Dr. Julia Mary Howard – Radiologist | Courtenay, BC

With expertise in Diagnostic and Interventional Radiology, Dr. Julia Mary Howard provides crucial diagnostic insights to referring physicians. Practicing at medical facilities in Courtenay, BC, she supports various clinical departments and ensures adherence to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). Her role involves interpreting a wide range of imaging studies and performing image-guided procedures with a focus on patient safety and diagnostic accuracy. Patients requiring diagnostic imaging or image-guided interventions benefit from her thorough and patient-centered approach.

Dr. Howard graduated with a MB BCh BAO from the National University of Ireland in 2004 and completed extensive post-graduate training in Diagnostic and Interventional Radiology. She holds certifications including the Royal College of Physicians and Surgeons of Canada, reflecting her commitment to maintaining high standards of medical practice and continuous professional development.

Her clinical philosophy centers on patient safety and diagnostic precision. Dr. Howard is dedicated to providing accurate interpretations and guiding appropriate management plans. She speaks English fluently and is committed to delivering compassionate, patient-focused care in Courtenay and the surrounding communities.

• Bone Densitometry (DEXA) Scan Interpretation: Analyzing DEXA scans to measure bone mineral density, assess osteoporosis risk, and monitor treatment effectiveness.
• Computed Tomography (CT) Scan Interpretation: Detailed review and reporting of cross-sectional CT images for evaluating trauma, cancer staging, vascular disease, infections, and other complex conditions throughout the body.
• Fluoroscopy Procedure Interpretation: Interpreting real-time X-ray imaging (fluoroscopy) used during procedures like barium studies (GI tract), hysterosalpingograms, or to guide certain injections.
• Mammography and Breast Imaging Interpretation: Expert review and reporting of mammograms (including tomosynthesis/3D mammography) and breast ultrasound for cancer screening, diagnosis, and follow-up.
• X-ray Interpretation (Radiography): Expert analysis and reporting of X-ray images for diagnosing conditions related to bones (fractures, arthritis), chest (pneumonia, lung nodules), and abdomen.

Note: This list provides an overview of common radiology services. Dr. Howard interprets a wide range of medical imaging studies and/or performs procedures as indicated by your referring physician. Specific subspecialty services depend on the physician's focus and training.

All medical imaging services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC).

Dr. Howard's practice is primarily based at medical imaging facilities in Courtenay, BC, within the Comox Valley area including neighborhoods such as Cumberland and Rural Comox Valley. The facilities are conveniently located near the Crown Isle Resort & Golf Community. Accessibility is supported by the Comox Valley Transit System (BC Transit), making it easy for patients to reach appointments. The facility is wheelchair accessible. Parking is available at the facility.

Are imaging studies interpreted by Dr. Howard covered by Medical Services Plan (MSP) in BC?

Medically necessary diagnostic imaging studies interpreted by a Radiologist like Dr. Howard are typically covered by Medical Services Plan (MSP) in BC when prescribed by your referring physician and performed at an accredited medical facility. Some advanced or specialized interventional procedures may also be covered. It's always best to confirm specific coverage details with Medical Services Plan (MSP) or the imaging clinic/hospital.

Do I need a referral from my doctor to have an imaging study interpreted by Dr. Howard?

Yes, almost all diagnostic imaging tests (like X-rays, CT, MRI, ultrasounds) and interventional radiology procedures require a formal request or requisition from your family doctor, specialist, or other authorized healthcare provider. Dr. Howard provides expert interpretation of these physician-ordered studies.

I'm concerned about radiation exposure. Are X-rays and CT scans safe?

Patient safety is our top priority. Radiologists and technologists are trained to use the lowest radiation dose necessary to obtain high-quality diagnostic images (this is known as the ALARA principle - As Low As Reasonably Achievable). While X-rays and CT scans do use ionizing radiation, the amount for most diagnostic exams is carefully controlled and the benefit of an accurate diagnosis generally far outweighs the very small potential risk. If you have specific concerns, please discuss them with your referring doctor or the imaging staff before your exam.

What's the difference between an MRI and a CT scan?

Both are advanced imaging tests, but they use different technologies. CT (Computed Tomography) scans use X-rays and a computer to create detailed cross-sectional images; they are excellent for bone, lungs, abdomen, and detecting acute bleeding. MRI (Magnetic Resonance Imaging) uses a powerful magnetic field and radio waves to create highly detailed images of soft tissues like the brain, spine, joints, and internal organs, without using ionizing radiation. Dr. Howard or your referring doctor will determine which test is best for your specific medical question.

Why might I need an injection of 'contrast' or 'dye' for my scan?

Contrast material (often called 'dye', though it's usually clear) is a special substance that can be injected intravenously (or sometimes taken orally or rectally) to help certain organs, blood vessels, or tissues stand out more clearly on imaging exams like CT or MRI. It can help Dr. Howard see abnormalities that might otherwise be hidden. Not all scans require contrast; it's used when it can provide important additional diagnostic information.

How will I get the results of my imaging exam?

After your imaging exam is completed, Dr. Howard (or a colleague Radiologist) will carefully review the images and prepare a detailed report. This report is sent directly to the physician who ordered your test (your referring doctor). Your referring doctor will then discuss the results with you, typically at a follow-up appointment, and explain what they mean in the context of your overall health. Please allow a few business days for the report to reach your doctor.

North Island Hospital Comox Valley, 101 Lerwick Rd, Department of Radiology
Courtenay, BC V9N 0B9

Phone: (250) 331-5900

The facility is wheelchair accessible.

Dr. Howard is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Imaging services are typically provided based on referrals from other physicians.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/300963/Howard%2CJulia