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The following case sets have been designed to assess your overall knowledge in nuclear imaging. Each set contains 10 cases, and almost all sets have an example of central nervous system, thyroid, cardiac, respiratory, gastrointestinal, musculoskeletal, tumor, or abscess and…

Overview In the United States, personnel qualifications and safety requirements for the medical use of radioisotopes as they apply to the practitioners of clinical nuclear medicine are set nationally by the US Nuclear Regulatory Commission (NRC). These may be found…

A variety of nuclear medicine imaging techniques provide effective methods for the detection and assessment of both clinically apparent and occult infectious and inflammatory conditions. Rather than representing organ-specific techniques, these procedures use radiopharmaceuticals that localize preferentially in inflamed or…

18 F-FDG PET Imaging Positron emission tomography (PET) in clinical practice is performed using the hybrid instrumentations of PET/computed tomography (CT) and, to a lesser extent, PET/magnetic resonance imaging (MRI). The most commonly used radiopharmaceutical is fluorine-18 fluorodeoxyglucose ( 18…

In this chapter, tumor imaging using conventional gamma camera techniques including single-photon emission computed tomography (SPECT) and SPECT/computed tomography (SPECT/CT) as well as less frequently employed or emerging radionuclide tumor therapies are addressed. The more commonly encountered entities of thyroid…

Radionuclide evaluation of the genitourinary system includes quantitative estimates of renal perfusion and function. With the widespread use of magnetic resonance imaging (MRI), computed tomography (CT), angiography, and Doppler ultrasound, the evaluation of renal anatomy by nuclear techniques has diminished,…

The ready availability of cost-effective technetium-labeled bone-seeking radiopharmaceuticals allows the widespread use of bone scanning for both regional and whole-body skeletal assessment in the evaluation of a variety of benign and malignant disease states. The bone scan often provides an…

Liver-Spleen Imaging Computed tomography (CT), magnetic resonance imaging (MRI), and ultrasound offer better anatomic display of liver and spleen architecture than does radionuclide liver-spleen imaging, which is rarely performed. However, there remain a few indications for technetium-99m ( 99m Tc)…

Radionuclide lung imaging most commonly involves the demonstration of pulmonary perfusion using limited capillary blockade, as well as the assessment of ventilation using inspired inert gas, usually xenon, or technetium-99m ( 99m Tc)-labeled aerosols. Although these studies are essentially qualitative,…

Clinical nuclear medicine studies play a pivotal role in the noninvasive evaluation of cardiac physiology and function. Their widespread use permits the sensitive detection and functional consequences of numerous cardiac abnormalities. About 50% of all nuclear medicine studies done in…