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 |
|---|---|
| Abdominal pain right side | Gallbladder emptying study |
| Abdominal pain S/P cholecstectomy | HIDA scan for bile leak |
| Alzheimers disease diagnosis | PET/CT brain scan |
| Ataxia, incontinence, dementia | NM cisternogram |
| Back pain in cancer patient | SPECT/CT NM bone scan |
| Bloating, abdominal pain | Gastric emptying study |
| Bone pain r/o occult fracture | 3 phase bone scan |
| Breast Cancer | PET/ CT scan |
| Cancer evaluate for metastatic disease | Bone scan |
| Carcinoid tumor pancreatic islet cell tumor | Octeotide scan |
| Diabetic joint pain, neuropathic joint versus infection | SPECT/CT limited bone scan |
| Esophageal cancer staging | PET/CT scan |
| Fever of unknown origin | Indium wholebody scan |
| GI bleed | NMGI bleeding scan |
| Head & neck cancer staging | PET/CT scan |
| Hydronephrosis, renal obstruction | Renal scan with lasix |
| Hyper/ hypohtyroidism | NM thyroid scan& NM thyroid uptake |
| Hypercalcemia, parathyroid adenoma | NM Parathyroid scan/SPECT/CT
Parathyroid scan |
| Hypertension,adrenal mass | MIBG NM scan |
| Joint pain, bone pain | Bone scan |
| Lung cancer staging | PET/CT scan |
| Lung nodule 7mm or larger | PET/CT scan |
| Lymphoma staging | PET/CT scan |
| Mass inliver, benign hemangioma | NM hemangioma scan |
| Melanoma, drainage to lymph nodes | Lymphoscyntigraphy & sentinel lymph node biopsy |
| Melanoma staging | PET/CT scan |
| Pain in a limb, infection or fracture | 3 phase bone scan |
| Pain in back no history of cancer | SPECT/CT bone scan |
| Pain in bone/extermity, osteomyelitis | Indium localized scan |
| Pain in the foot/hand, infection | 3 phase bone scan |
| Painful joint replacement | 3 phase limited bone scan |
| Renal failure/insufficiency | Renal scan |
| Right side abdominal pain, cholecystitis | HIDA scan |
| Short of breath | NM lung scan |
| Thyroid cancer staging | Whole body I 131 scan |