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PET/CT Referral Form 271 Carew Street, Springeld, MA 01104Scheduling: 413.748.9331 | Fax: 413.748.9350 Tax ID: 042985146 | NPI: 131625117 PATIENT INFORMATION _________[1][2]Patient Name___ [5]Patient
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01
Make sure the patient fasts for at least 4-6 hours prior to the scan.
02
Ensure the patient is well hydrated before the scan.
03
Administer the FDG radiotracer intravenously at the appropriate dosage based on the patient's weight.
04
Allow the radiotracer to distribute throughout the body for about 60 minutes.
05
Position the patient on the PET/CT scanner bed and acquire the images.

Who needs f18- fdg imaging petct?

01
Patients with suspected cancer or tumors that need to be localized and evaluated for metabolic activity.
02
Patients undergoing cancer treatment to monitor response to therapy.
03
Patients with neurodegenerative disorders such as Alzheimer's disease for brain imaging.
04
Patients with cardiac conditions for myocardial viability assessment.
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F18-FDG imaging PET/CT is a type of medical imaging that combines positron emission tomography (PET) with computed tomography (CT) using a tracer called fluorodeoxyglucose (FDG), which is tagged with the radioactive isotope F18. It is primarily used for detecting, diagnosing, and monitoring cancer and other conditions.
Medical professionals or institutions that perform F18-FDG imaging PET/CT scans are typically required to file reports related to the procedures for regulatory and billing purposes.
To fill out the F18-FDG imaging PET/CT report, medical professionals should include patient demographics, clinical indications, results of the imaging examination, interpretation of findings, and recommendations for further action if necessary.
The purpose of F18-FDG imaging PET/CT is to provide detailed images that help in the detection, localization, and characterization of tumors, evaluate treatment response, and assess disease progression or recurrence.
The report should include patient identification, clinical history, details of the imaging procedure, interpretation of images, findings, impressions, and any recommendations for further treatment or follow-up.
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