General Instructions

  1. If available, you should bring prior related studies to the imaging center at the time of your appointment for comparison purposes.
  2. Leave your valuables at home during your examination.
  3. Please bring your insurance cards, identification, and your prescription, authorization, and/or referral.

CT Scan

  1. For all CT scan procedures that require IV contrast, do not eat at least 4 hours prior to exam. You may have clear liquids, which includes water, black coffee or tea, clear sodas and clear soup broth.
  2. Abdomen and/or Pelvis CT exams may require drinking oral contrast several hours prior to exam. This contrast may be picked up at our reception desk prior to the date of exam.
  3. For all patients having a Contrast Injection (study is ordered with contrast) a creatinine level must be obtained for the following patients:
    • ALL diabetic patients regardless of age treated with insulin or other medications.
    • ALL patients with a history of “kidney disease” as an adult, including tumor, surgery and transplant.
    • ALL patients with a solitary kidney or history of renal surgery.

MRI

  1. The patient will be screened for metallic implants or devices including a pacemaker, brain aneurysm clip, cochlear implants, other medical devices or any possibility of metal fragments in their eyes or body.
  2. Patients age 60 or over will be required to have a Creatinine level for procedures requiring an injection of contrast (studies ordered with contrast).

Nuclear Medicine

  1. HIDA, Gastric Emptying and Reflux scans require no food or drink 4 hours prior to exam. Thyroid scans require the patient to be off thyroid medication for 4 weeks, and have consumed no seafood 24 hours prior to exam.
  2. Thyroid, Bone and Gallium scans require multiple visits to complete scans.

Ultrasound

  1. Abdomen, Gallbladder, Aorta and Pancreas scans require no food or drink 4 to 6 hours prior to exam. Pelvic scans require you to completely consume 32 oz. of clear, noncarbonated fluid 60 minutes prior to scan. Do not empty or relieve bladder.
  2. OB scans may require a full bladder if fetus is <18 weeks, completely consume 24 oz. of fluid 60 minutes prior to scan. Do not empty or relieve bladder. Call prior to exam if uncertain.
  3. Breast Ultrasound – Patient must bring all prior breast studies (i.e. mammogram films, breast ultrasound films, etc.).

Mammography

  1. Do not apply deodorants, oils, powder or perfumes to underarm or breast area on day of exam.
  2. If your prior study was performed elsewhere or if your films were checked out or our possession, please ensure that you bring all related prior films for comparison.

Upper GI Series, Esophogram, Small Bowel Series, IVP

  1. UGI, Esophogram, Small Bowel Series, IVP and Voiding Cysto scans require no food or drink after midnight.
  2. A note on Small Bowel Series – This can be a very lengthy exam. The amount of time needed to complete this study is different for every patient, so be prepared to spend a few hours in our facility.

Barium Enema and/or IVP Prep Routine

Please obtain the following items from your local pharmacy 24 to 48 hours prior to your scheduled procedure.

  • 1qty. 10oz. Bottle of Magnesium Citrate
  • 4qty. 5mg. Bisacodyl Tablets (Ducolax)
  • 1qty. 10mg. Bisacodyl Suppository (Ducolax)

These examinations require a thorough cleansing of the intestinal tract to provide the best results possible and to avoid repeat procedures. Follow each step carefully, taking only the medications, foods and fluids in the amounts specified, and the times shown.

Day Before Appointment

Breakfast

A clear Liquid Meal. This can consist of any soup broth, unsweetened clear fruit juices (cranberry, filtered apple Grape etc…). Plain gelatin, Popsicles, black coffee and Tea. Dietary supplements such as Nutrical or Sustical are acceptable as well. No carbonated beverages or dairy products are allowed.

Take any prescribed medications as ordered with water. If medication requires solid food, please contact your Physician. If you are diabetic, please consult your Physician regarding medication and/or insulin.

Drink entire contents of Magnesium Citrate Bottle then drink 8 oz. glass of water.

Lunch Clear Liquid Meal. Consult instructions listed with breakfast
Each Hour of Afternoon Drink an 8 oz. Glass of water. (At least 8 glasses, ie. 64 oz. of water to be consumed between 1pm and 10pm)
5:00pm Clear Liquid Meal.
7:00pm Take all Bisacodyl (Ducolax) Tablets with water.
Each Hour of Evening Drink an 8oz. glass of water. (continue clear liquids until bedtime).

Day of Appointment

3 Hours Prior to Appointment Use suppository. Retain at least 15 minutes for full effect. For Barium Enema patients, you may have clear liquids prior to appointment. For IVP patients, you may have clear liquids prior to appointment.
30 Minutes Prior to Appointment Report to Imaging Center Registration Area.
After Procedure You may resume your normal diet and medication schedule. If you have any questions, please contact your physician. The report from your procedure will be sent directly to the physician who ordered the testing.

BUN / Creatinine Levels

  1. Please supply BUN / Creatinine levels for patients over 65 years of age. Diabetics, please call for specific instructions.

PET-CT

  • No food or drink (other than water) for 6 hours prior to scan (including gum, breath mints, cough drops, hard candy or anything that may contain sugar).
  • You may drink ONLY water up to the time of your scan. It must be plain, unflavored water, no tea or coffee. Anything other than plain water could alter the results of your scan.
  • It is highly recommended that you follow a high protein, low carbohydrate diet for 24 hours prior to your test to increase the quality of your PET/CT images. A recommended food plan is below.
  • No strenuous exercise 24 hours prior to your scan.
  • Take medications as scheduled prior to your scan as long as they are tolerated on an empty stomach.
  • Wear warm, loose-fitting clothing; the scanning room tends to be quite cool. You will NOT be required to remove the clothing prior to the scan.
  • Avoid wearing any metal which cannot be removed during the scan (including underwire bra, jewelry and hair pins/clips).
  • Allow 2 hours for your appointment. For the scan itself you must be able to lay still and mostly flat for about 30 minutes.
  • If you need pain or anxiety medication, take medication prescribed by your physician 1 hour before the scan.

Diabetic Patients Additional Instructions

  • Please call for specific instructions

The Day Before Your PET/CT Scan

Recommendations for a high protein / low carbohydrate diet.

(Remember: No Food for 6 hours prior to your scan.)

Breakfast

  • 2 eggs any style
  • bacon or sausage
  • water
  • No Juice
  • No toast or potatoes

Lunch

Entrees (choose one)

  • 8 oz grilled steak
  • ½ a baked or broiled chicken
  • 8 oz grilled salmon fillet

Side items (choose one)

  • grilled or steamed asparagus or broccoli
  • sautéed or steamed mushrooms
  • any type of green vegetable salad

Dessert - cheese & salami slices

Dinner

Entrees (choose one)

  • 8 oz grilled steak
  • ½ a baked or broiled chicken
  • 8 oz grilled salmon fillet

Side items (choose one)

  • grilled or steamed asparagus or broccoli
  • sautéed or steamed mushrooms
  • any type of green vegetable salad

Dessert - cheese & salami slices

FOODS TO AVOID: Refined sugar, all fruits, raisins, beets, carrots, corn, kidney beans, peas, yams, cereal, rice cakes, all breads, muffins, tortillas, potatoes, pretzels, chips, rice, granola, oatmeal, pasta, all sodas, all fruit juices.