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    What to Expect

    Please follow instructions below. Proper preparation is important for a good examination and your personal comfort. Please bring your referral form, photo ID, medical insurance, and a complete list of all current medications with you at the time of your examination. Click the name of the exam below to view or download instructions (PDF format).

     

    Barium Enema – Colon Exam

    Patient Preparation for Colon Exam

    (Printable Instructions) Barium Enema – Colon Exam

    • Eat a light lunch the day before the examination. Clear liquids for dinner.
    • WATER ONLY AFTER DINNER.
    • Drink a large glass of water at 2, 4, 8 and 11pm.
    • At 7pm take one 10 oz. bottle of Magnesium Citrate (better tasting when chilled) found at your local pharmacy.
    • At 8pm take 4-6 Dulcolax Tablets found at your local pharmacy.
    • NOTHING TO EAT OR DRINK AFTER MIDNIGHT, INCLUDING NO GUM OR HARD CANDIES. The Bowel must be
      clean for a comfortable examination

     

    CT Scan

    Patient Preparation for CT

    (Printable Instructions) CT Scan

    CT Scan – Abdomen and/or Pelvis
    If A.M. appointment:
    • Drink half of Radi-Cat at bedtime, the night before the exam.
    • Drink remaining half 2 hours prior to exam time.
    • After drinking the second half, do not eat or drink anything else. Including no water, gum, or hard candies.
    • Take all medications except diabetic meds containing metformin or glucophage.
    • The Radi-Cat is better tasting when chilled. DO NOT USE IF SEAL IS BROKEN OR MISSING.

     

    If P.M. appointment (12pm or Later):
    • Drink half of Radi-Cat 6 hours before exam time.
    • Drink remaining half 2 hours prior to exam time.
    • After drinking the second half, do not eat or drink anything else. Including no water, gum, or hard candies.
    • Take all medications except diabetic meds containing metformin or glucophage.
    • The Radi-Cat is better tasting when chilled. DO NOT USE IF SEAL IS BROKEN OR MISSING.

     

    CT Scan – Head or Chest
    • Nothing to eat 2 hours prior to exam (Including no gum or hard candies), but you can drink water up to the time of
      your appointment.
    • You may take all current medications.

     

    CT Scan – Spine or Extremities
    • No prep necessary.

     

    IVP – Intravenous Pyelogram

    Patient Preparation for Intravenous Pyelogram

    (Printable Instructions) IVP – Intravenous Pyelogram

    • Eat a light lunch. Only clear liquids for dinner.
    • Drink a large glass of water at 2, 4, 8, and 11pm the day prior to the examination.
    • Drink one chilled 10 oz. bottle of Magnesium Citrate (found at your local pharmacy) at 7pm.
    • Nothing to eat or drink after midnight. Including no water, gum, or hard candies.
    • Take all medications except diabetic meds containing metformin or glucophage.

     

    MRI/MRA

    Patient Preparation for MRI/MRA

    (Printable Instructions) MRI/MRA

    All MRI Scans

    Metallic surgical implants and accidentally implanted metallic objects can interfere with magnetic resonance
    imaging (MRI). Some can actually be hazardous to your safety during the examination. If you have any of the
    following items or conditions, please contact RMI before scheduling:

    • Defibrillator / Pacemaker
    • Dentures (need to remove prior to exam)
    • Electrodes
    • Hearing Aids (need to remove prior to exam)
    • Renal Transplant / Renal Failure
    • Carotid Clips
    • Brain Aneurysm Clips or Coils
    • Artificial heart
    • Prosthesis (need to remove prior to exam)
    • Insulin Pump (need to remove prior to exam)
    • Aortic Clip
    • Neurostimulator
    • Shunts
    • Loop Recorder / Cardiac Monitor
    • Cochlear Implant / Stapes ImplantAre or suspect you may be pregnant
    • Have any history of metal in your eyes or have had brain, eye, ear, or open-heart surgery.

    Dress comfortably. Sweat suits are recommended, as are sports bras for women. You should arrive for your
    examination with as little metal on you as possible. Any implants or prostheses should be approved prior to the
    exam. Please leave jewelry and other valuables at home. Body piercings should be removed prior to the examination.

     

    MRE (Magnetic Resonance Enterography)
    • Nothing to eat or drink 8 hours prior to your exam time.
    • If diabetic, please take your diabetic medications in the morning of the exam with a small sip of water. Check your blood
      sugar levels prior to arriving for your exam. If your blood sugar level is above 200, please call our office to reschedule
      the exam to another day due to the use of Glucagon(sugar) during exam. Please bring your diabetic medications with
      you to your appointment.
    • Arrive to your appointment 90 minutes prior to table time.

     

    MRI Abdomen
    • Nothing to eat or drink 4 hours prior to your exam time.

     

    MRCP
    • Nothing to eat or drink 6 hours prior to your exam time.

     

    Nuclear Medicine

    Patient Preparation for Nuclear Medicine

    (Printable Instructions) Nuclear Medicine

    Bone Scan
    • No special preparation is necessary.
    • This exam requires two visits. The first will be approximately 30 minutes for the injection. Then you will return 3-4 hours
      later for delayed images that take about 30 minutes.

     

    Renal Scan
    • No special preparation is necessary unless your doctor ordered this exam to exam to evaluate renal artery stenosis as a
      cause for hypertension.
    • If your doctor ordered this exam to evaluate renal artery stenosis as a cause for hypertension, you will be required to be
      off any ACE inhibitor medication 48 hours prior to the exam. It may also require an additional day of testing.
    • The exam takes 60 minutes to complete.

     

    Gastric Emptying Scan
    • Do not eat or drink after midnight, the night before your exam.
    • If you have an allergy to eggs, please contact our office.
    • The exam takes 4 hours to complete.

     

    Hepatobiliary Scan (HIDA)
    • Do not eat or drink for at least 4 hours before the test and do not take any pain medications.
    • The exam takes approximately 2 to 4 hours to complete.

     

    Radioiodine Treatment of Thyroid Disease
    • No special preparation is necessary.
    • This treatment requires a consultation office visit with a radiologist before treatment will be given, which lasts
      approximately 30 minutes.
    • You will return on another day for a very short visit for the actual treatment.

     

    Thyroid Uptake and Scan
    • This is a two day test. On day one you will come in to take a radioactive pill. You will return the following day (20-26
      hours later) for the scan. Each appointment takes about 30 minutes.
    • If you take thyroid medications such as Levothyroxine, Synthroid, Armour, Levothroid or Levoxyl, you must be off them
      for six weeks before your scan.
    • If you are taking PTU (propylthiouracil) or methimazole (Tapazol), you must be off these medications for one week
      before the scan.

     

    Parathyroid Scan
    • No special preparation is necessary.
    • This is a two part test. The first appointment you will receive an injection of a radioactive tracer and then images will be
      taken. You will then return about 2 hours later for another set of images. The first appointment is 30 minutes. The
      second appointment is 60-90 minutes.

     

    Thyroid Scan Only/MUGA Scan
    • No special preparation is necessary.

     

    PET/CT Scan

    Patient Preparation for PET/CT Scan

    (Printable Instructions) PET/CT Scan

    Food and Drink
    (Required diet to be followed day prior and day of the exam)
    • An all meat, eggs, cheese diet ONLY.
    • Only drink water. You must be well hydrated.
    • Do not eat carbohydrates. This includes potatoes, pasta, rice, breads, chips and pretzels.
    • Do not eat cookies, candy, fruit, drink soda pop, alcoholic beverages, coffee or any other beverages containing caffeine.
    • Your blood sugar must be between 50-200 in order for us to complete your scan.
    • Do not consume any food or drink 6 hours before your scan this includes candy, gum, mints, cough drops and all
      tobacco products.

     

    Radi-Cat
    (Contrast beverage; can be picked up at any of our locations)
    • Drink one full bottle of Radi-Cat (barium sulfate) 2 hours prior to your arrival time.
    • Absolutely no food or drink after drinking the Radi-Cat.
    • We suggest chilling the Radi-Cat.

     

    Medications
    • Patients taking steroids (i.e. Prednisone, Dexamethasone, Decadron) must discontinue this medication 24 hours prior to
      your appointment.
    • Insulin dependent patients must discontinue Insulin 4 hours prior to your appointment.
    • Patients taking Metformin must discontinue this medication 24 hours prior to your appointment. Your blood sugar must
      be between 50-200 in order for us to complete your scan.
    • All other medications can be taken as prescribed by your physician.

     

    Restrictions
    • Avoid all strenuous activities and exercise 24 hours prior to your exam.
    • Patient cannot have chemo treatment 24 hours prior to appointment.

     

    Clothing
    • We suggest dressing comfortably and in layers to stay warm as the exam rooms are kept cool.
    • Please avoid any clothing with large buttons, zippers or any other metal objects on them.
    • Suggestions: sweatpants, sweatshirt, pajama pants.

     

    What to Expect

    After checking in, our staff will check your blood sugar level and you will be injected with a small amount of radioactive
    sugar. Then, you will be required to sit or lie down for 45-60 minutes. An interview process will take place to obtain your
    medical history. The actual scan will take about 30 minutes. Please plan on being at the office for approximately 2 hours.
    Failure to follow the instructions listed above will result in cancellation of your appointment. You will be responsible for a
    $175.00 cancellation fee. If you need to cancel or reschedule your appointment, please contact us at
    810-244-7100 no later than 24 hours in advance.

     

    Ultrasound

    Patient Preparation for Ultrasound

    (Printable Instructions) Ultrasound

    MSK (Musculoskeletal) Ultrasound
    • Wear comfortable, loose fitting clothes.

     

    Ultrasound Pelvis or Fetal
    • You will need to come in with full bladder.
    • Please drink 36 oz. of water and have it finished 1 hour prior to exam time.
    • Do not urinate once you have started drinking, until after your exam.

     

    Ultrasound Abdomen: Liver, Gallbladder, Pancreas, Aorta
    • Nothing to eat or drink after 10 pm the night before your exam (including no gum or hard candies)

     

    Ultrasound Kidney
    • Nothing to eat 4 hours prior to exam.
    • You will need to come in with full bladder.
    • Please drink 36 oz. of water and have it finished 1 hour prior to exam time.
    • Do not urinate once you have started drinking, until after your exam.

     

    Child’s Prep For Pelvis And/Or Kidney Ultrasound
    • Nothing to eat 4 hours prior to exam.
    • Double the age of the patient and have them drink that number of ounces of water 1 hour before their
      appointment and finish the water within 15 minutes.
    • Do not urinate once you have started drinking, until after your exam.

     

    Ultrasound Prostate
    • Take Fleet Enema (found at your local pharmacy) 1 hour prior to exam.

     

    Upper GI/Small Bowel

    Patient Preparation for Upper GI/Small Bowel

    (Printable Instructions) Upper GI/Small Bowel

    • Nothing to eat or drink after 10pm the night before your exam. Including no water, gum, or hard candies.
    • No breakfast on the day of the examination.