Tyler Radiology • Vascular & Interventional Specialists

Interventional Radiology Diagnostic Radiology ›

Visit Vascular & Interventional Specialists – the interventional subspeciality of Radiology Associates of North Texas.

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Pediatric Radiology

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For Imaging Partners

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Learn more about the various exams that comprise radiology and how this specialty impacts your care.

Resources and tools for referring physicians, including guides for MRI versus CT referrals, insurance lists, covered locations, CPT and ICD code lookup tools, and surveys.

Resources for imaging partners, such as access to the Clario portal, tools for peer review and code lookup (CPT, ICD-9, and ICD-10), and surveys.

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Home › Resources › For Imaging Partners › Protocols

Protocols

Sections

Nuclear Medicine

Protocols

Accessory Spleen

Biliary Scan With GBEF

Bone Marrow Imaging

Bone Scan – Triple Phase Limited

Bone Scan – Whole Body

Gallium Imaging

Gastric Emptying (Ensure Plus)

Gastric Emptying (Oatmeal)

Gastric Emptying (Standard Meal)

Gastrointestinal Bleeding

I-131 Whole Body Scan With Thyrogen

Labeled White Cell Imaging

Lymphoscintigraphy

Myocardial Perfusion Imaging – Lexiscan

Myocardial TTR Amyloidosis

Nuclear Imaging Acquisition and Presentation Guidelines

SirSpheres Mapping, Y90 SirSpheres Therapy

Sphincter of Oddi

Thyroid Uptake and Scan

Ventriculoperitoneal Shunt Patency

General References

99mTechnetium – Pyrophosphate Imaging for Transthyretin Cardiac Amyloidosis

111In-DTPA Cisternography with SPECT-CT for the Evaluation of Normal Pressure Hydrocephalus

2023 ISCD Adult Positions

ACR–SNM–SPR Practice Guideline For The Performance Of Thyroid Scintigraphy And Uptake Measurements

DaTscan Drug Interaction

EANM Practice Guideline, SNMMI Procedure Standard For Dopaminergic Imaging In Parkinsonian Syndromes 1.0

Hepatobiliary Scintigraphy V4.0b

Infrequently Performed Studies in Nuclear Medicine – Part 2

Practice Guideline For Performance Of Liver And Spleen Scintigraphy

Practice Guideline For Performance Of Scintigraphy For Inflammation And Infection

Procedure Guideline for Adult Solid-Meal Gastric-Emptying Study 3.0

Procedure Guideline for Lymphoscintigraphy and the Use of Intraoperative Gamma Probe for Sentinel Lymph Node Localization in Melanoma of Intermediate Thickness 1.0

Procedure Guideline for Myocardial Perfusion Imaging 3.3

Scintigraphy in Suspected Death by Neurologic Criteria (Brain Death) 3.0

SNM Practice Guideline for Lung Scintigraphy 4.0

SNM Practice Guideline for Parathyroid Scintigraphy 4.0

SNMMI Procedure Standard EANM Guideline for Gated Equilibrium Radionuclide Angiography

SNMMI Procedure Standard for Scintigraphy for Differentiated Thyroid Cancer

SNMMI Procedure Standard Practice Guideline for Bone Scintigraphy 4.0

The EANM and SNMMI Practice Guideline for Lymphoscintigraphy and Sentinel Node Localization in Breast Cancer

The EANM Clinical and Technical Guidelines for Lymphoscintigraphy and Sentinel Node Localization in Gynaecological Cancers

The Gastric Emptying Study with Oatmeal – Reference Range and Reproducibility as a Function of Age and Sex

The SNM Practice Guideline for Somatostatin Receptor Scintigraphy 2.0

The SNM Practice Guideline for Therapy of Thyroid Disease with 131I 3.0

The SNMMI And EANM Practice Guidelines For Renal Scintigraphy In Adults

The SNMMI Procedure Standard ACNM Practice Guideline for Gastrointestinal Bleeding Scintigraphy 3.0

Theranostic Imaging of Yttrium-90

Pediatric radiology

Pedi CT Protocols

CT doses need to be appropriate to pt size and exam indication – I cannot tell that for the many different scanners across our practice. For the most part I think places are doing pretty well Re doses with more using too little than too much. I have been putting in quality issues via Canvas when I see those. There are a handful of places that routinely do delayed images for abd/pelvis imaging which I also call out via Canvas.

Most of the issues I see at other places are related to slice thickness (too thin and too thick) and contrast dose/timing as well as motion artifact

CT Chest, Chest/Abdomen, Chest/Abdomen/Pelvis, Abdomen, Abdomen/Pelvis

CT Head without Contrast

CT Soft Tissue Neck

Orbit, Face, Mandible

Pedi US Protocols

Some specialty exams aren’t included here. Any US tech from anywhere can call the pediatric radiologists before doing an exam for advice/help, and also after if they have questions/concerns.

Arterial Arm Doppler

Arterial Leg Doppler

BOWEL for Appendicitis/Abcess

BOWEL for Intussusception/Malrotation

EXTREMITY SONO for Hip or Knee Effusion

Pedi MRI Protocols

The ability to do pedi MRI well requires ongoing experience for techs, in some cases different coils, and either child life or anesthesia.

In some cases (e.g. MSK), adult protocols will suffice.

Pedi X-RAY Protocols

Long Bone Survey for Syphilis Exposure in Babies

Skeletal Surveys

Skeletal Surveys: ACR SPR Practice Parameters

XR Esophagram for Impacted Food Bolus

XR Tube Checks for Gastronomy

Pedi Flouro Protocols

Intussusception: No need for anyone to reduce intuss at non-pedi facility in DFW – those kids will be transferred – some are reduced in Tyler, where they have pedi surgery coverage.

Other – reach out to working pedi rad for help before, during, and after study, and to see if it really needs to be done. There are pedi rads on from 5-12a a.m., 10 p.m.- 7 a.m., and on weekend days. Please don’t wake up the beeper rad if they’re not working (often beeper rad is on 5-12 but not always).