Ordering Guide
Please call our office at 352-795-9200 during business hours (M-F 8:30am-5pm, excluding Holidays) and/or fax a physician order form/script as provided below to 352-795-6460.
This Ordering Guide is meant to assist physicians when ordering a medical imaging exam with Citrus Diagnostic Center. The guide includes common indications as well as recommendations for the most appropriate examination.
Patients Come First
Examinations may be further tailored to a patient’s specific condition. When ordering an exam, please include the clinical question/specific condition in question so that the appropriate imaging can be performed.
Physician Order Form
Ordering Guide
Nuclear Medicine/PET
| Symptom / Concern | Exam to Order |
|---|---|
| Abdominal pain right side | Gallbladder emptying study |
| Abdominal pain S/P cholecstectomy | HIDA scan for bile leak |
| Alzheimers disease diagnosis | PET/CT brain scan |
| Ataxia, incontinence, dementia | NM cisternogram |
| Back pain in cancer patient | SPECT/CT NM bone scan |
| Bloating, abdominal pain | Gastric emptying study |
| Bone pain r/o occult fracture | 3 phase bone scan |
| Breast Cancer | PET/ CT scan |
| Cancer evaluate for metastatic disease | Bone scan |
| Carcinoid tumor pancreatic islet cell tumor | Octeotide scan |
| Diabetic joint pain, neuropathic joint versus infection | SPECT/CT limited bone scan |
| Esophageal cancer staging | PET/CT scan |
| Fever of unknown origin | Indium wholebody scan |
| GI bleed | NMGI bleeding scan |
| Head & neck cancer staging | PET/CT scan |
| Hydronephrosis, renal obstruction | Renal scan with lasix |
| Hyper/ hypohtyroidism | NM thyroid scan& NM thyroid uptake |
| Hypercalcemia, parathyroid adenoma | NM Parathyroid scan/SPECT/CT Parathyroid scan |
| Hypertension, adrenal mass | MIBG NM scan |
| Joint pain, bone pain | Bone scan |
| Lung cancer staging | PET/CT scan |
| Lung nodule 7mm or larger | PET/CT scan |
| Lymphoma staging | PET/CT scan |
| Melanoma staging | PET/CT scan |
| Pain in a limb, infection or fracture | 3 phase bone scan |
| Pain in back no history of cancer | SPECT/CT bone scan |
| Pain in bone/extermity, osteomyelitis | Indium localized scan |
| Pain in the foot/hand, infection | 3 phase bone scan |
| Painful joint replacement | 3 phase limited bone scan |
| Renal failure/insufficiency | Renal scan |
| Right side abdominal pain, cholecystitis | HIDA scan |
| Thyroid cancer staging | Whole body I 131 scan |