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CT head without contrast for acute (“worst headache of life”). MRI without contrast.
CT head without contrast (acute). Concussion/TBI: MRI without and with contrast with DTI
CT head without contrast
CT head without contrast (only if concern for ICH) Subsequent study: MRI with and without contrast
CT head without contrast (if candidate for thrombolysis) Subsequent studies: MRI brain with and without contrast (with MR perfusion), MRA brain and MRA neck with and without contrast as indicated.
If concern for shunt malfunction CT head without contrast. Alternative for more acute processes: MRI with and without contrast.
First (New Onset) seizures: MRI Brain with and without contrast (CT Head if patient unstable / concern for ICH).
MRI brain with and without contrast (Hippocampal volumetrics (Alzheimer’s disease), perfusion, aqueductal stroke volume measurement (NPH)).
MRI with and without contrast. MRI contraindicated: CT with and without contrast.
MRI with and without contrast (Cranial nerve protocol).
MRI Brain with and without contrast (Pituitary protocol).
MRI with and without contrast with hippocampal volumes.
Brain MRI without contrast & CSF flow study (Acqueductal stroke volume measurement)
MRI with and without contrast. MRI contraindicated: CT with and without contrast
“Screening” MRA Head. CTA head with and without contrast for definition of small aneurysms, patients who can’t get MRA. Follow-up studies, MRA.
CT maxillofacial without contrast
Conventional X-ray first, then
CT sinus without contrast. If suspected orbital/intracranial involvement: MRI Brain + Orbits with and without contrast
CT maxillofacial with and without contrast.
If suspected orbit or brain extension: MRI Brain + Orbits without contrast, IAC protocol.
Developmental: CT temporal bones without contrast. Sensorineural: MRI IAC with and without contrast
Conventional X-ray first, then
MRI temporomandibular joints
US of Carotids first, then
CTA neck with and without contrast. OR
MRA neck with and without contrastt
Thyroid nodule: Thyroid US first, then:
CT neck with and without contrast.
Thyroid Cancer: MRI neck with and without contrast.
CT neck with and without contrast
MRI brachial plexus with and without contrast.
US of Carotids first, then
MRA neck with and without contrast. OR
CTA Neck with and without contrast.
Conventional X-ray first, then
CT thoracic spine without contrast. Acute neurologic deficit and negative CT: MRI without contrast.
Conventional X-ray first, then
MRI thoracic spine without contrast. Prior Surgery: MRI thoracic spine with and without contrast
MRI thoracic spine with and without contrast
MRI thoracic spine with and without contrast
MRI contradicted: CT with and without contrast
Conventional X-ray first, then
CT lumbar spine without contrast.
Acute neurologic deficit and negative CT: MRI lumbar spine without contrast
MRI lumbar spine without contras.
Prior Surgery: MRI lumbar spine with and without contrast.
MRI Contradicted: CT with and without contrast
MRI lumbar spine without contrast, follow up CT without contrast
MRI lumbar spine with and without contrast
MRI with and without contrast
MRI contradicted: CT lumbar spine with and without contrast
MRI lumbar spine + MRI sacrum without contrast
Conventional X-ray first, then
CT shoulder for pre-operative planning of fractures or occult fracture in younger patients.
MRI shoulder for occult fracture in older patients.
Conventional X-ray first for bony lesions, US for suspected lipoma, then
MRI shoulder with and without contrast
MRI shoulder with and without contrast
Conventional X-ray first, then
MRI shoulder without contrast
MRI shoulder with and without contrast/ MRI shoulder arthrogram with and without contrast*
*=depends on surgeon/referring doctor preference
Conventional X-ray first, then
MRI shoulder without contrast
MRI shoulder with and without contrast/ MRI shoulder arthrogram with and without contrast*
*=depends on surgeon/referring doctor preference
Conventional X-ray first, then
CT humerus for pre-operative planning of fractures or occult fracture in younger patients.
MRI humerus for occult fracture in older patients
Conventional X-ray first for bony lesions, US for suspected lipoma, then
MRI humerus with and without contrast
MRI humerus with and without contrast
Conventional X-ray first, then
MRI humerus without contrast
MRI humerus without contrast
Conventional X-ray first, then
CT elbow for pre-operative planning of fractures or occult fracture in younger patients.
MRI elbow for occult fracture in older patients
Conventional X-ray first for bony lesions, US for suspected lipoma, then
MRI elbow with and without contrast
MRI elbow with and without contrast
Conventional X-ray first, then
MRI elbow without contrast
MRI elbow without contrast
MRI elbow with and without contrast/MRI elbow arthrogram with and without contrast*
MRI elbow without contrast
MRI elbow without contrast
Conventional X-ray first, then
CT forearm for pre-operative planning of fractures.
MRI forearm without contrast for occult fracture in older patients
Conventional X-ray first for bony lesions, US for suspected lipoma, then
MRI forearm with and without contrast
MRI forearm with and without contrast
Conventional X-ray first, then
MRI forearm without contrast
MRI forearm without contrast
Conventional X-ray first, then
CT wrist for pre-operative planning of fractures or occult fracture in younger patients.
MRI wrist for occult fracture in older patients
Conventional X-ray first, then
MRI wrist with and without contrast
MRI wrist with and without contrast
Conventional X-ray first, then
MRI wrist without contrast
MRI wrist arthrogram with and without contrast
MRI wrist arthrogram with and without contrast
Conventional X-ray first, then
CT hand for pre-operative planning
MRI without contrast hand for occult fracture in older patients
Conventional X-ray first, then
MRI hand with and without contrast
MRI hand with and without contrast
Conventional X-ray first, then
MRI hand without contrast
Conventional X-ray first, then
CT finger for pre-operative planning
Conventional X-ray first, then
MRI finger with and without contrast
MRI finger with and without contrast
Conventional X-ray first, then
MRI finger without contrast
US for dynamic abnormality, then
MRI finger without contrast
Conventional X-ray first, then
CT sacrum for pre-operative planning
MRI sacrum for occult fracture
Conventional X-ray first, then
MRI sacrum with and without contrast
MRI sacrum with and without contrast
Conventional X-ray first, then
MRI sacrum without contrast
MRI sacrum without contrast
MRI sacrum without contrast
Conventional X-ray first, then
CT hip or pelvis for pre-operative planning of fractures or occult fracture in younger patients.
MRI hip or pelvis for occult fracture in older patients
Conventional X-ray first for bony lesions, US for suspected lipoma, then
MRI hip or pelvis with and without contrast
MRI hip or pelvis with and without contrast
MRI hip or pelvis without contrast
MRI hip or pelvis without contrast
MRI hip or pelvis without contrast
MRI hip or pelvis without contrast
MRI hip or pelvis without contrast
MRI hip arthrogram with and without contrast
Conventional X-ray first, then
CT thigh/femur for pre-operative planning OR hardware complications.
MRI for occult fracture
Conventional X-ray first, US for suspected lipoma, then
MRI thigh/femur with and without contrast
MRI thigh/femur with and without contrast
Conventional X-ray first, then
MRI thigh/femur without contrast
US for dynamic abnormality, then
MRI thigh/femur without contrast
Conventional X-ray first, then
CT knee for pre-operative planning OR hardware complications.
MRI for occult fracture
Conventional X-ray first for bony lesions, US for suspected lipoma or Bakers cyst, then
MRI knee with and without contrast
MRI knee with and without contrast
Conventional X-ray first, then
MRI knee without contrast
MRI knee arthrogram
MRI knee without contrast
MRI knee without contrast
MRI knee without contrast
Conventional X-ray first, then
CT calf/tibia for pre-operative planning OR hardware complications.
MRI for occult fracture
Conventional X-ray first for bony lesions, US for suspected lipoma, then
MRI calf/tibia with and without contrast
MRI calf/tibia with and without contrast
Conventional X-ray first, then
MRI calf/tibia without contrast
MRI calf/tibia without contrast
Conventional X-ray first, then
CT ankle/hindfoot for pre-operative planning OR hardware complications.
MRI for occult fracture
Conventional X-ray first for bony lesion then
MRI ankle/hindfoot with and without contrast
MRI ankle/hindfoot with and without contrast
Conventional X-ray first for bony lesion then
MRI ankle/hindfoot without contrast
Conventional X-ray first for bony lesion then
MRI ankle/hindfoot without contrast
Conventional X-ray first for bony lesion then
MRI ankle/hindfoot without contrast
Conventional X-ray first for bony lesion then
CT OR MRI ankle/hindfoot without contrast
Conventional X-ray first for bony lesion then
MRI ankle/hindfoot without contrast
Conventional X-ray first for bony lesion then
MRI ankle/hindfoot without contrast
Conventional X-ray first for bony lesion then
MRI ankle/hindfoot without contrast
MRI ankle/hindfoot arthrogram with and without contrast
Conventional X-ray first, then
CT foot for pre-operative planning
MRI for occult fracture
Conventional X-ray first for bony lesion then
MRI foot with and without contrast
MRI foot with and without contrast
Conventional X-ray first for bony lesion then
MRI foot without contrast
MRI foot without contrast
MRI foot without contrast
Conventional X-ray first, then
CT foot for pre-operative planning
Conventional X-ray first for bony lesion then
MRI foot with and without contrast
MRI foot with and without contrast
Conventional X-ray first for bony lesion then
MRI foot without contrast
MRI foot without contrast
MRI foot with and without contrast
CT chest with and without contrast
CT chest with and without contrast
Conventional X-ray first
CT chest with and without contrast
Conventional X-ray first
CT chest without contrast
CTA chest
Conventional X-ray first
CTA chest and abdomen
Conventional X-ray first
CTA chest
Conventional X-ray first
CT chest without contrast
CT abd+pel with and without contrast
Ultrasound, then if indeterminate
MRI abd+ pelv without contrast
Ultrasound to exclude gallstones, then
MRI Abdomen with and without contrast
X-ray of chest, abdomen, and pelvis, Ultrasounds, then
CT of the chest, abdomen, and/or pelvis
Ultrasound of abdomen, then
CT abdomen with and without contrast
CT abdomen/pelvis with and without contrast
Ultrasounds of the abdomen, then
CT of the abdomen with and without contrast
Ultrasound of the abdomen, then
CT abdomen/pelvis with and without contrast
CT abdomen/pelvis with and without contrast
Barium swallow
Ultrasound of the abdomen
Ultrasound of the abdomen, then
CT of the abdomen with and without contrast
CT of the abdomen/pelvis with and without contrast
Ultrasound of the abdomen, then
CT abdomen and pelvis without contrast
Ultrasound of the scrotum
Ultrasound kidney/bladder, then
CT abdomen and pelvis with and without contrast
CT abdomen and pelvis with and without contrast
CT abdomen and pelvis with and without contrast
CT OR MRI abdomen and pelvis with and without contrast
CT abdomen without contrast
CT or MRI abdomen and pelvis with and without contrast
CT abdomen and pelvis with and without contrast
Ultrasound kidney/bladder
CT abdomen and pelvis with and without contrast
US kidney/bladder
Transvaginal/transabdominal pelvis ultrasound
Transvaginal/transabdominal pelvis ultrasound
Pelvis ultrasound
Transvaginal/transabdominal pelvic ultrasound, short interval follow up.
MRI pelvis with and without contrast
Transvaginal/transabdominal pleading
Transabdominal bleeding
OB ultrasound
Transvaginal/transabdominal pelvic ultrasound
CT abdomen/pelvis with and without contrast
MRI pelvis with and without contrast
CT abdomen/pelvis with and without contrast
MRI pelvis with and without contrast
Ultrasound OB, if inconclusive then
MRI abdomen and pelvis without contrast
Ultrasound aorta/abdomen, then
CT abdomen and pelvis with and without contrast
CTA abdomen and pelvis
CTA chest
Lower extremity arterial ultrasound, then
CTA runoff
Lower extremity ultrasound
Ultrasound venous
CT abdomen with and without contrast