Saturday, June 04, 2016

Treatment & Services of Nuclear Medicine Department at Indraprastha Apollo Hospitals Delhi, India

Ventilation Perfusion Scans

·         Diagnosis of pulmonary embolism
·         Quantification of pulmonary function pre and post lobectomy/lung transplantation
·         Quantification and assessment of ventilation and perfusion and parenchymal lung diseases (COPD, asthma, cystic fibrosis)
·         Hepato-pulmonary shunt diagnosis in cirrhosis/ congenital heart diseases and other conditions
·         Lung Ventilation Scan
·         Lung Perfusion Scan

Brain Spect Study

·         99M TC ECD (EthyICystemnate Dimer) /HMPAO (Hexa Methyl Propyisne Amine O) Scan & Pet Scan
·         Assessment of cerebral perfusion in:
·         Early detection and differential diagnosis of dementia (Alzheimer’s, Parkinsonism, Picks Disease, Multi-infarct Dementia)
·         Localization of epileptogenic focus in refractory epilepsy
·         Early detection of cerebral ischemia in acute cerebrovascular disease
·         Neuropsychiatric disorders
·         Assessment of response to therapy (hyperbaric/drugs/psychotherapy)
·         C.S.F Scan

Radionuclide Cysternography

To rule out normal pressure hydrocephalus

Endocrine Applications

·         Thyroid Scans
·         Tc-99m Thyroid Scan
·         Radioactive Iodine Uptake and Scan
·         I-131 MIBG Scan
·         Thyroid Perfusion
·         Thyroid Uptake & Scan
·         I-131 Whole Body Scan
·         Parathyroid Scan
·         Adrenal Gland Imaging:I-131 Mibg Scan

Infection Imaging

·         WBC Scan
·         For localization of occult infection
·         For painful joint prostheses (differentiating aseptic loosening/infection)
·         Gallium Scan
·         For PUO (Sarcoidosis/opportunistic infections like PneumocystitisCarinii in immune-compromised patients and malignancies)
·         FDG Pet Scan

Miscillenious Scans

·         Salivary Gland Imaging
·         Venography
·         Lymphoscintigraphy

PET SUITE - FIRST OF IT’S KIND IN WORLD

Nation’s first simultaneous PET MRI

·         Acquires MR and PET data simultaneously.
·         Reduces the radiation burden to the patient, PET component is the only source of radiation.
·         PET MRI is superior to PET CT for brain, breast, head & neck, prostate, colon, uterus hepatobiliary-pancreatic, bone & soft tissue, and childhood cancer.

Ultra HD time of flight PET CT

·         427 slice/second ultra HD PET-CT with time of flight technology.
·         The facility is equipped with highly specialized 4D respiratory gating software on the high end PET-CT giving extremely valuable radiotherapy traetment planning data, which can be used by the radiotherapist to deliver highly precise radiation dose, synchornized with patients breathing pattern.

LIST OF TESTS AVAILABLE

F-18 Based Tests
·         Whole Body FDG PET CT
·         Whole Body FDG PET MRI
·         Brain – FDG PET MRI
·         Brain – FET PET MRI
·         Head and Neck FDG PET MRI
·         Breast – FDG PET MRI
·         Whole Abdomen FDG PET MRI
·         Musclo Skeletal FDG PET MRI
·         FDG Cancer Staging PET MRI
·         FDG Whole Body Cancer Screening PET MRI
Ga- 68 Based Tests
·         Whole Body DOTA PET CT
·         Whole Body PSMA PET CT
·         Whole Body DOTA PET MRI
·         Whole Body PSMA PET MRI
·         Brain – DOTA PET MRI

Radionuclide Therapy

·         Iodine 131 Therapy
·         Low dose therapy: For Thyrotoxicosis
·         High dose therapy: For remnant ablation and treatment of iodine avid metastases in operated cases of carcinoma thyroid.
·         PRRT (Peptide Receptor Radionuclide Therapy)
·         177Lu- DOTATATE / 90Y- DOTATOC : For patients with advanced and/or progressive neuroendocrine tumors who are not candidates for surgery.
·         SIRT (Selective Intra arterial Radio Therapy)
·         90Y - Microspheres (SIR spheres/ Theraspheres) - For treatment of hepatocellular carcinoma and liver metastases from CRC or other cancers.
·         131 I- Lipiodol : For treatment of liver cancer
·         Bone pain palliation in metastatic disease
·         89 Strontium Chloride
·         153 Samarium EDTMP
·         90-Yttrium Labelled Microspheres (Theraspheres) - for treatment of hepatocellular carcinoma
·         90-Yttrium Labelled Colloids - for radiation synovectomy
·         Strontium - 89 and PHOSPHOROUS - 32 for the treatment of polycythemia vera
I-131 MIBG(Metaiodobenzylguanidine) Therapy:For neuroendocrine tumor

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