Nuclear Medicine/PET Ordering Guide

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.

Patients Come First

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.

To Schedule a Patient at a Wellstar Location

Please contact Wellstar Medical Imaging 678.581.5900

To Locate a Wellstar Location Nearest You

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

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