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Gastrointestinal
Procedures
Hepatobiliary
| Clinical Indications |
Rule out
cholecystitis,
evaluation of jaundice, trauma, abdominal pain, bile leak,
cholelithiasis and obstruction.
|
| Patient Preparation |
NPO at least 4 hours prior to procedure, but no longer than 24 hours.
No pain meds at least 4 hours prior.
|
| Time Frame |
1-2 hours. May need
additional images over the next 24 hours.
|
| Conflicting Examination or Medications |
Retained
barium; serum bilirubin level above 20 mg/dl (causes a nondiagnostic exam due to
poor hepatic function).
|
Hepatobiliary
with CCK GB Ejection Fraction
| Clinical Indications |
Chronic abdominal
pain,
cholecystitis, evaluate function of gallbladder.
|
| Patient Preparation |
NPO at least 4 hours prior to procedure. (No morphine or Demerol 4 hours
prior to procedure). |
| Time Frame |
1 to 4
hours (average 1-1/2 hours).
|
| Conflicting Examination or Medications |
Retained
barium; serum bilirubin level above 20 mg/dl causes a nondiagnostic exam due to
poor hepatic function; recent administration of narcotics may invalidate the
study.
|
Liver/Spleen
| Clinical Indications |
Hepatosplenomegaly,
trauma, primary liver tumor, metastatic liver disease, jaundice, cirrhosis,
hepatitis, hepatic abscess, RUQ/LUQ pain.
|
| Patient Preparation |
None
|
| Time Frame |
1 hour |
| Conflicting Examination or Medications |
None
|
Liver
SPECT
| Clinical Indications |
Rule out metastatic
liver disease,
localization of space occupying lesion,
focal nodular hyperplasia.
|
| Patient Preparation |
None
|
| Time Frame |
1-2 hours
|
| Conflicting Examination or Medications |
None
|
Hepatic
Hemangioma with SPECT
| Clinical Indications |
Hepatic
hemangioma |
| Patient Preparation |
None.
Localization of site with other imaging modality helpful. |
| Time Frame |
Total time 3 hours.
|
| Conflicting Examination or Medications |
None |
Gastric
Emptying Scan
| Clinical Indications |
Evaluation of gastric
function
|
| Patient Preparation |
NPO 12
hours
|
| Time Frame |
2 hours
|
| Conflicting Examination or Medications |
Any
barium study
|
GI
Bleed
| Clinical Indications |
Rule out GI bleed,
acute volume depletion |
| Patient Preparation |
None
|
| Time Frame |
Total time
3 hours. |
| Conflicting Examination or Medications |
Recent
barium study
|
Meckel's
Diverticulum (Ectopic Gastric Mucosa)
| Clinical Indications |
Rule out Meckel's
diverticulum, abdominal pain, positive Guaiac test.
|
| Patient Preparation |
NPO
after midnight. Pre-treat
with Tagamet if possible. 300 mg of
Tagamet every 6 hours for 24 hours prior to the scan. Last dose to be given 45
minutes prior to the scan. Pediatric dose based on weight.
Pediatric dose based on weight.
|
| Time Frame |
1
hour
|
| Conflicting Examination or Medications |
Recent
barium study
|
Genitourinary
Procedures
Renal Imaging (MAG-3)
| Clinical Indications |
Assess for renal function, obstructive uropathy, renal tumor, chronic renal disease, trauma, hypertension, renal failure, renal transplant evaluation. |
| Patient Preparation |
Good hydration |
| Time Frame |
1 hour |
| Conflicting Examination or Medications |
None |
Renal with Furosemide (Lasix)
| Clinical Indications |
To distinguish between obstructive versus nonobstructive uropathy |
| Patient Preparation |
Good hydration |
| Time Frame |
30 minutes pre-furosemide renal imaging followed by IV injection of furosemide and additional renal imaging over 30 minutes |
| Conflicting Examination or Medications |
Allergy to Furosemide |
Renal
Imaging with Captopril
| Clinical Indications |
Assess
for renal vascular hypertension |
| Patient Preparation |
Good hydration. Please provide list of medications |
| Time Frame |
1.5
hours total
|
| Conflicting Examination or Medications |
ACE Inhibitors |
Miscellaneous
Procedures
Gallium
| Clinical Indications |
Tumor localization
(especially lymphoma), infection, inflammation, Pneumocystis pneumonia,
abscess detection and localization.
|
| Patient Preparation |
None
|
| Time Frame |
1 hour each session. Patien may be imaged at 24, 48 and 72 hours depending on diagnosis.
|
| Conflicting Examination or Medications |
Recent
barium study
|
Next |
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