Diagnostic

•

Arthrogram (any joint)-no prep

•

Arthrogram (any joint)-no prep

•

BE (Barium Enema)-24 hour prep (Fleet kit with instructions)

•

Chest-no prep

•

Cholangiogram/cholangiogram T-tube-no prep

•

Colon-intussusception-no prep

•

Cystogram-no prep

•

Endoscopic biliary/pancreas-no prep

•

Esophagus (Barium Swallow)-no prep

•

Fistulogram-no prep

•

Fluoro peritoneum-no prep

•

Fluoro to check Groshong/Port-A-Cath placement-Radiology must have access to Groshong/Port-A-Cath prior to patient checking into Radiology, patient must bring Heparin to flush post -procedure (referring physician office’s responsibility for prep)

•

Herniagram-no prep

•

Intro GI tube-no prep

•

IVP-24 hour prep (Fleet kit with instructions)

•

Loopogram-no prep

•

LP (lumbar puncture)-regular breakfast and clear liquids only prior to exam

•

Myelogram-no prep

•

Nephrogram-no prep

•

Routine X-Rays-no prep

•

Sialography-no prep

•

Small Bowel-NPO from midnight the night before exam

•

UGI with or without Small Bowel follow through-NPO from midnight the night before exam

•

Urography (retro)-no prep

•

VCUG-no prep

•

Venogram-no prep

Ultrasound

Amniocentesis                         

no prep

Abdomen complete                 

NPO 12 hours

Aorta                                      

NPO 12 hours

Biophysical Profile                   

32 oz fluid completed 1 hr before exam time

Bladder                                   

64 oz fluid completed 1 hr before exam time

Breast                                     

no prep

Breast core BX                       

no aspirin or blood thinner 3 days prior to procedure

Breast FNA/ Cyst aspiration    

no aspirin or blood thinner 3 days prior to procedure

Extremity                                 

no prep

Femoral                                   

no prep

            gallbladder                   

NPO 12 hours

Infant hips                                

no prep

Kidneys                                   

no prep

            liver                             

NPO 12 hours

Multiple gestation                     

32 oz fluid completed 1 hr before exam time

Pediatric kidney/bladder          

Full bladder

Pelvis not OB                          

64 oz fluid completed 1 hr before exam time

Right upper quadrant               

NPO 12 hours

Scrotum                                  

no prep

Single Organ

 

Sono Hystogram                      

no prep

            spleen         

NPO 12 hours

Thyroid                                   

no prep

Thyroid FNA                          

no aspirin or blood thinner 3 days prior to procedure

Transvaginal pelvis                   

no prep

CT
• ANY CT ordered with IV contrast, patient must be NPO for 4-6 hours; patient may take meds with a small amount of clear liquid
• ANY CT ordered with oral contrast, patient must be NPO for 4-6 hours; patient may take meds with a small amount of clear liquid
• ANY CT ordered with both IV and oral contrast, patient must be NPO for 4-6 hours; patient may take meds with a small amount of clear liquids
• ANY CT not ordered with IV or oral contrast, no prep
• * ALL CT abdomen scans are done with oral contrast unless it is to R/O kidney stones, hematuria protocol or abdominal angiography
• * ALL CT pelvis scans are done with oral contrast, unless it is to look at the bony pelvis
• * If patient is a child, patient must be sleep deprived and arrive at least one hour before scheduled exam for oral sedation
MRI
• No prep even when ordered with contrast
• * Sedation may be required for patients that are claustrophobic or for patients that are unable to remain still for long periods of time. Please discuss this with your physician so that arrangements can be made for sedation at the time of scheduling. If you have already scheduled your exam, please contact radiology directly at 258-4181. These patients should arrive 1 hour prior to their MRI exam appointment time for sedation and they must also bring a driver
• * If patient is a child, patient must be sleep deprived and arrive at least one hour before scheduled exam for oral sedation; patient should have liquid breakfast only
NUCLEAR MEDICINE

Abscess imaging w/ Gallium

No prep

Bone Imaging

No barium studies 1 week prior

Breast imaging w/ Miraluma

No prep

CEA Studies

No prep

Gastric Emptying

NPO after midnight

GI Bleed

No prep

Hepatobiliary Imaging

NPO 4 hours

Liver Imaging

No prep

Lung Perfusion

No prep

Lymphoscintography

No prep

MECKL'S

No barium studies 1 week prior

MUGA

No prep

Octreoscan

No prep

Parathyroid imaging w/ Sestimibi

No prep

Renal scan w/ Mag 3

Well hydrated

Renal scan w/ 2 doses Mag 3

Off ace inhibitor 2 days prior to exam

 

No other BP meds day of exam

 

Well hydrated

 

Nothing to eat 2 hous prior to study

Renal w/ DTPA

Well hydrated

Renal w/ DTPA and lasix

Well hydrated

Renal w/ Mag 3 and lasix (20 or 40 mg)

Well hydrated

Samarium Quadramet Therapy

No prep

Strontium-89 Therapy

No prep

Thyroid imaging or therapy using Iodine (I 123 or I 131)

NPO after midnight

 

Off thyroid meds

 

      Synthroid - 3 weeks

 

      PTU - 4 days

 

      Tapezole - 5 days

 

No contrast studies 2 months prior to exam

Thyroid imaging w/ TcO4

Off thyroid meds

 

       Synthroid - 3 weeks

 

       PTU - 4 days

 

       Tapezole - 5 days

Tumor imaging w/ Gallium

No prep

Whole Body Imaging I 131

Off thyroid meds

 

     Synthroid - 3 weeks

 

     PTU - 4 days

 

     Tapezole - 5 days

 

No contrast studies 2 months prior to exam

Mammography

Screening and Diagnostic

Abstain from caffeine 5 days prior to exam

 

No deodorant or talcum powder day of exam

Stereotactic biopsy

Off blood thinners 5 days prior to exam

 

Off aspirin 2 days prior to exam

 

No deodorant or talcum powder day of exam

Needle localization

NPO after midnight

 

No deodorant or talcum powder day of exam

 

Lexington Clinic
1221 South Broadway
Lexington, KY 40504
Phone: 1.859.258.4181 Toll Free: 1.877.232.3533

Copyright © 2005 Lexington Clinic