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ABDOMINAL IMAGING Abdominal Imaging Reference Guide for GPs Examination Indications / Pathologies Demonstrated Patient Preparation Medicare Rebate? X-Ray Abdomen Obstruction, volvulus, perforation No preparation Yes CT Abdo - Routine Appendicitis, Diverticulitis, Obstruction, Malignancy Fast 4 hours / clear fluids OK Yes CT Abdo - Renal Mass Characterisation of kidney mass Fast 4 hours / clear fluids OK Yes CT Abdo - Pancreas Pancreatic mass or necrosis Fast 4 hours / clear fluids OK Yes CT Urogram non contrast Renal calculi No preparation Yes CT Urogram post contrast Haematuria, urothelial lesions Fast 4 hours / clear fluids OK Yes CT Renal Angiogram Renal artery stenosis Fast 4 hours / clear fluids OK Yes CT Aortic Angiogram Treatment planning & follow up ELGraft Aorto-iliac occlusive disease Fast 4 hours / clear fluids OK Yes CT Colonography (CTC) Colonic masses Fast 6 hours and bowel preparation Ultrasound Abdomen Liver, biliary, renal, pancreatic abnormalities Fast 6 hours / no water Yes Ultrasound Renal Looks at kidneys, bladder, prostate/ uterus, ovaries Finish 1L water 1hr before appointment and hold Yes Ultrasound Aorta Aortic aneurysm Fast 6 hours / no water Yes Ultrasound Abdominal wall Mass / hernia No preparation Yes Ultrasound Pelvis Uterus, ovaries / prostate, appendix* Finish 1L water 1hr before appointment and hold Yes Ultrasound Scrotum Masses, varicocoele, hydrocoele No preparation Yes Ultrasound Groin Herniae No preparation Yes Barium Enema Colonic lesion – colonoscopy or CTC preferred 2 day bowel preparation Yes Barium Swallow Swallowing difficulty, reflux, hernia Fast 6 hours / no water Yes Small Bowel series MRE / CTE preferred Fast 6 hours / no water Yes MR - CP Biliary or Pancreatic Pathology Fast 6 hours / no water Specialist Only Rebate MRI Liver Lesion characterisation or pre surgery Fast 6 hours / no water No rebate MRI Renal Arteries If allergic to CT contrast Fast 6 hours / no water No rebate MR Pelvis Problem solving Fast 6 hours / no water No rebate MR Prostate Detection and staging of prostate cancer Fast 6 hours / no water Specialist Only No rebate MR Enterography (MRE / CTE) Crohns, small bowel pathology Fast 6 hours / no water Drink sorbitol and water 1hr MRI Rectum Staging – need tissue diagnosis Fast 6 hours / no water Specialist Only Rebate once only MRI Cervix Staging – need tissue diagnosis Fast 6 hours / no water Specialist Only Rebate once only MRI Anal Canal Anal fistula assessment Fast 6 hours / no water No rebate Nuc Med Gastric Emptying Gastropariesis, gastric emptying delay Check with technician Yes Nuc Med Biliary Scan Biliary dyskinesia, chronic cholecystitis Check with technician Yes Nuc Med Meckel’s Scan Meckel’s divreticulum Check with technician Yes Nuc Med Gallium Scan Intra Abdominal source of infection Check with technician Yes Nuc Med Renal Scans Renal function, scarring, functional RAS Check with technician Yes Yes - failed colonoscopy has to be within 3 months or no rebate No rebate Comprehensive care. Uncompromising quality. drjones.com.au DJPREF0045 *Children and young females use US first for appendicitis. Otherwise CT is more sensitive.
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