IV Contrast Recommendations for Healthcare Professionals | IV Contrast Ordering Guide in Tampa

For our Referring Physicians and associated Health Care Providers, we would like to present you with this ordering guide because we care about your patients as you do. We wish to ensure that the best diagnostic imaging study is performed for the patient's condition, promptly and efficiently, while minimizing any unnecessary radiation exposure.

Please contact us if you have any questions or if there is a study you would like to see added to this list.

Study		Indication	contrast
CT	Chest	all	with (no need for w/ and w/o)
CT Angio	Pulmonary	r/o PE	with
CT	Neck	all - swelling, inflammation, tumor, adenopathy	with (no need for w/ and w/o)
CT	Face	swelling or lump	with
CT	Face	probable sialolith	without
CT	Abd and Pelvis	urinary calculus	without
CT	Abd and Pelvis	hematuria, metastatic workup for known cancer	with and without
CT	Abdomen	liver lesion - possible hemangioma	dynamic contrast enhanced study
CT	Abdomen	renal, adrenal, or pancreatic mass	with and without
CT	Abd and Pelvis	neoplasm, inflammation (e.g. diverticulitis, appendicitis)	with
CT	Brain	acute stroke, acute headache	without
CT	Brain	tumor, other neurologic symptoms	with and without (or consider MRI)
CT	Orbits	mass, diplopia, inflammation	with
CT	Sinuses	sinusitis	without
CT	Sinuses	possible tumor	without and with
CT	Any extremity	tumor or inflammation	with (or consider MRI)
CT	Any extremity	trauma	without
CT Angio	Renal Arteries	uncontrolled htn (r/o renal artery stenosis)	with
CT Angio	Carotids	carotid stenosis found on ultrasound exam	with
CT Angio	Abdominal Aorta	AAA presurgical workup (use sono for screening)	with
CT Angio	Legs	peripheral vascular disease	with
CT	Coronary Artery Calcium Score	screening for coronary artery disease	without
CT IVP	Urinary Tract	hematuria workup	with
3D CT	any location	osseous deformity	without
MR	Brain	seizures, MS, neurologic symptoms	without
MR	Brain	tumor, MS	without and with
MR	Extremities	pain, trauma, mass	without
MR	any location	hemangioma or lymphangioma	without and with
MR	C-spine	syrinx, tumor, infection	without and with
MR	C-spine	disc pathology	without
MR	T-spine	syrinx, tumor, infection	without and with
MR	T-spine	disc pathology	without
MR	L-spine	tumor, infection	without and with
MR	L-spine	s/p spine surgery	without and with
MR	L-spine	disc pathology without prior surgery	without
MR	any location	r/o AVN	without
MR	any joint	rheumatoid arthritis	without and with IV contrast
MR	any location	infection	without and with IV contrast
MR Arthrogram	Shoulder	shoulder instability/suspected labral tear, loose body; inconclusive standard MR see article	with intra-articular contrast
MR Arthrogram	Elbow	throwing athlete with medial elbow pain; inconclusive standard MR	with intra-articular contrast
MR Arthrogram	Knee	post-op knee with inconclusive standard MR	with intra-articular contrast
MR Angiogram	Brain	family history of aneurysm	with IV contrast
MR Angiogram	Carotids		with IV contrast (or consider CT angiogram)
MR Angiogram	Renal	we recommend CT angiogram of renal arteries for better accuracy, or MRA on high-field system if there is a contraindication to use of iodinated IV contrast for CT

IV Contrast Recommendations for CT and MR Studies