Get the free PET CT Bone Scan Referral Form.pdf - PET Imaging Center - biomedpet

PET CT BONE SCAN REFERRAL DATA SHEET Biomedical Research Foundation of Northwest Louisiana Positron Emission Tomography (P.E.T.) Imaging Center Scheduling Phone: 3186754042 Fax: 3186754020 Toll Free:

How to fill out pet ct bone scan

How to fill out a PET CT bone scan:

1. Schedule an appointment with a healthcare provider or a specialized imaging center that offers PET CT bone scans.
2. Follow any necessary preparation instructions provided by the healthcare provider or imaging center. This may include fasting for a certain period of time before the scan or avoiding certain medications.
3. Arrive at the designated location for the PET CT bone scan and check in with the receptionist or staff.
4. Provide any required personal information and insurance details.
5. Change into a hospital gown or appropriate attire for the scan if instructed to do so.
6. Review and sign any necessary consent forms or documents.
7. Before the scan begins, the healthcare provider or technician may inject a small amount of radioactive tracer into a vein in your arm. This tracer will circulate through your bloodstream and help create detailed images of your bones during the scan.
8. You may be asked to wait for a certain amount of time following the injection to allow the tracer to distribute throughout your body.
9. Once it's time for the scan, you'll be positioned on a scanner table that moves slowly through a large, donut-shaped machine called a PET CT scanner.
10. While the scanner table moves, it's important to lie still and follow any instructions given by the healthcare provider or technician.
11. The scanner will take images of your bones from different angles. It's important to remain calm and relaxed during the scan.
12. The entire procedure usually takes about 30 minutes to an hour, depending on the specific imaging protocol.
13. Once the scan is complete, you may be allowed to change back into your regular clothes if necessary.
14. You might be able to resume your everyday activities immediately following the scan, unless instructed otherwise.
15. The images captured during the PET CT bone scan will be analyzed by a radiologist or other healthcare professional, who will then provide a report to your referring physician.
16. Follow up with your healthcare provider to discuss the results of the PET CT bone scan and any further steps or treatments that may be recommended based on the findings.

Who needs a PET CT bone scan:

1. Individuals who have unexplained bone pain or have experienced bone fractures that may not be easily detected by other imaging techniques.
2. Patients with a history of cancer, including individuals with breast, lung, prostate, or other cancers, who may need to assess the presence or spread of cancer to the bones.
3. Those diagnosed with bone metastases, or the spread of cancer from other parts of the body to the bones.
4. Patients undergoing treatment for cancer who need to monitor the effectiveness of the treatment and assess if any changes or adjustments are necessary.
5. Individuals with certain bone diseases, such as Paget’s disease or osteomyelitis, who may require diagnostic imaging to evaluate the condition and guide treatment decisions.
6. Healthcare professionals may also recommend a PET CT bone scan as part of a comprehensive diagnostic workup for certain health conditions or to monitor the progression of specific diseases affecting the bones.

Overall, the PET CT bone scan is a valuable diagnostic tool that helps healthcare providers assess bone health, detect abnormalities, and guide appropriate treatment plans for a variety of medical conditions.

For pdfFiller’s FAQs

What is pet ct bone scan?

A PET CT bone scan is a diagnostic imaging test that combines positron emission tomography (PET) and computed tomography (CT) scans to evaluate the bones for abnormalities, such as fractures, tumors, or infections.

Who is required to file pet ct bone scan?

Patients who are referred by their healthcare provider for a PET CT bone scan are required to undergo the procedure.

How to fill out pet ct bone scan?

To fill out a PET CT bone scan, the patient must follow the instructions provided by the healthcare provider or imaging center, which may include fasting before the test and avoiding certain medications.

What is the purpose of pet ct bone scan?

The purpose of a PET CT bone scan is to diagnose and monitor conditions affecting the bones, such as bone cancer, fractures, infections, and metabolic bone diseases.

What information must be reported on pet ct bone scan?

A PET CT bone scan typically includes information about the patient's medical history, current symptoms, medications, allergies, and any previous imaging studies.

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