Respiratory System: Investigations of Choice
Respiratory System: Investigations of Choice
Respiratory System: Investigations of Choice
RESPIRATORY SYSTEM
LUNG CANCER IOC CECT
LUNG CANCER IOC - STAGING PET - CT
PANCOAST TUMOR IOC MRI
SOLITARY PULMONARY NODULE IOC CECT
TB IOC FOR LYMPH NODES CT
TB IOC FOR POST PRIMARY TB HRCT
LUNG COLLAPSE IOC CT
PLEURAL EFFUSION BEST RADIOGRAPH LATERAL DECUBITUS
PLEURAL EFFUSION IOC USG
PLEURAL PLAQUES/CALCIFICATIONS IOC CT
PLEURAL MESOTHELIOMA IOC CT
BRONCHIECTASIS IOC HRCT
LUNG ABSCESS IOC CT
THYMOMA IOC CECT
POSTERIOR MEDIASTINAL TUMORS IOC MRI
PNEUMOMEDIASTINUM IOC CT
PNEUMOTHORAX BEST RADIOGRAPH CXR PA VIEW IN MAX EXPIRATION
PNEUMOTHORAX IOC CT
HYPERSENSITIVITY PNEUMONITIS IOC HRCT
INTERSTITIAL LUNG DISEASES IOC HRCT
OBSTRUCTIVE SLEEP APNOEA IOC POLYSOMNOGRAPHY
OBSTRUCTIVE SLEEP APNOEA GOLD STANDARD OVERNIGHT POLYSOMNOGRAM
CARDIOVASCULAR SYSTEM
MITRAL STENOSIS IOC ECHO
CONGESTIVE HEART FAILURE IOC ECHO
CONGESTIVE HEART FAILURE GOLD STANDARD CARDIAC MRI
HOCM IOC CARDIAC MRI > CT
PERICARDIAL EFFUSION IOC ECHO
CONSTRICTIVE PERICARDITIS IOC FOR CALCIFICATION CT
CONSTRICTIVE PERICARDITIS IOC FOR THICKENING MRI
VENTRICULAR FUNCTION IOC CARDIAC MRI
MYOCARDIAL VIABILITY IOC PET SCAN
PULMONARY ARTERIAL HYPERTENSION IOC OVERALL ECHO
PULMONARY ARTERIAL HYPERTENSION GOLD STANDARD CARDIAC CATHETERIZATION
PULMONARY ARTERIAL HYPERTENSION IOC TO VISUALIZE PULMONARY ARTERY MULTIDETECTOR CT
PULMONARY EMBOLISM SCREENING D DIMER
PULMONARY EMBOLISM IOC CT ANGIOGRAPHY
PULMONARY EMBOLISM 2ND LINE V/Q SCAN
PULMONARY EMBOLISM GOLD STANDARD INVASIVE ANGIOGRAPHY
ACUTE ARTERIAL OCCLUSION IOC DUPLEX
CHRONIC ARTERIAL OCCLUSION IOC DUPLEX
ABDOMINAL AORTIC ANEURYSM IOC CT ANGIOGRAPHY
THORACIC AORTIC ANEURYSM IOC CT ANGIOGRAPHY
AORTIC DISSECTION IOC - STABLE PATIENT CT ANGIOGRAPHY
AORTIC DISSECTION IOC - UNSTABLE PATIENT TRANSESOPHAGEAL ECHOCARDIOGRAPHY
AORTIC DISSECTION GOLD STANDARD INVASIVE ANGIOGRAPHY
AV FISTULA IOC MR ANGIOGRAPHY
THORACIC OUTLET SYNDROME IOC CT ANGIOGRAPHY
GASTROINTESTINAL SYSTEM
GERD IOC ENDOSCOPY
GERD GOLD STANDARD 24 HOUR PH MONITORING
BARRETS ESOPHAGUS IOC ENDOSCOPIC BIOPSY
ESOPHAGEAL CANCER IOC ENDOSCOPIC BIOPSY
ESOPHAGEAL CANCER IMAGING OF CHOICE CECT
ESOPHAGEAL CANCER IOC - OVERALL STAGING PET - CT
ESOPHAGEAL CANCER IOC - T & N STAGING ENDOSCOPIC ULTRASOUND
HIATAL HERNIA IOC CT with ORAL CONTRAST
SCHIATZKI RING DX BARIUM SWALLOW
ESOPHAGEAL PERFORATION IOC CECT
BOERRHAVE SYNDROME / SPONTANEOUS
IOC - STABLE PATIENT CECT
ESOPHAGEAL PERFORATION
BOERRHAVE SYNDROME / SPONTANEOUS
IOC - UNSTABLE PATIENT CONTRAST STUDY XRAYS (IOHEXOL)
ESOPHAGEAL PERFORATION
ACHALASIA CARDIA IOC / GOLD STANDARD OESOPHAGEAL MANOMETRY
NUTCRACKER ESOPHAGUS IOC OESOPHAGEAL MANOMETRY
PNEUMOPERITONEUM BEST RADIOGRAPH XRAY CHEST ERECT
PNEUMOPERITONEUM IOC CT
INTRAABDOMINAL ABSCESS IOC CECT
MALLORY WEISS TEAR IOC ENDOSCOPY
MENETRIERS DISEASE IOC ENDOSCOPIC BIOPSY
VARICEAL HEMORRGHAGE IOC DOPPLER
CONGENITAL PYLORIC STENOSIS IOC USG
AIR UNDER DIAPHRAGM IOC - STABLE PT CECT
AIR UNDER DIAPHRAGM IOC - UNSTABLE PTS XRAY CHEST - ERECT
PEPTIC ULCER DISEASE IOC ENDOSCOPY
GASTRIC CANCER IOC ENDOSCOPIC BIOPSY
GASTRIC CANCER IMAGING OF CHOICE CECT
GASTRIC CANCER IOC - OVERALL STAGING PET - CT
GASTRIC CANCER IOC - T & N STAGING ENDOSCOPIC ULTRASOUND
GASTRIC LYMPHOMA IOC CECT
GIST IOC CECT
GASTRIC VOLVULUS IOC CECT
TRICHOBEZOAR IOC CECT
HELICOBACTER PYLORI INFECTION IOC ENDOSCOPY + BIOPSY UREASE TEST
Compiled by Dr. Bhargav Shreeram. G
INVESTIGATIONS OF CHOICE
HELICOBACTER PYLORI INFECTION IOC FOR CONFIRMATION OF ERADICATION / FOLLOWUP STOOL ANTIGEN TEST > UREA BREATH TEST
INTESTINAL OBSTRUCTION IN CHILDREN IOC OVERALL USG
INTESTINAL OBSTRUCTION IN ADULTS IOC OVERALL CECT
DUODENAL ATRESIA IOC CT
INTUSUSSCEPTION IN CHILDREN IOC USG
INTUSUSSCEPTION IN ADULTS IOC CECT
SIGMOID VOLVULUS IOC CECT
CAECAL VOLVULUS IOC CECT
BOWEL ADHESIONS IOC CECT
MECKELS DIVERTICULITIS IOC CECT
MECKELS DIVERTICULITIS IN CHILDREN IOC TC-99 PERTECHNETATE SCAN
BLEEDING MECKELS DIVERTICULITIS IOC TC-99 PERTECHNETATE SCAN
SUPERIOR MESENTERIC ARTERY SYNDROME /
IOC CT ANGIOGRAPHY
WILKIES/ CAST SYNDROME
HIRCHSPRUNG DISEASE IOC RECTAL BIOPSY
MESENTERIC ISCHEMIA IOC CT ANGIOGRAPHY
MESENTERIC ISCHEMIA GOLD STANDARD INVASIVE ANGIOGRAPHY
MESENTERIC ARTERY THROMBOSIS IOC CT ANGIOGRAPHY
MESENTERIC VEIN THROMBOSIS IOC CT ANGIOGRAPHY
CROHNS DISEASE IOC BIOPSY
ULCERATIVE COLITIS IOC BIOPSY
DIVERTICULOSIS IOC BARIUM ENEMA
DIVERTICULITIS IOC CECT
SMALL BOWEL TUMORS IOC ENTEROCLYSIS
MALABSORPTION (OVERALL) BEST NON INVASIVE 72 HOUR FECAL FAT TEST
MALABSORPTION (CARBOHYDRATE) BEST NON INVASIVE URINE D-XYLOSE TEST
MALABSORPTION (FAT) BEST NON INVASIVE URINE D-XYLOSE TEST
MALABSORPTION (OVERALL) GOLD STANDARD MUCOSAL BIOPSY
CELIAC DISEASE SCREENING ANTI TISSUE TRANSGLUTAMINASE ANTIBODY ELISA
CELIAC DISEASE IOC SEROLOGY + BIOPSY
WHIPPLES DISEASE IOC ENDOSCOPIC BIOPSY
SMALL INTESTINAL BACTERIAL OVERGROWTH GOLD STANDARD JEJUNAL ASPIRATE >100000/mL
INTESTINAL ANGINA GOLD STANDARD MESENTERIC ARTERY ANGIOGRAPHY
HEMORRHOIDS IOC PROCTOSCOPY
ANAL FISSURES IOC EXTERNAL INSPECTION ONLY
ANAL FISTULA IOC MR FISTULOGRAM
Compiled by Dr. Bhargav Shreeram. G
INVESTIGATIONS OF CHOICE
FAMILIAL ADENOMATOUS POLYPOSIS SCREENING APC GENE MUTATION
FAMILIAL ADENOMATOUS POLYPOSIS IOC COLONOSCOPY
COLORECTAL CANCER BEST MODALITY FOR SCREENING COLONOSCOPY
COLORECTAL CANCER MOST SENSITIVE VIRTUAL COLONOSCOPY
COLORECTAL CANCER IOC COLONOSCOPIC BIOPSY
COLORECTAL CANCER IOC - STAGING PET - CT
COLORECTAL CANCER IOC - T&N STAGE MRI WITH ENDORECTAL COIL
ANAL CARCINOMA IOC PROCTOSCOPIC BIOPSY
ACUTE APPENDICITIS IN CHILDREN IOC OVERALL USG
ACUTE APPENDICITIS IN ADULTS IOC OVERALL CECT
PSEUDOMYXOMA PERITONEI IOC OMENTAL BIOPSY
PSEUDOMYXOMA PERITONEI IOC - STAGING PET - CT
ANORECTAL MALFORMATIONS DX INVERTOGRAM
ANORECTAL MALFORMATIONS IOC CT/MRI
HEPATOBILIARY SYSTEM
PYOGENIC LIVER ABSCESS IOC MULTIPHASIC CECT > USG
AMOEBIC LIVER ABSCESS IOC MULTIPHASIC CECT > USG
HYDATID DISEASE INITIAL IOC USG
HYDATID DISEASE BEST IOC CECT
LIVER HEMANGIOMA IOC MULTIPHASIC CECT
FOCAL NODULAR HYPERPLASIA IOC CECT
HEPATIC ADENOMA IOC CECT
MULTIPLE LIVER HAMARTOMA IOC CECT
PELIOSIS HEPATIS / MULTIPLE LIVER CAVERNOUS
IOC CECT
HEMANGIOMA
HEPATOCELLULAR CARCINOMA IOC CECT
HEPATOCELLULAR CARCINOMA IOC - STAGING PET - CT
LIVER METASTASIS IOC OVERALL PET - CT
HEPATOBLASTOMA IOC CECT
EPITHELOID HEMANGIOEPITHELIOMA IOC CECT
WILSONS DISEASE BEST SCREENING 24 HOUR URINARY COPPER
WILSONS DISEASE GOLD STANDARD HEPATIC TISSUE COPPER
HEMOCHROMATOSIS BEST SCREENING SERUM FERRITIN + %SATURATION OF TRANSFERRIN
HEMOCHROMATOSIS CONFIRMATORY TEST C282Y MUTATION
HEPATOPULMONARY SYNDROME IOC BUBBLE ECHOCARDIOGRAPHY
BUDD CHIARI SYNDROME SCREENING HEPATIC VENOUS DOPPLER
BUDD CHIARI SYNDROME IOC CECT
BUDD CHIARI SYNDROME GOLD STANDARD VENOGRAPHY
EXTRAHEPATIC PORTAL VEIN OBSTRUCTION IOC CECT
SPLENIC ARTERY ANEURYSM IOC CECT
SPLENIC INFARCT IOC CECT
SPLENIC ABSCESS IOC CECT
ASCITES IOC USG
PANCREATIS DIVISUM DX MRCP/ERCP
ANNULAR PANCREAS IOC CECT
SPHINCTER OF ODDI DYSFUNCTION IOC ERCP WITH MANOMETRY
ACUTE PANCREATITIS IOC CECT
PANCREATIC PSEUDOCYST IOC CECT
CHRONIC PANCREATITITS IOC MRCP WITH SECRETIN STIMULATION
Compiled by Dr. Bhargav Shreeram. G
INVESTIGATIONS OF CHOICE
CHRONIC PANCREATITITS GOLD STANDARD ERCP
PANCREATIC ADENOCARCINOMA IOC CECT
PANCREATIC ADENOCARCINOMA IOC - STAGING PET - CT
SEROUS CYSTADENOMA OF PANCREAS IOC MRI
INTRADUCTAL PAPILLARY MUCINOUS NEOPLASM OF
DX ERCP
PANCREAS
INSULINOMA GOLD STANDARD 72 HOUR FASTING TEST
INSULINOMA IOC - LOCALIZATION INTRAOPERATIVE ULTRASOUND
GASTRINOMA SCREENING TEST SERUM GASTRIN LEVELS
GASTRINOMA MOST SENSITIVE CONFIRMATORY TEST SECRETIN STIMULATION TEST
OCTREOSCAN (SOMATOSTATIN RECEPTOR
GASTRINOMA IOC
SCINTIGRAPHY)
MEN1 ASSOCIATED GASTRINOMA IOC ENDOSCOPIC ULTRASOUND
OCTREOSCAN (SOMATOSTATIN RECEPTOR
METASTATIC GASTRINOMA IOC
SCINTIGRAPHY)
CHOLELITHIASIS / GALL STONES IOC USG
ACUTE CHOLECYSTITIS IOC USG
ACUTE CHOLECYSTITIS GOLD STANDARD HIDA
ACALCULOUS CHOLECYSTITIS IOC USG
CHRONIC CHOLECYSTITIS IOC USG
EMPHYSEMATOUS CHOLECYSTITIS IOC CECT
MIRIZZI SYNDROME DX MRCP
GALL STONE ILEUS IOC CECT
CHOLEDOCHOLITHIASIS / CBD STONES IOC MRCP
CHOLEDOCHOLITHIASIS / CBD STONES IOC FOR MICROLITHS ENDOSCOPIC ULTRASOUND
GALL BLADDER CANCER IOC CECT
GALL BLADDER CANCER IOC - STAGING PET - CT
CHOLANGIOCARCINOMA IOC MRCP
CHOLANGIOCARCINOMA IOC - STAGING PET - CT
CHOLEDOCHAL CYST IOC MRCP
EXTRAHEPATIC BILIARY ATRESIA IOC HIDA
EXTRAHEPATIC BILIARY ATRESIA GOLD STANDARD INTRA OPERATIVE CHOLANGIOGRAM
HEMOBILIA IOC CT ANGIOGRAPHY
BILHEMIA IOC ERCP
CONGENITAL PORTOSYSTEMIC SHUNTING IOC CT ANGIOGRAPHY
PORTAL VEIN ABNORMALITIES IOC USG
ENDOCRINE SYSTEM
PHAECHROMOCYTOMA IOC MRI > CECT
PHAECHROMOCYTOMA SCREENING 24hr Urinary VMA
PHAECHROMOCYTOMA MOST SENSITIVE PLASMA FRACTIONATED METANEPHRINES
EXTRA ADRENAL / METASTASISING
IOC GALLIUM 68 DOTA-TATE SCAN
PHAECHROMOCYTOMA
ADRENOCORTICAL CARCINOMA IOC MRI > CECT
NEUROBLASTOMA IOC MRI > CECT
METASTASISING NEUROBLASTOMA IOC MIBG SCAN
SEROTONIN RECEPTOR SCINTIGRAPHY / OCTREOTIDE
CARCINOID SYNDROME IOC
SCAN
ADDISONS DISEASE SCREENING EARLY MORNING PLASMA CORTISOL
ACTH STIMULATION TEST (COSYNTROPIN
CONFIRMATORY
ADDISONS DISEASE STIMULATION TEST)
CONNS SYNDROME SCREENING PLASMA ALDOSTERONE:RENIN RATIO
CONNS SYNDROME CONFIRMATORY SALINE INFUSION TEST
CONNS SYNDROME IOC CECT
ACROMEGALY SCREENING SERUM IGF-1
ACROMEGALY CONFIRMATORY GH SUPRESSION WITH ORAL GLUCOSE
ACROMEGALY IOC GADOLINIUM ENHANCED MRI
PROLACTINOMA SCREENING FASTING PROLACTIN LEVELS
PROLACTINOMA CONFIRMATORY GADOLINIUM ENHANCED MRI
CRANIOPHARYNGIOMA IOC GADOLINIUM ENHANCED MRI
PITUTARY APOPLEXY IOC GADOLINIUM ENHANCED MRI
DEXAMETHASONE SUPRESSION TEST (LOW DOSE >
BEST INITIAL TEST
CUSHING SYNDROME OVERNIGHT)
CUSHING SYNDROME MOST SENSITIVE MIDNIGHT SERUM/SALIVARY CORTISOL
CUSHING SYNDROME IOC - ACTH DEPENDENT GADOLINIUM ENHANCED MRI
CUSHING SYNDROME IOC - ACTH INDEPENDENT CECT ABDOMEN
THYROGLOSSAL CYST IOC FNAC
RETROSTERNAL GOITRE IOC CECT Neck & Thorax
RIEDELS THYROIDITIS IOC TRUCUT BIOPSY
PAPILLARY THYROID CANCER IOC FNAC
FOLLICULAR THYROID CANCER IOC FNAC f/b FROZEN SECTION STUDY
ANAPLASTIC THYROID CANCER IOC FNAC f/b TRUCUT BIOPSY
THYROID LYMPHOMA IOC TRUCUT BIOPSY
Compiled by Dr. Bhargav Shreeram. G
INVESTIGATIONS OF CHOICE
MEDULLARY THYROID CANCER IOC FNAC
Breast Lump Assessment IOC TRUCUT BIOPSY
Breast Lump Assessment GOLD STANDARD Excisional Standard Biopsy
Breast Pathology IOC - YOUNG FEMALE USG
Multifocal & Multicentric Breast Cancers IOC MRI
Pt with Breast Implants IOC MRI
LOCAL RECURRENCE / SCAR RECURRENCE AFTER
BEST IMAGING MRI
SURGERY
DCIS MOST SENSITIVE DYNAMIC CONTRAST ENHANCED MRI
DCIS IOC STEREOTACTIC TRUCUT BIOPSY
BREAST CANCER IOC - SCREENING MAMMOGRAPHY
BREAST CANCER IOC TRUCUT BIOPSY
BREAST CANCER IOC - STAGING PET - CT
BREAST ABSCESS DX USG
BREAST ABSCESS ( NON HEALING) CONFIRMATION OF TUMOR BIOPSY FROM WALL OF LESION
PHYLLODES TUMOR DX BIOPSY (TRUCUT/EXCISIONAL)
BREAST CYST ASSESSMENT DX USG
DUCT PAPILLOMA DX USG
DUCT ECTASIA DX USG
PAGETS DISEASE DX PUNCH BIOPSY
MISCELLANEOUS
LIPOMA IOC FNAC
DERMOID CYST IOC FNAC
BRANCHIAL CYST IOC FNAC
TB CERVICAL LYMPHADENOPATHY IOC Anti Gravity Aspiration & ZN Staining
VARICOSE ULCER IOC Duplex Scan
ARTERIAL ULCER IOC Duplex Scan
SPORTSMAN HERNIA/GILMORE GROIN IOC MRI
MESENTERY IOC CECT
DEEP VEIN THROMBOSIS IOC DUPLEX
VARICOSE VEINS IOC DUPLEX
LYMPHEDEMA GOLD STANDARD OVERALL DIRECT PUNCTURE LYMPHANGIOGRAPHY
LYMPHEDEMA GOLD STANDARD FOR GRADING WATER PLETHYSMOGRAPHY
LYMPHEDEMA BEST NON INVASIVE TEST TC99 SCAN
WARTHINS TUMOR IOC FNAC
WARTHINS TUMOR EXTENT OF SPREAD MRI
PLEOMORPHIC ADENOMA IOC FNAC
PLEOMORPHIC ADENOMA EXTENT OF SPREAD MRI
ORAL CANCER IOC CECT
SALIVARY GLAND STONES IOC NCCT
FREY SYNDROME DX STARCH IODINE TEST
SOFT TISSUE SARCOMAS IOC MRI
SOFT TISSUE SARCOMAS DISTANT SPREAD PET - CT
DESMOID TUMOR IOC MRI
INFLAMMATORY MYOPATHY SCREENING SERUM CREATINE PHOSPHOKINASE
INFLAMMATORY MYOPATHY IOC MUSCLE BIOPSY
SARCOIDOSIS IOC PET - CT + BIOPSY