Applications

Common Applications of Nuclear Scans & Therapy

Cardio – Vascular Studies

  • First Pass study
  • Radio Nuclide ventriculogam (Muga)
  • Stress & Reset
  • Rest scan only
  • Pharmlogical stress (Adenosine/ Dobutamine)
  • Radionuclide venogram
  • Lymphoscintingraphy

    Clinical Applications

  • Diagnosis of coronary artery disease well in advance before angiography
  • Select patients for by pass (CABG) surgery or angioplasty
  • Measure effectiveness of medical therapy for severe LV dysfunction
  • Identify patients at high risk of heart attack
  • Measure chemotherapy cardio toxicity
  • Accurate assessment of LVEF
  • Venogram to diagnose the DVT

Lymphangiogram for planning medical or surgical treatment of lymph edema.

Lung Perfusion Scan

    Clinical Applications

  • Diagnosis of pulmonary embolism, Detect pulmonary complications of AIDS
  • Quantity Lung perfusion & Detect Inhalation injury in burn patients.

Nephro – Urology studies Reno-gram

  • Plain Study
  • Diuretic study – Routine / Modified
  • Base line & Captopril study
  • Captopril Study only
  • Radio – Nuclide voiding cryptogram
  • Direct / Indirect
  • DMSA Renal (cortical ) scan
  • Transplant kidney study

    Clinical Applications

  • Detect urinary tract obstruction
  • Diagnose Remo vascular hypertension
  • Measure differential renal function
  • Evaluate individual kidney GFR
  • Detect renal transplant function Detect pyelonephritis
  • Detect renal scars

Skeletal Studies

  • Whole body skeletal scan
  • Three phase bone scan

    Clinical Applications

  • Orthopaedic scans Applications, Identify occult bone trauma (Sports Injuries) Diagnose osteomyelitis
  • Evaluate arthritic changes and localize sites for biopsy in bone cancers, Measure extent of tumour in bone
  • Screening for skeletal metastasis, Evaluation of metabolic bone disease

Gastro – Intestinal Studies

  • Liver & Spleen scan
  • Biliary (Bullida ) scan
  • Oesophageal Transit study
  • Gastric emptying study / Gastric Motility study
  • Spotting of Gastro – Intestinal Bleeding
  • Gastro – Oesophageal Reflux study
  • Meckels’s Diverticulam scan

    Clinical Applications

  • Detect Gall bladder dysfunction
  • Evaluation of gall bladder ejection fraction
  • Detect acute cholecysystitis
  • Spotting of gastrointestinal bleeding

Central Nervous System Studies

  • Brain Perfusion study – SPECT
  • CSF flow study
  • Shunt patency study

    Clinical Applications

  • Neurological Scans Applications, Diagnose stroke
  • Diagnose Alzheimer’s disease
  • Demonstrate changes in AIDS dementia
  • Diagnose multi infarct dementia
  • To asses cerebral tumour activity following surgery or
  • RT or Chemotherapy

Oncological Applications

  • Tumor Localization / Nuclear Mammography
  • Tumor staging / Gallium scan
  • Identify metastatic sites
  • Judge response to therapy
  • Treating bone pain caused by cancer

Endocrinology

  • TC99m Thyroid scan & Parotid scan
  • I-131 uptake & thyroid scan
  • Parathyroid scan
  • Adrenal scan
  • Whole body I – 131 scan

Nuclear Therapy

  • Low dose I-131 Therapy for thyrotoxicosis
  • High dose I-11 therapy for cancer thyroid
  • Cancer Bone pain palliation -Sr- 89