Nuclear Medicine

Nuclear Medicine is a branch or specialty of medicine and medical imaging that uses radionuclides and relies on the process of radioactive decay in the diagnosis and treatment of disease. In nuclear medicine procedures, elemental radionuclides are combined with other elements to form chemical compounds, or else combined with existing pharmaceutical compounds, to form radiopharmaceuticals. These radiopharmaceuticals, once administered to the patient, can localize to specific organs or cellular receptors. This property of radiopharmaceuticals allows nuclear medicine the ability to image the extent of a disease-process in the body, based on the cellular function and physiology, rather than relying on physical changes in the tissue anatomy. In some diseases, nuclear medicine studies can identify medical problems at an earlier stage than other diagnostic tests.

Imaging Procedures

Our Nuclear Medicine Section is dedicated to provide a variety of accurate imaging procedures to every patient. Here's a list of the imaging procedures that we offer:

THYROID

  • Thyroid disease is endemic and among the most common in the country. Our imaging procedures for Thyroid are as follows:
  • A. Thyroid Scan Using Tc99m Pertechnetate – Thyroid structure, size and function
  • B. Radioactive Iodine 131 Uptake (RAIU) – Thyroid function / Calculation of I-131 therapy dose
  • C. Iodine – 131 Whole Body Scan / Thyroid CA evaluation and follow-up
  • D. Radioactive Iodine 131 Therapy

PULMONARY

  • Pulmonary-related diseases are persistent leakers in all local diseases. Our imaging procedure for Pulmonary is as follows:
  • Lung Perfusion Scinitraphy – Pulmonary embolism / Pulmonary masses / Prediction of post-pulmonectomy lung Function (FEVI) / Lung Ventilation

GENITO-URINARY

  • Genito-Urinary diseases are conditions that strike both young and old individuals. Our imaging procedures for Genito-Urinary conditions are as follows:
  • A. DTPA Renogram and GFR – Total and individual / Kidney function / Glomerular filtration rate / Follow-up after therapeutic procedure
  • B. Furosemide DTPA Renogram – Obstruction uropathy vs dilated renal pelvis
  • C. Urinary Bladder Scinitgraphy – Residual urine determination
  • D. Testicular Imaging – Torsion vs Epididymitis

GASTRO-INTESTINAL

  • Gastro-intestinal diseases are conditions that affect a person’s gastrointestinal tract. Our imaging procedures for gastro-intestinal conditions are as follows:
  • A. G.I. Bleeding Scan
  • B. Meckel’s Diverticulum Imaging

HEPATOBILIARY

  • Hepatobiliary diseases are conditions that affect the hepatobiliary system, which is composed of gall bladder, bile ducts, or bile. Our imaging procedures for hepatobiliary conditions are as follows:
  • A. LIVER / SPLEEN SCAN – Space occupying lesions / Liver function
  • B. BILLIARY (HIDA) SCAN – Neonatal hepatitis vs Billiary Atresia / Acute cholecystitis / Bile leaks

BONE

  • A common modality for staging cancer and monitoring treatments. Our imaging procedures for bone conditions are as follows:
  • WHOLE BODY SCAN – Bone metastasis / Bone tumors

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Gamma Camera

Blood Tests (Radioimmuno Assay)

The well-informed physician and patient are the ultimate beneficiaries of cutting-edge technology in CMC Nuclear Medicine. Nuclear Physicians and their Nuclear Technologists have honed their skills to provide the best imaging and in-vitro protocols available to doctors for the management of their patients. The department features a plethora of blood tests available to patients such as:

  • Free T3 (RIA)
  • Free T4 (RIA)
  • CA 125 (RIA)
  • Estradiol
  • Thyroglobulin (RIA)
  • Prostate Specific Antigen (PSA/RIA)
  • Trab
  • Intact PTH
  • Cortisol (RIA)
  • B-HCG (RIA)
  • Testosterone (RIA)
  • Thyroid Stimulating Hormone (TSH/IRMA)
  • LH (RIA)
  • FSH (RIA)
  • Free (RIA)
  • Anti-Tg (RIA)
  • Anti-TPO (RIA)
  • Proclatin (RIA)

DXA Bone Densitometry: Early Detection of Osteoporosis

It is an essential tool in the diagnosis and management of osteoporosis. It is a safe and painless procedure which measures bone mass or the amount of minerals in the bone. To a busy person, these symptoms, aside from the fracture are seldom noticed. A person should have a physical exam once a year. A yearly check of your height can help detect osteoporosis. You can also be given tests that show the density of bone. Bone Densitometry helps patients by:

  • Assessing bone loss
  • Predicting fracture risk
  • Assisting physicians in diagnosis and management of osteoporosis
  • Supporting Treatment
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DXA Bone Densitometry

Symptoms of Osteoporosis

There are a number of symptoms a patient can experience when they have osteoporosis. Such signs include:

  • No early warnings; fraction often first sign
  • Gradual height loss
  • Slight curving of the upper back
  • Pulmonary dysfunction
  • Low bone density