Download myocardial perfusion scan -‐ 2 day study

Wide Bay Nuclear Medicine
DR ANDREW SOUTHEE MBBS(Hons), MRCP(UK), FRACP
DR J WONG MBBS(Hons), FRACP, MBA
DR F HEINLE MD (Munich)
DR I HEINLE MD (Bucharest)
Established 1994
Independently owned
MYOCARDIAL PERFUSION SCAN -­‐ 2 DAY STUDY PATIENT DETAILS
(MIBI,
SESTAMIBI OR THALLIUM SCAN) All Appointments
4151 6880
Consultant Physicians in Nuclear Medicine
Name
This is a 2 part test that is used to evaluate myocardial perfusion (the blood supply to the
Address
heart muscle) while resting
and after exercise. It requires 2 injections of a
radiopharmaceutical
.
Appointment Details
DOB
Date:
Bone Scan
APPOINTMENT DETAILS Time:
Telephone
Thyroid Scan
DIAGNOSTIC NUCLEAR MEDICINE
Bone metastases, osteomyelitis, stress fractures, bone tumours, arthritis,
loose prosthesis, osteonecrosis, RSD and tumour staging.
Thyroid nodules, goitre, all causes of hyperthyroidism, thyroiditis.
GENERAL
MEDICINE (specify)
First appointment
isofNUCLEAR
on
Parathyroid Scan (resting study)
Localisation
parathyroid adenoma using myocardial perfusion isotopes.
MYOCARDIAL
PERFUSION
Bundaberg site
SecondMaterappointment
(stress study)
ismyocardial
on ischaemia and viability. For patients unable to
Myocardial
Perfusion
Assessment of
Private
Hospital
Exercise
(thallium/sestamibi)
X-ray rooms
Hope Street
Lung Scan
BUNDABERG
4670
Phone 4151 6880
Fax 4153 1323
Renal Scan (DTPA)
(+/-captopril or frusemide)
exercise dipyridamole or dobutamine (for asthmatics) are used.
at
at
VentilationDipyridamole
and perfusion-pulmonary emboli. More sensitive and far less
radiation than
helical CTPA. Regional quantification. Right to left shunts.
Dobutamine
PREPARATION FOR THE TNUCLEAR
EST MEDICINE THERAPY
1.
2.
Differential renal function, renovascular hypertension, ureteric obstruction
MAG3 is substituted in children. GFR quantification if requested.
Fast
for 3 hours prior to
your test (both days, no food or drink).
Renal Scan (DMSA)
Renal scarring and acute pyelonephritis (more sensitive than ultrasound).
Differential (including
function (particularly a
if one
kidney is small top
or ectopic).
Wear comfortable clothing
separate
and bottom outfit) and
AREA TO BE EXAMINED
Gallium Scan
Lymphoma
staging and
response
treatment.
PUO.considerable
Sarcoidosis.
bring
something to occupy
your
time
astothere
are
waiting periods
Chronic infections, eg osteomyelitis and infected joint prosthesis.
between each part of the tests.
White Cell Scan (Tc)
Localisation of acute or subacute infection. Assessment of activity of
inflammatoryshould
bowel disease.have a light breakfast on the morning of
Insulin dependent Diabetics
CLINICAL
HISTORY Diffuse
Colloidtest.
Liver Scan
or chronic
liver disease.
Assessment
(FNH)
the
The
morning
insulin
dose
will
needof liver
to nodules
be adjusted,
please discuss
Labelled your
Red Cell Scan
Haemangioma of the liver. Gastrointestinal haemorrhage.
with
Doctor.
3.
ASSOCIATED SITE
ST
Biliary Scan (HIDA)
Acute cholecystitis. Biliary obstruction or dysfunction.
CCK used for chronic cholecystitis or sphincter of Oddi dysfunction.
1 DAY – REST STUDY Wide Bay
Nuclear Medicine
Lymphoscintigraphy
Shop 2 46-48
Main Street
PIALBA 4655
Sentinel node localisation in breast cancer and melanoma. Assessment of
lymphoedema and lymphatic drainage.
1. Bring
referral, Medicare card,
questionnaire, list of medications.
Cerebral perfusion REFERRING DOCTOR
Dementias and cognitive impairment and cerebrovascular disease.
ECD)
a) You(Ceretec
will orbe
taken into the injection area where an intravenous catheter (needle)
Emptying Name
Quantitative assessment of solid gastric emptying using a labelled egg
will Gastric
be inserted
into a veinsandwich.
in your
arm.
Half clearance time and % retained at 3 hours are calculated.
b) The Colonic
radiopharmaceutical
will
then
be injected. A waiting period of 30-60 mins.
Address
Transit
Small and large bowel clearance using sequential images over 5 days.
WillLacrimal
be allowed
to
ensure
adequate
distribution
of the injection.
Scan
Functional nasolacrimal duct obstruction.
c) Females will be asked to remove their bra, if wearing one.
NUCLEAR
THERAPY
Signature from your
Date
d) Any metal objects
chestMEDICINE
and neck
area are to be removed.
Radioactive
iodine
(l-131)
Treatment
of
hyperthyroidism.
e) You may leave your clothing on for the scanning.
All correspondence:
Samarium-153,
Palliative
treatment
of painful osteoblastic
metastases.
f) You
will
beStrontium-90
taken through(Can
toonlythe
camera
whereboneyou
will be required to lie on a
PO
Box 2752
be prescribed by a specialist)
BUNDABERG 4670
scanning
table and askedPolycythaemia
to keep
still while your pictures are taken. These
Phosphorus-32
rubra vera and essential thrombocythaemia
Phone
4124 3580
(Can only be prescribed
by a specialist)
Fax 4128 will
1870
pictures
take
approximately
30
mins.
This is followed by a further period of
[email protected]
waiting prior to the commencement
of the stress test.
Patient Preparation
!
Report to be
Returned with Patient
Courier
Faxed
Bone Scan - well hydrated. Images performed 2-3 hours after injection and take up to 1 hour.
www.ncnm.com.au
!
Myocardial perfusion scan (thallium, sestamibi)- fast for 3 hours after a light breakfast, then have clear fluids sparingly.
No tea or coffee for 24 hours. Omit betablockers for at least 24 hours.
More detailed written information is provided.
!
Biliary Scans (HIDA, HIDA/CCK) fast for 4 hours.
!
Gastric emptying - fast 8 hours.
!
Renal Scans - well hydrated. If renal artery stenosis is being assessed ACE inhibitors need to be reviewed.
!
Most other procedures have no special preparation.
Page 1 of 2
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Wide Bay Nuclear Medicine
DR ANDREW SOUTHEE MBBS(Hons), MRCP(UK), FRACP
DR J WONG MBBS(Hons), FRACP, MBA
DR F HEINLE MD (Munich)
DR I HEINLE MD (Bucharest)
Established 1994
Independently owned
2ND DAY – STRESS STUDY Consultant Physicians in Nuclear Medicine
PATIENT
DETAILS
1. 24 hours - Cease
Caffeine
– tea, coffee, decaffs, coke, milo, green
tea, herbal tea,
chocolate.
All Appointments
Name
6880be required to cease some medications before this test. Please find
2. You 4151
may
enclosed a listAddress
of medications to be ceased. Check with your Doctor to make sure
it is safe to do so.
Appointment Details
Your heart will be “stressed”
usingDIAGNOSTIC
either: NUCLEAR MEDICINE
DOB
Date:
- bicycle
exercise
or,
Bone Scan
Bone metastases, osteomyelitis, stress fractures, bone tumours, arthritis,
loose prosthesis,
osteonecrosis, RSD either
and tumour staging.
Telephone
- Time:an injection of
a short-acting
medication,
Dipyridamole (Persantin) or
Thyroid Scan
Thyroid
nodules, goitre, all causes of hyperthyroidism, thyroiditis.
Dobutamine
(for asthmatics
only).
GENERAL NUCLEAR MEDICINE (specify)
Scan
Localisation
parathyroid adenoma using myocardial perfusion isotopes.
- Or aParathyroid
combination
of exercise
andofmedication.
MYOCARDIAL PERFUSION
Bundaberg site
Myocardial
Perfusiontime during
Assessment
of myocardial
viability. For
patients unable
At theMaterappropriate
the
stressischaemia
testand you
will
be toinjected with the
Private
Hospital
Exercise
(thallium/sestamibi)
exercise dipyridamole
or dobutamine (for asthmatics) are used.
X-ray rooms
radiopharmaceutical.
During
the
stress
test
your
heart
will
be
continuously
monitored by
Hope Street
Lung Scan
VentilationDipyridamole
and perfusion-pulmonary emboli. More sensitive and far less
BUNDABERG
4670
radiation than
helicalthe
CTPA. stress
Regional quantification.
Right to left set
shunts.of pictures will be
a DoctorPhone
and4151
a 6880
trained assistant. Following
test another
Dobutamine
Fax 4153 1323
Scan (DTPA)
renal
function,THERAPY
renovascular hypertension, ureteric obstruction
taken after aRenal
further
wait of at leastDifferential
45 minutes.
NUCLEAR
MEDICINE
(+/-captopril or frusemide)
MAG3 is substituted in children. GFR quantification if requested.
Renal Scan (DMSA)
Renal scarring and acute pyelonephritis (more sensitive than ultrasound).
Differential function (particularly if one kidney is small or ectopic).
Gallium Scan
Lymphoma staging and response to treatment. PUO. Sarcoidosis.
SIDE EFFECTS/RISKS AREA TO BE EXAMINED
infections, eg osteomyelitis and infected joint prosthesis.
With either stress method there is Chronic
a small
risk of serious complications. The risk of death
White
Cell
Scan
(Tc)
Localisation
of
acute
or subacute
of activity
of of other, non-fatal
is about 1 in 10,000 with any stress
test. There
isinfection.
alsoAssessment
a small
risk
inflammatory bowel disease.
complications
such as heart attacks, chest pain, irregular heart rhythms and breathing
Colloid Liver Scan CLINICAL HISTORY Diffuse or chronic liver disease. Assessment of liver nodules (FNH)
difficulties. Labelled Red Cell Scan
Haemangioma of the liver. Gastrointestinal haemorrhage.
ASSOCIATED SITE
If Dipyridamole
is used some patients
experience a mild headache, a flushed sensation or
Biliary Scan (HIDA)
Acute cholecystitis. Biliary obstruction or dysfunction.
CCK used
for chronic
cholecystitis
or sphincter
mild shortness
of
breath.
All
these
minor
side
effects
canof Oddi
be dysfunction.
reversed rapidly with an
Wide Bay
Nuclear Medicine
Lymphoscintigraphy
Sentinel
node
localisation
in
breast
cancer
and
melanoma.
Assessment
of
Shop 2of
46-48
Street
injection
aMain
reversal
agent/ “antidote”
to the Persantin called Aminophylline.
lymphoedema and lymphatic drainage.
PIALBA 4655
DobutamineCerebral
can perfusion
causeREFERRING
headache,
chest pain and a sensation of the heart thumping. These
DOCTOR
Dementias and cognitive impairment and cerebrovascular disease.
(Ceretec
or
ECD)
side effects usually resolve very quickly once the test is finished.
Name
Gastric Emptying
Quantitative
assessment
of solid gastric emptying using aoccasionally
labelled egg
Sestamibi and
Tetrafosmin
are very
safe
pharmaceuticals,
patients will
sandwich. Half clearance time and % retained at 3 hours are calculated.
experience aColonic
metallic
taste in the mouth
for a short period of time following injection. In
Address
Transit
Small and large bowel clearance using sequential images over 5 days.
clinical trials
symptoms
such
as
headache,
flushing or rash and very rarely anaphylaxis
Lacrimal Scan
Functional nasolacrimal duct obstruction.
have been reported.
Signature
NUCLEAR MEDICINE THERAPY
Date
Radioactive iodine
(l-131) your pictures
Treatment are
of hyperthyroidism.
PLEASE NOTE
: Once
completed, they will be analysed. Our Nuclear
All
correspondence:
Samarium-153,
Strontium-90
Palliative
treatment
osteoblastic
bone metastases.
Medicine Doctor
will
review them(Can
and
formof apainful
report.
Your
results will be ready within 2
PO Box 2752
only be prescribed by a specialist)
4670
working BUNDABERG
days,
Special
arrangements
can
be
made
if
a
report
is required urgently. Please
Phosphorus-32
Polycythaemia rubra vera and essential thrombocythaemia
Phone
4124 3580
(Can is
only the
be prescribed
advise us asFaxsoon
case.by aIfspecialist)
you have been referred by a Specialist
4128 1870as possible if this
[email protected]
we can send a copy of your report to your GP.
Patient Preparation
to be
Returned
with Patient
Faxed with you to assist
Email
If you have had thisReport
studying
the past,
please Courier
bring these
the
! Bone Scan - well hydrated. Images performed 2-3 hours after injection and take up to 1 hour.
Doctor with your report.
www.ncnm.com.au
! Myocardial perfusion scan (thallium, sestamibi)- fast for 3 hours after a light breakfast, then have clear fluids sparingly.
No tea or coffee forTechnologists
24 hours. Omit betablockersor
for atNuclear
least 24 hours. Medicine Doctors will be happy to
The Nuclear Medicine
More detailed written information is provided.
answer any questions prior to your test.
! Biliary Scans (HIDA, HIDA/CCK) fast for 4 hours.
Please call 4124 3580 to confirm your appointment the day before your scan.
!
Gastric emptying - fast 8 hours.
!
Renal Scans - well hydrated. If renal artery stenosis is being assessed ACE inhibitors need to be reviewed.
!
Most other procedures have no special preparation.
Thank you for choosing Wide Bay Nuclear Medicine.
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