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Nuclear
Medicine
Department
Common Scans
Cardiac Stress Tests
PET - Positron Emission Tomography
Frequently
Asked
Questions

The Nuclear Medicine Department, located on the 3rd floor, is open from 6:30 am to 4 pm Monday through Friday and staffed by certified nuclear medicine technologists and board certified nuclear medicine and nuclear cardiology physicians. 

What is Nuclear Medicine?

 Nuclear Medicine performs diagnostic imaging to look at the function of organs and detect diseases in the body.  A radioactive material is injected into the arm or given by mouth so that imaging may be performed.  The material will not make you sick and gives off about the same amount of radiation as having a chest x-ray.  A wide variety of organs may be examined such as the thyroid, heart, gallbladder, liver, bones, and stomach, to name a few.

Common Scans

Bone Scans
There are six types of bone scans that may detect sport injuries, metastasis, unexplained pain, osteoporosis, neoplasms, fractures, tumors, etc.  There are no eating restrictions with a bone scan.  The patient will be injected in the arm and scanned 2 hours later.  During the 2-hour wait there are no restrictions and the patient may leave the hospital. The scan will take anywhere from 40 to 75 minutes.

 

Cardiac Wall Motion - This test will evaluate how well the left ventricle wall moves and the heart pumps the blood.  There are no food restrictions prior to this scan.  The patient will receive an injection in the arm, wait 30 minutes, and receive a second injection.  These will allow us to see the heart.  The patient will then lie quietly while three different views of the heart are taken.  The test will take approximately 75 minutes.

Lung Scan - Most lung scans are to detect blood clots in the lung.  There are no food restrictions prior to this test.  The patient will be asked to breath a radioactive material through a tube for 5 minutes and then six ventilation images will be taken of your lungs.  Then the patient will receive a radioactive injection, which also goes to the lungs, and the same six pictures will be taken again. These images are compared to determine if any blood clots are present.
 Liver Scan  - This scan is to detect problems in the liver such as  cysts, cirrhosis and tumors. There are no eating restrictions prior to the test.  A radioactive injection will be given in the arm.  After allowing it to circulate for 15 minutes the patient will lie on the scan table while various views of the liver and spleen are taken.  The scan takes approximately 30 to 45 minutes.

Hida Scan - This test is to detect problems in the gallbladder or biliary system.  The patient may not eat 4 hours prior to the test.  An injection of radioactive material will be given in the arm and scanning begins immediately.  The scan may take anywhere from 40 minutes to 4 hours.

Cardiac Stress Tests

Dual Isotope Stress Test  - Also known as Thallium or Cardiolite Stress Test.

This test is to determine if there are blockages in the patient’s coronary arteries.The patient must not eat 4 hours prior to the test.  The patient should be off Beta-Blocker medications but only on the instructions from the ordering physician. An IV will be inserted into the patient’s arm, and an injection of a radioactive material will be given. After waiting 15 minutes to circulate, the patient’s resting scan will be taken.  The patient then goes to EKG Department for the actual treadmill portion of the test.  One minute before ending the treadmill test, the patient will receive a 2nd injection.  The patient will then return to Nuclear Medicine for the stress scan.  The entire procedure will take 3 to 3 1/2 hours.

Adenosine Stress Test

This test is to determine if there are any blockages in the coronary arteries.  The patient may not each 4 hours prior to the test.  The patient is to be off medications such as Theophylline, Persantine, and Adenosine for 48   hours prior to the test.  The patient is to have no caffeine for 24 hours prior to the test.  An IV will be placed in the patients’ arm and an injection of a radioactive material will be given.  After circulating 15 minutes the patients resting scan will be taken.  The patient will then proceed to the EKG department to have the Adenosine stress portion of the test while the doctor monitors the heart.  While the Adenosine is being infused another radioactive injection will be given.  The   patient then returns to the Nuclear Medicine Department for the stress scan.  The entire test will take approximately 3 to 3 1/2 hours.

PET - Positron Emission Tomography

What is PET?

PET (Positron Emission Tomography) is an imaging technique

used to detect body functions on the cellular level.  This may help detect cancers and determine appropriate management and care of treatment plans.

 How does PET work?

 A small amount of radioactive material which is tagged to a glucose compound is injected into the patient.  This injection will be picked up by the heart, brain and cancerous tumors.  The patient is then scanned from the head to thighs.  The computer reconstructs the  information acquired to form images of the body showing abnormal areas of radioactivity which may represent cancerous tumors.

 

When is PET used?

 Pet is approved to evaluate the following diseases but not limited to these as additional cancers are approved.

Lung Cancer
Brain Tumor
Ovarian Cancer
Lymphomas
Colorectal Cancer
Pancreatic Cancer
Melanoma
Head & Neck Cancer
Breast Cancer



How Do I Prepare For My Scan?

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Plan on being at the hospital for 2 to 2 1/2 hours.

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Do not eat anything after midnight.

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If you have medicines to take you may do so with a small amount of water.

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Register in the Admitting Office on the main floor 15-30 minutes prior to your appointment.

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Upon arrival in Nuclear Medicine you will have an IV plug inserted in your arm and your blood sugar level will be measured.

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You will be injected with a radioactive material and then asked to relax in the PET waiting room for one hour.

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You will then be asked to lie quietly on the scan table as your pictures are acquired. The scan will take approximately 45 minutes.