Nuclear Medicine - Treatment & Services

I. GAMMA CAMERAIMAGING (PLANAR and SPECT-CT)

GE-Infinia Hawkeye is a dual detector system combined with a four-slice CT, for faster acquisition, more versatility leading to increased diagnostic confidence. Provision of data fusion with CT images allows for better anatomical localization of tracer uptake, enabling more specific diagnosis.

Tumour Imaging

  • Whole Body Radioiodine Scan : For follow up of differentiated thyroid carcinoma
  • 99m TcGHA/MIBI : For detection of residual/recurrence of brain parenchymal tumors
  • 99m TcSestamibiScintimammography
  • 99m Tc DMSA V scan
  • 1-131 MIBG Scan
  • Gallium Scan
  • Sentinel Node Imaging
  • Somatostatin Receptor Scintigraphy

Cardiovascular Applications

  • Stress/Rest Myocardial Perfusion Scan: For detection of myocardial ischemia & assessment of myocardial viability
  • Resting MUGA Scan :For serial assessment of LV function in patients undergoing chemotherapy with cardio toxic drugs.
  • PET Scan: For viability assessment
  • SPECT (Single Photon Emission Computed Tomography) Thallium Scan
  • Planar Thallium Scan
  • Exercise MUGA Scan
  • Resting MUGA Scan

Renal And Genito-Urinary Application

  • Renal Dtpa (Diethylene Triamine Pentaacetic Acid)Scan
    • Renography for function and renal evaluation
    • Diuresis renography for obstructive uropathy
  • Captopril renogram for evaluation of renovascular hypertension
  • Serial GFR quantification for patients undergoing chemotherapy with nephrotoxic drugs
  • Renal Dmsa(Dimercapto Succinic Acid)/Gha (Glucoheptonic Acid) Scan
  • Drcg (Direct Radionuclide Cystogram) Scan With Or Without Ufmt (Uroflowmetry)
  • RDH with GFR
  • DMSA (V) Tumor Imaging
  • Captopril Renal Study
  • Testicular Scan
    • Transplant Evaluation
    • Donor evaluation
    • Post transplant evaluation

Bone Scan

  • For whole body metastatic skeletal survey
  • Growth and metabolic disorders like osteomalacia, hyperparathyroidism and Pagets disease.

Three Phase Bone Scan

  • For assessment of active infective/inflammatory pathology.
  • Vascular pathology like avascular necrosis, sickle cell disease, bone graft viability, reflex sympathetic dystrophy
  • Early diagnosis of cases of trauma (fractures/soft tissue injury), sports injuries (shin splints/stress fractures)

Gastrointestinal Applications

  • Salivary Gland Study
  • Gastric Emptying
  • Ge-Reflux Study Gastric Emptying
  • Oesophagial Motility Disorders
  • Gastrointestinal Bleed Study
  • Meckel’s Scan
  • Liver Spleen Scan
  • Hepatobiliary Scan
  • For diagnosis of acute and chronic cholecystitis
  • Diagnosis and follow up of biliary atresia
  • Diagnosis of post operative complications like biliary leak, biliary strictures
  • Quantification of gall bladder function
  • Liver Transplant Evaluation
  • Assessment of graft function and early detection of post transplantcomplications like leak (localization of site), obstruction, rejection.

Ventilation Perfusion Scans

Nuclear Medicine in Indraprastha Apollo Hospitals Delhi, India
  • Diagnosis of pulmonary embolism
  • Quantification of pulmonary function pre and post lobectomy/lung transplantation
  • Quantification and assessment of ventilation and perfusion and parenchymal lung diseases (COPD, asthma, cystic fibrosis)
  • Hepato-pulmonary shunt diagnosis in cirrhosis/ congenital heart diseases and other conditions
  • Lung Ventilation Scan
  • Lung Perfusion Scan

Brain Spect Study

  • 99M TC ECD (EthyICystemnate Dimer) /HMPAO (Hexa Methyl Propyisne Amine O) Scan & Pet Scan
  • Assessment of cerebral perfusion in:
  • Early detection and differential diagnosis of dementia (Alzheimer’s, Parkinsonism, Picks Disease, Multi-infarct Dementia)
  • Localization of epileptogenic focus in refractory epilepsy
  • Early detection of cerebral ischemia in acute cerebrovascular disease
  • Neuropsychiatric disorders
  • Assessment of response to therapy (hyperbaric/drugs/psychotherapy)
  • C.S.F Scan

Radionuclide Cysternography

To rule out normal pressure hydrocephalus

Endocrine Applications

  • Thyroid Scans
  • Tc-99m Thyroid Scan
  • Radioactive Iodine Uptake and Scan
  • I-131 MIBG Scan
  • Thyroid Perfusion
  • Thyroid Uptake & Scan
  • I-131 Whole Body Scan
  • Parathyroid Scan
  • Adrenal Gland Imaging:I-131 Mibg Scan

Infection Imaging

  • WBC Scan
  • For localization of occult infection
  • For painful joint prostheses (differentiating aseptic loosening/infection)
  • Gallium Scan
  • For PUO (Sarcoidosis/opportunistic infections like PneumocystitisCarinii in immune-compromised patients and malignancies)
  • FDG Pet Scan

Miscillenious Scans

  • Salivary Gland Imaging
  • Venography
  • Lymphoscintigraphy

II. PET SUITE - FIRST OF IT’S KIND IN WORLD

Nation’s first simultaneous PET MRI

  • Acquires MR and PET data simultaneously.
  • Reduces the radiation burden to the patient ,PET component is the only source of radiation.
  • PET MRI is superior to PET CT for brain, breast, head & neck, prostate, colon, uterus hepatobiliary-pancreatic, bone & soft tissue, and childhood cancer.

Ultra HD time of flight PET CT

  • 427 slice/second ultra HD PET-CT with time of flight technology.
  • The facility is equipped with highly specialized 4D respiratory gating software on the high end PET-CT giving extremely valuable radiotherapy traetment planning data, which can be used by the radiotherapist to deliver highly precise radiation dose, synchornized with patients breathing pattern.

LIST OF TESTS AVAILABLE

F-18 Based Tests
  • Whole Body FDG PET CT
  • Whole Body FDG PET MRI
  • Brain – FDG PET MRI
  • Brain – FET PET MRI
  • Head and Neck FDG PET MRI
  • Breast – FDG PET MRI
  • Whole Abdomen FDG PET MRI
  • Musclo Skeletal FDG PET MRI
  • FDG Cancer Staging PET MRI
  • FDG Whole Body Cancer Screening PET MRI
Ga- 68 Based Tests
  • Whole Body DOTA PET CT
  • Whole Body PSMA PET CT
  • Whole Body DOTA PET MRI
  • Whole Body PSMA PET MRI
  • Brain – DOTA PET MRI

Radionuclide Therapy

  • Iodine 131 Therapy
    • Low dose therapy: For Thyrotoxicosis
    • High dose therapy: For remnant ablation and treatment of iodine avid metastases in operated cases of carcinoma thyroid.
  • PRRT (Peptide Receptor Radionuclide Therapy)
    • 177Lu- DOTATATE / 90Y- DOTATOC : For patients with advanced and/or progressive neuroendocrine tumors who are not candidates for surgery.
  • SIRT (Selective Intra arterial Radio Therapy)
    • 90Y - Microspheres (SIR spheres/ Theraspheres) - For treatment of hepatocellular carcinoma and liver metastases from CRC or other cancers.
    • 131 I- Lipiodol : For treatment of liver cancer
  • Bone pain palliation in metastatic disease
    • 89 Strontium Chloride
    • 153 Samarium EDTMP
  • 90-Yttrium Labelled Microspheres (Theraspheres) - for treatment of hepatocellular carcinoma
  • 90-Yttrium Labelled Colloids - for radiation synovectomy
  • Strontium - 89 and PHOSPHOROUS - 32 for the treatment of polycythemia vera
  • I-131 MIBG(Metaiodobenzylguanidine) Therapy:For neuroendocrine tumor