Nuclear Medicine Preparation and Exams

Important notes for all Nuclear Medicine exams:

A written referral order from your physician is absolutely required at the time of service. Please obtain this from your doctor and bring it with you.

We need patients to bring any related prior imaging studies so that our radiologist can make comparisons and provide the best interpretation of the exam.

If there is a chance that the patient could be pregnant, we need you to call and notify our office in advance. A doctor administered pregnancy test may be necessary to avoid unnecessary radiation during pregnancy. For women of childbearing age (12-50 years of age), nuclear medicine exams are to be scheduled between day one and day fourteen of the menstrual cycle unless there is no possibility of pregnancy.

Hepatobiliary Scan instructions:

  • Do not eat or drink for 6 hours prior to the exam.

Thyroid Uptake instructions:

Patients having thyroid scans and uptake studies receive a capsule to swallow instead of the injection. There are no side effects or reactions with the capsule, the capsule can even be given to patients who are allergic to iodine as the amount of iodine is miniscule (about the amount found in salt or bread).

  • Do not eat seafood for 72 hours prior to the exam
  • Do not eat or drink anything for 4 hours prior to the exam except for water
  • Do not take thyroid hormones for 2 weeks prior to the exam
  • Do not take thyroid suppressants for 5 days prior to the exam
  • No imaging exams that use CT/x-ray contrast for 4 weeks prior to the exam

Bone Scan:

  • No preparation is required
  • This is not a bone density or DEXA scan

Renal Scan:

  • Drink at least one large glass of water 30 minutes prior to the exam.
  • We need your BUN and Creatinine results from your doctor’s office, if available
  • Additional instruction may be provided for exams evaluating high blood pressure

What should I expect?

Although imaging time can vary, the exam generally takes 20 to 60 minutes.

  • A radio-pharmaceutical, known as a tracer, is usually administered either intravenously or by mouth. What radio-pharmaceutical is used and when the imaging will be done – immediately, a few hours later, or even several days after the injection, is dependent upon the type of exam you’re having.
  • For most nuclear scans, you will lie down on a table and a nuclear imaging camera will be used to capture the image of the area being examined. The camera is either suspended over or below the exam table or in a large donut-shaped machine like a CT scanner. While the images are being obtained, you must remain as still as possible.
  • Most of the radioactivity is expelled out of your body in urine or stool. The rest simply disappears through over time.

Although usually done with a small needle, some patients experience some minor discomfort from the intravenous injection, or IV. Also, lying still on the examining table may be uncomfortable for some patients. You will hear low-level clicking or buzzing noises from the machine.

COVID-19 Update

The Governors of Maryland and Virginia have closed all non-essential businesses during the COVID-19 pandemic. Radiology centers have been classified as essential services. 

The health, well-being, and safety of our patients and staff is our top priority. We are committed to helping stop the spread of COVID-19. We have taken steps to continue providing only critical service required to meet the needs of the community.  After very careful consideration we have decided to reschedule all non-urgent imaging appointments as well as consolidate our services by adjusting hours and center openings. To protect everyone, we are closely following the guidance of local, national and global health authorities – including the CDC – in addressing current challenges. As circumstances continue to change, we will keep you informed.

As the situation continues to develop in our community, we want to maintain our ability to provide quality service while safeguarding the health and safety of our patients and staff. We realize these are tenuous times and we are actively monitoring the ongoing situation and following the latest available CDC guidelines. In an effort to limit the risk of exposure for our patients and our employees who may be in high-risk categories, we are asking that you:

Please do not go to a Fairfax Radiology Center/Radiology Imaging Associates location if ANY of the following apply:

    1. You have cough, fever, or shortness of breath
    2. You have traveled by airplane or to New York City in the past 14 days or less
    3. You have had contact with a person who has tested positive for COVID-19 or who is undergoing a test (results pending) for COVID-19.

Instead, please contact your physician for instructions. Patients may call to reschedule their appointment once they are symptom and fever-free for a minimum of 24 hours without the use of medication.

Trusted and Credible Resources for Coronavirus COVID-19 Updates:

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