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Provider Nuclear Medicine and PET/CT Ordering Guide

Location Information

Location Information

Hours of Operation

Spartanburg Medical Center (Regional Outpatient Center): 7:30 a.m. – 11 p.m.

North Grove Medical Park: 7:30 a.m. – 4:30 p.m.

Pelham Medical Center: 7:30 a.m. – 4:30 p.m.

Gibbs Cancer Center (PET/CT Department): 7:30 a.m. – 5 p.m.

 

 

Department Phone Number

Spartanburg Medical Center: 864-560-6166

North Grove Medical Park: 864-560-9009

Pelham Medical Center: 864-530-4664

Gibbs Cancer Center (PET/CT): 864-560-6414

 

 

After Hours Phone Numbers

Spartanburg Medical Center: 864-560-6166

Pelham Medical Center: 864-530-4664

 

    Procedures and Diagnostic Services Provided

    Procedures and Diagnostic Services Provided

    Bone scan – total body, limited bone, 3-phase bone, SPECT/CT bone scan

    • No prep needed

    Cisternogram

    • Only performed at Regional Outpatient Center.
    • No Plavix® for 2 days; hold morning blood thinners.
    • If patient is on Coumadin®, have labs drawn and discuss with radiologist prior to lumbar puncture.
    • No blood thinners or aspirin for 2 days prior to exam.

    DaTscan

    • Patient should be well hydrated before scan.

    GI Bleed Scan

    • No prep needed.
    • Not performed as an outpatient.

    Gallium Scan

    • No prep needed.

    Gastric Empty

    • 4 hour outpatient exam.
    • NPO 4 to 6 hours before exam.
    • No anti-nausea or pain medication 4 hours before exam.
    • Medications affecting gastric motility stopped 2 days prior to exam.
    • Diabetic patients need to bring glucose meter to appointment.

    HIDA Scan

    • No food by mouth (NPO) 4 hours and no pain medications 4 hours prior to exam.

    I-123 MIBG

    • Contact nuclear medicine for patient preparation.

    In111/TC99 WBC (Leukocyte scan)

    • No prep needed.

    Liver RBC

    • No prep needed.

    Lung Scan (VQ scan)

    • No prep needed.
    • Chest x-ray within 24 hours of exam start.

    Lymphoscintigraphy (only performed at SMC and PMC)

    • No prep needed.

    MUGA Scan

    • No prep needed.

    Meckle’s Scan

    • No food by mouth (NPO) 4 hours prior to exam.
    • No barium, laxatives or aspirin 5 days prior to exam.

    Myocardial Perfusion (nuclear stress test)

    • No food by mouth (NPO) 4 hours prior to exam.
    • No caffeine or nicotine 24 hours prior to exam.
    • No heart or blood pressure medications the day of exam.
    • Bring a list of all medications to appointment.

    Octreoscan

    • Mild laxative (citrate of magnesium) day before exam.

    PET/CT Bone Scan

    • No prep needed.

    PET/CT Brain Scan

    • If exam is for seizure, no anticonvulsants the day of or any seizures at least 4 hours prior.

    PET/CT Scan – Oncology

    • Only performed at Regional Outpatient Center.
    • No food by mouth (NPO) 4 to 6 hours prior to exam (water is fine).
    • Patient well hydrated.
    • No diabetic meds.
    • No strenuous exercise 24 hours prior to exam.

    Parathyroid Scan

    • No prep needed.

    Prostacints

    • No prep needed.

    Renal DMSA

    • Patient well hydrated.

    Renal ERPF (Triple renal scan)

    • Patient well hydrated.

    Renal Scan with Captopril

    • Patient well hydrated.
    • No ACE inhibitors or Lasix® 48 hours prior to exam.

    Renal Scan with Lasix®

    • Patient well hydrated.
    • Patient off Lasix® for 48 hours prior to exam.

    Thyroid Therapy – Hyperthyroid/Cancer

    • Only performed at Regional Outpatient Center.
    • Contact nuclear medicine for patient preparation.

    Thyroid Uptake and Scan

    • Only performed at Regional Outpatient Center.
    • NPO after midnight.
    • No fish oil 2 weeks prior to exam.
    • Off thyroid medications as follows:
      • Methimazole/PTU 5-7 days prior;
      • Cytomel 10 to 14 days prior to exam;
      • Synthroid® 4 weeks prior to exam;
      • No iodinated contrast 4 weeks prior to exam.

    Xofigo-Ra223 Therapy

    • Need labs.
    • Patient’s current weight.

    Y-90 Sirshperes

    • Current billirubin – work up with IR Radiologist.

    Zevalin Therapy

    • Need labs.
    • Patient’s current weight.
    • Pregnancy test – if applicable.
    • Bone marrow biopsy results.