Laboratory Test Preparation

Test

CSF IgG (Nephelometry)

Other Test Request Name

CSF Immuno Globulin G

Test Composition

Not Applicable

Intended Use

Useful in diagnosis of individuals with multiple sclerosis

Methodology

Nephelometry

Laboratory Section

Special Test

Special Instructions/Patient Preparations

• No patient preparation necessary.
• Sample must be properly packed (triple packaging)

Collection/Sample Container

Plastic leak proof sterile container (screw cap) 

NOTE: Sample must be properly packed (triple packaging)

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

2 mL CSF

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

4 Hours

•   Refrigerated Temperature (2-8°C)

3 Days

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Transport specimen at 2°C - 8°C (with cold packs)

Rejection Criteria

• Quantity Not sufficient
• Improperly labeled specimen
• Wrong container used

Running Day

Monday to Friday

Cut Off Time

Monday to Friday, 7:00 AM

TAT/Releasing of Results

3 days after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Available upon request

Limitations/Interferences

None Specified

Frequently Asked Questions (FAQs)

Not Applicable

Related Words/Test

Not Applicable

Test

CSF IgG Index

Other Test Request Name

CSF Immuno Globulin G Index

Test Composition

Not Applicable

Intended Use

An indicator of the relative amount of CSF IgG compared to serum. Any increase in the index is a reflection of IgG production in the CNS.

Methodology

Turbidimetry

Laboratory Section

Special Test

Special Instructions/Patient Preparations

• No patient preparation necessary.
• Note the Date and Time of collection
• For CSF - Sample must be properly packed (triple packaging)
  

Collection/Sample Container

• Plastic leak proof sterile container (screw cap) - CSF
• Red or Gold Tube - Serum

NOTE: for CSF - Sample must be properly packed (triple packaging) 

 Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

• 2 ML CSF
• 5 ML Serum

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

5 Days

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Transport specimen at 2°C – 8 °C (with cold packs)

Rejection Criteria

• Quantity not sufficient
• Lipemic sample
• Hemolyzed sample
• Wrong container
• Not properely labeled

Running Day

Monday to Friday

Cut Off Time

Monday to Friday, 7:00 AM

TAT/Releasing of Results

3 days after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Not Applicable

Related Words/Test

Not Applicable

Test

CSF IgG (Nephelometry)

Other Test Request Name

CSF Immuno Globulin G

Test Composition

Not Applicable

Intended Use

Useful in diagnosis of individuals with multiple sclerosis

Methodology

Nephelometry

Laboratory Section

Special Test

Special Instructions/Patient Preparations

• No patient preparation necessary.
• Sample must be properly packed (triple packaging)

Collection/Sample Container

Plastic leak proof sterile container (screw cap) 

NOTE: Sample must be properly packed (triple packaging)

 Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

2 mL CSF

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

4 Hours

•   Refrigerated Temperature (2-8°C)

3 Days

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Transport specimen at 2°C - 8°C (with cold packs)

Rejection Criteria

• Quantity Not sufficient
• Improperly labeled specimen
• Wrong container used

Running Day

Monday to Friday

Cut Off Time

Monday to Friday, 7:00 AM

TAT/Releasing of Results

3 days after cut-off (excluding Saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Available upon request

Limitations/Interferences

None Specified

Frequently Asked Questions (FAQs)

Not Applicable

Related Words/Test

Not Applicable

Test

CSF VDRL

Other Test Request Name

Not Applicable

Test Composition

Not applicable

Intended Use

The CSF-VDRL test is used to help diagnoseneurosyphilis. It looks for substances (proteins) calledantibodies, which are sometimes produced by the body in reaction to the syphilis-causing bacteria.

Methodology

Slide Micro- Flocculation

Laboratory Section

Special Test

Special Instructions/Patient Preparations

• No patient preparation necessary.
• Sample must be properly packed (triple packaging)

Collection/Sample Container

Plastic leak proof sterile container (screw cap) 

NOTE: Sample must be properly packed (triple packaging)

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

2 ML CSF

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

4 Days

•   Refrigerated Temperature (2-8°C)

14 Days

•   Freezer Temperature (-20°C)

28 Days

Transport Temperature

Transport specimen at 2°C – 8 °C (with cold packs)

Rejection Criteria

• Not properly labeled tube
• Incomplete details of the patient
• Hemolyzed sample
• Lipemic sample
• Quantity not sufficient sample

Running Day

Batch Running

Cut Off Time

Monday, 12:00 PM

TAT/Releasing of Results

2 weeks after cut-off (excluding saturdays, Sundays and Holidays)

Reference Interval/Result Interpretation

Non-Reactive

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Not Applicable

Related Words/Test

Not Applicable

Test

CT ANGIOGRAM (HEAD)

Other Test Request Name

ANGIOGRAPHY (CTA)

Test Composition

Not Applicable

Intended Use

CT Angiogram or Angiography (CTA) uses an injection of iodine-rich contrast material and CT scanning to examine the blood vessels that supplies blood to the brain.
It helps evaluate blood vessel diseases or related conditions, such as:
• injury
• aneurysms
• blockages (including those from blood clots or plaques)
• disorganized blood vessels and blood supply to tumors

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.
2. Discuss with your doctor any recent illness, medical conditions, and medications you are taking.
3. Inform the doctor if you have allergies, especially to shellfish, antibiotics, or iodine-based dye. Your doctor may prescribe you with anti-allergy medications prior to the procedure.
4. Secure a serum creatinine (blood test to know the function of the kidneys) is normal, with result not longer than 7 days, is required. If result is beyond normal limits, you must get a written clearance from your requesting  doctor or nephrologist before proceeding with the procedure.
5. Secure a appointment thru call.
6. If you are taking any anti-diabetic drug (Metformin), you may be asked to discontinue it for at least 48 hours after the contrast is administered and can be taken after the procedure.
7. Perform atleast 4 hours fasting.
8. A night prior the procedure, the patient needs to take 2 tablet of dulcolax 1 hr. after dinner.
9. Bring test request, serum creatinine result and written Nephrologist clearance if needed.
10. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure.

Note:
Possible risks
1. Allergic Reaction
2. Bruising and swelling
3. Kidney problems
4. Radiation
5. Pregnancy

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

RadiologyInfo.Org

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Test

CT Angiography

Other Test Request Name

CT Angiogram

Test Composition

-

Intended Use

CT Angiogram or Angiography (CTA) uses an injection of iodine-rich contrast material and CT scanning to examine the blood vessels and the organs supplied by them in various body parts, such as:

• Brain
• Kidney

It helps evaluate blood vessel diseases or related conditions, such as:

• injury
• aneurysms
• blockages (including those from blood clots or plaques)
• disorganized blood vessels and blood supply to tumors

Methodology

-

Laboratory Section

IMAGING DEPARTMENT

Special Instructions/Patient Preparations

BRANCHES & SCHEDULE
HPD Del Monte only - By appointment (No Sundays)

PREPARATION

• Set an appointment with the branch.
• Undergo fasting for at least 4 hours.
• A normal serum creatinine (blood test to know the function of the kidneys), with result not longer than 7 days, is required. If result is beyond normal limits, patient must get a clearance from his/her requesting doctor or nephrologist before proceeding with the procedure.
• Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with them. CT scan is not recommended unless the benefits clearly outweigh the potential risks.
• Discuss with the patient’ doctor any recent illness, medical conditions, and medications that are being taken.
• Bring a list of the patient’s current medications, including name, dosage and frequency of intake, or simply bring the medications on the day of the procedure.
• Inform the doctor if with known allergies, especially to shellfish, antibiotics, or iodine-based dye. Patient’s doctor may prescribe anti-allergy medications prior to the procedure.
• Metal objects, including jewelry, eyeglasses, dentures, hairpins, hearing aids can interfere with the scan and should be left at home or removed prior to the exam.
• If taking any anti-diabetic drug (Metformin), the patient may be asked to discontinue it for at least 48 hours after the contrast is administered.

Collection/Sample Container

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Alternative Specimen and Volume Requirement

Specimen Stability

•   Room Temperature (15-25°C)

•   Refrigerated Temperature (2-8°C)

•   Freezer Temperature (-20°C)

Transport Temperature

Rejection Criteria

Running Day

Cut Off Time

TAT/Releasing of Results

Next working day, 2:00 PM

NOTE: CT images are released in DVD form. If patient wishes to receive the images in film, corresponding charge of PHP100 per film is applied. Number of films is to be determined by the RRT.

Reference Interval/Result Interpretation

Limitations/Interferences

Frequently Asked Questions (FAQs)

What is CT Scan and how does it work?

• CT scan – also called as Computed Tomography – uses computer processing that combines a series of X-Ray images taken from different angles to produce cross-sectional images or slices of the bones, blood vessels, and soft tissues inside the body. It is usually compared to looking into a loaf of bread by cutting the loaf into thin slices. The scan itself is painless but there may be some discomfort from having to remain still for several minutes and with placement of an intravenous (IV) catheter.

How is CT Scan performed?

• Prior to the test, the Registered Radiologic Technologist (RRT) or Radiologist will explain the procedure and ask the patient to sign a consent form. The patient will be asked to wear a gown and remove all objects, including jewelry, eyeglasses, dentures, hairpins, hearing aids and he/she will be asked to lie on the examination table inside a large, doughnut-shaped CT machine. A nurse or the radiologist will insert an intravenous (IV) catheter into a patient’s vein, usually in the arm or hand. When a contrast material is introduced to the bloodstream during the procedure, it clearly defines the blood vessels being examined by making them appear bright white. During the test, it is normal to hear buzzing or whirring sounds. The patient should stay still as movements can blur the image.

What are the risks?

• Although a non-ionic, low-osmolar dye is used to reduce the risk of minor adverse reaction, there may sometimes be a possibility of an allergic reaction. Non-life threatening reactions such as sneezing, hives, sweating, nausea, vomiting, or swelling may occur. These may generally of short duration and may or may not require intake of medications (i.e. anti-histamine) to relieve the symptoms. If symptoms persist after the study is over, it is best to consult a doctor.
• Rarely, more severe reactions have been known to occur which include difficulty of breathing, swelling of throat, seizure, drop in blood pressure, anaphylactic shock, and cardiac arrest.

What to expect during and after receiving the contrast agent?

• A warm sensation may be felt through the body and a metallic taste in the mouth. Do not be alarmed, this is not an allergic reaction but a common sensation that will usually last in less than a minute. After the study is over, it is advisable to increase fluid intake to help the kidneys flush out the contrast agent from the body.
• If pain during the contrast injection is experienced, it is important to let the staff know. Occasionally, contrast leaking into the surrounding tissues from the injection site may occur, which may be treated using a cold compress and monitoring of the affected area.

Is the procedure safe in terms of radiation exposure?

• Studies show that the risk of cancer from CT scans is extremely low. The RRTs practice the ALARA (As Low As Reasonably Achievable) principle, which means that they make every effort to decrease radiation risk.

Related Words/Test

Not Applicable

Test

CT CERVICAL

Other Test Request Name

Not Applicable

Test Composition

Not Applicable

Intended Use

CT Cervical is used to obtain cross-sectional images of the cervical spine, which is the portion of the spine that runs through the neck.
It commonly requested by physicians to check for injuries after an accident.
However, below are also some of the reasons why it is requested:
• herniated disks, which are the most common cause of back pain
• tumors that may have started in the spine or somewhere else in the body
• broken bones or areas of potential instability
• infections involving the cervical spine

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

• Metal objects, including jewelry, eyeglasses, dentures, hairpins, hearing aids can interfere with the scan and should be left at home or removed prior to your exam.
• Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.
• For plain procedures, no need to schedule we accept walk-in.
• No Fasting needed
• Bring any previous procedures that may relate to current condition.

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  No Fasting required

    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                    Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results NEXT WORKING DAY 2:00 PM

Related Words/Test

Not Applicable

Test

CT CERVICAL W/ CONTRAST

Other Test Request Name

Not Applicable

Test Composition

Not Applicable

Intended Use

CT Cervical is used to obtain cross-sectional images of the cervical spine, which is the portion of the spine that runs through the neck.
It commonly requested by physicians to check for injuries after an accident.
However, below are also some of the reasons why it is requested:
• herniated disks, which are the most common cause of back pain
• tumors that may have started in the spine or somewhere else in the body
• broken bones or areas of potential instability
• infections involving the cervical spine
In addition, an iodine-rich contrast material is requested by the physician to enhance visibility in the area of the body being studied.

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.
2. Discuss with your doctor any recent illness, medical conditions, and medications you are taking.
3. Inform the doctor if you have allergies, especially to shellfish, antibiotics, or iodine-based dye. Your doctor may prescribe you with anti-allergy medications prior to the procedure.
4. Secure a serum creatinine (blood test to know the function of the kidneys) is normal, with result not longer than 7 days, is required. If result is beyond normal limits, you must get a written clearance from your requesting  doctor or nephrologist before proceeding with the procedure.
5. Secure a appointment thru call.
6. If you are taking any anti-diabetic drug (Metformin), you may be asked to discontinue it for at least 48 hours after the contrast is administered and can be taken after the procedure.
7. Perform atleast 4 hours fasting.
8. A night prior the procedure, the patient needs to take 2 tablet of dulcolax 1 hr. after dinner.
9. Bring test request, serum creatinine result and written Nephrologist clearance if needed.
10. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure.

Note:
Possible risks
1. Allergic Reaction
2. Bruising and swelling
3. Kidney problems
4. Radiation
5. Pregnancy

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  4 hours fasting
    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                    Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results NEXT WORKING DAY 2:00 PM

Related Words/Test

Not Applicable

Test

CT CHEST

Other Test Request Name

Not Applicable

Test Composition

Not Applicable

Intended Use

CT Chest is used to obtain cross-sectional images of the chest.

It is requested to:
• help diagnose the causes of clinical signs or symptoms of disease of the chest, such as cough, shortness of breath, chest pain, or fever.
• detect and evaluate the extent of tumors that arise in the chest, or tumors that have spread there from other parts of the body.
• assess whether tumors are responding to treatment.
• help plan radiation therapy.
• evaluate injury to the chest, including the heart, blood vessels, lungs, ribs and spine.

It can demonstrate various lung disorders, such as:
• benign and malignant tumors.
• pneumonia.
• tuberculosis.
• bronchiectasis, cystic fibrosis.
• inflammation or other diseases of the pleura (the covering of the lungs).
• interstitial and chronic lung disease.
• congenital abnormalities.

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.
2. Bring test request.
3. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure.

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  No Fasting required

    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                    Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results NEXT WORKING DAY 2:00 PM

Related Words/Test

Not Applicable

Test

CT CHEST WITH CONTRAST

Other Test Request Name

Not Applicable

Test Composition

Not Applicable

Intended Use

CT Chest is used to obtain cross-sectional images of the chest.
It is requested to:
• help diagnose the causes of clinical signs or symptoms of disease of the chest, such as cough, shortness of breath, chest pain, or fever.
• detect and evaluate the extent of tumors that arise in the chest, or tumors that have spread there from other parts of the body.
• assess whether tumors are responding to treatment.
• help plan radiation therapy.
• evaluate injury to the chest, including the heart, blood vessels, lungs, ribs and spine.
It can demonstrate various lung disorders, such as:
• benign and malignant tumors.
• pneumonia.
• tuberculosis.
• bronchiectasis, cystic fibrosis.
• inflammation or other diseases of the pleura (the covering of the lungs).
• interstitial and chronic lung disease.
• congenital abnormalities.

In addition, an iodine-rich contrast material is requested by the physician to enhance visibility in the area of the body being studied.

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.
2. Discuss with your doctor any recent illness, medical conditions, and medications you are taking.
3. Inform the doctor if you have allergies, especially to shellfish, antibiotics, or iodine-based dye. Your doctor may prescribe you with anti-allergy medications prior to the procedure.
4. Secure a serum creatinine (blood test to know the function of the kidneys) is normal, with result not longer than 7 days, is required. If result is beyond normal limits, you must get a written clearance from your requesting  doctor or nephrologist before proceeding with the procedure.
5. Secure a appointment thru call.
6. If you are taking any anti-diabetic drug (Metformin), you may be asked to discontinue it for at least 48 hours after the contrast is administered and can be taken after the procedure.
7. Perform atleast 4 hours fasting.
8. A night prior the procedure, the patient needs to take 2 tablet of dulcolax 1 hr. after dinner.
9. Bring test request, serum creatinine result and written Nephrologist clearance if needed.
10. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure.

Note:
Possible risks
1. Allergic Reaction
2. Bruising and swelling
3. Kidney problems
4. Radiation
5. Pregnancy

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  4 hours fasting
    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                    Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results NEXT WORKING DAY 2:00 PM

Related Words/Test

Not Applicable

Test

CT EXTREMITIES

Other Test Request Name

Not Applicable

Test Composition

Not Applicable

Intended Use

CT scanning of the extremities includes CT scans of the shoulder, arm, elbow, wrist, hand, hip, leg, knee, ankle and foot. CT scanning of the extremities uses a thin beam of X-ray and a rapidly moving X-ray tube to acquire data from different angles, which is used to create cross sectional images. CT scan of the extremities can provide more detailed information about bone and soft tissue structures than standard X-rays of the extremities. Therefore, this can provide more information related to injuries, infections and masses, and can be used to evaluate patients with pain, swelling, or after trauma. It can also be used to evaluate for healing after surgery and for operative complications and fracture non union.

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.
2. Bring test request.
3. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  No Fasting required

    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                    Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results NEXT WORKING DAY 2:00 PM

Related Words/Test

Not Applicable

Test

CT ORBITS/NASOP/SELLA

Other Test Request Name

Not Applicable

Test Composition

Not Applicable

Intended Use

A computed tomography (CT) scan of the orbit is an imaging method. It uses x-rays to create detailed pictures of the eye sockets (orbits), eyes and surrounding bones.

A computed tomography (CT) scan of  the upper part of the throat behind the nose. A computed tomography (CT) scan of the midline depression in the sphenoid bone which contains the pituitary gland and distal portion of the pituitary stalk.

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.

2. Fasting is not required

3. Bring test request.
4. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure.

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  No Fasting required

    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                    Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results next working day 2:00 pm.         

Related Words/Test

Not Applicable

Test

CT ORBITS/NASOP/SELLA W/C

Other Test Request Name

Not Applicable

Test Composition

Not Applicable

Intended Use

A computed tomography (CT) scan of the orbit is an imaging method. It uses x-rays to create detailed pictures of the eye sockets (orbits), eyes and surrounding bones.
A computed tomography (CT) scan of  the upper part of the throat behind the nose.
A computed tomography (CT) scan of the midline depression in the sphenoid bone which contains the pituitary gland and distal portion of the pituitary stalk.

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.

2. Discuss with your doctor any recent illness, medical conditions, and medications you are taking.

3. Inform the doctor if you have allergies, especially to shellfish, antibiotics, or iodine-based dye. Your doctor may prescribe you with anti-allergy medications prior to the procedure.

4. Secure a serum creatinine (blood test to know the function of the kidneys) is normal, with result not longer than 7 days, is required. If result is beyond normal limits, you must get a written clearance from your requesting  doctor or nephrologist before proceeding with the procedure.

5. Secure a appointment thru call.

6. If you are taking any anti-diabetic drug (Metformin), you may be asked to discontinue it for at least 48 hours after the contrast is administered and can be taken after the procedure.

7. Perform atleast 4 hours fasting.

8. A night prior the procedure, the patient needs to take 2 tablet of dulcolax 1 hr. after dinner.

9. Bring test request, serum creatinine result and written Nephrologist clearance if needed.

10. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure.

Note:

Possible risks

1. Allergic Reaction

2. Bruising and swelling

3. Kidney problems

4. Radiation

5. Pregnancy

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  4 hours fasting
    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                   

 Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results next working day 2:00 pm.          

Related Words/Test

Not Applicable

Test

CT PNS

Other Test Request Name

CT PARANASAL SINUSES

Test Composition

Not Applicable

Intended Use

A CT scan of the face produces images that also show a patient's paranasal sinus cavities. The paranasal sinuses are hollow, air-filled spaces located within the bones of the face and surrounding the nasal cavity, a system of air channels connecting the nose with the back of the throat. There are four pairs of sinuses, each connected to the nasal cavity by small openings.
CT of the sinuses is primarily used to:
help diagnose sinusitis.
evaluate sinuses that are filled with fluid or thickened sinus membranes.
detect the presence of inflammatory diseases.
provide additional information about tumors of the nasal cavity and sinuses.
plan for surgery by defining anatomy.

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.

2. Fasting is not required

3. Bring test request.
4. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure.

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  No Fasting required

    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                    Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results next working day 2:00 pm.           

Related Words/Test

Not Applicable

Test

CT PNS W/C

Other Test Request Name

CT PARANASAL SINUSES WITH CONTRAST

Test Composition

Not Applicable

Intended Use

A CT scan of the face produces images that also show a patient's paranasal sinus cavities. The paranasal sinuses are hollow, air-filled spaces located within the bones of the face and surrounding the nasal cavity, a system of air channels connecting the nose with the back of the throat. There are four pairs of sinuses, each connected to the nasal cavity by small openings.

CT of the sinuses is primarily used to:

help diagnose sinusitis.
evaluate sinuses that are filled with fluid or thickened sinus membranes.
detect the presence of inflammatory diseases.
provide additional information about tumors of the nasal cavity and sinuses.
plan for surgery by defining anatomy.

Methodology

Not Applicable

Laboratory Section

Not Applicable

Special Instructions/Patient Preparations

1. Female patients must notify their doctor if they are or think they might be pregnant, so other options can be discussed with the patient.

2. Discuss with your doctor any recent illness, medical conditions, and medications you are taking.

3. Inform the doctor if you have allergies, especially to shellfish, antibiotics, or iodine-based dye. Your doctor may prescribe you with anti-allergy medications prior to the procedure.

4. Secure a serum creatinine (blood test to know the function of the kidneys) is normal, with result not longer than 7 days, is required. If result is beyond normal limits, you must get a written clearance from your requesting  doctor or nephrologist before proceeding with the procedure.

5. Secure a appointment thru call.

6. If you are taking any anti-diabetic drug (Metformin), you may be asked to discontinue it for at least 48 hours after the contrast is administered and can be taken after the procedure.

7. Perform atleast 4 hours fasting.

8. A night prior the procedure, the patient needs to take 2 tablet of dulcolax 1 hr. after dinner.

9. Bring test request, serum creatinine result and written Nephrologist clearance if needed.

10. Bring the latest CT scan procedure (with the same exam) with Result and Film or CD for comparison on the day of the procedure.

  Note:

Possible risks

1. Allergic Reaction

2. Bruising and swelling

3. Kidney problems

4. Radiation

5. Pregnancy

Collection/Sample Container

Not Applicable

Specimen and Volume Requirement
Note:Follow tube manufacturer recommendation.

Not Applicable

Alternative Specimen and Volume Requirement

Not Applicable

Specimen Stability

•   Room Temperature (15-25°C)

Not Applicable

•   Refrigerated Temperature (2-8°C)

Not Applicable

•   Freezer Temperature (-20°C)

Not Applicable

Transport Temperature

Not Applicable

Rejection Criteria

Not Applicable

Running Day

Not Applicable

Cut Off Time

Not Applicable

TAT/Releasing of Results

NEXT WORKING DAY 2:00 PM

Reference Interval/Result Interpretation

Not Applicable

Limitations/Interferences

Not Applicable

Frequently Asked Questions (FAQs)

Q.What does the equipment look like?

A.The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam in direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.

Q:How do I prepare for the Exam?

A. 1. Arrive 1 hour prior to exam time
    2.  4 hours fasting
    3. Patients should come in wearing comfortable clothing with no metal in the area to be scanned                    Q. What will Happen during exam? 

A.CT exams are generally painless, fast and easy. With multidetector CT, the amount of time that the patient needs to lie still is reduced.Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful. The technologist, under the direction of a doctor, may offer you some medication to help you tolerate the CT exam. If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate.

Q.How long will the procedure take and how will I learn my results?    

A.Depending on the scan to be done, and the complexity of the exam requested, the scan could take 10 to 20 minutes, and you will get the results next working day 2:00 pm.         

Related Words/Test

Not Applicable