ORDERING GUIDELINES: CT

Transcription

1 ORDERING GUIDELINES: CT GENERAL INFORMATION: BUN/CREAT Contrast If physician request no oral or IV contrast (against guidelines) must specify in ordering notes. Please be specific. Contrast Assessment Form Must be filled out and signed by patient, health care proxy or physician. Witness signature is needed as well. Weight Limits Biopsy/Drainage - Any request for these must be booked thru Specials Scheduling at x3233 Interpretor - If the patient does not speak English, you MUST notify Central Scheduling when you make the appointment that an interpreter will be needed. CT Forms - You may print out the CT questionnaire form to give to the patient. The patient should complete the questionnaire and bring it to his or her appointment. Contacts -

2 CT GUIDELINES NAME OF EXAM COMMON INDICATIONS ORAL CONTRAST IV CONTRAST PATIENT PREP CT ABDOMEN WITH CONTRAST Liver cyst /Elevated LFT s Stomach abnormalities AAA May eat up to ½ hour before oral contrast is given. CT ABDOMEN/PELVIS WITH CONTRAST Mass/Tumor/Prostate Ca/Bladder Ca R/O or Follow up cancer Abscess/Diverticulits/Inflammation Abd pain/appendicitis Crohn s Disease/Weight Loss Hernia May eat up to ½ hour before oral contrast is given. CT ABDOMEN WITH & WITHOUT CONTRAST Pancreas /Elevated Lipase Renal Cyst/Mass/Tumor Hepatoma/Hemangioma Adrenals Parenchyma Renal Disease May eat up to ½ hour before oral contrast is given. CT ABDOMEN/PELVIS WITH & WITHOUT Painless Hematuria GI Bleed May eat up to ½ hour before oral contrast is given. CT ABDOMEN/PELVIS WITHOUT Painful Hematuria/Stone

3 CT ABDOMEN WITHOUT Hemochromotosis CT CHEST (HIGH RESOLUTION) WITHOUT CONTRAST Interstitial Lung Disease Pulmonary Fibrosis/Bronchiectisis Sarcoidosis/ Lymphangitic Cancer CT CHEST (HIGH RESOLUTION) WITH & WITHOUT CONTRAST Only booked if no routine CT Chest done in the past year. See indications above. CT CHEST ROUTINE WITH CONTRAST ** If combined with any High resolution indication,book as with & without contrast Lung Ca/Mass/Abnormal chest xray SOB/Focal Pleural Thickening Follow up Pneumonia/Pleural Effusion/ Chest Wall Abscess Infiltrate CT HEAD WITH CONTRAST Mets/Tumor/Lesion/Mass Acoustic Neuroma Chronic Seizure Pituitary Tumor/Increased Prolactin CT HEAD WITH & WITHOUT Abscess Chronic Headaches/Migraines

4 CT HEAD WITHOUT Acute Headache/Memory Loss/ Dementia/Alzheimers/ NPH Hydrocephalus CVA/Stroke/Infarct Syncope/Gait Disturbance/Trauma Hemorrhage/Subdural or Epidural Hematoma/Mental Status Changes Vertigo/Acute Seizure Arnold Chiari Syndrome CT SINUS WITHOUT CONTRAST Sinusitis/Polyps/CSF Rhinorhea For GE Navigation/ Surgical Planning CT NECK WITH CONTRAST All Indications except for Stone CT NECK WITH & WITHOUT CONTRAST R/O stone in conjunction with any other indication CT NECK WITHOUT CONTRAST R/O Stone (Submandibular or Parotid) CT MAXILOFACIAL (FACIAL BONES) WITH CONTRAST Swelling/Cellulitis

5 CT MAXILOFACIAL (FACIAL BONES WITHOUT CONTRAST Fracture/Trauma CT ORBITS WITH CONTRAST (ORBITS/EAR) Proptosis/Tumor/Graves Disease Abscess/Infection/Cellulitis Pseudotumor Thyroid Opthalmopathy CT ORBITS WITHOUT CONTRAST (ORBITS/EAR) Fracture/Trauma CT INNER EAR/TEMPORAL BONE WITHOUT CONTRAST (ORBITS/EAR) Cholesteatoma/Mastoiditis/Hearing Loss/ Tinnitus/Pulsatile Tinnitus CSF Otorrhea CT CERVICAL/THORACIC/LUMBAR SPINE WITHOUT CONTRAST All Indications CT EXTREMITY/JOINTS WITHOUT CONTRAST All Indications Must be specific as to which bone and to which side (RT or LT) CT ORTHORENTGENOGRAM WITHOUT CONTRAST (LEG LENGTH) Leg Discrepancy

6 CTA WITH CONTRAST (ANGIOGRAM/COW/CAROTIDS/ FEMORAL RUNOFF) Stenosis/Occlusion Any Vascular Disease OTHER CT EXAMS CT FOR SIM OR BB PLACEMENT Order as CT Guided Placement Radiation Therapy Add comment in history such as Lung Ca Chest with BB s CT FOR MULTIPLE MYELOMA Per Office Request

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