Clinical indications for Nuclear Medicine Procedures
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