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 |
|---|---|
| Arterial dissection (carotid or vertebral artery) | CTA Neck or MRA Neck without and with IV contrast (with axial T1 fat sat ) |
| Ataxia | CT Head without IV contrast or MRI Brain without IV contrast |
| Bell's Palsy | MRI Brain (IAC protocol) without and with IV contrast |
| Brain tumor | MRI Brain without and with IV contrast |
| Carotid stenosis | US Carotid followed by CTA Neck or MRA Neck without and with IV contrast |
| Cervical neck pain, degenerative disease, radiculopathy | MRI Cervical spine without IV contrast (add IV contrast if concern for infection or malignancy) |
| Cervical neck pain, radiculopathy (Post operative) | MRI Cervical spine without IV contrast |
| Compression fracture (benign) | CT without contrast or MRI without contrast of the cervical, thoracic, or lumbar spine |
| Compression fracture (pathologic) | MRI of the cervical, thoracic, or lumbar spine without and with IV contrast |
| CVA | CT Head without contrast or MRI Brain without IV contrast |
| Dementia | MRI Brain without contrast or CT Head without contrast |
| Diplopia | MRI Brain without and with IV contrast and MRI Orbits without and with IV contrast |
| Discitis/Osteomyelitis | MRI Cervical, Thoracic, or Lumbar spine without and with IV contrast |
| Dizziness/Vertigo | MRI Brain (IAC protocol) without and with IV contrast |
| Dural venous sinus thrombosis | CT Venogram Head or MRV Head without and with IV contrast |
| Dysphagia | CT Neck with IV contrast |
| Failed Back syndrome | MRI lumbar spine without and with IV contrast |
| Headaches | CT Head without contrast or MRI Brain without contrast (if concern for malignancy or infection then MRI Brain without and with IV contrast) |
| Hearing loss | MRI Brain (IAC protocol) without and with IV contrast |
| Hoarseness | CT Neck with IV contrast |
| Horner's syndrome | CTA Neck or CT Neck with IV contrast (depending on suspected etiology) |
| Intracranial aneurysm | CTA Head or MRA Head without IV contrast (add IV contrast if history of treated aneurysm) |
| Intracranial hemorrhage | CT Head without contrast |
| Low back pain, sciatica, radiculopathy | MRI of the lumbar spine without IV contrast (add IV contrast if history of lumbar surgery, concern for malignancy or infection) |
| Mastoiditis | CT Temporal bone without IV contrast (if concern for complication such as intracranial extension or abscess perform only with IV contrast) |
| Meningitis | MRI Brain without and with IV contrast |
| Metastatic disease to spine | MRI Cervical, throacic, or lumbar spine without and with IV contrast |
| Metastatic disease to brain | MRI Brain without and with IV contrast |
| Multiple sclerosis | MRI Brain (MS protocol) without and with IV contrast, MRI Cervical spine without and with IV contrast |
| Neck mass | CT Neck with IV contrast |
| Normal pressure hydrocephalus | CT Head without contrast or MRI Brain without contrast |
| Optic neurtitis | MRI Brain without and with IV contrast and MRI Orbits without and with IV contrast |
| Papilledema | MRI Brain without and with IV contrast and MRI Orbits without and with IV contrast |
| Seizures | MRI brain (seizure protocol) without IV contrast (add IV contrast if there is concern for intracranial lesion or infection) |
| Sinusitis | CT sinus without IV contrast (if concern for complication such as intracranial extension or abscess perform only with IV contrast) |
| Sialadenitis | CT Neck with IV contrast |
| Thoracic back pain | MRI Thoracic spine without IV contrast (add IV contrast if concern for malignancy or infection) |
| Thyroid enlargement/mass | US Thyroid, CT Neck with IV contrast |
| TIA | MRI Brain without contrast, MRA Head and MRA Neck without contrast |
| Tinnitus | CT Temporal bone without IV contrast, MRI Brain (IAC protocol) without and with contrast |
| Tonsillitis | CT Neck with IV contrast |
| Trauma of the spine | CT cervical, thoracic, or lumbar spine without contrast |
| Trauma brain (acute) | CT Head without contrast |
| Trauma brain (chronic) | MRI Brain without contrast |
| Trigeminal neuralgia | MRI Brain (Trigeminal protocol) without and with IV contrast |
| Visual field defect | MRI Brain without and with IV contrast and MRI Orbits without and with contrast |
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