Radioaerosol Applications Assistance
In the event of a persistent concern that is not addressed by our "Helpful Hints", please complete the following form and click on "Submit" for technical assistance.
Contact : Title :  
Facility : Department :  
Address : City :  
State or Province : Zip Code :  
Country : e-mail :  
Phone : Fax :  
1. Patient dosing location : Against camera Away from camera
2. Patient position while dosing : Upright Supine
3. Patient position while imaging : Upright Supine
4. The ventilation studies : Pre-perfusion Post-perfusion
5. Ventilation pharmaceutical used (type, dose, volume & activity) :
6. Length of dosing time :
7. Survey meter reading at lungs achieved with this dose :
8. Length of time between dosing and imaging) :
9. Gamma Camera used :
10. Collimator choice :
11. Collimator distance from patient :
12. Length of time for each image :
13. Gamma camera field of view count achieved for each image :
14. Patient Connection used : Mouthpiece and Noseclip Mask
15. Type and length of extension tubing used :
16. Oxygen / Air Regulator flow rate and pressure :
17. Describe the patients breathing technique during dosing:
 
18. Additional Comments:
 
 
Copyright © 2016, AMICI , All rights reserved.