As one of the widest spectrum healthcare providers in India, Manipal Hospitals' through its Department of Nuclear Medicine deals with providing comprehensive, advanced diagnostic imaging and interventional treatment services to patients. Imaging in nuclear medicine (endoradiology) can be thought of as similar to radiology which uses X-rays, but it is done from the inside out. This allows doctors to view things that are otherwise difficult or impossible to see.
Nuclear medicine is an extremely specialized branch of medicine that requires expert skills, advanced technology and carefully handled clinical materials. Manipal Hospitals' ensures the safe and effective use of nuclear medicine through its team of highly skilled endoradiologists and state of the art labs. While nuclear medicine procedures exist well within the safety standards, they are not recommended unless they are necessary and beneficial to the patient.
A F18 bone scan is a nuclear imaging test used to help diagnose problems with bones. It safely uses a very small amount of radioactive drug called a radiopharmaceutical. This scan is done in case of unexplained skeletal pain, bone infection, spread of tumour to bones or any bone injury that can't be seen on a standard X-ray.
This test is mainly to look at the blood supply of the heart, both during exercise and rest. In some cases, if the stress part of the scan looks normal, rest scan may not be performed.
A small dose of radioactive injection is given IV and initial images are acquired for 30mins. Many patients may require a delayed Images after 2 hours(will be decided by the doctor after seeing the initial scan)
PSMA PET-CT Scan
Renal Scan- DMSA
Radioiodine or Iodine 131 Therapy is a nuclear medicine treatment for an overactive thyroid, a condition called hyperthyroidism and may also be used to treat thyroid cancer.
A bone scan is a nuclear imaging test used to help diagnose problems with bones. It safely uses a very small amount of radioactive drug called a radiopharmaceutical. This scan is done in case of unexplained skeletal pain, bone infection, the spread of a tumour to bones or any bone injury that can't be seen on a standard X-ray.
Thyroid Scan is a specialized imaging procedure for examining the thyroid, gland that controls metabolism. During this scan a radioactive iodine or 99mTc tracer is used to examine the structure and function of the thyroid gland.
Dotanoc PET CT scan is a highly sensitive and specific study for the diagnosis and follow-up of neuroendocrine tumours.
Peptide Receptor Radionuclide Therapy (PRRT) is a molecular therapy (also called radioisotope therapy) used to treat a speciﬁc type of cancer called neuroendocrine tumors or NETs.
This test is mainly to look at the blood supply of the heart, both during exercise and rest. In some cases, if the stress part of the scan looks normal, rest scan may not be performed. Can have light breakfast not later than 6.30 am (2 idlys/sandwich). No coffee /tea/chocolates/caffeine-containing substances for 12-24 hours. Should stop medications…
Nuclear medicine and imaging are normally used to detect, treat and monitor cancer in patients, but it can also be used for advanced diagnostic scanning and the treatment of some non-oncological conditions. To ascertain the necessity, the department works with experts from other specializations like oncologists, cardiologists, pulmonologists, neurologists etc. In every case where endoradiology is a necessity, the team at Manipal Hospitals strictly follows the doctrine of "As Low As Reasonably Practicable (ALARP)"
In endoradiology, radiopharmaceuticals are introduced inside the patient either intravenously or orally. The radiopharmaceutical substances are detected by external gamma cameras to produce diagnostic imaging. - Single photon emission computed tomography (SPECT) - Positron emission tomography (PET) - Myocardial perfusion scan (Brain scans) - Whole body bone scan - Pulmonary ventilation and perfusion (V/Q) scan - Thyroid scan - Parathyroid scanInterventional Nuclear Medicine - Radionuclide therapy (used to treat some cancers and hypothyroidism) - Radioimmunotherapy (RIT) - Chemotherapy
An endoradiologist will intravenously inject a radiopharmaceutical into the bloodstream. This is also known as a contrast material. Once the material has been fully injected, the endoradiologist will be able to use external gamma cameras to produce diagnostic imaging.
Nuclear medicine has been standardized to pose as little risk to patients as possible. However, there is always a component of risk when it comes to radiation, which is why nuclear medical professionals always follow the principle of ALARP (as low as reasonably practicable)
In most cases, there is little to no effect on the patient as the exposure levels are maintained well within the safe limit. If any side effects are expected, your endoradiologist will be able to inform you beforehand.
They are normally recommended or prescribed only when there is a lack of alternatives. The advanced imaging techniques may sometimes be the only way to achieve an accurate diagnosis.
Regular health checkups are an important part of maintaining good health. Routine checkups can help detect any medical issues in their early stages when they are easier to treat.
Manipal Hospitals is committed to the provision of the best possible care to all its patients and to build long term relationships that foster a stronger and healthier community. The patients served by our nuclear medicine department is a testament to this.
Contact us to know more about nuclear medicine and book an appointment with one of our specialists today.