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Radiology Instruction Guide

X-Ray - General Instructions	No requirements for most X-Rays unless specified by the referring doctor X-Rays are avoided in pregnant women. Consult with referring doctor for the same For chest and abdominal X-Rays, the patient will need to change into a hospital provided gown Ornaments and jewellery may need to be removed if the X-Ray is of a particular area
X-Ray LS- Spine & X-Ray KUB	Laxatives should be given the night before as per referring doctor's prescription and fasting required
Barium Swallow/Esophagram	Fasting required for 4 hours. Appointments to be given by the department
Barium Meal Follow Through (BMFT)	Fasting required for 6 hours. Appointments to be given by the department
Barium Enema	Dietary restrictions needed and bowel preparation is required with laxatives. Consult with referring doctor for the same Appointments to be given by the department
IVP (Intravenous Pyelogram)	Fasting required for 4-6 hours Recent Blood Urea & Creatinine report (Kidney Function test profile) required Patient is required to take a laxative for 2 nights prior to the procedure. Consult with referring doctor for the same

Mammography - General Instructions

Screening Mammography is recommended in women older than 40 years
Diagnostic mammography is performed for symptomatic women and advised by the referring doctor
Do not apply talcum powder, deodorant, perfume or lotion under arms or breast on the day of examination
Mammography is avoided in pregnancy and for breast feeding women. Consult with referring doctor for the same

USG Whole Abdomen	Minimum 6 hours fasting required and bladder should be full (drink water only) There may be additional waiting if the bladder is not full
USG Upper Abdomen	Minimum 6 hours fasting required. Water intake is allowed
USG Lower Abdomen	Full Bladder required (have as much fluid as comfortably possible and not pass urine for at least 45-60 minutes before the scan) Additional waiting if the bladder is not full No fasting required
USG KUB(Kidney, Ureter and Bladder), Pelvis, TVS Lower Abdomen	Full Bladder required (have as much fluid as comfortably possible and not pass urine for at least 45-60 minutes before the scan) Additional waiting if the bladder is not full No fasting required
Transvaginal Ultrasound (TVS)	No preparation required The patient may be asked to fill the bladder and wait for additional information and transabdominal scan
Pregnancy Ultrasound	Ultrasound Early Pregnancy- If the patient is not willing to have Transvaginal Scan then full bladder is required. Copy of Patient's ID & address proof (AADHAR) and doctor's prescription with stamp & DMC number required. PNDT form to be filled. Ultrasound Level I Scans- Partially Full Bladder (half litre water, do not to pass urine for at least half an hour). Copy of Patient's ID & address proof (AADHAR) and doctor's prescription with stamp & DMC number required. PNDT form to be filled. Ultrasound Growth Scans, Level II Scans - No Preparation Required. Copy of Patient's ID & address proof (AADHAR) and doctor's prescription with stamp & DMC number required. PNDT form to be filled.
Arterial or Venous Doppler of the Limbs and Neck	No preparation required
Doppler of Intra-Abdominal Arterial or Venous Systems	Fasting required for 6 hours. However, water intake is allowed

Computerized Tomography (CT) - General Instructions	CT is avoided in pregnancy and for breast feeding women. Please consult your referring doctor
CT- Plain	No specific requirements unless told by the doctor
HRCT (High Resolution Computed Tomography)	No specific requirements unless told by the doctor
NCCT (Non Contrast Computed Tomography)	No specific requirements unless told by the doctor
NCCT - KUB	Requires full bladder. No fasting needed Patient to have water prior to the study
CECT (Contrast-Enhanced Computed Tomography)	4 hours fasting for all Contrast studies including CT Angiography of any part Recent Blood Urea & Serum Creatinine (Kidney Function Profile) -not older than 3 weeks required Hydration to be maintained after the scan. Patient to continue drinking water more than normally consumed
CECT - Whole Abdomen	4 hours fasting for all Contrast studies including CT Angiography of any part. Oral contrast is given to the patient to drink. This has to be consumed between 60 and 120 minutes prior to the scan Hydration to be maintained after the scan. Patient to continue drinking water more than normally consumed
CT Cardiac & Coronary Angiography	4 hrs fasting for all Contrast studies including CT Angiography of any part. Patient’s heart rate should be less than 70 BPM. If the heart rate does not lower to the desired level, then medication is given prior to the study in consultation with the referring doctor Hydration to be maintained after the scan. Patient to continue drinking water more than normally consumed

MRI - General Instructions	All implants in the body including ferromagnetic devices need to be informed to the technologist. These include pacemakers, metal implants, prosthetic valves, cardiac stents, cochlear implants, indwelling pumps (including insulin pumps) or any other any metal objects. Some of these objects are unsafe for scanning in the MRI The patient will be made to change into a gown and asked to remove jewellery, watch, hair pins, clips, hearing aids, keys, coins, mobile phones. Any metallic object can cause harm in the MR machine room and has to be removed Patient should not have holter monitor or BP monitoring machine, telemetry units (Apparatus for cardiac monitoring). No syringe pumps, oxygen cylinder and patient bed allowed in MRI room In case the patient is pregnant or breast feeding, please contact the technologist and the referring doctor In case the patient's attendant accompanies the patient, then the same safety measures need to be taken
MRI - Plain	Technician to check with radiologist for implant type before proceeding All implants in the body including ferromagnetic devices need to be informed to the technician. These include pacemakers, metal implants, prosthetic valves, cardiac stents, cochlear implants, indwelling pumps (including insulin pumps) or any other any metal objects. Some of these objects are unsafe for scanning in the MRI The patient will be made to change into a gown and asked to remove jewellery, watches, hair pins, clips, hearing aids, keys, coins, mobile phones. Any metallic object can cause harm in the MRI machine room and has to be removed Patient should not have holter monitor and BP monitoring machine, telemetry units (apparatus for cardiac monitoring). No syringe pumps, oxygen cylinder and patient bed allowed in the MRI room In case the patient is pregnant or breast feeding, please contact the technologist and the referring doctor In case the patient's attendant accompanies the patient, then the same safety measures need to be taken
MRI - Contrast	Technician to check with radiologist for implant type before proceeding All implants in the body including ferromagnetic devices need to be informed to the technician. These include pacemakers, metal implants, prosthetic valves, cardiac stents, cochlear implants, indwelling pumps (including insulin pumps) or any other any metal objects. Some of these objects are unsafe for scanning in the MRI The patient will be made to change into a gown and asked to remove jewellery, watches, hair pins, clips, hearing aids, keys, coins, mobile phones. Any metallic object can cause harm in the MRI machine room and has to be removed Patient should not have holter monitor and BP monitoring machine, telemetry units (apparatus for cardiac monitoring). No syringe pumps, oxygen cylinder and patient bed allowed in the MRI room In case the patient is pregnant or breast feeding, please contact the technologist and the referring doctor In case the patient's attendant accompanies the patient, then the same safety measures need to be taken In addition, Blood Urea & Creatinine (Kidney Function Profile) in all patients with kidney disease & diabetes and for patients above the age of 60 years required. 3 hours fasting is required before contrast MRI. There is no restriction in drinking small amount of water
Magnetic Resonance Cholangio Pancreatography (MRCP)	Technician to check with radiologist for implant type before proceeding All implants in the body including ferromagnetic devices need to be informed to the technician. These include pacemakers, metal implants, prosthetic valves, cardiac stents, cochlear implants, indwelling pumps (including insulin pumps) or any other any metal objects. Some of these objects are unsafe for scanning in the MRI The patient will be made to change into a gown and asked to remove jewellery, watches, hair pins, clips, hearing aids, keys, coins, mobile phones. Any metallic object can cause harm in the MRI machine room and has to be removed Patient should not have holter monitor and BP monitoring machine, telemetry units (apparatus for cardiac monitoring). No syringe pumps, oxygen cylinder and patient bed allowed in the MRI room In case the patient is pregnant or breast feeding, please contact the technologist and the referring doctor In case the patient's attendant accompanies the patient, then the same safety measures need to be taken In addition, 4 hours fasting required including no water intake for 4 hours prior to the scan