This Ordering Guide is meant to assist physicians when ordering a medical imaging exam with Quantum Radiology. The guide includes common indications as well as recommendations for the most appropriate examination.
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.
Please contact Wellstar Medical Imaging 678.581.5900
Please visit www.wellstar.org
| Symptom / Concern | Exam to Order |
|---|---|
| Chest Pain with: | |
| ECG uninterpretable OR unable to exercise with intermediate pre test probability | Coronary CTA |
| No ECG changes and serial enzymes negative with intermediate pre test probability | Coronary CTA |
| Uninterpretable or equivocal stress test (exercise, perfusion, or stress echo) with intermediate pre test probability | Coronary CTA |
| Other Indications: | |
| Evaluation of cardiac mass (suspected tumor Cardiac MRI or thrombus) | Cardiac MRI |
| Evaluation of pericardiaI conditions | Cardiac MRI |
| Evaluation of pulmonary vein anatomy prior CTA chest to invasive radiofrequency ablation for atrial fibrillation | CTA Chest |
| Evaluation of suspected coronary anomalies and complex congenital heart disease | Coronary CTA |
| Triple rule out-to exclude obstructive CAD, aortic dissection, and pulmonary embolis with intermediate pre-test probability for one of the above with normal ECG and no ST-segment elevation and initial enzymes negative | Gated CTA chest |
| Chest Pain with: | |
| Evalution of bypass grafts and coronary anatomy | Coronary CTA |
| History of percutaneous revascularization with Coronary CTA stents | Coronary CTA |
| Other Indications: | |
| Aortic valve morphological evaluation | MRA |
| Evaluation and follow up of aortic aneurysm | MRA |
| Evaluation of myocardial function | Cardiac MRI |
| Evaluation of myocardial viability | Cardiac MRI with contrast |
| Evaluation of non ischemic cardiomyopathy | Cardiac MRI with contrast |
| Suspected ARVC | Cardiac MRI |
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