Nuclear Medicine

Choithram Hosptal and Research center, Indore has acquired state of the art High tech “Millenium MPR SPECT GAMMA CAMERA / COMPUTER SYSTEM.” It is a first kind in our state. In the field of Nuclear Medicine Choithram Hospital & Research center, Indore has been the pioneer in MP since 1983.

COMPUTERISED GAMMA CAMERA

The Millenium SPECT GAMMA Camera / Computer System is capable of acquiring & processing the whole gamut of Nuclear Medicine Procedures like Static , Dyanamic, Whole body, Multigated Cardiac, Tomographic & Gated Tomogaraphic Studies.

SPECIAL FEATURES OF NUCLEAR MEDICINE

The Hallmark of Nuclear Medicine Procedure is its ability to provide functional information of organs to the clinicians. As is well known that pathophysiological alterations antedates morphological (structural) changes. While X-ray, CT Scan, Ultrasonography & MRI imaging modalities are capable of detecting structural changes in an organ, Nuclear Medicine procedures score over them and have an advantage over other imaging modalities by not only diagnosing the diseases early before morphological changes take place, but also differentiate between viable, ischemic and non-viable tissue once the structural changes have taken place in a disease process. Nuclear Medicine scan is unique because it provides pictorial representation of Structure, Function ant patho-physiology at the cellular and intracellular level of the organ.

SAFETY OF NUCLEAR MEDICINE PROCEDURES

The radioactive tracers used in nuclear medicine are of low energy, physiologically & biologically inert. Hence, the nuclear medicine procedure is non-invasive, safe, non-reactive, involving minimal radiation exposure (less than routine radiological procedures) and an excellent cost effective screening procedure. Radiopharmaceuticals are not retained in the body. These are eliminated through urinary and gastro intestinal tract.

  • Nuclear Medicine Procedures are safe enough to be performed in children.
  • Kindly consult your referring doctor before undergoing nuclear medicine procedure during pregnancy & breast feeding.

RADIOACTIVE TRACERS

What are Radoiactive tracers? And how safe are they?

The Radioactive Tc-99m Tracer based pharmaceuticals used are low energy gamma ray emitters, biologically inert; hence they are safe, non-allergic, inert, with no side effects, and minimal radiation exposure(less than routine X-rays).

Fate of Radioisotope injected?

Most of it is eliminated from the body through urinary and gastrointestinal tract.

Contraindications

Pregnancy and breast feeding are relative contraindications for nuclear tests.

Special Instruction :

  • Please bring your medical reports.
  • Your appointment is subject to the availability of radioactive tracers and proper instrument functioning.
S.No. RADIONUCLIDE PROCEDURE DIAGNOSTIC UTILITY
1 Blood Brain Barrier Scintigraphy Cerebral Blood Flow [Brain Scan] Arterio venous Malformaton, Brain abscess, Encephalitis, Supra/Infra tentorial brain tumors, stroke, subdural Haematoma.
2 Cerebral Perfusion Scintigraphy [Brain Scan] Stroke, Dementia (Alzheimer’s Disease) Multi infarct dementia, AIDS-dementia comlex, Epilepsy, Head Trauma, Movement disorders(Parkinson’s diseses) Huntington’s chorea, Psychatric disorders (obsessive compulsive disorders,schizophrenia)brain death.
3 Thyroid scan with Tc99m pertechnetate uptake index. Differential Diagnosis of diffuse, mononodular & multinodular goiters, congenital abnormalities, Hyperthyroidism, Hypothyroidism and Thyroiditis.
4 Iodine 131 whole body imaging Thyroid carcinoma
5 Myocardial Perfusion Imaging(cardiac) Diagnosis of chest pain syndromes, Evaluation of known CAD, location and extent of ischemia, Assessment of medical therapy, Assessment after PTCA or coronary artery bypass grafting, Evaluation and prognosis of post myocardial infraction, Evaluation of myocardial reserve, preoperative evaluation for major non cardiac surgery, Guide to rehabilitation therapy, Screening high-risk patient population.
6 Exercise gated blood pool radionuclide ventriculography(MUGA) Cardiac Study Detection of haemodyanamically significant coronary artery diseases, left ventricular aneurysm, assessment of RV & LV function during and after myocardial infarction, RV & LV function pre and post CABG.
7 Lung Perfusion Scan Pulmonary embolism
8 Liver Spleen Scan and Gastric Emptying time Evaluation Evaluation of Hepatomaegaly ( eg :Abscess, Hepatoma, Focal Nodular Hyperplasia), Diagnosis of Budd-chiari Syndrome, Spleen imaging foe splenosis, Splenic infarct, and splenic remnant, serosis of liver with or withour portal hypertension.
9 Hepato Biliary Scan Acute Cholecystitis, Acalculous cholecystitis, Acute and chronic, Common duct obstruction, post cholecystectomy syndrome, post operative leaks, hepatocellular carcinoma, enterogastric bile reflux.
10 Blood pool Scan Detection of Meckel’s Diverticulam and other GIT bleeding sites.
11 Renal Scan Renal blood flow, comprehensive renal function(relative and absolute GFR), Renovascular hypertension, obstructive uropathy, vesico ureteric reflux.
12 Testicular imaging Detection of varicocele, differential diagnosis of acute epidydimitis / Testicular torsion.
13 Bone Scan Detection of Skeletal Metastasis, arthritis, trauma, osteoporotic insufficiency fractures, PAGET’s disease, osteomylitis, metabolic bone diseases, primary malignant & benign bone tumors.
14 Radiocative iodine therapy Treatment of thyrotoxicosis. diseases, primary malignant & benign bone tumors.
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Consultants

  • Dr. M.K. Soni

HEALTH TIPS

High protein diet is essential for the growth of the children and teenagers. There are many protein rich snacks and food items like chana chatpata, sprouts chat, groundnut salted, ground nut chikki and laddoo, dry nuts, paneer and cheese snacks, soya chunks should be incorporated in the diet.


Patients with hyperacidity may be benefitted by small frequent meals, less spicy and oily food, plenty of water and daily walk.


Bottle feeding is very dangerous for infants and children


Person with high levels of uric acid should take moderate protein, plenty of fluids and should avoid fasting.


High fibre diet is good for maintaining health of GI tract. It may also prevent many life style disorder like constipation, piles, dyslipidemia, acidity etc.


One should not replace their meals by fast food/junk food.


Healthy diet contains all food groups like cereals, pulses, milk and milk products, vegetables, fruits and small amount of oil and sugar.


Iron deficiency anemia is very common in our community. People with anemia should consume plenty of green leafy vegetables, jaggery, dates, halu etc. Non vegetarians can consume liver, mutton along with full diet. 


Two teaspoon of flax seed consumption increases immunity and beneficial for diabetics, dyslipidemia, menopausal women and asthma patients.


Instead of taking excessive tea, coffee and cold drinks, one should take plenty of water, vegetable soups, butter milk, coconut water,  lemon juice because they are healthy drinks.


A feastful of nuts like groundnuts, almond, cashewnut, pistachionuts, walnuts, roasted chana are good for children’s health.


Regular intake of fast food and junk food may lead to many health problem like obesity constipation, piles, deficiency diseases cancer etc.


Consumption of methidana is good remedy for sugar control in diabetics.


Maintaining ideal body weight can prevent from many life style disorder like hypertension, diabetes, dyslipidemia and many other diseases.


Raw garlic, Almonds and walnuts can reduce LDL (bad cholesterol) and increase HDL (Good Cholestrol).


Change of cooking oil (soyabean oil / Saffola sunflower oil/mustard oil/olive oil / corn oil) after 2-3 months is good for lowering cholesterol levels.


Soyabean is very rich in protein and isoflavons. Menopausal women should incorporate 15-30 gms roasted soyabean in their diet.


4-5 servings of seasonal vegetables (including cooked vegetable, salads and soup) and 1-2 servings of seasonal fruits are good for health as it contains many vitamins, minerals fibres and antioxidants.


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