Nuclear Medicine 2018-05-09T16:00:43+00:00

Nuclear Medicine

A specialized area that involves the administration of radioactive substances in diagnosing and treating disease.

The procedures in nuclear medicine often identify abnormalities at a very early progression of a disease; these may include many types of cancer, heart disease, renal, endocrine, and gastrointestinal and other abnormalities within the body, as well as the patient’s response to therapeutic interventions.

Areas of service

  • Diagnostic Imaging
  • Therapeutic/InterventionalServices
  • Radioimmunoassay(RIA)Laboratory

Cardiac (Heart) Applications

  • Evaluation for Coronary Artery Disease (Heart Blockages)
  • Select patients for Bypass or Angioplasty
  • Diagnose and Localize Acute Heart Attack Before Enzyme Changes
  • Identify Patients in High Risk for Heart Attack
  • Risk Stratification prior to Cardiac or General Surgery

Myocardial Perfusion Imaging (MPI)

  • Resting MUGA
  • Resting (Tc99m-Sestamibi) MPI
  • Resting/ Exercise MPI
  • Rest/ Dipyridamole MPI
  • Rest/ Dobutamine MPI
  • Resting (Thallium-201) MPI
  • Stress Thallium-201 MPI
  • Pharmacologic Thallium-201 MPI
  • Dual Isotope MPI
  • Express Stress MPI
  • Express Dipyridamole MPI
  • Express Dobutamine MPI

Oncologic Applications

  • Tumor Localization and Staging
  • Identify Metastatic Sites
  • Diagnose Osteomyelitis
  • Evaluation of bone pain and trauma

Detection of primary and staging of metastatic disease

  • Bone Scan
  • SPECT Bone Scan

Detection and localization of tumors

  • Gallium-67 Scan
  • I-131 Metaiodobenzylguanidine (mBIG) Scan
  • Parathyroid Tumor Localization Scan
  • Bone Scan
  • Bone SPECT
  • Indium -111 Octreotide
  • RAI Wholebody Scan
  • Thallium-201 Wholebody Scan
  • Sentinel Lymphoscintigraphy
  • Scintimammography
  • Brain Scan/ Brain SPECT
  • Cortical Renal Scan

Endocrine Applications:

  • Diagnose and Treat Hyperthyroidism (Grave’s Disease)
  • Diagnose Parathyroid Tumor
  • Evaluate Thyroid Gland Function
  • Treatment of Well-differentiated Thyroid Cancer
  • Diagnose Neuro-Endocrine Tumors
  • Radioimmunoassay (RIA)

Radioactive (RAI) Iodine-131 Therapy

  • Low dose for Hyperthyroidism
  • High dose for Ablation Therapy

Thyroid Scan 
RAI Uptake
Parathyroid Scan

Radioimmunoassay (RIA) Procedures
Thyroid Function Tests:

  • TSH IRMA (Thyroid Stimulating Hormone)
  • FT3 RIA (Free Triiodothyroinine)
  • FT4 RIA (Free Thyroxine)
  • TG IRMA (Thyroglobulin)
  • ATG RIA (Anti-Thyroglobulin)
  • ATPO RIA (Anti-Thyroid-Peroxidase)
  • TRAB RIA (Anti-R TSH)

Fertility Tests:

  • Testosterone RIA
  • Estradiol RIA
  • FSH IRMA (Follicle Stimulating Hormone)
  • LH IRMA (Leutinizing Hormone)
  • PRL IRMA (Prolactin)

Pituitary Hormone Function Tests:

  • Cortisol RIA
  • TSH IRMA (Thyroid Stimulating Hormone)
  • HGH IRMA (Human Growth Hormone)
  • Testosterone RIA
  • PRL IRMA (Prolactin)
  • ACTH IRMA (Adrenocorticotrophic Hormone)

Adrenal Function tests:

  • Cortisol RIA
  • Aldosterone RIA
  • DHEA-S RIA
  • ACTH Stimulation Test

Tumor Markers

  • PSA IRMA (Prostate Specific Antigen)
  • B-HCG (Beta-Human Chorioinic Gonadotropin)

Other RIA Tests:

  • PTH RIA (Parathyroid Hormone)
  • Renin RIA
  • Gastrin RIA
  • Blood Volume Studies

Genito-Urinary Tract (GUT) Applications:

  • Detect Urinary Tract Infection
  • Diagnose Renovascular Hypertension
  • Measure Differential Renal Function (GFR)
  • Detect Renal Transplant Rejection
  • Detect Pyelonephritis
  • Detect Renal Scars (DMSA)
  • Diagnose torsion
  • RenalScan
  • Diuretic Renal Imaging
  • Captopril Renal Imaging
  • Cortical Renal Scan
  • GFR(GlomerularFiltrationRate)
  • TesticularScan

Pulmonary Applications:

  • Diagnose Pulmonary Emboli
  • Quantify Lung Ventilation and Perfusion
  • Lung Perfusion Scan
  • Lung Ventilation Scan
  • V/QScan
  • Lung Quantification

Gastrointestinal Tract (GUT) Applications:

  • Detect Acute Cholecystitis
  • Detect Acute Lower G.I. Bleeding
  • Detect Chronic Biliary Tract Dysfunction
  • Detect Occult G.I. Infections
  • LiverScan
  • LiverSPECT
  • Hepatobiliary(HIDA)Scan
  • G.I. Bleeding Scan (RBC Tag)
  • Meckel’sDiverticulum Scan

Infection / Inflammation Applications:

  • Localize area of infection or inflammation

Detection of Infection and inflammation

WBC Leukocyte Labeling Study
a nuclear scan using white blood cells that are “tagged” with radioactive material to locate areas of infection or inflammation.

Three-Phase Bone Scan
a nuclear scan that is performed when osteomyelitis is suspected.

Dacryocystogram
Determine the presence of or localizing site of obstruction.

Salivary Gland Imaging
Evaluation and assessment of salivary gland after head and neck irradiation.

Interventional Applications: Gamma Probe Guided

Sentinel Lymph Node Mapping

  • Staging modality of choice for breast cancers and melanomas that are clinically node-negative.
  • Evaluates breast cancer spread by identifying and localizing sentinel lymph nodes.

Parathyroid Localization
For rapid intraoperative localization of parathyroid adenomas to boost diagnostic accuracy and decrease morbidity in patients with Primary Hyperparathyroidism, (Minimally Invasive Parathyroidectomy)

Therapeutic Applications

Radioactive (RAI) Iodine-131 Therapy

  • Low dose for Hyperthyroidism
  • High dose for Ablation Therapy

Selective Internal Radiation Therapy (SIRT)

  • It is a liver-directed therapy for liver tumors that uses tiny radioactive beads.
  • It is used to treat liver tumors that can not be removed by surgery.
  • SIRT is done by a specially trained Interventional Radiologist and Nuclear Medicine Consultant.

Contact Us

Nuclear Medicine Services is located at the Tower 2, Upper Ground Floor.
Monday to Friday, 7:30 AM to 6:00 PM / Beyond office hours, weekends & holidays: On-Call Stat.

All imaging and therapeutic/interventional procedures are by appointment. Radioimmunoassay (RIA) Laboratory tests including blood extraction are NOT scheduled and are performed during operating hours.

For inquiries, please call us at 876-5747 or 876-5836 or email us at nucmedservicesgroup@asianhospital.com