Get the free PET 3-D Bone Tomogram or MDP Bone Scan Request Form

Rev 10/2004 SEATTLE NUCLEAR MEDICINE Na18F PET 3-D Bone Hologram or 99mTc MDP Bone Scan Request Form Pt Name: Diagnosis: Pt SS#: Ref Physician: Pt Phone: () Physician Signature: Sex: M F Birth date:

How to fill out pet 3-d bone tomogram

How to fill out a PET 3-D bone tomogram:

1. Begin by preparing the patient for the procedure. This may involve providing them with specific instructions such as fasting beforehand or avoiding any medications or substances that could interfere with the test results.
2. Once the patient is ready, they will be positioned on a scanning table. The technician will ensure the patient's comfort and proper alignment for the scan.
3. To fill out the PET 3-D bone tomogram, a radioactive tracer will be injected into the patient's bloodstream. This tracer is typically a small amount of a radioactive substance that helps to highlight areas of abnormal cell activity in the bones.
4. The patient will then undergo a period of waiting, typically around 1 to 2 hours, to allow the tracer to circulate throughout their body. During this time, they may be advised to rest or remain still.
5. Once the waiting period is over, the patient will be positioned inside the scanner. The scanner will take a series of images as the tracer travels through their body, detecting areas of increased cell activity in the bones.
6. It is important for the patient to remain still during the scan to ensure clear and accurate images. The technician will provide instructions and guidance throughout the process.
7. After the scan is complete, the patient can resume their normal activities. The images obtained from the PET 3-D bone tomogram will then be analyzed by a radiologist or physician to interpret the findings.

Who needs a PET 3-D bone tomogram:

1. Individuals with suspected or known bone diseases or disorders may require a PET 3-D bone tomogram. This can include conditions such as bone metastases, bone infections, or bone tumors.
2. Patients with certain types of cancer, such as breast, lung, or prostate cancer, may also benefit from a PET 3-D bone tomogram. This imaging technique can help detect the spread of cancer to the bones, providing valuable information for staging and treatment planning.
3. In some cases, individuals experiencing unexplained bone pain, fractures, or other symptoms may be recommended to undergo a PET 3-D bone tomogram to help identify potential underlying causes or conditions.

Overall, a PET 3-D bone tomogram is a valuable diagnostic tool used to assess bone health and detect abnormalities. It plays a crucial role in the management and treatment of various bone-related conditions.

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