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Request for Positron Emission Tomography (PET) Imaging (Part I) Diagnostic ImagingI V2 4 9 0155601 2017q No KnownAllergies:Physician Information (please use stamp)Name: ___ HCN: ___DD/MONTH/YYYY Date
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Check with your healthcare provider if you need to fast before the procedure
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Arrive at the imaging center at least 1 hour before the scheduled appointment
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You may be given a radioactive tracer intravenously
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Lie still on the scanning table as the machine takes images of your body
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The procedure typically takes 30-90 minutes

Who needs positron emission tomography-computed tomography?

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Patients with cancer to detect the spread of cancer cells
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Patients with heart disease to assess blood flow and function of the heart
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Patients with brain disorders such as Alzheimer's disease or seizures
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Positron emission tomography-computed tomography (PET-CT) is a medical imaging technique that combines positron emission tomography and computed tomography to provide detailed information on the structure and function of organs and tissues.
Medical professionals and healthcare facilities performing PET-CT scans are required to file the necessary documentation for each procedure.
PET-CT documentation should include patient information, scan details, and any relevant medical history. It should be filled out accurately and completely to ensure accurate reporting.
The purpose of PET-CT is to diagnose and monitor various medical conditions, including cancer, heart disease, and neurological disorders, by visualizing metabolic activity and anatomical structures.
The report should include patient demographics, the reason for the scan, any medications or allergies, the scan results, and a detailed interpretation by a qualified physician.
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