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Nuclear Imaging Procedures

 
Other Nuclear Imaging Procedures
 
SKELETAL IMAGING – BONE SCAN
  • Metastatic bone tumors – Skeletal screening for prostate, breast, kidney, lung, thyroid, multiple myeloma etc.
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  • Infection – Acute and chronic osteomyelitis
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  • Metabolic bone disease- osteoporosis, osteomalacia, renal osteodystrophy, Hyperparathyroidism, Paget’s disease of the bone
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  • Avascular necrosis
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  • Primary bone tumors 
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  • Benign tumors – Osteoid Osteoma, Enchondroma, Osteochondroma, Chondroblastoma, Anuerysmal bone cyst etc.
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  • Malignant tumors – osteosarcoma, Ewing’s sarcoma, chondrosarcoma, etc
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  • Bone graft viability
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  • Identify Occult bone trauma (Sports injuries)

GENITOURINARY SYSTEM
Indications for DTPA/EC Renal scan

  • Obstructive uropathy
  • GFR estimation
  • Vesico-ureteric reflux
  • Evaluation of differential renal function
  • Transplant Kidney evaluation
 

Indications for DMSA Renal Scan

  • Detection of cortical scarring following UTI
  • Detection of pyelonephritis
  • Renal function in parenchymal renal diseases
Indications for DMSA Renal scan

HEPATOBILIARY SYSTEM
Indications for Hepatobiliary Study

  • Acute and chronic cholecystitis
  • Common duct obstruction
  • Biliary leaks
  • Biliary obstructions

Indications for a Reticulendothelial Study

  • Cavernous haemangioma
  • Cirrhosis
  • Hepatocellular carcinoma

PULMONARY SYSTEM
Indications for Pulmonary Scans

  • Pulmonary embolism
  • Transplant lung evaluation
  • Early detection of obstructive lung diseases
  • Early and follow-up of Infiltrative lung diseases
PULMONARY SYSTEM
Indications for pulmonary scans
Mismatched V/Q scan
 

GASTRO INTESTINAL TRACT
Indications

  • 99mTc RBC study – to identify the site of bleeding
GASTRO INTESTINAL TRACT
Indications
99mTc-labelled RBC scan for GI bleed showing bleeding from the fundus.

  • 99mTc pertechnetate study - Gastroesophageal reflux  Meckel’s diverticulum

  • 99mTc solid and liquid meals - Gastric emptying time Esophageal transit time Intestinal transit  times

NEUROLOGY
Indications for Brain Perfusion Studies

  • Dementias
  • Stroke
  • Transient ischaemic attacks
  • Migraine
  • Epilepsy
  • Psychiatric diseases
  • Movement disorders
NEUROLOGY
Indications for brain perfusion studies
Alzheimer’s disease with reduced perfusion in both the parietotemporal region

OTHERS INDICATIONS

  • 131I-MIBGscan for neuro-endocrine tumors (Pheochromocytoma, Neuroblastoma
  • 99mTc-sulphur colloid lymphoscintigraphy for sentinel lymph node detection, detection of Chyluria
  • 99mTc-MIBI scinti-mammography for tumour and sentinel node detection.
  • 111In-octreotide for Carcinoid and GEP endocrine tumours
 
 
 
 
     
  Dr. A. M. Samuel
 
  Dr. Atul Marwah