Prime - MALDITOF automated identification system and fluorescent microscope for detection of AFB and fungal elements in specimens which constitutes a major technological improvement with a positive impact on the workflow of the laboratory and turnaround time of specimens. The division is also a Designated Microscopy Centre for detection of tuberculosis under the National Tuberculosis Elimination Programme (NTEP). The technologists and staff of the department are trained to work independently, to ensure smooth functioning and compliance with the quality systems. The division also supports infection control activities of the institution.

    Services offered:
    1. Bacteriology
      • o Microscopy & Culture of clinical specimens, Isolation & identification of bacterial pathogens, Antibiotic Susceptibility Testing (AST) of isolates.


    2. Mycology
      • Microscopy & Culture
      • Isolation and identification of filamentous fungi 
      • Identification & Antifungal susceptibility testing of yeasts using VITEK 2 automated identification and sensitivity system.


    3. Mycobacteriology
      • Designated Microscopy Centre (DMC) for detection of acid fast bacilli (AFB staining) under District Tuberculosis Centre, Thiruvananthapuram.
      • AFB culture
      • CBNAAT for pulmonary and txtra pulmonary specimens

    4. Parasitology
      • Wet film examination of stool sample for ova, cysts and larvae of parasites.
      • Modified acid fast staining for intestinal coccidian parasites.


    5. Serology
      • Hepatitis markers
        • Anti-HBs antibody
        • Anti-HBcIgM
        • Anti-HBc Total
      • Procalcitonin
      • Troponin I
      • D Dimer
      • Dengue NS1, IgM


    6. Molecular Microbiology Services
      • RTPCR and CBNAAT for SARS CoV2
      • GeneXpert CBNAAT for TB
      • GeneXpert CBNAAT for HPV
      • BIOFIRE filmarray infectious syndromic panel testing - meningitis, pneumonia, respiratory, GI panel and blood culture identification panels.

    Clinical Laboratory Services

   Biochemical Investigations

  • Sugar
  • Urea
  • Creatinine
  • Uric Acid
  • Bilirubin
  • Other Bilirubin fractions
    • (Direct bilirubin, Conjugated & Unconjugated bilirubin, Delta bilirubin & Neonatal bilirubin)
  • SGOT(AST)
  • SGPT(ALT)
  • Alk. Phosphatase
  • Gamma Glutamyltransferse
  • Total Protein
  • Albumin
  • Globulin
  • C - Reactive protein
  • Cholesterol
  • Lipid profile
  • Cholesterol
  • HDL
  • LDL
  • Triglycerides
  • Sodium (Na+)
  • Potassium (K+)
  • Chloride
  • Total CO2
  • Calcium
  • Phosphorous
  • Magnesium
  • Iron
  • Total Iron binding capacity
  • Creat. Clearance Test
  • LDH
  • Amylase
  • Lipase
  • CSF sugar
  • CSF protein
  • CSF microscopy
  • HbA1C
  • IgG
  • IgA
  • IgM
  • Free Kappa
  • Free Lambda
  • Serum Electrophoresis
  • Immunofixation electrophoresis
  • Cyclosporin

   Haematology Investigations

  • Haemoglobin
  • WBC Count
  • PCV
  • MCH
  • MCHC
  • RBC
  • Differential Count
  • Neutrophils
  • Lymphocytes
  • Eosinophils
  • Monocytes
  • Basophils
  • Reticulocyte count
  • ESR

   Coagulation Investigations

  • A comprehensive set of clinical tests are available for the diagnosis and monitoring of bleeding and thrombotic disorders which is carried on fully automated Coagulation analyser.
  • Routine coagulation tests
  • Bleeding Time
  • Clotting Time
  • PT, APTT, Fibrinogen
  • Factor activity assays (II, V, VII, VIII, IX, X, XI, XII)

   Urine Analysis

  • Urine Routine
  • Sugar, Protein, pH
  • Specific gravity, Ketone
  • Urobilinogen, Deposits etc.
  • Bence - JonesProtein

   Blood Gas Analysis

  • Parameters
  • pH, pCO2, pO2, Hb, Na+, K+, Ca2+, Cl-, Glu, Lactate, tBIlirubin, Creatinine, HCO3-, sO2