Nuclear Medicine & Radiology

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Nuclear Medicine is a mordern medical discipline that utilizes minute amounts of radioactivity for the diagnostic evaluation and therapeutic management of various diseases. It provides functional information about various oragans and cost effective care with lesser radiation burden than common radiological procedures. Our departments is the first comprehensive nuclear facility in central india and is equipped with state of the art imaging equipment including a dual headed gamma camera with SPECRT facility ( SIEMENS EVO EXCEL) and an advanced PET CT (SIEMENS Biograph). We are also the first facility to provide high dose and low dose iodine therapy for thyroid cancer and benign thyroid diseases.

SCOPE AND APPLICATIONS OF PET CT SERVICES 

18F-FDG is the most common used tracer for PET CT. It provides simultaneous metabolic and anatomical information for the assessment of disease.

ONCOLOGICAL INDICATIONS :

18F-FDG PET CT  is commonly indicated for the evaluation of:

 

  • Lymphomas (Hodgkins/ Non hodgkins)
  • Lung cancer , solitary Pulmonary Nodule
  • Breast Cancer 
  • Colorectal Cancer 
  • Head and Neck Cancer 
  • Esophagal Cancer 
  • Brain Tumors 
  • Genitourinary Malignancies Prostate CA, Ovarian CA, Testicular CA, cervix CA, bladder CA), GIST.
PET CT FACILITY

The Department of Nuclear Medicine is equipped with the state-of-the-art 16 slice PET-CT scanner (Positron Emission Tomography - Computed Tomography), with LSO Crystal first and only machine in state of Chhattisgarh. It provides superior diagnostic information for patients with cancer, ischemic heart disease and certain neurologic conditions. In the three decades since its development, PET has been demonstrated to be a clinically proven and safe method for imaging a variety of disorders. The advantages of PET have been augmented by the addition of CT in the same gantry providing combined imaging in one sitting. PET-CT is a whole-body imaging procedure, is cost-effective and is used in the staging, and follow-up for most cancers, including lymphomas, lung, colorectal, gynaecological, head, neck and breast cancers. It is also used to evaluate treatment response after chemotherapy and radiotherapy. Mid cycle PET-CT is useful to ascertain if the patient is responding to chemotherapy, so that regimes can be modified. It is also used in Radiotherapy planning. PET is able to discover these changes in their earliest stages, often before any symptoms appear. With this information on early developing cancers, effective treatment plans can be initiated sooner. PET can sometimes eliminate the need for other invasive procedures and by correctly staging cancers, may prevent unnecessary surgical procedures.

 

SPECT GAMMA CAMERA 

Nuclear Medicine imaging or Scintigraphy utilizes a dual head gamma camera to record the physiological activity of selected organs or body systems. This imaging is fundamentally different from magnetic resonance imaging (MRI) and computed tomography (CT), for these methods only convey anatomic information. In most diseases, physiological changes precede anatomic changes, so scintigraphic evidence of a disease process can be diagnosed at an earlier stage. On the other hand, the MRI and CT are useful for clinical diagnosis after the disease process causes significant anatomic alterations. The gamma camera images the gamma rays emitting from the patient who has been injected with minute quantities of a radioactive tracer bonded to various test specific pharmaceuticals.

 

Gamma Camera Procedures Performed+C10:D20  
PROCEDURE INDICATIONS
 THYROID SCAN  To assess thyrotoxicosis, Graves disease, toxic MNG, thyroiditis, thyroid nodule evaluation, lingual thyroid etc
 PARATHYROID SCAN To assess parathyroid adenoma, hyperplasia, ectopic parathyroid adenomas
MYOCARDIAL PERFUSION/ THALLIUM SCAN To evaluate IHD, physiological significance of known coronary stenosis, Coronary artery disease, False positive TMT, Baseline ECG changes like LBBB, Risk stratification of CAD, Presu
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