This Ordering Guide is meant to assist physicians when ordering a medical imaging exam with Quantum Radiology. The guide includes common indications as well as recommendations for the most appropriate examination.
Examinations may be further tailored to a patient’s specific condition. When ordering an exam, please include the clinical question/specific condition in question so that the appropriate imaging can be performed.
Please contact Wellstar Medical Imaging 678.581.5900
Please visit www.wellstar.org
| Symptom / Concern | Exam to Order |
|---|---|
| Ankle pain with concern for unstable
osteochondrlalesion |
MRI arthrogram |
| Bone metastasis | Plain films followed by MRI or bone scan;
PET/CT also consi deratio n |
| Bone tumo r/mass | Plain films followed by whole body bone
scan and CT and/or MRI |
| Elbow pain with concern for ligament
or intra articular injury including unstable osteochondral lesions |
MRI arthrogram |
| Elbow pain with negative radiographs | MRI |
| Elderyl /osteopo rotic patient with hip
pain after fall |
Plain films followed by MRI or CT |
| Foot and ankle pain | Plain films followed by MRI |
| Hippain | Plain films followed by MRI |
| Hippain with concern for AVN or
occult fracture |
MRI |
| Hippain with concern for labraltear | MRI arthrogram |
| Knee pain after joint replacement | Plain films followed by CT or bone scan |
| Knee pain with concern for unstab le
osteochondrlalesion |
MRI arthrogram |
| Knee pain with negative radiographs | MRI |
| Knee pain with prior arthroscropy | MRI arthrogram |
| Morton's neuroma | MRI with contrast |
| Multiple myeloma | Bone survey or MRI; PET/CT also
consideration |
| Osteomyelitis | MRI with contrast; 3 phase bone scan or
tagged WBC scan if MRI contraindicated |
| Osteomyelitis after joint replacement | Plain films followed by CT, if plain films
negative; then taggedWBC scan with sulfurcolloid scan |
| Pain with acute trauma | Plain films to excludefracture followed by
CT or MRI, if symptoms persist |
| Persistent jointpain with negaitve radiographs (shoulder,knee, elbow, etc.) and concern for occult bone or
soft tissue injury |
MRI |
| Septic arthritis | MRI with contrast |
| Shoulder pain | Plain films followed by MRI |
| Shoulder pain after dislocation or
concern for labraltear |
MRI arthrogram |
| Shoulder pain after rotator cuff or
labral repair |
MRI or CT arthrogram |
| SI joint pain or sacroiliitis | Plain films followed by MRI |
| Soft tissueinfection | MRI with contrast; CT with contrast or
tagged WBC scan if MRI contraindicated |
| Soft tissuemetastasis | MRI with contrast |
| Soft tissue tumor/mass | MRI with contrast |
| Wrist pain with concern for ligament
or intra articular injury |
MRI arthrogram |
| Wrist pain with negative radiographs | MRI |
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