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Nuclear Medicine

The Department of Nuclear Medicine, M. N. Budhrani Cancer Institute is equipped with a SPECT-CT scanner, The Infinia Hawkeye 4 Nuclear system from GE Healthcare which is the latest in hybrid scanners (i.e CT & SPECT Dual Head Gamma Camera).

It provides fully registered functional (SPECT) and anatomical information in a single image with a single examination. This helps us to determine the nature and precise location of the lesion. Fusion images from complementary modalities offer a more complete and accurate assessment of the disease.

Thyroid Scan
Indications:

  • Diffuse Goitre / Multinodular Goitre
  • Autonomous toxic adenoma
  • Toxic Goitre
  • Thyroiditis
  • Solitary nodular Goitre
  • Thyroid cyst
  • Iodine-131 Whole Body Scan in cases of differentiated carcinoma thyroid

Parathyroid Scan

  • Parathyroid adenoma/ Parathyroid hyperplasia
  • Ectopic location of parathyroid adenoma

SPECT – CT enable localization of retro thyroid, intra thyroid and other ectopic Parathyroid adenomas

Myocardial Perfusion Imaging / Stress Thallium
A normal stress MPI indicates a low risk (<1%) of developing any major event in the next 1 year irrespective of the risk factors- Journal of Nuclear Cardiology

  • Screening for IHD
  • Triple vessel disease, prior to CABG.
  • To look for ischemia in symptomatic post angioplasty patients

SPECT – CT provides for attenuation and scatter correction and hence accurate interpretation of myocardial perfusion images.

Bone Scan

  • Primary bone tumor
  • Metastatic bone disease
  • Fractures not detected by X-Ray
  • Stress fracture v/s Shine splints
  • Osteomyelitis v/s Cellulitis.
  • Synovitis
  • Avascular necrosis
  • Metabolic bone diseases
  • Pagets disease
  • Fibrous dysplasia

Accurate localization by SPECT-CT helps differentiate benign from malignant lesions.

Renal Imaging (DTPA & DMSA Scan)

  • Bilateral / unilateral hydronephrosis
  • PUJ obstruction / VUJ obstruction.
  • Rental artery steno sis (Pre and post captopril studies)
  • Congenital malformations of kidneys – DMMSA scan (Horse-shoe kidney, duplex kidney, ectopic kidney)
  • Acute / chronic pyelonephritis –for cortical scars (DMSA scan)
  • Vesicouretic reflux
  • In renal transplant patients –ATN rejection, urine leak , lymphocoele formation, screening for donor
  • Direct radionuclide cystogram for determining vesicoureteric reflux (VUR)
  • GFR by “Plasma sampling methode” – a gold standard method for determining GFR (We are the first centre in pune doing this test)

HIDA Scan

  • Acute calculus / acalculus cholecystitis
  • Chronic cholecystitis
  • Sphincter of oddi dysfunction
  • Calculation of Gall Bladder ejection fraction
  • Duodenogastric reflux
  • Bile leak
  • Biliary atresia v/s Neonatal hepatitis

MIBI Brain SPECT

  • To differentiate viable tumor tissue from radiation necrosis in postoperative, post radiotherapy patients of high grade gliomas

ECD Brain SPECT

  • Detection of dementias
  • Identifying epileptic focus
  • Evalution of psychiatric disorders
  • Assessment of stroke

Accurate functional information with anatomical localization by SPECT-CT plats
a major role in further management



Other Scans

  • Dacryscintrigraphy- painless, simple and patient friendly method to evaluate obstruction in the lacrimal system
  • Salivary gland scintigraphy
  • GI Bleed studies
  • Meckle’s Scan (to determine functioning ectopic gastic mucosa)
  • GE Reflux Studies
  • MUGA Scan
  • Lung ventilation perfusion studies:to detect pulmonary thromboembolism , for quantification studies prior to therapy
  • Lymphoscientigraphy: To grade lymphoedema and decide upon the mode of treatment:medical/ surgical

Other Oncology Scans

  • Scintimammography
  • Tc-99m DMSA (V)for staging of Medullary Thyroid Carcinoma
  • Tc-99m tektrotyd scan for somatostatin receptor imaging
  • I-131 MIBG Scan
  • Lu-177 DOTATATE Scans for neuroendocrine tumors

Infection Imaging

  • Labelled WBC Scans
  • Gallium 67 Scans

Therapeutic Nuclear Medicine

  • Iodine -131 treatment in case if Graves disease/ Toxic goiters/ AFTN
  • Iodin-131 treatment in post operative cases of differentiated with carcinoma thyroid
  • P-32/Sm -153 / Sr-89 palliative pain therapy in cancer patient with multiple bone metastasis
  • I-131 MIBG therapy in neuroblastomas
  • Radiation Synovectomy in patients with Rheumatoid arthritis
  • We are recognized by BARC for giving Radioactive Iodine Treatment for Ca Thyroid Patients
  • Luthetium-177 DOTATATE therapy for well differentiated neuroendocrine tumours- We are the first facility in Maharashtra, approved by BARC for this procedure.


For further information and appointment,
Please contact: 020-66099862
(Monday to Saturday,9 am to 5:30 pm)

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