For our Referring Physicians
CCOM Diagnostic & Imaging Center is open by appointment only Monday thru Friday, 7:30 am to 5:00 pm. In most cases we can fit your patient in same day or next day. To order testing / studies please complete the following test order form and FAX your request to (918) 913-3113. You may also contact our receptionist and scheduler directly at (918) 683-0456.
Test Order Form
Thank you for the opportunity to participate in the care of your patient.
Nuclear Imaging Department
NUCLEAR STUDIES AVAILABLE TO ORDER
Cardiology - We offer several types of nuclear stress cardiac imaging scans including pharmacologic induced (persantine, adenoscan, or lexiscan) and treadmill version. This test is used to identify the patient's risk for Myocardial Infarction. It also demonstrates wall motion and non invasive estimation of left ventricle ejection fraction that give adequate results without using invasive heart catherization. Right and left sided MUGA's are available to assess ejection fraction.
Muscle Skeletal - Bone Scans are available in Limited, Flow, Whole Body or SPECT format, and are especially useful in identifying acute fractures, compression fractures, osteomyelitis, shin splints, occult stress fractures, metastatic cancer, benign and malignant bone tumors, metabolic disease that affect the bone, Rhabdomyolysis, or RSVD.
Endocrine - Thyroid Uptake and Scans are available to evaluate goiters and thyroid function, as well as Parathyroid Imaging for possible parathyroid adenomas. Thyroid therapy for hyperthyroidism and thyroid cancer are also available by consultation.
Gastrointestinal - Our facility is available for assessment of acute GI Bleeds and evaluations for Meckels Diverticula. Gastric emptying studies to assess for gastroparesis or dumping syndrome are also available. This study is available in both liquid and solid processes.
Renal - Renal scans available include: 1) GFR studies that assess the glomular filtration rate without a 24 hour urine collection and offer analysis of renal function; 2) Captopril studies assessment for the possibility of renal artery stenosis which may be responsible for renal hypertension; 3) Diuretic Renal scans to access obstructive hydronephrosis, non obstructive dilation due to vesicoureteral reflux; 4) DSMA Renal scans to look at kidney morphology associated with scaring, Pylonephritits, renal masses or pseudo tumors.
Hepatobiliary - HIDA scans for assessment of acute and chronic cholestasis are available. Gallbladder ejection fraction are available at request as are Liver Spleen scans.
Pulmonary - Lung ventilation/perfusion scans are used for the assessment for pulmonary embolism and quantitative lung perfusion scans for pre-assessment of lung transplant patients.
Oncology - Lymphoscintigraphy is available and performed for identification of sentinel node prior to breast , vulva or melanoma surgery. Breast imaging is helpful to localize palpable tumors not visualized on mammogram, or when looking for multicentric tumors.
Pediatrics - Most studies available for adults are available for pediatric patients. Those of most interest are Cystogram for assessment of bladder reflux, skeletal imaging, and evaluations for Meckels Diverticula.
If you have questions about nuclear testing or therapies please do not hesitate to call our nuclear technologist or our nuclear medicine physician at (918) 683-0456. They will be more than happy to answer your questions.
Other Procedures / Tests Available to Order
Treadmill Exercise Testing - A type of stress test that is conducted on a treadmill using various walking protocols. Depending on the patient, your cardiologist may opt to select a more sophisticated test by using heart images for obtaining more information about your heart.
Echocardiography (Echo) - An echocardiogram is a simple, yet very essential, non-invasive test that uses two-dimensional, Doppler, M-mode, and color flow ultrasonic imaging for the assessment of chamber size and function, valve function, physiological information (blood flow velocities, gradients and pressures) and other important disorders such as congenital defects.
Stress Echo - This type of imaging stress test combines the use of a walking treadmill coupled with echo (ultrasound) pictures of the heart before and after exercise which are then processed by a special computer. For patients who have difficulty on a treadmill, a "pharmacological" (Dobutamine, Dipyridamole, Adenosine) stress echo would substitute the treadmill. In our experience, the use of these FDA-approved drugs is well tolerated by the patient.
Vascular Studies - These non-invasive tests are beneficial in the assessment of peripheral vascular disease or circulation disorders. Using various ultrasound and pressure recording techniques, the arteries and veins of the extremities can be studied. In addition, these exams can identify abnormalities in the carotid arteries of the neck and also abdominal aorta.
Digital ABI - Ankle-brachial index (ABI) is done by measuring blood pressure at the ankle and in the arm while a person is at rest. Measurements are usually repeated at both sites after 5 minutes of walking on a treadmill. This test is done to screen for peripheral arterial disease of the legs. It is also used to see how well a treatment is working (such as medical treatment, an exercise program, angioplasty, or surgery). The ABI result can help diagnose peripheral arterial disease (PAD) which may be linked to a higher risk for heart attack or stroke.
Electrocardiogram (EKG) - The heart operates by receiving electrical impulses which regulate its rhythm. If your doctor suspects an irregularity with your heart's rhythm or beat, he might order an electrocardiogram (EKG). An electrocardiogram is a test that measures that electrical activity. The results are displayed as a wave on either a strip of paper or a video screen. By examining the wave pattern, your doctor can see the timing and type of the electrical impulses and use it to see the rhythm and heart rate. Underlying problems with the heart can also be noticed with an electrocardiogram. The results from your first EKG will be used by your doctor to compare future electrocardiogram readings to see if any changes took place which might indicate a problem.
Holter Monitoring - The heart uses electrical impulses to tell the chambers when to contract to pump blood throughout your body, by measuring these impulses, your doctor can determine if your heart is functioning properly. Sometimes, an in office electrocardiogram (EKG) might be taken, but this only gives a brief snapshot of your heart's health. For a clearer picture of how your heart's rhythm changes throughout the day, your doctor could ask for continuous monitoring for a day or two using a Holter monitor. These record your heart patterns throughout your daily activities. Holter monitors are portable EKGs, and like EKGs are painless. The results given from one will be a more accurate reflection of your average heart rhythm than a single reading taken in your doctor's office.
Event Recording - A patient-activated Event Recorder is used for an extended period of time and helpful in the evaluation of sporadic cardiac symptoms or events. The heart uses electrical impulses to tell the chambers when to contract to pump blood throughout your body, by measuring these impulses, your doctor can determine if your heart is functioning properly. Sometimes, an in office electrocardiogram (EKG) might be taken, but this only gives a brief snapshot of your heart's health. For a clearer picture of how your heart's rhythm changes throughout the day, your doctor could ask for continuous monitoring for several days or up to a month using an event recorder. These record your heart patterns throughout your daily activities. Event recorders are portable EKGs, and like EKGs are painless.
Bone Densitometry (DXA) - Bone density scanning, also called dual-energy x-ray absorptiometry (DXA) or bone densitometry, is an enhanced form of x-ray technology that is used to measure bone loss. Bone density scanning is today's established standard for measuring bone mineral density. Bone density scanning is most often performed on the lower spine and hips. In children and some adults, the whole body is sometimes scanned. Bone density scanning is most often used to diagnose osteoporosis, a condition that often affects women after menopause but may also be found in men. Osteoporosis involves a gradual loss of calcium, as well as structural changes, causing the bones to become thinner, more fragile and more likely to break. Bone density scanning is also effective in tracking the effects of treatment for osteoporosis and other conditions that cause bone loss. Bone density scanning can also assess an individual's risk for developing fractures. The risk of fracture is affected by age, body weight, history of prior fracture, family history of osteoporotic fractures and life style issues such as cigarette smoking and excessive alcohol consumption. These factors are taken into consideration when deciding if a patient needs therapy.
PFT (spirometery only) - Lung function tests (also called pulmonary function tests, or PFTs) evaluate how well your lungs work. The tests determine how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood. The tests can diagnose lung diseases, measure the severity of lung problems, and check to see how well treatment for a lung disease is working.