1.              Thyroid Scan

1.1.            Evaluation of gland size and function.                

1.2.            Demonstration of functioning thyroid tissue in palpable thyroid nodules or other neck masses.

2.              Whole Body Scan for Thyroid Cancer using Iodine-31 or Thaillium-201

2.1.            Demonstration of functioning thyroid tissue remnants or metastases of well-differentiated thyroid cancer.

3.              Radioactive Iodine Uptake (RAIU)

3.1.            Assessment of toxic goiter.

3.2.            Calculation of I-131 therapy dose.

4.              Parathyroid Scan

4.1.            Detection and localization of hyper-functioning parathyroid adenomas.

5.              Myocardial perfusion scans (Thallium-201 or Tc-99m Sestambil)

5.1.            Detection of coronary artery disease.

5.2.            Differentiation of myocardial infarction from hibernating or stunned myocardial (myocardial viability assessment).

5.3.            Assessment of prognosis and risk for future cardiac events.

5.4.            Assessment of residual or recurrent ischemia after revascularization.

6.              Bone Scan

6.1.            Detection of bone metastases.

6.2.            Differentiation between cellulitis and osteomyelitis (Three-phase bone scan).

6.3.            Assessment of a vascular necrosis, joint replacement, stress fractures, arthritis, etc.

7.              Renal scan and GFR determination

7.1.            Assessment of total and individual renal function.

7.2.            Differentiation between obstructive and non obstructive uropathy (Furosenide Scan).

7.3.            Assessment of renovascular hypertension (Captopril Scan).

7.4.            Detection of renal cortical scars (DMSA Scan).

7.5.            Demonstration of vesico-ureteral reflux.

8.              Testicular Scan

8.1.            Differentiation of acute torsion from epididmytis.

9.              Lung perfusion and ventilation scan

9.1.            Diagnosis of pulmonary embolism.

9.2.            Qualification of regional lung function prior to resection

10.          Gastrointestial bleeding scans (Tagged-RBC Scan)

10.1.         Detection and localization of gastrointestinal bleeding.

11.          Mackel’s diverticulum scan

11.1.         Detection and localization of a Mackel’s diverticulum containing functioning gastric mucosa.

12.          Gastroesophageal studies

12.1.         Detection and quantitation of gastro-esophageal reflux

12.2.         Measurement of esophageal transit time in patients with swallowing disorders

12.3.         Measurement of gastric emptying in patients with suspected gastroparesis (e.g poor diabetic control) or obstruction.

13.          Scintimammography (Breast Scan)

13.1.         Evaluation of breast masses where mammography is nondiagnostic or difficult to interpret.

13.2.         Identification of multicentric masses in patients with breast cancer.

14.          Liver/Spleen Scan

14.1.         Determination of liver and spleen morphology and function

14.2.         Detection of tumor, hematoma, cyst, abscess and trauma

14.3.         Assessment of hepatitis and cirrhosis

15.          Hepatobiliary Scan

15.1.         Differentiation between neonatal hepatitis and biliary atresia

15.2.         Evaluation of acute cholecystitis

16.          Gallium Scan

16.1.         Detection and localization of infection

16.2.         Assessment of the extent of malignancies

17.          Brain Scan

17.1.         Detection and evaluation of stroke, head trauma, dementia

17.2.         Pre surgical localization of epilepticfoci

18.          Bone densitometry

18.1.         Measurement of bone mineral density to diagnose osteoporosis

18.2.         Whole body (Fat and Lean)

Note: The Department of Nuclear Medicine offers comprehensive scanning (Scintigraphy),   radioimmunoassay and radionuclide therapy services. With the availability of the state-of-the-art dual-head Siemens e.cam gamma camera, patients are assured of shorter procedure times and more accurate results.

Radioimmunoassay

RADIONUCLIDE THERAPY

1.                  Radioactive iodine therapy

1.1.            Graves disease or diffuse toxic goiter

1.2.            Nodular toxic goiter

1.3.            After surgery for papillary and follicular thyroid cancer

2.                  Bone pain palliation in cancer patients with bone metastases

2.1.            Relief of severe bone pain from metastases that is not responsive to maximal medical therapy.