East River Medical Imaging, PC

PET/CT
MRI
CT Scan
Coronary CT Angio
Ultrasonography
X-Ray/Fluoroscopy
Nuclear Medicine
Bone Density
Dental Imaging

• Richard Katz, MD
• Morton Schneider, MD
• Steven Albert, MD
• Alison Haimes, MD
• Stephen Greenberg, MD
• Douglas DeCorato, MD
• Gavin Duke, MD
• Barbara Braffman, MD
• Clyde Hershan, MD
• Paul Choi, MD
• Sean Herman, MD
• Robert Ludwig, MD
• Gwen Harris, MD

Preparations

PET/CT MRI CT Ultrasound X-Ray Nuclear Medicine Bone Density Dental Scan

Preparations for imaging examinations will vary depending on the examination. The purpose of the preparation is to increase the likelihood of a thorough examination and reduce the chance of artifacts simulating disease.

Although some of the preparations may not be easy to follow, please try your best. Years of experience has shown us that these preparations work well. If the prep is too extreme for you, please call the office and a modified preparation can be given.

Diabetic, Elderly, or Debilitated Patients should call for a modified preparation.

If you are taking Glucophage and are having a CT or Intravenous Pyelogram please notify the office at the time of your appointment. This medication will interact with the intravenous iodine injection.

If there is a possibility that you are pregnant and are having any exam, with the exception of an ultrasound, please notify the scheduler, the front desk and the technician.

If old films are available pertaining to the exam being performed, please bring them with you for comparison.

If you have a history of an allergy to iodinated contrast, asthma, or a strong allergic history, please notify the office when scheduling your exam. Premedication may be necessary depending on the clinical history. If indicated the radiologist or your referring doctor can call your pharmacy. When arriving at the office for your appointment, please notify the front desk and the technologist performing the examination if you have an allergic history or have been premedicated.

PET/CT

You should not eat or drink (except water) for at least 6 hours before your test and no caffeine, nicotine, or alcohol for at least 12 hours before.

Avoid strenuous exercise for at least one day prior to the PET/CT exam. Try to drink at least 32 ounces of water the day before the exam.

Please inform us of any medications you are taking. It would be a good idea to bring a list of your current medications. Some medications can interfere with the exam. If your particular mediation should not be taken on the day of your exam, we will let you know. If you've been advised not to take your medications on an empty stomach, eat nothing more than a few soda crackers within 6 hours of your exam.

If you are an insulin dependent diabetic, you may eat toast with a small amount of juice and take your insulin at least two hours before your exam.

Patients must have a written physician requisition which states their medical and surgical history and the reason for the PET/CT scan.

Please inform us if you are diabetic, pregnant or nursing.

A CD/DVD player is available, please feel free to bring your own selections.

MRI

Head / Neck: Do not wear any eye makeup

Please call our office before your appointment if any of the follow apply:

-Surgical Vascular Clips
-Neurostimulaters
-Cochlear Implants
-IVC Filter
-Silver Backed Dermal Patches
-Breast Tissue Expander
-Penile Implants
-Pacemaker
-Claustrophobia

There are no dietary restrictions prior to your MRI Examination.
Music is available during the examination. Please feel free to bring a tape or CD.

Head/Neck or Chest:	Nothing to eat or drink four hours prior to examination.
Abdomen and/or Pelvis	Clear liquid diet for 12 hours prior to exam. Liquids include clear juices such as apple, cranberry and grape, clear soups, Jell-O, coffee, or tea. No milk products or carbonated beverages.
Spine/Bone or Joint	No preparation necessary.

Ultrasound

Pelvic / Obstetrical	Drink one quart of water 2 hours prior to exam. Do not urinate after drinking water. Your bladder must be full for the sonogram.
Transvaginal	No preparation necessary.
Abdominal / Gallbladder	Clear liquid diet for 12 hours prior to exam. Liquids include clear juices such as apple, cranberry and grape, clear soups, Jell-O, coffee, or tea. No milk products or carbonated beverages.
Aortic / Renal	Clear liquid diet for 12 hours prior to exam. Liquids include clear juices such as apple, cranberry and grape, clear soups, Jell-O, coffee, or tea. No milk products or carbonated beverages.
Thyroid / Scrotal / Doppler Studies:	There is no preparation for these studies.

X-Ray

Esophagram and/or GI and/or Small Bowel	Nothing to eat or drink 12 hours prior to exam
Barium Enema and Air Contrast	Clear liquid diet for 24 hours prior to exam. Liquids include clear juices such as apple, cranberry & grape, clear soups, jello, coffee or tea. No milk products or carbonated beverages. AT 8:00 P.M. Night before - Drink one 10oz. bottle of citrate of magnesia. Beginning at 8 P.M. until bedtime, drink four 8 oz. glasses of water. AT 10.P.M. Night before - Take four Dulcolax pills with water. On the morning of the exam you may have any liquid listed above. AFTER A BARIUM STUDY take a laxative (3 tbsp. Milk of Magnesia)
Gallbladder (OCG)	Call our office for preparation
Intravenous Pyelogram (IVP)	AT 6 P.M. Night before - Drink one 10 oz bottle of citrate of magnesia. You may have a moderate supper. Beginning at 8 p.m. until bedtime drink four 8 oz glasses of water. Nothing to eat or drink after midnight until your exam is completed.
Plain X-rays	There is no preparation for these studies.

Nuclear Medicine

No Preparation Necessary.

It is beneficial to increase your fluid intake following the examination to help eliminate any radioactive material that may still remain in your system.

Bone Density

No Preparation Necessary

You should not have had a barium study three days prior to your bone density examination.

Dental Scan

No Preparation Necessary

Dental Waiver:

TO ALL DENTAL IMPLANT PATIENTS:

Please be advised that the examination that we are about to perform is considered a dental procedure and cosmetic in nature. This examination is not covered by standard medical insurance, Medicare or other supplemental Medicare coverage. You are responsible for all charges for these services.

Accordingly, we will not file an insurance claim form with your medical insurance carrier or with Medicare should this be your primary insurance or other supplemental coverage.