CLINICAL INDICATIONS FOR NUCLEAR MEDICINE PROCEDURES

Nuclear Stress test

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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

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Chronic ischemic heart disease, unspecified

Cardiomegaly

Cardiomyopathy

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CHF

Old Myocardial infarction

Pre and post chemotherapy cardiac assessment

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Low Ejection fraction on echocardiogram

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Myocardial viability

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Old Myocardial infarction

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Chronic ischemic heart disease, unspecified

Salivary Gland 

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Parotid gland infection

Swelling of salivary glands

Abscess of salivary glands

Cysts

Inflammation of the salivary glands

Dry mouth (Xerostomia

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Parathyroid

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Hyperparathyroidism, elevated PTH

Hypercalcemia

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Thyroid 

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Hyperthyroidism, Hypothyroidism, Elevated TSH

Thyroid Nodules

Goiter

Elevated TSH

Molecular Breast Imaging (MBI)

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

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

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

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Indeterminate cases with previous mammogram and ultrasound

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Lung Perfusion/ventilation

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

Shortness of breath

Chest pain

Chronic pulmonary embolism

Secondary lung cancer

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COPD

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Gastric Emptying

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Nausea and vomiting

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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

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HIDA 

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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 

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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

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Liver SPECT

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Hemangioma

Liver Lesions

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Kidney flow and function

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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

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Bone Scan 3-phase

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Osteomyelitis, Non-healing wound

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Cellulitis

Swelling/edema

Carpal tunnel syndrome

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Limited area bone scan

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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

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 Whole Body Bone scan

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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

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Tc99m WBC Ceretec or Indium 111 WBC

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Non-healing wound

Fever of unknown origin

Abscess

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Gallium 

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Locate areas of tumor involvement, such as lymphoma

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Detect abscess or infections in bones

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Fever of unknown origin (FUO)

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Monitor response to antibiotic treatment

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Diagnose inflammatory conditions such as pulmonary fibrosis or sarcoidosis

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Assess for metastasis in patients with known primary cancer

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Assess effectiveness of cancer treatment

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Meckel's Diverticulum 

Abdominal pain  in the lower right side

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Bloody stool, unexplained especially in children or young adults