Nuclear Medicine

Treatments

 

Nuclear Cardiology

• Myocardial perfusion SPECT and SPECT CT

• Cardiac SPECT and SPECT CT, isotopic ventriculography

• Scintigraphy for detection of cardiac amyloidosis with DPD

Radioguided Surgery

• Various techniques, including I-125 seed localization

Nuclear Endocrinology

• Thyroid scintigraphy with 99mTc, I-123, I-131

• Parathyroid scintigraphy with 99mTc-MIBI

• Parathyroid SPECT and SPECT CT

• Choline PET for parathyroid evaluation

• Intraoperative localization of parathyroid adenoma

• Adrenal cortical scintigraphy with iodo-cholesterol

• Adrenal medullary scintigraphy with I-123 MIBG

Gastrointestinal

• Salivary gland scintigraphy

• Gastroesophageal transit/reflux scintigraphy

• Gastric emptying scintigraphy for gastroparesis assessment

• Hepatobiliary scintigraphy for suspected cholecystitis

• Scintigraphy for ectopic gastric mucosa (Meckel’s diverticulum)

• Liver and liver-spleen scintigraphy

• Scintigraphy for bile acid malabsorption (chronic diarrhea)

Inflammation & Infection

• FDG PET

• Gallium-67 scintigraphy/whole-body scan

• Monoclonal antibody scintigraphy

Lymphatic

• Lymphoscintigraphy for lymphedema assessment

• Lymphoscintigraphy for sentinel lymph node evaluation

• Intraoperative sentinel lymph node localization (breast cancer, melanoma, head and neck, etc.)

Nuclear Oncology

• FDG PET CT

• PET CT with other tracers (PSMA, choline) for prostate cancer

• PET CT with fluorodopa and Ga-68 somatostatin analogs for neuroendocrine tumors

• Somatostatin receptor scintigraphy (Octreoscan) for neuroendocrine tumors

• MIBG scintigraphy for neural crest tumors

• I-131 whole-body scan for thyroid cancer

Osteomuscular

• Bone scintigraphy for bone metastases or metabolic bone disease

• Three-phase bone scintigraphy for orthopedic/trauma-related bone disorders

• Bone SPECT and SPECT CT

Renal & Urinary

• Renal scintigraphy (DMSA)

• Renal SPECT and SPECT CT

• Baseline and diuretic renogram

• Post-ACE inhibitor renogram for renovascular hypertension assessment

• Cystoscintigraphy

Nuclear Pulmonology

• Pulmonary perfusion scintigraphy

• Pulmonary ventilation scintigraphy

• Pulmonary perfusion SPECT and SPECT CT

• Pulmonary ventilation SPECT and SPECT CT

Nuclear Neurology

• Brain FDG PET CT

• Brain perfusion SPECT and SPECT CT

• Dopaminergic transporter SPECT and SPECT CT for Parkinsonism

• PET CT with other tracers (fluorodopa) for intracranial tumors

Therapy

• Outpatient treatment of hyperthyroidism with I-131

• Outpatient treatment of metastatic bone pain with radionuclides (radium, samarium, etc.)

• Radiosynovectomy for synovial joint disease

• Short-stay treatments with Lutetium

• I-131 treatments

• Hepatic radioembolization