Nuclear Medicine


Back to Nuclear Medicine sections

3 Phase Bone Scan ACTH Aldosterone RIA Anti TPO RIA Anti-HAV M RIA Anti-HBc M RIA Anti-HBs RIA Anti-hTg RIA Anti-R TSH (TRAb) RRA b-HCG IRMA Blood Volume Bone Imaging Bone SPECT Imaging Brain Imaging Brain SPECT Imaging CA-125 IRMA Cardiac blood pool CEA IRMA Cisternography C-Peptide IRMA Dacryoscintigraphy DHEA-S RIA Digoxin RIA Diuretic Renal Imaging DMSA Renal Imaging Estradiol RIA Express Adenosine Infusion MPI Express Dipyridamole Infusion MPI Express Dobutamine Infusion MPI FSH IRMA FT3 RIA FT4 RIA G.I. Bleeding Imaging Ga-67 Whole body Gastric Emptying Imaging Gastrin RIA Gastroesophageal Reflux Imaging Gated Bloodpool Rest Imaging Gated Bloodpool Rest Stress Imaging GFR HBsag Hepatobiliary Imaging HGH IRMA Indirect Cystogram LH IRMA Liver & Spleen Imaging Liver SPECT Imaging Lung Perfusion Imaging Lung Quantitation Lung Ventilation Imaging Lymphangioscintigraphy Meckel's Diverticulum Imaging MIBG WB Imaging Myocardial Infarct Imaging Nuclear Medicine Procedures Parathyroid Imaging Plasma Cortisol RIA Prolactin IRMA PTH IRMA Therapeutics: RAI Therapy for Hyperthyroidism Therapeutics: RAI Therapy for Thryoid Malignancy RAI Uptake RAI Whole Body Imaging Red Blood Cell (RBC) Survival Renal Imaging (EC) Renal Imaging MAG 3 Renal Imaging with Captopril Renal Imaging Renin RIA Rest/Adenosine Infusion MPI Rest/Dipyridamole Infusion MPI Rest/Dobutamine Infusion MPI Scintimammography Splenic Sequestration Testicular Imaging Testosterone RIA Tetrofosmin Express MPI Tetrofosmin Rest MPI Tetrofosmin Rest Stress MPI Thyroglobulin IRMA Thyroid Bioassay Tl-201 Adenosine Infusion MPI Tl-201 Dipyridamole Infusion MPI Tl-201 Dobutamine Infusion MPI Tl-201 Stress for Viability MPI TSH IRMA UBT Urea Breath Test Venography White Blood Leucocyte Labeling

Nuclear Medicine Procedures

What are Nuclear Medicine Procedures?    

  • Nuclear Medicine procedures or “scans” are done using radioactive isotopes more commonly known as radiotracers. 
  • Before the actual scan, these chemical compounds which contain a small amount of radioactive substances, are administered either orally, by injection or through a breathing device.
  • Depending on the kind of scan you are going to take, you will be asked to wait for a period of time. This allows the chemical compounds to locate the specific organ or area of your body that needs to be examined and settle in those areas.
  • During the actual scan, you will be placed next to an external detector, a gamma camera, which in turn will capture the images formed by the radioactive chemical compounds inside your body. Multiple images will be taken during the scan which gives the attending physician a more graphic image of the affected area.

Below is a rundown of the different Nuclear Medicine Procedures and everything you need to know about each procedure:

Click to open the table

Procedure

Procedure Overview

Purpose

Preparation

Complications

(if any)

Alternative Test

Tetrofosmin Rest MPI

Measures the blood flow and function of the heart using radioactive isotope as tracer

To diagnose myocardial infarction, more commonly known as a heart attack 

4 hours fasting, no caffeinated drinks

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Tetrofosmin Rest/Stress MPI

It measures the blood flow and function of the heart using a radioactive isotope, also known as a radiotracer

To diagnose and determine the site of myocardial infarction (heart attack). To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart)

3 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/

hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

Rest/

Pharmacological Stress Test

Tetrofosmin

Express MPI

It measures the blood flow and function of the heart by injecting a radioactive isotope to serve as tracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart)

2 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

Pharmacological Stress Test

Rest/Dipyridamole Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart); alternative to treadmill exercise; for patients on high betablocker dose

3 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Express Dipyridamole Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart)

2 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Rest/Dobutamine Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart); alternative to treadmill exercise for patients with asthma

3 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Express Dobutamine Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart)

2 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Rest/Adenosine Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart); alternative to treadmill exercise for patients with LBBB, patients with significant Arrhythmia and patients with psychiatric history

3 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Express Adenosine Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart)

3 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Tl-201 Stress for Viability MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To detect myocardial viability

4 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Tl-201 Dipyridamole Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart); alternative to treadmill exercise; for patients on high betablocker dose

4 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Tl-201 Dobutamine Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart); alternative to treadmill exercise for patients with asthma

4 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Tl-201 Adenosine Infusion MPI

It measures the blood flow and function of the heart. It involves injection of a radiotracer

To diagnose ischemic heart disease or Coronary Artery Disease (reduced blood supply to the heart); alternative to treadmill exercise for patients with LBBB, patients with significant Arrhythmia and patients with psychiatric history

4 hours fasting, no caffeinated drinks

Chest pain, palpitations, hypertension/ hypotension, dyspnea, headache, dizziness, abnormal rhythms, and heart attack during the stress phase of the procedure. Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Gated Bloodpool Rest Imaging

It uses radioisotope dye

Using radioisotope dye, the test shows how your blood pools in your heart during rest

2 hours fasting

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Gated Bloodpool Rest/Stress Imaging

It uses radioisotope dye

Uses radioisotope dye to show how your blood pools in your heart during rest, exercise, or both

3 hours fasting

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Cardiac Blood Flow Imaging

A cardiac blood pool scan is a non-invasive test that uses a mildly radioactive marker to observe how the left ventricle of your heart functions

It is used to determine how efficiently the left ventricle is working. The scan can detect aneurysms of the left ventricle, motion abnormalities caused by damage to the heart wall, cardiac shunts between the left and right ventricle, and coronary occlusive artery disease

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Myocardial Infarct Imaging

It involves injection of a radiotracer and scanning of the region of interest using a gamma camera

To detect myocardial damage when enzyme determination and ECG are questionable

2 hours fasting, light meal only

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Brain SPECT Imaging

Procedure involves injection of radiotracer and scanning of the brain using a gamma camera.

To examine transient ischemic attack, migraine, and tumors of the brain and to diagnose dementia

Potassium perchlorate should be administered before the study.

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Brain Imaging

Procedure involves injection of radiotracer and scanning of the brain using a gamma camera

To check whether the patient has brain abnormalities such as infarct, hematoma, enoplasm, abcess, or other lesion disturbing the normal brain barrier

Potassium perchlorate will be administered before the study.

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

RAI Uptake

This involves an oral intake of I-131 at a minimal dose. Thyroid uptake is measured after 2 and 24 hours

To examine thyroid function

1st day: fasting from 12 midnight. Stop thyroid medications for 2-4 weeks or as advised by attending physician

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Thyroid Bioassay

Procedure involves examination of thyroid with the use of thyroid uptake probe

Evaluates exposure of thyroid after handling radioactive Iodine

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Thyroid Imaging

It involves injection of a radiotracer and thyroid is scanned using gamma camera after 20 minutes

To examine the morphology and function of thyroid gland thyrotoxicosis, goiter, and assessment of nodular goiter

Stop thyroid medications for 2-4 weeks or as advised by attending physician

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Parathyroid Imaging

Radiotracer is injected and a series of images of the neck is taken 15-, 90- and 180 minutes from the time of injection

To check if the patient has Hyperparathyroidism; To examine a specific area of the adenoma or ectopic parathyroid gland

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

RAI Whole Body Imaging

Involves oral intake of radiotracer and scanning after 48 hours from the time of intake  

To determine whether the thyroid tissue is functioning properly and check particular areas of metastatic sites

Stop thyroid medications for 2-4 weeks or as advised by attending physician

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

MIBG WB Imaging

The procedure involves injection of I-131 MIBG

To examine specific areas of neuroectodermal tissues; To check for benign and malignant, intraadrenal and extraadrenal, phaeochromocytomas, neuroblastomas, carcinoid tumors, medullary thyroid tumors, paragangliomas, chemocetomas and evaluate of norepinephrine receptors

One drop of saturated Potassium Iodide is given by mouth 3 times a day for a total of 5 days, beginning the day before the injection of radiopharmaceutical

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Liver & Spleen Imaging

It involves injection of a radiopharmaceutical tracer and scanning of the organ in question.

To diagnose hepatomegaly and abdominal masses. Preoperative evaluation of liver metastases in patient with known metastases; workup of patient with diffuse liver disease such as cirrhosis and hepatitis

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Liver SPECT Imaging

Procedure involves injection of a radiopharmaceutical tracer and scanning of the organ of interest

To check for any small liver lesions that could not be detected in planar imaging

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

G.I. Bleeding Imaging

It involves injection of Tc99m pertechnetate tagged RBC and scanning of the abdominal area for any specific bleeding site

To examine a particular site of active gastrointestinal bleeding

 

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Meckel's Diverticulum Imaging

It involves injection of Tc99m pertechnetate and a series of scanning afterwards

To check for any bleeding, diverticulitis, intestinal obstruction due to intussuception and volvulus

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Gastric Emptying Imaging

Procedure involves the administration of Tc99m Sulfur Colloid per orem and afterwards, scanning of region of interest for 2 hours

To check the reason behind a patient’s delayed gastric emptying (a disorder in which the stomach takes too long to empty its contents) and identify gastric emptying rate

6 hours fasting

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Gastroesophageal Reflux Imaging

The procedure involves the administration of Tc99m Sulfur Colloid per orem and scanning of region of interest follows for 2 hours

To evaluate and determine the quantity of esophageal movement; To detect and determine the quantity of gastro-esophageal reflux; to diagnose any functional gastric obstruction

6 hours fasting

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Hepatobiliary Imaging

Procedure involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To evaluate any sudden inflammation of the gallbladder, common bile duct obstruction, right upper quadrant pain or mass, detection of enterogastric reflux; to check for any leakage of bile and evaluate any choledochal cyst

2 hours fasting for pediatric and 4 hours fasting for adults

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

UBT Urea Breath Test

The procedure involves administration of radioactive capsule and blowing on a breathcard after 15-20 minutes

To check if the patient has H. Pylori infection

6 hours fasting

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Renal Imaging

The procedure involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To evaluate renal masses, whether cyst, neoplasm or abcess and renovascular hypertension. To detect any complications of transplantation which includes parenchymal failure due to acute tubular necrosis, rejection, mechanical failure caused by injury to renal artery or vein, partial or complete ureteral obstruction and extravasation

Hydration or continuous drinking of water to keep the body hydrated (except for patients with heart congestion)

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Renal Imaging with Captopril

Captopril is administered to the patient by mouth. Vital signs are monitored for 1 hour at 15-minute interval. It involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To check for renal hypertension

Hydration or continuous drinking of water to keep the body hydrated (except for patients with heart congestion)

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Diuretic Renal Imaging

It involves injection of radiopharmaceutical tracer, scanning of the organ of interest and administration of diuretic halfway during the scanning

To check for any renal collecting system obstruction, to diagnose acute tubular necrosis, to evaluate renal trauma, perfusion and function

Hydration or continuous drinking of water to keep the body hydrated (except for patients with heart congestion)

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Renal Imaging (EC)

It involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To check renal masses, whether cyst, neoplasm or abcess and renovascular hypertension. To detect complications of transplantation which includes parenchymal failure due to acute tubular necrosis, rejection, mechanical failure caused by injury to renal artery or vein, partial or complete ureteral obstruction and leakage

Hydration or continuous drinking of water to keep the body hydrated (except for patients with heart congestion)

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Renal Imaging MAG 3

The procedure involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To evaluate renal masses, whether cyst, neoplasm or abcess and renovascular hypertension. To detect complications of transplantation which includes parenchymal failure attributable to acute tubular necrosis, rejection, mechanical failure caused by injury to renal artery or vein, partial or complete ureteral obstruction and leakage

Hydration or continuous drinking of water to keep the body hydrated (except for patients with heart congestion)

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

DMSA Renal Imaging

The procedure involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To evaluate acute or chronic pyelonephritis

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Indirect Cystogram

The procedure involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To evaluate vesicouteral reflux

Hydration or continuous drinking of water to keep the body hydrated (except for patients with heart congestion)

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

GFR

It involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To evaluate any renal collecting system obstruction, to diagnose acute tubular necrosis and glomerular filtration rate

Hydration or continuous drinking of water to keep the body hydrated (except for patients with heart congestion)

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Testicular Imaging

The procedure involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To examine acute and chronic testicular pain and scrotal swelling; differentiation of epididymitis from torsion

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Bone Imaging

The procedure involves injection of radiopharmaceutical tracer and scanning of the skeletal system

To determine the stage of a malignant disease; follow-up of patient after treatment of a malignant disease; primary bone tumors, arthritis, osteomalacia; to check a specific area for biopsy

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Bone SPECT Imaging

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To study a specific area for any bone abnormality caused by trauma, infection, arthritis and tumor

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

3 Phase Bone Scan

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To differentiate osteomyelitis vs. cellulitis

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Lung Perfusion Imaging

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To check for any pulmonary disease like tumor, Pneumonia, emphysema and atelecatasis

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Lung Ventilation Imaging

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To check for pulmonary emobolism

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Venography

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To check for deep vein thrombosis in patients with contraindication to radiographic contrast

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Lung Quantitation

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To evaluate lung perfusion

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Blood Volume

It involves injection of pyrophosphate and Tc99m pertechnetate and extraction of blood for evaluation of blood volume

To check for polycuythemia vera

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Red Blood Cell (RBC) Survival

The procedure involves extraction and labeling of RBC with Chromium, reinjection of labeled RBC, serial extraction of blood and obtaining of counts of regions of interest using external detector to evaluate RBC survival

To evaluate RBC survival rate and examine patient with splenic sequestration, a condition that causes the spleen to fill with blood and become large and tender

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Splenic Sequestration

Procedure involves extraction and labeling of Red Blood Cells (RBC) with Chromium, reinjection of labeled RBC, serial extraction of blood and obtaining of counts of regions of interest using external detector for evaluation of RBC survival

To evaluate RBC survival rate and examine patient with splenic sequestration, a condition that causes the spleen to fill with blood and become large and tender

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Lymphangioscinti-
graphy

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To check for primary and secondary lymphedema

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

White Blood Leucocyte Labeling

The procedure involves extraction of blood, separation and labeling of White Blood Cells and reinjection of labeled WBC then scanning of the whole body

To check a specific area of sore and infection and evaluation of inflammation

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Ga-67 Whole body

The procedure involves injection of Gallium 67 citrate and scanning of the whole body

To determine the stage of Hidgkin's disease and lymphoma; to monitor the body’s response to antineoplastic therapy; to determine the specific site of primary lung tumor

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Cisternography

 

 

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Scintimammography

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To check for malignant breast infections or wounds in patients with unclear or suspicious mammography findings

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

Dacryoscintigraphy

The procedure involves injection of radiopharmaceutical tracer and scanning of the region of interest

To examine lacrimal duct obstruction

None

Hypersensitivity or allergic reactions to the radioisotope/ radiopharmaceutical

 

FT3 RIA

The procedure involves addition of I-125 tracer to a serum in a test tube, incubation and counting of the substance under analysis using a gamma counter

To determine free triiodothyroinine in the blood and make comparative diagnosis of thyroid disease

None

None

 

FT4 RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substance under analysis using a gamma counter

To determine free thyroxine in the blood and make comparative diagnosis of thyroid disease

None

None

 

TSH IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substance under analysis using a gamma counter

To identify thyroid stimulating hormone. Make comparative diagnosis of thyroid disease and response to therapy

None

None

 

Thyroglobulin IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substance under analysis using a gamma counter

Helps in identifying the presence or absence of functioning tissue

None

None

 

PTH IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substance under analysis using a gamma counter

To measure the PTH level in blood as an aid in the diagnosis of Hypercalcemia and hypocalcemia

Overnight fasting. Blood extraction at 1000H

None

 

Anti TPO RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substance under using a gamma counter

To check Thyroid Peroxidase Antibodies in the blood present in autoimmune Thyroiditis like hashimoto's Thyroiditis, postpartum Thyroiditis, and atrophic thyroiditis

No preparation required but if blood is lipemic, meaning there are fatty substances present in the blood, fasting is required from 12 midnight

None

 

Anti-hTg RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To check for Thyroglobulin Antibodies in blood present in various forms of autoimmune thyroid diseases like Basedow's disease, Hashimoto's Thyroiditis, and primary myxedema

No preparation required but if blood is lipemic, meaning there are fatty substances present in the blood, fasting is required from 12 midnight

None

 

CEA IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To measure the quantity of tumor marker, Carcinoembryonic antigen, as an aid in the management of cancer patients

None

None

 

Digoxin RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

Helps in the monitoring of administration of cardioglycosides for therapy

No fasting required. Sample is taken 6 hours after lanoxin intake

None

 

Estradiol RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To measure the quantity of Estradiol in blood as an aid in the comparative diagnosis of Ammenorrhea, monitoring of ovulation induction, precocious puberty in girls and gynecomastia in men.

None

None

 

FSH IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To measure the quantity of Follicle Stimulating Hormone in blood for the diagnosis gonadal and pituitary disorders

None

None

 

LH IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To measure the quantity of Luteinizing Hormone in blood and aids in the diagnosis of gonadal failure and deficient gonadal stimulation

None

None

 

Testosterone RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To measure the quantity of Testosterone level in blood. To determine gonadal state

None

None

 

DHEA-S RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the DHEA-S level in blood/ Hirsutism and balding; Helps in assessing adrenarche and delayed puberty; to detect polycystic ovary and adrenal hyperplasia

None

None

 

b-HCG IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the quantity of Beta-HCG in blood; to confirm pregnancy, ectopic pregnancy, threatened spontaneous abortion and multiple gestation; to detect hydatidiform mole choriocarcinoma

None

None

 

Prolactin IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the quantity of Prolactin level for evaluation of amenorrhea and galactorrhea and detection of pituitary tumor

No fasting required. Sample is taken 3-4 hours after the patient woke up

None

 

Plasma Cortisol RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the quantity of cortisol level to diagnose Cushing's and Addison's disease, Hypopituitarism and adrenal hyperplasia and carcinoma

None

None

 

HGH IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the rate of Human Growth Hormone for detection of various forms of inappropriate growth hormone secretions in cases like dwarfism, gigantism, and acromegaly

Fasting

None

 

CA-125 IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To measure the quantity of CA-125 to aid in patient management and diagnosis of ovarian cancer

None

None

 

Gastrin RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To measure the quantity of Gastin level for detection of Zollinger-Ellison Syndrome and achlorhydria

Fasting

None

 

Renin RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the quantity of plasma Renin activity for the differential diagnosis of primary and secondary aldosternonism; helps in the diagnosis and treatment of renal hypertension

No fasting required. Blood is extracted according to physician's instruction whether the patient is in upright or supine position after lying or moving for 2-3 hours

None

 

Aldosterone RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the quantity of aldosterone level important in the diagnosis of primary and secondary hyperaldosteronism

No fasting required. Blood is extracted according to physician's instruction whether the patient is in upright or supine position after lying or moving for 2-3 hours

None

 

C-Peptide IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the quantity of C-peptide level; Helps in the differentiating of the course of hyperglycemia, i.e. insulin insufficiency or insulin resistance

Fasting

None

 

Anti-R TSH (TRAb) RRA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To measure the quantity of TSH Receptor Antibody to distinguish Grave's disease from toxic nodular goiter; in pregnancy where there is concern about the possibility of fetal and neonatal hyperthyroidism, in euthyroid exophthalmos in antithyroid therapy for Grave's disease in relation to the possibility of a remission or relapse; in Hypothyroidism where the possibility of a blocking antibody is present

None

None

 

ACTH IRMA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To determine the quantity of ACTH level to examine disorders of the adrenal and pituitary glands

Fasting

None

 

HBsAg RIA

Captopril is administered to the patient by mouth. Vital signs are monitored for 1 hour at 15-minute interval. Procedure involves injection of radiopharmaceutical tracer and scanning of the organ of interest

To detect Hepatitis B Surface Antigen in serum

None

None

 

Anti-HBs RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To identify Antibody to Hepatitis B Surface Antigen in serum

None

None

 

Anti-HBc M RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To detect IgM Hepatitis B Core Antibody in serum

None

None

 

Anti-HAV M RIA

The procedure involves addition of I-125 tracer to a volume of serum in a test tube, incubation and counting of substances under analysis using a gamma counter

To detect IgM Hepatitis A Antibody

None

None

 

 

 THERAPEUTICS:

Click to open the table  

 

Procedure

Procedure Overview

Purpose

Preparation

Complications

(if any)

Alternative treatment

RAI Therapy for Hyperthyroidism

RAI is taken by mouth as sodium I-131 in solution or a capsule. The RAI is given dissolved in water or in the form of a capsule. Once inside, it disturbs the function of some of the thyroid cells and as a result, excessive amounts of thyroid hormones are no longer produced

Treatment of Hyperthyroidism

Anti-thyroid drug intake must be stopped 3 days before treatment

Hypersensitivity or allergic reactions to radioactive I131

Anti-Thyroid Medication or Surgery

RAI Therapy for Thryoid Malignancy

RAI is taken by mouth as Sodium I-131 in solution or capsule. It collects any remaining thyroid tissue, including thyroid cancer cells that have spread to other places in the body

Treatment of thyroid malignancy

Thyroid hormone intake must be stopped for at least 4 weeks prior to treatment

Hypersensitivity or allergic reactions to radioactive I131

External Radiation    Surgery Lymphadenectomy




Contact Us
Phone: + 632.8888.999 local 3301-3302; Direct Line: + 632.8888.931
Location: 3/F Tower 2
Email: Nuclear.med@makatimed.net.ph

« Myocardial Infarct Imaging | Parathyroid Imaging »