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Nuclear Medicine Ordering Guide BJ17-1195-4220 (02/17) BJ17-1195-4220 BMD (e.g., fluoride exposure). fluoride (e.g., BMD BMD; 2) who are at risk for low BMD; or 3) who have suspected pathologically increased increased pathologically suspected have who 3) or BMD; low for risk at are who 2) BMD; Indications include but are not limited to individuals: 1) with established or suspected low low suspected or established with 1) individuals: to limited not are but include Indications estimation of future fracture risk, and to monitor response to therapy for these conditions. conditions. these for therapy to response monitor to and risk, fracture future of estimation and other disease states characterized by abnormal bone mineral density (BMD), for the the for (BMD), density mineral bone abnormal by characterized states disease other and Washington University’s Mallinckrodt Institute of Radiology. of Institute Mallinckrodt University’s Washington Dual-energy x-ray absorptiometry (DXA) is used primarily in the diagnosis of osteoporosis osteoporosis of diagnosis the in primarily used is (DXA) absorptiometry x-ray Dual-energy • All exams are read by subspecialized radiologists from from radiologists subspecialized by read are exams All 30 minutes 30 Department: in Time least 24 hours before the study. the before hours 24 least Patients should withhold oral calcium supplements (such as Tums) for at at for Tums) as (such supplements calcium oral withhold should Patients Interfering Conditions). Interfering Monday – Friday and 7:30a.m. – 11:00a.m. on Saturdays. on 11:00a.m. – 7:30a.m. and Friday – Monday (see (see radiopharmaceutical a or agents contrast oral of administration involving Outpatient Nuclear Medicine studies are available 7a.m. – 3:00p.m. 3:00p.m. – 7a.m. available are studies Medicine Nuclear Outpatient CT colonography, or another radiology or nuclear medicine examination examination medicine nuclear or radiology another or colonography, CT Friday. – Monday 5:30p.m. – 7a.m. 877-992-7111, or 314-362-7111 examination should not be scheduled within 1 week after a barium enema, enema, barium a after week 1 within scheduled be not should examination To schedule a Nuclear Medicine study please call Radiology Scheduling at at Scheduling Radiology call please study Medicine Nuclear a schedule To examination involving administration of intravenous contrast material. The The material. contrast intravenous of administration involving examination reach the appropriate sub-specialty radiologist, please call 314-454-8945. 314-454-8945. call please radiologist, sub-specialty appropriate the reach examination should not be scheduled within 1 day after another radiology radiology another after day 1 within scheduled be not should examination For questions regarding how to order any Nuclear Medicine study or how to to how or study Medicine Nuclear any order to how regarding questions For Patients are scheduled through the centralized scheduling office. The The office. scheduling centralized the through scheduled are Patients Prep: CPT Code 77080 Code CPT Pelvis or Spine Hip, sites, 2 – DXA Density Bone any other radiation safety question, please feel free to call the nuclear medicine division. medicine nuclear the call to free feel please question, safety radiation other any If you have specific questions regarding the radiopharmaceutical used for each procedure or or procedure each for used radiopharmaceutical the regarding questions specific have you If BMD (e.g., fluoride exposure). fluoride (e.g., BMD BMD; 2) who are at risk for low BMD; or 3) who have suspected pathologically increased increased pathologically suspected have who 3) or BMD; low for risk at are who 2) BMD; before coming in for the procedure. the for in coming before Indications include but are not limited to individuals: 1) with established or suspected low low suspected or established with 1) individuals: to limited not are but include Indications breast-feeding, please call and discuss all options with the nuclear medicine department department medicine nuclear the with options all discuss and call please breast-feeding, estimation of future fracture risk, and to monitor response to therapy for these conditions. conditions. these for therapy to response monitor to and risk, fracture future of estimation with the ordering doctor prior to ordering the nuclear medicine procedure. If a patient is is patient a If procedure. medicine nuclear the ordering to prior doctor ordering the with and other disease states characterized by abnormal bone mineral density (BMD), for the the for (BMD), density mineral bone abnormal by characterized states disease other and If there is a chance that a patient is pregnant, please make sure that this gets discussed discussed gets this that sure make please pregnant, is patient a that chance a is there If Dual-energy x-ray absorptiometry (DXA) is used primarily in the diagnosis of osteoporosis osteoporosis of diagnosis the in primarily used is (DXA) absorptiometry x-ray Dual-energy • nuclear medicine gamma cameras for diagnostic inquiries. diagnostic for cameras gamma medicine nuclear 30 minutes 30 Department: in Time least 24 hours before the study. the before hours 24 least radioactivity gets injected for nuclear medicine exams. These tracers are then visualized by by visualized then are tracers These exams. medicine nuclear for injected gets radioactivity Patients should withhold oral calcium supplements (such as Tums) for at at for Tums) as (such supplements calcium oral withhold should Patients and in most cases specifically for each patient. Generally, a small and safe amount of of amount safe and small a Generally, patient. each for specifically cases most in and tracers). Each radiopharmaceutical is prepared for a specific imaging or therapeutic exam, exam, therapeutic or imaging specific a for prepared is radiopharmaceutical Each tracers). Interfering Conditions). Interfering There are many different types of nuclear medicine radiopharmaceuticals (diagnostic (diagnostic radiopharmaceuticals medicine nuclear of types different many are There (see (see radiopharmaceutical a or agents contrast oral of administration involving Nuclear Medicine Radiopharmaceuticals Medicine Nuclear CT colonography, or another radiology or nuclear medicine examination examination medicine nuclear or radiology another or colonography, CT examination should not be scheduled within 1 week after a barium enema, enema, barium a after week 1 within scheduled be not should examination BMD (e.g., fluoride exposure). fluoride (e.g., BMD examination involving administration of intravenous contrast material. The The material. contrast intravenous of administration involving examination BMD; 2) who are at risk for low BMD; or 3) who have suspected pathologically increased increased pathologically suspected have who 3) or BMD; low for risk at are who 2) BMD; examination should not be scheduled within 1 day after another radiology radiology another after day 1 within scheduled be not should examination Indications include but are not limited to individuals: 1) with established or suspected low low suspected or established with 1) individuals: to limited not are but include Indications Patients are scheduled through the centralized scheduling office. The The office. scheduling centralized the through scheduled are Patients Prep: estimation of future fracture risk, and to monitor response to therapy for these conditions. conditions. these for therapy to response monitor to and risk, fracture future of estimation CPT Code 77080 Code CPT Pelvis or Spine Hip, site, 1 – DXA Density Bone and other disease states characterized by abnormal bone mineral density (BMD), for the the for (BMD), density mineral bone abnormal by characterized states disease other and BONE DENSITY BONE Dual-energy x-ray absorptiometry (DXA) is used primarily in the diagnosis of osteoporosis osteoporosis of diagnosis the in primarily used is (DXA) absorptiometry x-ray Dual-energy • 30 minutes 30 Department: in Time study. the before hours 24 least (2) For head & neck and OB lymphoscintigraphy, SPECT/CT is often indicated. often is SPECT/CT lymphoscintigraphy, OB and neck & head For (2) • Patients should withhold oral calcium supplements (such as Tums) for at at for Tums) as (such supplements calcium oral withhold should Patients obtained. obtained. Conditions). lymph nodes. Because of timing issues related to surgery, on occasion, images may not be be not may images occasion, on surgery, to related issues timing of Because nodes. lymph (see Interfering Interfering (see radiopharmaceutical a or agents contrast oral of administration SPECT/CT may be indicated to provide better anatomical localization of the sentinel sentinel the of localization anatomical better provide to indicated be may SPECT/CT (1) • colonography, or another radiology or nuclear medicine examination involving involving examination medicine nuclear or radiology another or colonography, 2 hours or longer if deemed necessary by radiologist by necessary deemed if longer or hours 2 Department: in Time examination should not be scheduled within 1 week after a barium enema, CT CT enema, barium a after week 1 within scheduled be not should examination examination involving administration of intravenous contrast material. The The material. contrast intravenous of administration involving examination injection(s). to prior antiseptic topical appropriate examination should not be scheduled within 1 day after another radiology radiology another after day 1 within scheduled
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