Nuclear Medicine

Nuclear medicine is a relatively recent division of medicine that uses radioisotopes in a safe way to diagnose and treat the diseases.Nuclear medicine imaging procedures often identify abnormalities very early in the progress of a disease, long before many medical problems are apparent with other diagnostic tests. In a nuclear medicine test, small amounts of radiolabelled tracer are introduced into the body by injection, swallowing, or inhalation. Radiolabelled tracer are substances that are attracted to specific organs, bones, or tissues. The amount of tracer used is carefully selected to provide the least amount of radiation exposure to the patient but ensure an accurate test. A special camera (PET- CT or SPECT camera) is then used to take pictures of your body. The camera detects the radio tracer in the organ, bone or tissue and forms images that provide data and information about the area in question. Nuclear medicine differs from other diagnostic tests because it determines the presence of disease based on biological changes rather than changes in anatomy. Our department is equipped with state of the art GE discovery IQ PET/CT with 4D technology and leading edge gamma camera with SPECT (GE NM630) offering a full range of diagnostic radionuclide imaging services.

Services offered at our center

Skeletal System

Three phase body Scan & bone scan

Nephrology

Diuretic renography (DTPA- renogram)
Renal transplant evaluation
GFR estimation
Captopril renogram
Renal Cortical Scintigraphy (DMSA scan)
Radionuclide cystography

Cardiology

Equilibrium radionuclide angiography: (MUGA)
Myocardial perfusion imaging : (Rest and stress MPI/ Thallium scan)
Myocardial viability scan
Myocardial infarct scan

Hepato-biliary system

Liver–Spleen Imaging
Hepatobiliary Scintigraphy(HIDA scan)

Pulmonology

Ventilation/perfusion (V/Q) lung scan
Lung perfusion scan

Endocrinology

Thyroid Scan
I-131 whole body scan
Parathyroid scan(MIBI scan)
I-131 MIBG scan

Gastroenterology

Oesophageal transit study
Gastric emptying study
Colonic transit study
Gastrointestinal bleeding scan
Meckel's scan
Testicular scan
Peritoneopleural scan

Neurology

Brain perfusion/SPECT
Ictal and Interictal SPECT
CSF shunt/leak/flow study

Lymphatic System

Lymphoscintigraphy
Sentinel node imaging

Others

Bone marrow scintigraphy
Infection/ inflammation imaging
Salivary gland scintigraphy
Lacrimal gland scintigraphy
Somatostatin receptor scintigraphy

PET-CT Imaging

18F-FDG PET/CT
Whole body (oncological/Infection)
Cardiac PET
Brain PET
18F-Fluoride bone PET
18F-FDOPA PET/CT
18F-PSMA PET/CT
68Ga-DOTA NOC PET/CT

Radionuclide Therapies

Nuclear medicine therapy uses various Radio Isotopes. Radioactive iodine is used (I-131) to treat an overactive thyroid gland - a condition known as thyrotoxicosis or hyperthyroidism and thyroid cancer. Other radiopharmaceuticals are used to treat some other types of cancer (Eg.Lu-177 DOTA TATE for neuroendocrine tumors and Y-90 microspheres for liver tumors), and to relieve the pain from cancer that has spread to bone (Eg.Sm-153 - EDTMP). Our department has 2 bed dedicated Radionuclide therapy ward approved by Atomic Energy Regulatory Board (AERB), Government of India.

We can provide following treatments at our department on regular basis

I-131 Toxic and carcinoma thyroid therapy
Bone pain palliation
131I-MIBG therapy
Peptide Receptor Radionuclide Therapy (PRRNT) for Neuro-Endocrine Tumours (Lu177-DOTATATE therapy)
PSMA Radioligand Therapy (PRLT) for Prostate cancer
Radiosynovectomy
Selective internal radiation therapy for liver tumors (TARE)
Radioimmunotherapy