Nuclear Medicine

Procedures & Treatments

Nuclear medicine, in a sense, is “radiology done inside out” or “endoradiology” because it records radiation emitting from within the body rather than radiation that is generated by external sources like X-rays. In addition, nuclear medicine scans differ from radiology as the emphasis is not on imaging anatomy but the function and for such reason, it is called a physiological imaging modality.

Single Photon Emission Computed Tomography or SPECT and Positron Emission Tomography or PET scans are the two most common imaging modalities in nuclear medicine

HEART:

• Myocardial viability PET and SPECT
• Adenosine Stress perfusion scan
• Stress Dobutamine Myocardial MIBI perfusion SPECT
• Stress and Rest myocardial perfusion SPECT
• MUGA scan

BRAIN:

• FDG brain PET CT
• F-18 DOPA PET CT
• Brain perfusion SPECT
• Ictal and interIctal SPECT
• Trodat SPECT
• Tumour Viability Study

SKELETAL SYSTEM:

• Three Phase Bone scan
• Whole body Bone scan
• F18 Fluoride Bone PET CT.
• FDG PET prosthesis/infection Imaging.
• Graft viability imaging

GASTROINTESTINAL:

• Salivary scan
• GE Reflux scan
• Gastric Emptying Time
• RBC - GI Bleed scan
• Meckel's scan
• Whole body DOTA PET CT

HEPATOBILIARY/LIVER - SPLEEN:

• Liver Spleen scan
• RBC Blood pool scan
• Hepatobiliary (HIDA) scan
• MAA Sunt

GENITOURINARY:

• Diuretic DTPA Renal scan
• GFR Estimation
• EC Renal scan (ERPF)
• DMSA Cortical Renal scan
• Captopril Renal scan
• VU Reflux study
• Renal Transplant study
• Lymphoscintigraphy for Chyluria
• Whole body PSMA PET CT

ENDOCRINE:

• Technetium Thyroid scan
• MIBI Thyroid scan
• MIBI Parathyroid Scan
• MIBG scan
• Octreotide SPECT CT

ONCOLOGY:

• Whole body FDG PET CT
• Whole body Gallium 68 DOTA scan
• Whole body Gallium 68 PSMA scan
• F-18 Choline PET CT
• Whole body iodine scan
• Post therapy scan
• F-18 DOPA PET CT
• Senthinal lymphoscintrigrapy
• Scintimammography
• HSA scan for protein leak

INFECTION IMAGING:

• Whole body FDG PET infection Imaging
• Gallium 67 scan
• 99mTc Ubiquicidin Imaging

RESPIRATORY:

• Lung Perfusion Scan
• Ventilation - Perfusion (V/Q) scan
• Quantitative lung ventilation
• Mucociliary clearance study
• Ventilation

BLOOD:

• Lymphoscintigraphy for Lymphoedema.
• Sentinel Node Mapping

RADIONUCLIDE THERAPY:

• Radio lodine treatment for Thyrotoxicosis ( < 10 mci)
• Radio lodine treatment for Thyrotoxicosis ( > 10 mci)
• Radioiodine therapy for Ca. Thyroid ( <100 mci )
• Radioiodine therapy for Ca. Thyroid ( >100 mci )
• rTSH Radioiodine therapy for Ca thyroid
• 177 Lutetium DOTA therapy for Neuroendocrine tumors.
• 177 Lutetium PSMA therapy for Ca. Prostate
• Samarium Skeletal Pain Palliative Therapy
• 90 Yttrium Radiation Synovectomy.
• 131 Iodine Lipidiol TARE therapy for HCC.
• 90 Yttrium Lipidiol TARE therapy
• Strontium 89 skeletal pain palliative therapy

PET SCAN (OUTSIDE ) REVIEW

CT CONTRAST (PET CT)

• omnipaque
• visipaque
• oral contrast (PET CT)

RBC BLOOD POOL

F CHOLINE