Mount Carmel Health Partners Clinical Guidelines CT Scan

CT Scan/MRI Ordering Reference Guide
The Computed Tomography (CT) Scan and Magnetic Resonance Imaging (MRI) Ordering Reference Guide is to provide guidance in
ordering CT Scan and/or MRI scan. In many cases, the first line imaging maybe more appropriately an x-Ray () and/or an ultrasound (±).
This reference guide intend is when the provider has pre-determined to order an CT Scan and/or MRI.
To Schedule an appointment call Preplanned Services: 614-546-4773(phone) and 614-546-4826 (fax)
CT Scan/MRI
BODY PART
SIGNS/SYMPTOMS
Trauma, Cerebral Vascular Accident (CVA), Bleeding, Headache, Shunt
Check, Alzheimer's, Memory Loss, Transient Ischemic Attack (TIA), Mental
Status Change, Confusion, Seizure
BRAIN
Hearing Loss, Tumor, Elevated Prolactin Levels, Cranial Nerve Lesions,
Dizziness, Vertigo, Multiple Sclerosis (MS), Arteriovenous Malformation
(AVM), Pituitary Lesions, Seizures, Infection
Stroke, CVA, TIA
EXAM TO ORDER
CT Head without Contrast then after a CT Head
without contrast was performed consider:
MRI Brain Without Contrast for more severe
symptoms or persistent symptoms
MRI Brain without and with Contrast
CT Head without Contrast then consider:
MRI Brain without Contrast
SINUSES
ORBITS
FACIAL BONES
TEMPORAL BONES
NECK
CHEST
ABDOMEN
and
PELVIS
Pain, Congestions, Sinusitis CT Sinus without Contrast
Infection, Mass CT Orbits with Intravenous (IV) Contrast
Trauma, Fracture, Foreign Body CT Orbits without Contrast
Grave's Disease, Exophthalmus, Proptosis, Pseudo tumor, Vascular Lesions MRI Orbits without and with Contrast
Trauma, Pain CT Facial Bones without Contrast
Tinnitus, Cholesteatoma, Pain, Trauma CT Temporal Bones without Contrast
Mass, Adenopathy CT Neck with IV Contrast
Infection, Pain, Vocal Cord Paralysis MRI Neck without and with Contrast for
problem solving or CT Contrast Allergy
Neural Tumor, Brachial Plexus Pathology MRI Chest without Contrast
Hilar or Mediastinal Mass, Lung Cancer, Lymphoma, Sarcoid, Staging,
Mesothelioma, Metastatic Work-Up CT Chest with Contrast
Nodule, Cough, Pain  CT Chest without Contrast
Interstitial Lung Disease, Idiopathic Pulmonary Fibrosis (IPF),
Usual Interstitial Pneumonia (UIP)  CT Chest, High Resolution, No Contrast.
Neural Tumor, Brachial Plexus Pathology MRI Chest without Contrast
Pain, Colitis, Inflammatory Bowel Disease (IBD), Crohns, Appendicitis,
Abscess, Tumor, Cancer CT Abdomen and Pelvis with Oral and IV
Contrast
Hematuria with Pain, Stone Survey CT Abdomen and Pelvis without Oral and IV
Contrast
Post Liver Embolization, Hemangioma, Hepatoma, Hepatitis, Cirrhosis,
Pancreatitis, Pseudocyst CT or MRI Abdomen without and with Contrast
Biliary Obstruction, GB Stones, Jaundice, Abnormal Enzymes, Adrenal Mass ± MRI Abdomen with Contrast (MRCP)
IBD, Occult Gastrointestinal (GI) Bleeding, Diffuse Small Bowel Disease (SBD)
(Gluten enteropathy) CT Enterography usually after routine CT is
inconclusive
Fibroid, Pre-Post Fibroid Embolization, Ovarian Mass, Endometrioma ± MRI Pelvis without and with Contrast
Note: First line imaging maybe more appropriately an x-Ray (*) and/or an ultrasound (±).
February 2017