MedStar Franklin Square Medical Center

PROCEDURE

RADIOTRACER

MAIN INDICATIONS

ENDOCRINE SYSTEM

78012   Thyroid Iodine Uptake

Sodium Iodine-131 PO

Calculation of Iodine-131 dose for radioiodine therapy of hyperthyroidism, differential diagnosis of thyrotoxicosis

78013   Thyroid Scan

Technetium-99m pertechnetate IV

Evaluation of thyroid nodules, goiter, hyperthyroidism

78018   Whole Body Scan

Sodium Iodine-131 PO

Detection of metastasis after treatment of papillary or follicular thyroid cancer

78070   Parathyroid Scan

Technetium-99m Sestamibi IV

Preoperative localization of parathyroid adenomas

HEMATOPOETIC & LYMPHATIC SYSTEMS

GASTROINTESTINAL SYSTEM

78205   Liver/Spleen Scan –colloid

Technetium-99m Sulfur      colloid IV

Liver cirrhosis-severe hepatocellular dysfunction,

Budd-Chiari syndrome, Hepatic/splenic size, Accessory spleen, Splenosis

78206   Hemangioma Scan

Technetium-99m labeled autologous red blood cells IV

Evaluate for cavernous hemangioma of the liver

78206   Hepatic Artery Catheter Check

Technetium-99m MAA IV

Confirm proper positioning of catheter

78227  - Hepatobiliary (HIDA) scan

             -Scan for sphincter of Oddi

             dysfunction

Technetium-99m HIDA IV

Acute cholecystitis

Chronic cholecystitis and gallbladder dyskinesis (with cholecystokinin administration and measurement of gallbladder ejection fraction) Sphincter of Oddi dysfunction (post cholecystectomy syndrome)

Detection of biliary leaks after cholecystectomy

Common bile duct obstruction

78264   Gastric Emptying

Technetium-99m Sulfur colloid PO mixed with solid meal

Evaluation of gastroparesis

78278   GI Bleeding Scan

Technetium-99m labeled autologous red blood cells IV

Localization of intestinal bleeding source

78290   Meckel’s Scan

Technetium-99m pertechnetate IV

Meckel’s diverticulum as a cause

of GI bleeding

78291   Peritoneal-Venous Shunt

            Patency Test

Technetium-99m-MAA intraperitoneally

Assessment of patency of a peritoneal-venous shunt

MUSCULOSKELETAL SYSTEM

78306   Whole Body Bone Scan

Technetium-99m-MDP IV

Metastatic bone disease

78315   Three Phase Bone Scan

Technetium-99m-MDP IV

Fractures (Stress, Occult, or Compression), Spondylosis, Shin splints, Bone infarction, osteo-necrosis (i.e. steroid induced, ETOH), Osteomyelitis, Joint prosthesis evaluation (loosening/infection), Sarcoid, Reflex sympathetic dystrophy, Paget’s disease, Heterotopic ossification, Hypertrophic pulmonary osteoarthropathy

CARDIOVASCULAR SYSTEM

78458   Radionuclide Venogram

             Upper Extremities

Technetium-99m DTPA

Detection of deep venous thrombosis in the upper extremities

78458   Radionuclide Venogram

             Lower Extremities

Technetium-99m autologous red blood cells IV

Detection of deep venous thrombosis of lower extremities and pelvis

78465   Myocardial Perfusion Scan

             (rest + redistribution images)

Thallium-201 chloride IV

Myocardial viability of hibernating myocardium

78452  Myocardial Perfusion Scan

            (rest and stress images

            + wall motion/LVEF)

Thallium-201 Chloride IV

Technetium-99m Tetrofosmin (Myoview®) IV

Myocardial ischemia, myocardial infarction,

assessment of stunned myocardium

78472   Gated Cardiac Blood Pool

             (MUGA scan)

Technetium-99m labeled autologous red blood cells IV

Measurement of left ventricular ejection fraction. Assessment of regional wall motion (left and right ventricles). Precise monitoring of LV function in patients receiving cardiotoxic chemotherapy or patients with cardiomyopathies.

RESPIRATORY SYSTEM

78582   Ventilation & Perfusion Scan

Technetium-99m-MAA IV

Xenon-133 gas inhaled

Detection of pulmonary emboli, detection of right to left shunt (pulmonary or cardiac)

78598   Quantitative Lung Scan

Technetium-99m-MAA IV

Xenon-133 gas inhaled

Evaluation of differential perfusion and ventilation prior to lung resection

NERVOUS SYSTEM

78607   Brain Death Study

Technetium-99m HMPAO IV

Confirmation of brain death with absent cerebral blood flow

78607   Cerebral Perfusion Scan

Technetium-99m HMPAO IV

Early detection of Alzheimer disease, HIV encephalopathy, extent of cerebrovascular disease, hypoxic or traumatic brain injury

78607   DaTscan

I-123 Ioflupane

Differentiation between essential tremor and Parkinsonian syndromes

78630   Cisternogram

Indium-111 DTPA intrathecal

Detection of normal pressure hydrocephalus, CSF shunt patency

GENITOURINARY SYSTEM

78707   Renal Scan

Technetium-99m-DTPA IV or

Technetium-99m-MAG3 IV

Renal flow, differential renal function, obstructive uropathy

78709   Captopril renal scan

Technetium-99m-MAG3 IV

Detection of renovascular disease as a cause of hypertension

78710   DMSA Renal Scan

Technetium-99m-DMSA IV

Detection of renal scarring

78740   Radionuclide cystogram

Technetium-99m pertechnetate transurethral

Detection of vesicoureteral reflux

78761   Testicular Scan

Technetium-99m pertechnetate IV

Detection of testicular torsion vs. epididymitis or orchitis

OTHER PROCEDURES

78803   MIBG Scan

Iodine-123 MIBG IV

Localization, staging and restaging of neuroendocrine tumors including neuroblastoma, paraganglioma, and pheochromocytoma

78803   OctreoScan (somatostatin

             receptor imaging)

Indium-111-octreotide IV

Neuroendocrine tumors expressing somatostatin receptors: Carcinoid, gastrinoma, paraganglioma, pheochromocytoma, insulinoma and small cell lung cancer

78806   Labeled White Blood Cell Scan

Technetium-99m HMPAO-WBC IV/ Indium-111-WBC IV

Osteomyelitis of extremities/

Thoracic, abdominal, pelvic abscesses

78806   Labeled White Blood Cell Scan

78102  Bone marrow imaging

IV/ Indium-111-WBC IV

Technetium-99m sulfur colloid

Osteomyelitis in instrumented or injured bone

RADIONUCLIDE THERAPY

79005   Iodine-131 Therapy

            (moderate  dose)

Sodium Iodine-131 PO

Graves’ disease, toxic thyroid adenoma and toxic nodular goiter

79005 Iodine-131 Therapy

                      (high dose)

Sodium Iodine-131 PO

Thyroid remnant ablation after thyroidectomy. Treatment of papillary and follicular thyroid cancer metastasis, massive goiter.

79101   P-32 Therapy

Phosphorus-32 phosphate

Treatment of Polycythemia Vera

79101   Samarium Therapy

Samarium-153 lexidronam IV

Palliative treatment of multifocal painful bone metastasis not well controlled with traditional analgesic therapy

79403   Zevalin®

Yttrium-90 Ibritumonab Tiuxetan

Relapsed or refractory low grade, follicular or CD 20+ transformed (B-cell) Non-Hodgkin’s lymphomas

POSITRON EMISSION TOMOGRAPHY

PET-CT Scan

(F-18) Fluoro-D-Glucose (FDG)

Diagnosis, staging and restaging of most cancers, evaluation of dementia, evaluation for hibernating myocadium

Other less common Nuclear Medicine Procedures are available upon request.