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Positron Emission Tomography (PET)

Clinical Indications	Staging and restaging for the following cancers: brain, breast, colorectal, esophageal, head and neck, lung, lymphoma, melanoma, musculoskeletal, ovarian, pancreatic, and thyroid; Cancers currently reimbursable by Medicare: breast, lung, solitary pulmonary nodule, colorectal, melanoma, lymphoma, head and neck, esophageal, thyroid and cervical; Cancers not currently reimbursable by Medicare: musculoskeletal, ovarian, pancreatic, scrotal and testicular.
Patient Preparation	•No exercise 24 hours prior to exam. • Eat a high protein diet for 24 hours prior to appointment. • Do not eat or drink anything except water for 4 hours prior to scheduled time. • Diabetic patients need to stay on their regular regimen
Time Frame	2 to 3 hours
Conflicting Examination or Medications	None
Special Notes	• Prior authorization needed with insurance company. • Blood glucose level must be below 200. • Please prescribe Valium or similar medication for claustrophobic patients.

Clinical Indications	Localize seizure focus (pre-surgerical for refractory seizures) and Alzheimer’s (dementia evaluation).
Patient Preparation	• No exercise 24 hours prior to exam. • Eat a high protein diet for 24 hours prior to appointment. • Do not eat or drink anything except water for 4 hours prior to scheduled time. • Diabetic patients need to stay on their regular regimen.
Time Frame	2 to 3 hours
Conflicting Examination or Medications	None
Special Notes	• Prior authorization needed with insurance company. • Blood glucose level must be below 200. • Please prescribe Valium or similar medication for claustrophobic patients.

Clinical Indications	Viability study following inconclusive SPECT study or prior to revascularization.
Patient Preparation	• Eat and drink as normal prior to appointment • A high carbohydrate and sugar filled diet is ideal for non-diabetic patients. • Diabetic patients need to stay on their regular regimen
Time Frame	2 to 3 hours
Conflicting Examination or Medications	None
Special Notes	• Prior authorization needed with insurance company. • Diabetic patients need to remain on their regular regimen. • Please prescribe Valium or similar medication for claustrophobic patients.