If you would like your patient to be referred to us for 18F DOPA PET Scan please contact the UCLA Nuclear Medicine Department (310) 794-1005, option 1 or the UCLA Pediatric Endocrine Department (310) 825-0867 to secure a date.
Once a date has been set, please contact Dr. Audrey Kamzan of the Pediatric Hospitalist Team (Akamzan@mednet.ucla.edu).
Please be prepared to give us the following information:
Blood glucose targets and frequency of blood glucose checks
Glucose bolus recommended doses
Medications for hyperinsulinism
Fluid or feeding regimen
Name and contact information for whomever should be called to discuss results
Plan for after the study (i.e. would you like the patient to be transferred back to your institution or discharged home)
Please fill out a SAR form (for Medi-Cal patients) with the following CPT Codes: Codes - CPT: 78815 (PET scan), 71260, 74177, 70491 (CT’s), A9597 (DOPA isotope for tumor imaging).