Commonly ordered Nuclear Medicine Procedures and their indications
The procedures and indications below are guidelines for commonly ordered Nuclear Medicine procedures. If you have any questions in regards to ordering or scheduling a Nuclear Medicine procedure, please feel free to contact the Nuclear Medicine Department at 740−2669 or contact a Radiologist at 740−2692.
Wholebody Bone Scan Liver Hemangioma Scan Indications include: Indications include: ● Detection of primary and staging metastatic ● Detection and localization of hepatic disease. hemangiomas ● Evaluation of bone pain, trauma, occult ● Detection and localization of vascularized fractures, metabolic one disease, primary and metastatic tumors osteoporosis, and other osteopathies. ● Detection and evaluation of Paget disease of the bone. HIDA Scan ● Detection and evaluation of arthritis and joint ● Evaluation of cholecystitis, cystic, or disease. common bile ducts. ● Evaluation of prosthesis pain. ● Evaluation of cholelithiasis. ● Detection of perforation of the gallbladder. ● Evaluation after gallbladder surgery for Limited Bone Scan suspected leakage. Indications include: ● Pain not associated with infection. ● Patient without a history of cancer with HIDA Scan with Ejection Fraction limited area of pain. Indications include: ● Evaluation of biliary dyskinesia.
3 Phase Bone Scan Liver/Spleen Scan Indications include: Indications include: ● Osteomyelitis ● ● R/O infection Assessment of anatomy, size, and relative position ● of liver and spleen. Evaluation of Stress Fractures ● Assessment of hepatomegaly, splenomegaly, splenic artifacts, accessory spleen or splenosis, or situs inversus. Bone SPECT Scan ● Indications include: Assessment of benign mesenchymal focal ● lesions and heptocellular focal nodular Spondylolisthesis hyperplasia. ● Pars defect ● Assessment of chronic liver or spleen disease including primary liver tumors and metastasis, jaundice, Thyroid Uptake and Scan cirrhosis, heptocellular disease, Indications include: hepatitis, hepatic abscess, or elevated ● Detection and evaluation of hyperthyroidism laboratory results. and hypothyroidism. ● Detection of benign from malignant nodules. Parathyroid Scan Detection, localization, and evaluation of Indications include: independent functioning nodule(s). ● Detection and localization of primary and ● Evaluation of heterogenicity of function secondary parathyroid cancer. within a thyroid gland. ● Identification of single adenomas, multiple ● Detection and localization of benign ectopic adenomas, or glandular hyperplasia in patients thyroid tissue. with newly diagnosed hypercalcemia and elevated parathyroid hormone levels. ● Location of cancer for surgery candidates. ● Localization of parathyroid tissue after surgery for persistent or recurrent hyperparathyroidism.
Wentworth−Douglass Hospital DEPARTMENT OF IMAGING SERVICES NUCLEAR MEDICINE ORDERING CHEAT SHEET 7040−143 Rev. 05/01/12 Page 1 of 2 Gallium Scan Gastric Emptying Scan Indications include: Indications include: ● Evaluation of chronic inflammations. ● Determination of delayed gastric emptying ● Detection and localization of lymphomas, with quantitation of gastric emptying rate. tumors, Hodgkin’s disease, hepatomas, and ● Evaluation of anatomical obstruction. bronchogenic carcinomas. ● Evaluation of nausea, vomiting, and early satiety. ● Evaluation of fever of unknown origin. ● Evaluation of weight loss. ● Evaluation of patients with AIDS.
Meckel's Scan WBC Scan Indications include: Indications include: ● ● Localization of a Meckel’s Diverticulum with Detection and localization of acute and functioning gastric mucosa. chronic osteomyelitis (especially acute). ● ● Detection of gastrointestinal bleeding. Detection and localization of acute ● abscesses. Evaluation of positive guaiac test. ● Detection and localization of infection, FUO. ● Evaluation of abdominal pain in children. ● ● Evaluation for prosthesis rejection Evaluation of bleeding, diverticulitis, or intestinal obstruction caused by intussusception and volvulus. Renal Scan Indications include: ● Evaluation of renal function in patients with MUGA Scan asymmetric renal disease. Indications include: ● Evaluation of the vascular supply to the ● Evaluation of left wall motion kidneys. ● Calculation of ejection fraction ● Evaluation of patient’s heart condition for Renal Scan with Lasix pending surgery, chemotherapy, or radiation Indications include: therapy. ● Evaluation of ureteropelvic or ureterovesical obstruction ● Distention of pelvicalyceal system as an etiology of back pain.
Renal Scan with Captopril Indications include: Dr. Shawn Rayder, President Seacoast Radiology ● Abrupt or severe hypertension ● Hypertension resistant to medical therapy. ● Worsening renal function during therapy with ACE inhibitors
Wentworth−Douglass Hospital DEPARTMENT OF IMAGING SERVICES NUCLEAR MEDICINE ORDERING CHEAT SHEET 7040−143 Rev. 05/01/12 Page 2 of 2