Ordering Guide
Please call our office at 352-795-9200 during business hours (M-F 8:30am-5pm, excluding Holidays) and/or fax a physician order form/script as provided below to 352-795-6460.
This Ordering Guide is meant to assist physicians when ordering a medical imaging exam with Citrus Diagnostic Center. The guide includes common indications as well as recommendations for the most appropriate examination.
Patients Come First
Examinations may be further tailored to a patient’s specific condition. When ordering an exam, please include the clinical question/specific condition in question so that the appropriate imaging can be performed.
Physician Order Form
Ordering Guide
Cardiac Imaging
| Symptom / Concern | Exam to Order |
|---|---|
| Chest Pain with: | |
| ECG uninterpretable OR unable to exercise with intermediate pre test probability | Coronary CTA |
| No ECG changes and serial enzymes negative with intermediate pre test probability | Coronary CTA |
| Uninterpretable or equivocal stress test (exercise, perfusion, or stress echo) with intermediate pre test probability | Coronary CTA |
| Other Indications: | |
| Evaluation of pulmonary vein anatomy prior CTA chest to invasive radiofrequency ablation for atrial fibrillation | CTA Chest |
| Evaluation of suspected coronary anomalies and complex congenital heart disease | Coronary CTA |
| Triple rule out-to exclude obstructive CAD, aortic dissection, and pulmonary embolis with intermediate pre-test probability for one of the above with normal ECG and no ST-segment elevation and initial enzymes negative | Gated CTA chest |
| Chest Pain with: | |
| Evalution of bypass grafts and coronary anatomy | Coronary CTA |
| History of percutaneous revascularization with Coronary CTA stents | Coronary CTA |
| Other Indications: | |
| Aortic valve morphological evaluation | MRA |
| Evaluation and follow up of aortic aneurysm | MRA |