Table of Contents

 

 

 

 

About the Author

iii

 

Dedication

iv

 

Acknowledgments

v

 

Disclaimer

vi

SECTION ONE

SCANS

 

1

Adrenocortical Scan

2

2

Adrenal Medulla: Pheochromocytoma Scan (mIBG)

7

3

Angiography

13

4

Bone Density (Densitometry)

17

5

Bone Marrow Study

23

6

Bone Scan (Skeletal Imaging)

28

7

Brain Scan/Death (Brain Flow)

36

8

Brain SPECT (Single Photon Emission Computed Tomography)

41

9

Breath Test for H. pylori: PYtest® C-14 Urea Breath Test (UBT)

47

10

Cardiac: Gated First-Pass Study (First-Transit Radionuclide Angiocardiography)

51

11

Cardiac: MUGA and MUGA-X (Stress MUGA)

56

12

Cardiac: Myocardial Infarction (MI) Scan

62

13

Cardiac: Resting Study (Perfusion)

66

14

Cardiac: Stress Test (Perfusion)

71

15

Cisternography

79

16

Cystography (Voiding Cystourethrogram): Direct and Indirect

84

17

Dacryoscintigraphy (Lacrimal Study)

89

18

DVT (Deep Venous Thrombosis): Venography

94

19

Esophageal Transit Time

100

20

Gallium Scan

104

21

Gastric Emptying (Solid and Liquid)

110

22

Gastroesophageal Reflux

116

23

Gastrointestinal Bleed

120

24

HIDA (Hepatobiliary or Gallbladder) Scan

125

25

LeVeen or Denver Shunt Patency

134

26

Liver SPECT (Hepatic Hemangioma)

138

27

Liver/Spleen Scan

142

28

Lung Perfusion and Quantitation

148

29

Lung Transmission (and Transmission Imaging)

156

30

Lung Ventilation: Gas and Aerosol

160

31

Lymphoscintigraphy (Lymphangiogram)

166

32

Meckel’s Diverticulum

173

33

NeutroSpec®: Radioimmunoscintigraphy (RIS) for Infection

178

34

OctreoScan®

182

35

Parathyroid Scan

188

36

Positron Emission Tomography (PET): An Overview

196

37

PET: Brain Imaging 18F-FDG

205

38

PET: Cardiac Perfusion and Viability

212

39

PET: Whole Body (Tumor) Imaging 18F-FDG and PET/CT

222

40

ProstaScint® Scan (Radioimmunoscintigraphy [RIS])

231

41

Red Blood Cell Studies: Plasma Volume, Red Blood Cell Volume, Red Blood Cell Survival, and Splenic Sequestration

238

42

Renal: Cortical Imaging (99mTc-DMSA)

244

43

Renal: Renogram, Diuretic, and Captopril: Tubular Function, ERPF, and GFR

249

44

Salivary Gland Imaging

259

45

Schilling Test

263

46

Scintimammography

268

47

SPECT (Single Photon Emission Computed Tomography) Imaging and Hybrid Imaging Overview

274

48

Testicular Scan

283

49

Therapy: BEXXAR® (Radioimmunotherapy: RIT for B-Cell Non-Hodgkin’s Lymphoma)

287

50

Therapy: Bone Pain (Palliation)

293

51

Therapy: Intra-articular (Joint); Synovectomy

299

52

Therapy: Intracavitary (Serosal)

304

53

Therapy: Polycythemia Vera

309

54

Therapy: Zevalin® (Radioimmunotherapy for B-Cell Non-Hodgkin’s Lymphoma)

313

55

Thyroid: Ablation

318

56

Thyroid: Ectopic Tissue Scan (Substernal)

325

57

Thyroid: Hyperthyroid Therapy (<30mCi)

330

58

Thyroid: Scan

335

59

Thyroid: Uptake

341

60

Thyroid: Whole Body 131I Cancer Study and rTSH Augmentation

349

61

White Blood Cell Scan (111In-oxime and 99mTc-HMPAO)

354

SECTION TWO

QUICK REFERENCE

 

A

Conversion Tables

362

 

Lbs/Kgs

363

 

In/Cm

364

 

Target Heart Rates (Cardiac Studies)

365

 

mCi/MBq

366

B

Radiopharmaceuticals

367

 

Standard Adult Dose Ranges

368

 

Medical Radionuclides

370

 

Common Math Equations for Nuclear Medicine

373

 

Kit Preparations (An Overview)

374

 

Pediatric Dosing in Nuclear Medicine

379

 

Radioactive Isotopes

386

C

Decay Tables of Common Radionuclides

410

 

137Cs

411

 

57Co

412

 

18F

413

 

67Ga

414

 

111In

415

 

123I

416

 

131I

417

 

99Mo

418

 

99mTc

419

 

201TI

420

 

133Xe

421

D

Standard Drug Interventions

422

 

Calculations, Preparations, and Administration

423

 

Infusion Rate Tables

428

 

Side Effects of Common Drugs

433

 

Drugs and Studies Affecting 123I and 131I Uptake

435

 

Drug Lists: Anticoagulants and ACE Inhibitors

437

E

Laboratory Tests

439

 

Normal Ranges

440

 

Enzymes and Hormones

446

F

Language Barrier Buster™/Interpretech

451

 

Chinese

452

 

French

454

 

German

457

 

Italian

459

 

Portuguese

462

 

Russian

464

 

Spanish

467

 

Japanese

470

 

Polish

471

G

Regulations

474

 

Misadministration

475

 

Radiation Safety

476

 

State Inspections (Self-Assessment)

483

 

Example: Patient End-of-Day Report

489

 

Example: RP Rec-Disp Daily Report

490

H

Patient Release Methods and Information for Thyroid Therapies

491

 

Methods of Patient Release

492

 

Inpatient Information

495

 

Outpatient Information

495

I

Patient History Sheets

496

 

Adrenal Scans

497

 

Bexxar®/Zevalin®

498

 

Bone Scans

499

 

Brain Scan (SPECT)

500

 

Cardiac/MUGA

501

 

Gallium/Indium/Ceretec®

502

 

Gastric Emptying Scan (liquid/solid)

503

 

GI Bleeding Scan/Meckel’s

504

 

HID A (Gallbladder Study)

505

 

Lung Scan (Aerosol)

506

 

Lung Scan (Gas)

507

 

Liver/Spleen Scan

508

 

Miscellaneous Worksheet

509

 

NeutroSpec®

510

 

Octreoscan®

511

 

PET Scans

512

 

ProstaScint® Scan

513

 

Renal/Renogram/Captopiil Scan

514

 

Scintimammography

515

 

Thyroid Uptake and Scan

516

J

Abbreviations Commonly Used in Nuclear Medicine

518

K

Coding

529

 

Radiopharmaceuticals (HCPCS)

530

L

Anatomical Images

533

 

Brain (and Brain CSF)

536

 

Cardiac System

540

 

Endocrine System and Thyroid

542

 

Gastrointestinal System (Esophagus, GI Tract, Stomach)

543

 

Hepatobiliary System

545

 

Lungs

547

 

Lymphatic System

548

 

Miscellaneous Systems (Catecholamine Sites, Lacrimal, Salivaries, Testicular)

549

 

Renal System

552

 

Skeletal System

553

 

Vascular System (Arteries, Veins)

557

 

References

559

 

Acknowledgment of Trademarks

563

 

Index

567