Clinical indications for Nuclear Medicine Procedures

Doctor with a patient

CLINICAL INDICATIONS FOR NUCLEAR MEDICINE PROCEDURES

Nuclear Stress test

Chest pain

 

Unspecified Angina Pectoris

 

Abnormal EKG

 

Chronic ischemic heart disease, unspecified

 

Cardiomyopathy

 

Cardiomegaly

 

Heart disease, unspecified

 

Acute MI of unspecified site

 

Cardiovascular disease, unspecified

 

Essential Hypertension, unspecified

 

Hypertensive heart disease, unspecified

 

 

MUGA

Chronic ischemic heart disease, unspecified

 

Cardiomegaly

 

Cardiomyopathy

CHF

 

Old Myocardial infarction

 

Pre and post chemotherapy cardiac assessment

Low Ejection fraction on echocardiogram

 

Myocardial viability

Old Myocardial infarction

Chronic ischemic heart disease, unspecified

 

 

Salivary Gland 

Parotid gland infection

 

Swelling of salivary glands

 

Abscess of salivary glands

 

Cysts

 

Inflammation of the salivary glands

 

Dry mouth (Xerostomia

 

Parathyroid

Hyperparathyroidism, elevated PTH

 

Hypercalcemia

 

Thyroid 

Hyperthyroidism, Hypothyroidism, Elevated TSH

 

Thyroid Nodules

 

Goiter

 

Elevated TSH

 

 

Molecular Breast Imaging (MBI)

As a supplement to evaluate extent of disease in newly diagnosed breast cancer patients with dense breast who cannot undergo or afford MRI

Monitor effectiveness of treatment - Establish baseline pre-chemo and follow up post treatment

Detect local recurrence of breast cancer post surgery as scars can limit use of mammography

Indeterminate cases with previous mammogram and ultrasound

 

Lung Perfusion/ventilation

Non-specific abnormal finding on radiological or other examination of lung field

 

Shortness of breath

 

Chest pain

 

Chronic pulmonary embolism

 

Secondary lung cancer

COPD

 

 

Gastric Emptying

Nausea and vomiting

Nausea only

 

Vomiting only

 

Heartburn

 

Bloating

 

Abdominal pain, Epigastric

 

Abdominal pain, unspecified

 

Non-specific abnormal findings on radiological or other examinations of gastrointestinal tract

 

Colic

 

Gastro-paresis

HIDA 

Abdominal pain, Right upper quadrant pain

 

Acute Cholecystitis

 

Chronic cholecystitis

 

Unspecified cholecystitis

 

Cholelithiasis (Gall stones)

 

Gall bladder obstruction, Gall bladder colic

 

Non-specified abnormal findings on radiologic or other examination of the biliary tract

 

 

Liver/Spleen 

Fatty Liver

 

Unspecified disorder of the liver

 

Unspecified chronic liver disease

 

Non-specific abnormal results of liver function study

 

Hepatomegaly

 

Splenomegaly

 

Ascites

 

Alcoholic Liver Cirrhosis

 

Non-alcoholic Liver Cirrhosis

 

Chronic hepatitis, unspecified

 

Hepatitis, unspecified

 

Secondary liver Cancer

 

Liver Cancer, unspecified

 

Liver SPECT

Hemangioma

 

Liver Lesions

Kidney flow and function

Non-specific findings on radiological and other examinations of genitourinary organs

 

Non-specific abnormal function study of kidney

 

Hypertensive kidney disease, unspecified

 

Hyperkalemia

 

Proteinuria

 

Abdominal pain, right lower quadrant

 

Abdominal pain, left lower quadrant

 

Hydronephrosis

Bone Scan 3-phase

Osteomyelitis, Non-healing wound

Cellulitis

 

Swelling/edema

 

Carpal tunnel syndrome

 

Limited area bone scan

Back pain

 

Rib fracture, unspecified

 

Fracture of spine

 

Fracture of Lumbar Vertebra

 

Fracture of Sacrum and Coccyx

 

Pelvic fracture

 

Fracture of cervical vertebra, unspecified

 

Fracture of thoracic vertebra, unspecified

 

Fracture of unspecified part of vertebral column

 

Fracture of unspecified bone

 Whole Body Bone scan

Non-specific abnormal findings on radiological and other examinations of musculoskeletal system

 

Secondary Lung Cancer

 

Malignant neoplasm, non-specific

 

Secondary Liver Cancer

 

Bladder cancer, unspecified

 

Prostate cancer

 

Primary liver cancer

 

Pancreatic cancer, unspecified

 

Colon cancer, unspecified

 

Melanoma, Unspecified

 

Female Breast cancer, unspecified

 

Male breast cancer, unspecified

 

Primary brain cancer, unspecified

 

Secondary brain/spinal cord cancer

 

Malignant neoplasm of urinary organs, unspecified

 

Metastatic malignant neoplasm

 

Hypercalcemia

Tc99m WBC Ceretec or Indium 111 WBC

Non-healing wound

 

Fever of unknown origin

 

Abscess

 

Gallium 

Locate areas of tumor involvement, such as lymphoma

Detect abscess or infections in bones

Fever of unknown origin (FUO)

Monitor response to antibiotic treatment

Diagnose inflammatory conditions such as pulmonary fibrosis or sarcoidosis

Assess for metastasis in patients with known primary cancer

Assess effectiveness of cancer treatment

Meckel's Diverticulum 

 

Abdominal pain  in the lower right side

Bloody stool, unexplained especially in children or young adults 

 

 

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