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Lacrimal Scintigraphy
LACRIMAL SCINTIGRAPHY Lacrimal Scintigraphy RO Boer, Medical Centre, Alkmaar (Retired) NOTE: no changes have been made since the version of 2007 1. Introduction A standardised volume of 10 μl 99mTc pertechnetate is instilled into the patient’s conjunctival sac using a micro-pipette. In principle, the quantity must be as small as possible, since any increase in the very small tear reservoir can lead to contamination of the eyelids and thus adversely affect the interpretability of the investigation. In contradistinction to the already well-established xray investigation whereby at all times outside influence is exerted on the tear drainage, the aim of this tracer investigation is to study the natural tear drainage. Normally, tears are drained from the conjunctival sac to the lacrimal sac (saccus lacrimalis), then to the naso-lacrimalduct (ductus nasolacrimalis) and finally to the nose and pharynx. 2. Methodology This guideline is based on available scientific literature on the subject, the previous guideline (Aanbevelingen Nucleaire Geneeskunde 2007), international guidelines from EANM and/or SNMMI if available and applicable to the Dutch situation. 3. Indications Epiphora (watering of the eye) is the initial indication. The ability to adequately manipulate the lacrimal pathways in order to improve drainage is closely linked to the indication. This is often achived through surgical procedures such as DCR (dacryocystorhinostomy) or DCP (dacryocystorhinoplasty, ‘angioplasty’ of the lacrimal pathways). Thereafter, the effect of these interventions can be evaluated by means of lacrimal scintigraphy. 4. Relation to other diagnostic procedures The Anel test is performed by cannulating the lower lacrimal point and injecting physiological saline. When the system becomes patent, the patient will taste salt. -
Severe Gastroparesis Following Radiofrequency Catheter Ablation for Atrial Fibrillation: Suggestion for Diagnosis, Treatment, and Device for Gastroparesis After RFCA
Hindawi Publishing Corporation Case Reports in Gastrointestinal Medicine Volume 2014, Article ID 923637, 6 pages http://dx.doi.org/10.1155/2014/923637 Case Report Severe Gastroparesis following Radiofrequency Catheter Ablation for Atrial Fibrillation: Suggestion for Diagnosis, Treatment, and Device for Gastroparesis after RFCA Dong Seok Lee1 and Sang Jin Lee1,2 1 Department of Internal Medicine, Gangneung Asan Medical Center, University of Ulsan College of Medicine, Gangneung, Republic of Korea 2Department of Internal Medicine, Gangneung Asan Medical Center, Sacheon-myeon, Gangneung, Gangwon-do 210-711, Republic of Korea Correspondence should be addressed to Sang Jin Lee; [email protected] Received 18 October 2014; Accepted 11 December 2014; Published 30 December 2014 Academic Editor: Wen-xie Xu Copyright © 2014 D. S. Lee and S. J. Lee. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Gastroparesis following radiofrequency catheter ablation (RFCA) is a very rare complication, as only two cases have been reported in the English literature. A 42-year-old man underwent RFCA due to recurrent drug-resistant symptomatic atrial fibrillation. The patient complained of indigestion and early satiety 2 days after the procedure. Contrast-enhanced computed tomography and an upper gastrointestinal series of the abdomen showed a large amount of material remaining in the stomach area. All food material was removed by endoscopy, and the patient received medical treatment. We suggest a flow chart for diagnosis and treatment of AFGS based on the present case and previous cases. -
Department of Medicine Lewis Katz School of Medicine at Temple University
Department of Medicine Lewis Katz School of Medicine at Temple University 2017 Annual Fellows, Residents and Medical Students Research Symposium Sol Sherry Awards for Excellence in Research Wednesday, June 7, 2017 Medical Education and Research Building Luo Commons The Fellows and Residents Research Forum was initiated over 35 years ago to provide the Fellows and the Residents in the Department of Medicine with an opportunity to present their research effort. The Forum is a reflection of the ongoing research activities in the Department, and a year-end summation of the projects carried out by the Fellows and Residents. Dedication Dr. Sol Sherry 1916-1993 Sol Sherry, M.D., joined Temple University School of Medicine as professor and chairman of the Department of Medicine in 1968. In 1970, Dr. Sherry founded and served as director of the University's Specialized Center for Thrombosis Research, the largest of its kind in the United States, which was later named in his honor. He served as dean of the School of Medicine from 1984-86. He was a recipient of an honorary doctor of science degree, the University's first Distinguished Professor and was honored with the establishment of the Sol Sherry Chair in Medicine. For his contributions to medical research, teaching and patient care, Dr. Sherry was the recipient of other numerous awards and honors. He was Master of the American College of Physicians and The John Phillips Memorial Medalist of the American College of Physicians; a Fellow of the Royal College of Physicians (London), and recipient of the Robert P. Grant Medal of the International Society on Thrombosis and Hemostasis--a society which he founded in 1977. -
Preparation Instructions for Nuclear Medicine Scans
NUCLEAR MEDICINE UNM HEALTH SCIENCES CENTER 2211 LOMAS NE ALBUQUERQUE, NM 87106 505-272-2421 (M-F 8:00AM – 4:30PM) Preparation Instructions for Nuclear Medicine Scans (Schedulers/Technologists: Please consult with Protocol sheets for additional important details) Procedure Preparation Duration of Exam Bone Scan No Prep Injection (15 minutes), then return 3 hours later for scan (45 minutes - 1 hour) Brain SPECT No Prep 1-1½ hours Cardiac perfusion – Technetium Agents See special instructions under Cardiac 3-5 hours preparation instructions Cisternogram and Cisternogram for Leak No Prep 2-3 days, 1-2 hours each day, morning and afternoon CSF Shunt Study No Prep Depending on each individual case Gallium Scan No Prep Depending on each individual case, usually requires multiple images over several days Gastric Emptying Scan (adults and Nothing by mouth for 6 hours except small 4-5 hours children approximately 4-5 yrs old and amount of water as needed for medications. up, with standardized meal of Egg Beaters, jam, and toast Diabetic patients should bring their usual diabetes medications (insulin and/or pills). Call Nuclear Medicine if you cannot eat Egg Beaters (egg whites), jam, or toast. Gastric Emptying Scan – Liquid – with Nothing by mouth for 4 hours 1-5 hours depending on protocol or without reflux (typically children Less time (2 hours) may be OK for infants and under 2-3 years old) very small children. Call Nuclear Medicine with questions. Gastrointestinal (GI) Bleeding Study No Prep 2-3 hours Glomerular Filtration Rate -- GFR (Gates Drink lots of fluids before the exam 15 minutes Method) Hemangioma No Prep 2-3 hours Hepatobiliary (HIDA) Scan For acute or chronic cholecystitis: 2 hours; may have to return for additional 1. -
Current Diagnosis and Treatment of Gastroparesis: a Systematic Literature Review
DOI: https://doi.org/10.22516/25007440.561 Review article Current diagnosis and treatment of gastroparesis: A systematic literature review Viviana Mayor,1* Diego Aponte,2 Robin Prieto,3 Emmanuel Orjuela.4 Abstract OPEN ACCESS Normal gastric emptying reflects a coordinated effort between different Citation: regions of the stomach and the duodenum, and also an extrinsic modu- Mayor V, Aponte D, Prieto R, Orjuela E. Current diagnosis and treatment of gastroparesis: lation by the central nervous system and distal bowel factors. The main A systematic literature review . Rev Colomb Gastroenterol. 2020;35(4):471-484. https://doi. org/10.22516/25007440.561 events related to normal gastric emptying include relaxation of the fundus to accommodate food, antral contractions to triturate large food particles, ............................................................................ the opening of the pyloric sphincter to allow the release of food from the 1 Internist and professor, Clínica Versailles, Universidad Javeriana. Cali, Colombia. stomach, and anthropyloroduodenal coordination for motor relaxation. 2 Gastroenterology Service, Area Coordinator, Clínica Universitaria Colombia. Bogotá, Colombia. Gastric dysmotility includes delayed emptying of the stomach (gastropare- 3 Gastroenterologist, Clínica Universitaria Colombia. Bogotá, Colombia. sis), accelerated gastric emptying (dumping syndrome), and other motor 4 Medical doctor. Universidad Javeriana. Clínica Versalles. Cali, Colombia. dysfunctions, e.g., deterioration of the distending fundus, -
Insurances, Precertification Requirements, Services Offered, As Well As Guidelines, Fees, and Education Information
This resource book is presented to provide you and your staff with basic information regarding: Insurances, precertification requirements, services offered, as well as guidelines, fees, and education information. This does not intend to be all encompassing, and some information does have limitations as well and expirations. Radiology Associates intends to keep you abreast of the newest and most up-to-date fees, guidelines, and regulations as we can. Please contact us if you have any further questions or we can be of further service to you. 887-7000 Radiology Associates, LLP Toll Free Phone 887-626-8678 General Correspondence and Billing Address: P.O. Box 5608 Corpus Christi, TX 78465 Patient Payment Address: P.O. Box 6010 Corpus Christi, TX 78466-6010 Business Office Physical Address: 1812 S. Alameda Corpus Christi, TX 78404 Mammogram Payment Guidelines Medicare Age 35–39 Baseline Mammogram Age 40+ Mammogram every year – (eleven full months must have elapsed following the month of the last mammogram) Note: Count months between mammographies beginning the month after the date of the examination. For example, screening mammogram received January 20, 2004; begin counting next month (February 2004) until 11 months have elapsed. Payment can be made for another screening mammogram beginning January 1, 2005. Medicaid (See Medicaid Guide) Age 35-39 Baseline Mammogram Age 45+ Mammogram every year (must be one full year) Tricare (Champus) (See Attached) Age 39+ Mammogram every year Age 35 High Risk and annually thereafter Note: women at high risk (family history of breast cancer in a first degree relative) baseline mammogram is payable at age 35 and then annually. -
Matls Licensing Package for Amend 12 to License 48-16117-01 for St
_ _---____ -___ _ - _ _ _ _ _ _ _ _ - - _ _ _ _ _ _ - _ _ _ _ - _ _ - - - - _ _ - - - - _ _ - - - - - _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - . u.S. NUCLEAR REGULATORY Commission g g MATERIALS LICENSE Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10 Code of Fed:ral Regulations, Chapter I, Parts 30,31,32,33,34,35,36,39,40, and 70, and in reliance on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license , sh:ll be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all I applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any conditions specif'e d c. Ucensee In accordance with the letter dated May 19,1998, and fax transmittal dated June 2,1998 1. St. Joseph's Community Hospital 3. Ucense number 48-16117-01 is amended in of West Bend, Inc. Its entirety as follows: 2. 551 S. Silverbrook Drive g R le. gpiration date January 31,2002 W st Bend, WI 53095 Y- b 5. -
Society of Nuclear Medicine
SNMMI Board of Directors Meeting Saturday, April 25, 2020 REMOTE – Virtual Meeting via Web-Ex Minutes – APPROVED Members in Attendance: Vasken Dilsizian, MD; Alan Packard, PhD; Richard Wahl, MD, FACNM; Cathy S. Cutler, PhD; Satoshi Minoshima, MD, PhD; Mark Crosthwaite, CNMT, FSNMMI-TS; Twyla Bartel, DO, MBA, FACNM; Norman E. Bolus, MSPH, MPH, CNMT, FSNMMI-TS; Tina Buehner, MS, CNMT, NMTCB(CT)(RS), RT(N)(CT), FSNMMI-TS; Ryan Niederkohr, MD; Giuseppe Esposito, MD, MBA; Sarah Frye, MBA, CNMT, PET, CCRP; Suzanne E. Lapi, PhD; Dusty M. York, CNMT, PET, RT(N)(CT); Munir Ghesani, MD, FACNM, FACR; Frederick Grant, MD; Frances K. Keech, DHSc, RT(N), FSNMTS; Umar Mahmood, MD, PhD; Michael L. Middleton, MD, CPE, FACNM; Virginia Pappas, CAE; Todd E. Peterson, PhD Staff in attendance: Sukhjeet Ahuja, MD; Angela Boyd; Linda Budzinski; Bonnie Clarke; Sharon Gleason; Ali Haidar; Paul Hamel; Ann Latham; Rebecca Maxey; Vince Pistilli, CPA; Amy Schull; Nikki Wenzel Lamb, MBA, CAE 1. Welcome and Call to Order Vasken Dilsizian, MD, SNMMI President, called the meeting to order at 10:01am (ET). Dr. Dilsizian thanked the board members for participating on the weekend calls as it is important that we continue to make progress. a. Establishment of a Quorum Cathy S. Cutler, PhD, Secretary/Treasurer, reported that a quorum was present. b. Approval of Agenda and Standing Rules Dr. Dilsizian reviewed the agenda and asked the members to approve the agenda. It was moved, seconded and voted to approve the April 25, 2020 SNMMI Board of Directors virtual meeting agenda. c. Approval of Meeting Minutes Cathy S. -
FDA-Approved Radiopharmaceuticals
Medication Management FDA-approved radiopharmaceuticals This is a current list of all FDA-approved radiopharmaceuticals. USP <825> requires the use of conventionally manufactured drug products (e.g., NDA, ANDA) for Immediate Use. Nuclear medicine practitioners that receive radiopharmaceuticals that originate from sources other than the manufacturers listed in these tables may be using unapproved copies. Radiopharmaceutical Manufacturer Trade names Approved indications in adults (Pediatric use as noted) 1 Carbon-11 choline Various - Indicated for PET imaging of patients with suspected prostate cancer recurrence based upon elevated blood prostate specific antigen (PSA) levels following initial therapy and non-informative bone scintigraphy, computerized tomography (CT) or magnetic resonance imaging (MRI) to help identify potential sites of prostate cancer recurrence for subsequent histologic confirmation 2 Carbon-14 urea Halyard Health PYtest Detection of gastric urease as an aid in the diagnosis of H.pylori infection in the stomach 3 Copper-64 dotatate Curium Detectnet™ Indicated for use with positron emission tomography (PET) for localization of somatostatin receptor positive neuroendocrine tumors (NETs) in adult patients 4 Fluorine-18 florbetaben Life Molecular Neuraceq™ Indicated for Positron Emission Tomography (PET) imaging of the brain to Imaging estimate β amyloid neuritic plaque density in adult patients with cognitive impairment who are being evaluated for Alzheimer’s disease (AD) or other causes of cognitive decline 5 Fluorine-18 -
7:00Pm Presenterss at Posters from 5:30Pm – 6:30Pm ENDOSCOPY/QI/EDUCATION 1 ESOPHAGEAL SQUAMOUS PAPILLOMA (WART) in TWO PEDIATRIC PATIENTS: an UNUSUAL LESION
Thursday, October 8, 2015 POSTER SESSION I Exhibit Hall 5:00pm – 7:00pm Presenterss at posters from 5:30pm – 6:30pm ENDOSCOPY/QI/EDUCATION 1 ESOPHAGEAL SQUAMOUS PAPILLOMA (WART) IN TWO PEDIATRIC PATIENTS: AN UNUSUAL LESION. A.R. Shahein, Pediatrics, K. Hovnanian Children's Hospital , Tinton Falls, New Jersey, UNITED STATES|T. Matulewicz, A. Soroush, Pathology, Jersey Shore Unversity Medical Center, Neptune City, New Jersey, UNITED STATES|. Case Summary: Esophageal squamous papilloma (ESP) is a rare benign lesion observed in pediatric and adult patients. Few case reports showed an association with gastroesophageal reflux disease (GERD) or human papilloma virus infection. The natural course of esophageal papilloma is not well described and according to current evidence, most patients are asymptomatic. We report two cases of ESP in adolescent patients. Case #1 is a 14 year-old female with history of long standing constipation, who was being evaluated for new onset diffuse abdominal pain, nausea, heartburn and loss of appetite. Patient had suboptimal response to proton pump inhibitors and interim weight loss, which prompted endoscopic evaluation. Upper endoscopy showed friable esophageal mucosa, 4 x 2 mm polypoid lesion in mid esophagus, gastric hyperemia and small hiatal hernia. Lesion was successfully removed with cold biopsy forceps. Histopathological examination of the lesion showed squamous cell hyperplasia suggesting a benign papilloma with negative in-situ hybridization testing for low and high-risk human papilloma virus in esophageal tissue. Distal and upper esophageal mucosa demonstrated basal cell hyperplasia suggesting acid reflux. Stomach biopsies visualized mild chronic inflammatory cell infiltration in the antrum with negative staining for H. -
Nuclear Medicine
2013 RSNA (Filtered Schedule) Sunday, December 01, 2013 10:45-12:15 PM • SSA18 • Room: S505AB • Nuclear Medicine (PET/CT in Oncology) 12:30-01:00 PM • CL-NMS-SUA • Room: S503AB • Nuclear Medicine - Sunday Posters and Exhibits (12:30pm - 1:00pm) 01:00-01:30 PM • CL-NMS-SUB • Room: S503AB • Nuclear Medicine - Sunday Posters and Exhibits (1:00pm - 1:30pm) 02:00-03:30 PM • RC111 • Room: S505AB • Multi-modal Imaging Workup for Alzheimer's Disease, Parkinson's Disease, and Related Disorders: Case-based App... Monday, December 02, 2013 08:30-10:00 AM • RC217 • Room: S504CD • PET-MR/Hyperpolarized MR 08:30-12:00 PM • VSNM21 • Room: S505AB • Nuclear Medicine Series: Assessment of Cancer Treatment Response: Updates 12:15-12:45 PM • CL-NMS-MOA • Room: S503AB • Nuclear Medicine - Monday Posters and Exhibits (12:15pm - 12:45pm) 12:45-01:15 PM • CL-NMS-MOB • Room: S503AB • Nuclear Medicine - Monday Posters and Exhibits (12:45pm - 1:15pm) 03:00-04:00 PM • SSE08 • Room: E353C • ISP: Gastrointestinal (Oncology: Staging and Distant Metastases) 03:00-04:00 PM • SSE19 • Room: S504CD • Nuclear Medicine (Quantitative Imaging) 03:00-04:00 PM • SSE20 • Room: S505AB • Nuclear Medicine (SPECT/CT) Tuesday, December 03, 2013 08:30-10:00 AM • MSCC31 • Room: S406A • Case-based Review of Nuclear Medicine: PET/CT Workshop-Head and Neck Cancers (In Conjunction with SNMMI) (An I... 08:30-10:00 AM • RC321 • Room: S102D • Medical Physics 2.0: Nuclear Imaging 08:30-10:00 AM • RC351 • Room: E353C • CT/PET in the Abdomen and Pelvis: How and When (How-to Workshop) (An Interactive Session) 08:30-12:00 PM • VSNM31 • Room: S505AB • Nuclear Medicine Series: Non-FDG PET Radiotracers in Oncology 10:30-12:00 PM • MSCC32 • Room: S406A • Case-based Review of Nuclear Medicine: PET/CT Workshop-Cancers of the Abdomen and Pelvis (In Conjunction with .. -
Dacryocystography: from Theory to Current Practice
Annals of Anatomy 224 (2019) 33–40 Contents lists available at ScienceDirect Annals of Anatomy jou rnal homepage: www.elsevier.com/locate/aanat SPECIAL ISSUE REVIEW ଝ Dacryocystography: From theory to current practice a,∗ a,b a Swati Singh , Mohammad Javed Ali , Friedrich Paulsen a Institute of Clinical and Functional Anatomy, Friedrich-Alexander University of Erlangen-Nürnberg, Germany b Govindram Seksaria Institute of Dacryology, L.V. Prasad Eye Institute, Hyderabad, India a r t a b i c l e i n f o s t r a c t Article history: Purpose: To provide a review and an update on dacryocystography (DCG) and its relevance in the current Received 11 March 2019 era. Received in revised form 19 March 2019 Methods: The authors performed a PubMed search of all articles published in English on DCG, digital Accepted 20 March 2019 subtraction-DCG (DS-DCG), computed tomographic DCG (CT-DCG) and magnetic resonance-DCG (MR- DCG). Data analyzed include the indications, techniques, interpretations, complication and limitations. Keywords: Results: Dacryocystography has been used for illustrating the morphological and functional aspects of Lacrimal the lacrimal drainage system (LDS). Subtraction DCG provides the precise location of the alterations and Epiphora Dacryocystography acceptably delineates stenosis or an obstruction. Transit time for contrast into the nose varies widely across the studies. Low osmolality iodinated contrast media are tolerated well for DS-DCG and CT-DCG. Subtraction dacryocystography MR dacryocystography However, normal saline either mixed with lidocaine or alone provided similar image quality as obtained CT-DCG with gadolinium for MR-DCG. CT-DCG provides useful information in complex orbitofacial trauma and MR-DCG lacrimal tumors.