We’re here to help you prepare for your upcoming imaging appointment

General IV Contrast Guidelines

Akumin uses Group II (Dotarem, Gadavist, Prohance, and Multihance) and Group III (Eovist) agents. Patients with a known history of renal disease, including dialysis, kidney disease or kidney failure (including kidney transplant, single kidney, renal cancer, and/or renal surgery), must present with recent lab work (no older than 6 weeks) demonstrating their Glomerular filtration rate (GFR) to be within normal limits as defined in the GFR.

• Blood work requirements:
  • Date drawn (within 6 weeks of exam date)
  • Creatinine
  • BUN
  • GFR

Patients with a history of asthma, diabetes, kidney disease, severe allergies, or prior contrast reaction MUST notify the technologist prior to the exam.

Patients with prior adverse contrast reaction must have their referring physician contact our office about premedication.

IV Contrast Guidelines for CT

Akumin uses Isovue 300/370 and Optiray 320/350 agents. Patients with known history of renal disease, including kidney disease or failure: transplant; renal cancer; renal surgery. And diabetes with the use of Metformin. Patients must present with recent lab work (no older than 6 weeks) demonstrating their GFR to be within normal limits as defined in the GFR

• Blood work requirements:
  • Date drawn (within 6 weeks of exam date)
  • Creatinine
  • GFR

Patients with a history of asthma, diabetes, kidney disease, severe allergies, or prior contrast reaction MUST notify the technologist prior to the exam.

Patients with prior adverse contrast reaction must have their referring physician contact our office about premedication.

• Please arrive 15 minutes prior to appointment time.
• For morning appointments, please do not eat anything after midnight prior to your appointment. You may drink water.
• For afternoon appointments, please do not eat anything 6 hours prior to your appointment. You may drink water.
• If this is a STAT exam, please do not eat 4 hours prior to your appointment.
• Food, and any liquids other than water will impact the ability to perform the exam and may result in the exam being rescheduled.
• If you have had similar prior exams, please bring the images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

3 days no blood thinners:

• Please arrive 15 minutes prior to your appointment time.
• You must be off blood thinners, including Lovenox, Advil, Aspirin, Aleve, and Motrin, for 3 days prior to the procedure.
• Speak with your physician prior to stopping any medications.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

7 days no blood thinners:

• Please arrive 15 minutes prior to your appointment time.
• You must be off blood thinners, including Lovenox, Advil, Aspirin, Aleve, and Motrin, for 7 days prior to the procedure.
• Speak with your physician prior to stopping any medications.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• An Akumin Team Member will contact you to review your medications and discuss prep instructions prior to your appointment.
• If you are taking blood thinning medications, such as Plavix or Coumadin, contact your doctor to discuss stopping these and any other medications prior to your procedure.
• Please wear comfortable clothes to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• Wear a tight-fitted bra or sports bra without metal and comfortable, loose-fitting clothing to your appointment. Please do not wear jewelry, hair accessories, magnetic lashes, or any metal objects; such as watches, necklaces, removable piercings, etc. to your exam.
• You must be accompanied by a friend or family member who can safely drive you home after the procedure.
• Please bring a written list of current medications and doses with you.
• No Asprin, Advil, Motrin, Ibuprofen, Naproxen Sodium, NSAIDS – 1 week prior.
• No vitamins or herbal supplements – 1 week prior.
• No blood thinners (ELIQUIS, MELOXICAM, COUMADIN, PLAVIX, WARFARIN, LOVENOX) – XARELTO (RIVAROXABAN) – minimum of 3 days prior to appointment. **Akumin will obtain clearance from your provider to stop taking blood thinners and alert you once received.
• You may take Tylenol if needed.
• You may eat food the day of the appointment.
• Have ice packs available at home for use after the procedure.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

Prior to your appointment date, you will receive specific instructions based on the type of procedure you will be undergoing.

Exam prep:

• If sedation will be given during your procedure, you may be asked not to eat or drink anything for 8 hours beforehand.
• If you are diabetic and take insulin you should talk to your doctor as your usual insulin dose may need to be adjusted.
• You may be required to cease taking anticoagulants for several days prior to your procedure.

An Akumin team member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have.

Please arrive 15 minutes prior to appointment time.

Exam prep:

• 12 hours prior: Please avoid caffeinated products, including but not limited to: coffee, soda, tea, chocolate, etc.
• Fasting is not required for this exam.

Exam duration: 2 hours.

If you need to cancel, we ask that you do so at least 24 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If you have allergies to iodine or IV contrast, please make sure to notify the Akumin site team upon exam arrival.
• If your exam was ordered with and without contrast and you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery OR you are diabetic and taking Metformin, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• You are encouraged to drink plenty of clear liquids to stay hydrated, up to 32 ounces within 3 hours of exam time.
• Avoid coffee, tea, soda, cigarette or other stimulants at least 24 hours before the exam.
• Refrain from taking any medications on the day of the exam, excluding beta blockers (vitamins and supplements are allowed). If you have prescribed beta blockers, such as Toprol, metoprolol, etc. please continue this medication as usual.
• No exercise 24 hours prior to exam.
• Male patients: Do not take Viagra, Cialis, Levitra or similar medications 48 hours prior to the exam and 24 hours after the exam.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If you have allergies to iodine or IV contrast, please make sure to notify the Akumin site team upon exam arrival.
• If you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery OR you are diabetic and taking Metformin, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• If you have had similar prior exams, please bring the images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• If you have had similar prior exams, please bring the images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• You must be off blood thinners, including Lovenox, Advil, Aspirin, Aleve, and Motrin, for 3 days prior to the procedure.
• Please speak with your physician prior to stopping any medications.
• An Akumin Team Member will contact you to review your medications prior to your appointment.
• Please wear comfortable clothes to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

Please note arrival time:

• If your exam is for Hematuria or Kidney Stones, please arrive 15 mins prior to your appointment.

For all other exams:

• If you have an iodine allergy, arrive at the center 2 hours prior to the exam.
• If you DO NOT have an iodine allergy, please arrive at the center 1 hour prior to your appointment to drink oral contrast.
• If you have allergies to iodine or IV contrast, please make sure to notify the Akumin site team upon exam arrival.
• If you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery OR you are diabetic and taking Metformin, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• If you have had similar prior exams, please bring the images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• No coffee, soda, cigarettes, or other stimulants at least 12 hours prior to the exam.
• You do not need to fast prior to your appointment.
• You may drink water prior to the procedure.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

Please arrive 1 hour and 15 minutes prior to your exam time to begin drinking the contrast required for this procedure.

Exam prep:

• 3-hours prior to the appointment time: Do not eat or drink anything other than clear liquids.

If you have had similar prior exams, please bring the images and reports with you to your appointment.

If you need to cancel, we ask that you do so at least 24 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.

For this exam, you must meet the following eligibility:

• Have a 20 pack-year* or more smoking history, and
• Smoke now or have quit within the past 15 years, and
• Are between 50-80 years old (private insurance) or 50-77 years old (Medicare)

*A pack-year is smoking an average of one pack of cigarettes per day for one year. For example, a person could have a 20 pack-year history by smoking one pack a day for 20 years or two packs a day for 10 years.

• If you do not meet this eligibility, please contact your physician to obtain a new order for a CT Chest.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

Please note arrival time:

• If your exam is for Stone Protocol, Hematuria, Nephrolithiasis, Renal Calculi, or Aortic Abdominal Aneurysm, please arrive 15 mins prior to your appointment.

For all other exams:

• If you have an iodine allergy, arrive at the center 2 hours prior to the exam.
• If you DO NOT have an iodine allergy, please arrive at the center 1 hour prior to your appointment to drink oral contrast.
• If you have had similar prior exams, please bring the images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If you have allergies to iodine or IV contrast, please make sure to notify the Akumin site team upon exam arrival.
• If you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery OR you are diabetic and taking Metformin, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• If you have had similar prior exams, please bring the images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 1 hour and 15 minutes prior to your exam time to begin drinking the contrast required for this procedure.
• Do not eat or drink anything other than clear liquids 3-hours before the exam.
• If you have had similar prior exams, please bring the images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time: Please plan to spend 3 appointment times in the facility the day of your test. You will receive a pill, wait 1 hour, receive an injection, wait 3 hours, and then have a scan of your brain.
• Fasting is not required for this exam.
• Some medications can alter tracer binding, please speak to your doctor to determine if stopping any medication is required.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• Do not take any calcium, calcium replacements, or osteoporosis medications the day of your exam.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 min prior to your appointment time.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• The exam time will be 1-1/2 hours up to 4 hrs depending if additional images are needed.
• No food or water 4-6 hours prior to appt time.
• No narcotic pain medication after midnight.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• Do not wear deodorant, powder, or lotions to your appointment.
• Be sure to bring all previous breast imaging on a CD and reports if NOT performed at an Akumin site.
• If you are breastfeeding, please pump prior to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• Do not wear deodorant, powder, or lotions to your appointment.
• Be sure to bring all previous breast imaging on a CD and reports if NOT performed at an Akumin site.
• If you are breastfeeding, please pump prior to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If you have prior exams related to the scheduled exam that were performed outside of Akumin, please bring the images and reports with you to the appointment if possible.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Please do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• If your exam is for brain, orbit, or IAC, please do not wear makeup to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• Do not eat or drink anything other than clear liquids 4-hours prior to the appointment time.
• If you have prior exams related to the scheduled exam that were performed outside of Akumin, please bring the images and reports with you to the appointment if possible.
• If your exam was ordered with and without contrast and you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• All available prior mammograms and ultrasound images and reports of the breast performed outside of Akumin within the last 5 years MUST be available ON or BEFORE the day of the exam for the radiologist to compare. A CD with exam and accompanying report must be available at the time of imaging or your exam report will be delayed.
• If your exam was ordered with and without contrast and you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If you have prior exams related to the scheduled exam that were performed outside of Akumin, please bring the images and reports with you to the appointment if possible.
• If you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• If your exam is for brain, orbit, or IAC, please do not wear makeup to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• This exam requires oral contrast – please arrive at the center 90 minutes prior to the appointment to drink the contrast prior to your appointment.
• Do not eat or drink anything 6-hours prior to the appointment time.
• If you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• If you have prior exams related to the scheduled exam that were performed outside of Akumin, please bring the images and reports with you to the appointment if possible.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If you have prior exams related to the scheduled exam that were performed outside of Akumin, please bring the images and reports with you to the appointment if possible.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• If you have prior exams related to the scheduled exam that were performed outside of Akumin, please bring the images and reports with you to the appointment if possible.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• If your exam was ordered with or with and without contrast and you have a history of kidney problems, including: dialysis, kidney disease or kidney failure, kidney transplant, single kidney, renal (kidney) cancer, or renal (kidney) surgery, you will need to bring BUN/Creatinine lab results done within 6-weeks with you on the day of the exam. Please ask your physician for the lab order if needed.
• Try to have a bowel movement prior to your appointment.
• If you have prior exams related to the scheduled exam that were performed outside of Akumin, please bring the images and reports with you to the appointment if possible.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to your appointment time.
• Your examination requires a prescription medication that should be provided by your physician. Please be sure to bring this medication with you.
• Drink 16 oz water 1 hour prior to the examination, then, do not urinate until after the scan is complete.
• If you have ever had an implanted device, be sure to bring the implant documentation card with you to your appointment (includes your name and implanted device info).
• If you have a nerve stimulator, please bring the fully charged remote with you to the exam.
• Please wear comfortable clothing to your appointment so you can quickly change into an MRI safe gown prior to your exam. All patients for MRI exams are required to change into an MRI safe gown for their exam. There are no exceptions to this safety requirement.
• Do not wear any jewelry, hair accessories, magnetic lashes, or any metal objects such as watches, necklaces, removable piercings, etc. to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 minutes prior to appointment time.
• Please make sure to stay hydrated prior to your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 30 min for first appt and then you will return 3-4 hrs later for imaging (up to 1 hour).
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• Wear comfortable clothing without metal.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time will be approximately 3 hours.
• No caffeine (or caffeinated products) 24 hours prior to the test.
• No food or drinks 6 hrs prior to appointment time. Water/medication can be taken after the exam is complete.
• Please bring a light snack with you to the exam.
• Wear comfortable shoes and a plain button down shirt. No metal buttons, zippers, or other objects on the shirt.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 30 min for first appt and then you will return for 2nd appt 3-4 hrs later for 30 mins.
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time approximately 4 hours.
• Please discontinue all medications for heartburn, reflex, and ulcers 24 hours prior to your exam.
• No food or drinks 4-6 hours prior to appointment time. Water/medication can be taken after the exam is complete.
• You will be given oatmeal or eggs to consume at the facility prior to the exam – technologist will review with you.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time approximately 1 hour.
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time approximately 1-1/2 hours.
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 1-1/2 hour with a return 3 hours later for 1 hour imaging.
• Hydrate well prior to appointment. You will need to empty bladder frequently just before the exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 1 hour
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 1 hour for first appointment and then you will return 3 hrs later for 1 hour imaging.
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 1 hour.
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 1 hour.
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 minutes prior to appointment time.
• Please have your medication list available when our Team Member calls you to confirm your appointment.
• No food or water 4-6 hours prior to exam.
• No caffeine 24 hours prior to exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• You will arrive at clinic to take the required pill for this exam. You may eat 30 minutes after taking the pill. You will return to the clinic 4-6 hours after taking the pill for a 45 minute scan. You will then return 24 hours post taking the pill for a 5 minute scan. (fasting is not required on second day)
• This exam requires you to discontinue the following items prior to having this test; failure to do so may result in incorrect diagnosis. Please consult with your doctor before stopping any medications.
• 6 weeks before the exam, you must not have had Iodinated IV contrast, such as used in CT procedures.
• 4 weeks before the exam, stop taking Thyroid hormones. [Examples: Synthroid, Cytomel, Levothroid, Proloid]
• 1 week before the exam, stop taking Anti-thyroid hormones used for treating hyper-thyroid. [Examples: Carbimazole, Tapazole]
• 5 days before the exam, stop taking medicines or supplements that contain iodine, such as iodized salt, kelp, cough syrups, multivitamins, amiodarone, green leafy vegetables, and seafood.
• No food or drinks 6 hours prior to the exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

Please arrive 15 min prior to appointment time.

An Akumin team member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have.

Exam prep:

• 6 weeks prior to exam: Patient should not have had any iodine contrast.
• 3-4 weeks prior to exam: Patient should be off multi-vitamins with iodine (please review the vitamin bottle to verify).
• 5-30 days prior to exam: Most medications are ok but patient should be off Thyroid medication for 5 to 30 days depending on type of Thyroid medication.
  • Please consult with your doctor prior to stopping any medications.
• Day of exam: No food prior to appointment time. Hydrating with water is ok.

Exam duration: 2 day procedure.

If you need to cancel, we ask that you do so 24 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 1 hour.
• No smoking 24 hours prior to appointment time.
• Fasting is not required for this exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 2 hours.
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• If you need to cancel, we ask that you contact us at least 48 hours prior to the appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 1 hour.
• No food or drinks other than water 4 hours prior to appointment time. No gum/mints.
• No strenuous exercise 24 hours prior to the exam.
• Please hydrate with water and take medication as normal.
• Wear comfortable clothing that contains no metal/zippers. No jewelry.
• Please bring prior imaging for comparison.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 2 hours.
• Wear comfortable clothing that contains no metal/zippers. No jewelry.
• Fasting is not required for this exam, please hydrate prior to appointment
• Please bring prior imaging for comparison.
• If you need to cancel, we ask that you contact us at least 48 hours prior to the appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time approximately 45 minutes.
• No caffeine (or caffeinated products) 24 hours prior to the test.
• No food or drinks 6 hrs prior to appointment time. Water/medication can be taken after the exam is complete.
• Please bring a light snack with you to the exam.
• Wear comfortable shoes and a plain button down shirt. No metal buttons, zippers, or other objects on the shirt.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 30 min prior to appointment time.
• Unless instructed otherwise by your Doctor, you may continue taking your regular medications as prescribed.
• Avoid Strenuous Exercise for at least 24 hours before the scan.
• Wear comfortable, metal-free clothing – avoid clothing with metal zippers, buttons, or fasteners, as metals and dense materials can interfere with imaging.
• Jewelry and Accessories: Leave jewelry, watches, and any other metal accessories at home. Remove all jewelry or clips from the entire head (such as piercings and hair pins).
• Please bring prior imaging for comparison if available.
• Please hydrate prior to appointment.
• If you need to cancel, we ask that you contact us at least 48 hours prior to the appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 minutes prior to appointment time.
• No food or drinks other than water 6 hours prior to appointment time (including gum and mints).
• Please hydrate with water and take medication as normal, except diabetic medication and insulin.
• IF you must take insulin or diabetic medication you can take it 6 hours prior to scan with a low carb breakfast. *Sugar must to be under 200 mg/dL to scan.
• 24 hours prior to your appointment, you should follow a low carb, low sugar, high protein diet.
• No strenuous exercise 24 hours prior to the exam.
• Wear comfortable clothing that contains no metal/zippers. No jewelry.
• Please bring prior imaging for comparison.
• If you need to cancel, we ask that you contact us at least 48 hours prior to the appointment as you may be subject to a no show/cancellation fee.

• An Akumin Team Member will be contacting you 24 hours prior to your appointment to go over the prep instructions and to answer any questions that you may have. You must speak with the Team Member to confirm your appointment.
• Please arrive 15 min prior to appointment time.
• Exam time is approximately 2 hours.
• Wear comfortable clothing that contains no metal/zippers. No jewelry.
• No strenuous exercise 24 hours prior to exam.
• Fasting is not required for this exam but please make sure you are hydrated for your appointment.
• Please bring prior imaging for comparison.
• If you need to cancel, we ask that you contact us at least 48 hours prior to the appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• Do not take any stimulants (example: Dulcolax or Senna), bulk fibers, suppositories or enemas during the test.
• You may follow a normal diet throughout the study.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• This exam requires that you drink 32 ounces of water 1-hour prior to your appointment time and keep your bladder full.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• For morning appointments, please do not eat anything after midnight prior to your appointment. You may drink water.
• For afternoon appointments, please do not eat anything 6 hours prior to your appointment. You may drink water.
• If this is a STAT exam, please do not eat 4 hours prior to your appointment.
• Food, and any liquids other than water will impact the ability to perform the exam and may result in the exam being rescheduled.
• If you have had similar prior exams, please bring the images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

Please arrive 15 minutes prior to appointment time.

Exam prep:

• 1 hour prior to your appointment time: Drink 32 ounces of water and keep your bladder full.
  • Do not urinate as an empty bladder will prevent us from performing the exam.

If you need to cancel, we ask that you do so at least 24 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• Please bring in all previous breast imaging on a CD and the reports if the exam(s) were not performed at an Akumin site.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

Please arrive 15 minutes prior to appointment time.

Exam prep:

• For morning appointments:
  • Please do not eat anything after midnight prior to your appointment. You may drink water.
• For afternoon appointments:
  • Please do not eat anything 6 hours prior to your appointment. You may drink water.
• If this is a STAT exam:
  • Please do not eat 4 hours prior to your appointment.

Food, broth, and carbonated beverages will impact the ability to perform the exam and may result in the exam being rescheduled.

If you have had similar prior exams, please bring the images and reports with you to your appointment.

If you need to cancel, we ask that you do so at least 24 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• For morning appointments, please do not eat anything after midnight prior to your appointment. You may drink water.
• For afternoon appointments, please do not eat anything 6 hours prior to your appointment. You may drink water.
• If this is a STAT exam, please do not eat 4 hours prior to your appointment.
• Food, and any liquids other than water will impact the ability to perform the exam and may result in the exam being rescheduled.
• If you have had similar prior exams at a non-Akumin facility, please bring previous images and reports with you to your appointment.

**IF your appointment is for a Renal/Retroperitoneal Ultrasound Complete (Kidneys and Bladder), you will need to drink 32 ounces of water 1 hour prior, and hold your bladder until after your exam.

• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• For morning appointments, please do not eat anything after midnight prior to your appointment. You may drink water.
• For afternoon appointments, please do not eat anything 6 hours prior to your appointment. You may drink water.
• If this is a STAT exam, please do not eat 4 hours prior to your appointment.
• Food, and any liquids other than water will impact the ability to perform the exam and may result in the exam being rescheduled.
• If you have had similar prior exams at a non-Akumin facility, please bring previous images and reports with you to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• No solid food, candy, or gum 6-hours prior to the exam.
• No liquids 2-hours prior to the exam.
• Please use a Fleet enema 2 hours AND 1 hour prior to the exam.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• A prescription for Golytely (colon prep) must be obtained from your referring physician or from the imaging center 48 hours prior to your appointment. The laxative prep will start the night before the exam.
• You may only have clear liquids 24 hours prior to the exam – no solid food until exam is completed.
• Take a laxative the night before the exam. You may also need to use a suppository to clear any remaining residue in your colon.
• If you have had similar prior exams at a non-Akumin facility, please bring previous images and reports with you to your appointment.
• Please wear comfortable clothes to your appointment.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.

• Please arrive 15 minutes prior to appointment time.
• Please remember to remove all jewelry and metal objects; such as watches, necklaces, eyeglasses, removable piercings, etc. prior to the exam.
• Please confirm your appointment at least 48 hours in advance to avoid long wait times or a reschedule of your exam.
• If you need to cancel, we ask that you do so at least 48 hours prior to your appointment as you may be subject to a no show/cancellation fee.