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Nuclear Medicine Services

The Division of Nuclear Medicine and Molecular Imaging is committed to excellence in clinical care. The Division offers specialized nuclear medicine imaging using state-of-the-art single photon emission computed tomography (SPECT and SPECT/CT), and positron emission tomography (PET/CT).

Facilities

Our clinical facilities are distributed across two geographic areas within the BWH campus:

Main hospital – 75 Francis St

This facility is primarily dedicated to non-cardiac general nuclear medicine procedures. The facility houses 3 dual head Siemens ECAM SPECT and 1 Siemens Symbia SPECT/CT systems.

Shapiro Cardiovascular Center - 70 Francis St

This area is integrated within the Cardiovascular Imaging Center and is dedicated to cardiovascular nuclear medicine and all types of PET/CT studies. This laboratory includes two dedicated D-SPECT systems (Spectrum Dynamics), and two PET/CT 64 slice systems (GE DRX/VCT and DSTE/VCT). The laboratory is fully integrated within the Nuclear Medicine division and has access to additional imaging systems in the main hospital building.

Procedures

The Division of Nuclear Medicine offers a wide range of procedures, applicable to a variety of systems and pathologies including:

General Nuclear Medicine examinations

  • Central Nervous System
  • Brain Death Scan
  • Brain Perfusion SPECT Imaging
  • Ictal brain SPECT
  • Diamox challenge brain SPECT
  • DaTscan – evaluation of Parkinsonian syndrome
  • Thallium Brain SPECT for tumor workup
  • Cerebrospinal Fluid Imaging: cisternography, CSF leak, CSF drug delivery pump evaluation, CSF shunt patency
  • Dacryoscintigraphy

Endocrine System

  • Thyroid scan with 99mTc pertechnetate
  • Thyroid uptake and scan with iodine-123-NaI
  • Whole body I-123 (or I-131)-NaI Scan (Pre- and Post-therapy)
  • Dosimetric whole body I-131-NaI Scan for thyroid cancer metastases
  • Parathyroid planar and SPECT/CT imaging with 99mTc-sestamibi
  • In-111-octreotide imaging for neuroendocrine tumors
  • I-123-MIBG imaging for pheochromocytoma/neuroblastoma

Musculoskeletal System

  • Whole body bone scan
  • Bone SPECT
  • Three-phase bone scan

Hematopoietic/Inflammation/Oncology

  • In-111 or Tc-99m HMPAO-labelled leukocyte scan
  • Bone Marrow Scan
  • RBC Sequestration
  • Gallium Scan
  • Lymphoscintigraphy
  • Injection of Tc-99m sulfur colloid for sentinel node mapping

Pulmonary System

  • Lung perfusion and ventilation scan
  • Quantitative lung scan

Gastrointestinal System

  • Salivary/parotid scan
  • Hepatobiliary scan
  • Hepatic hemangioma scan
  • Liver/spleen and selective spleen scan
  • Gastrointestinal bleeding scan
  • Gastric emptying scan
  • Meckel’s scan (Ectopic gastric mucosa scan)
  • Esophageal motility and reflux study
  • Peritoneal shunt patency assessment

Genitourinary System

  • Renal blood flow and scan
  • Captopril renal scan
  • Renal Lasix scan
  • Renal cortical scan
  • Renal GFR quantification

Nuclear Cardiology

  • SPECT Scans: Myocardial perfusion imaging for evaluation of CAD, myocardial Pyrophosphate scan for evaluation of cardiac amyloidosis
  • PET Scans: Myocardial perfusion imaging for detection of CAD, myocardial viability assessment, cardiac sarcoidosis, Florbetapir scan for cardiac amyloidosis
  • Radionuclide Ventriculogram

PET/CT in Oncology and Neurology

  • Brain (neuropsychiatry, neuro-oncology, and epilepsy work-up)
  • Head and Neck
  • Radiation therapy Planning
  • Standard (skull base to mid-thigh)
  • Standard with Dedicated Brain
  • Total Body (scalp to toes)
  • PET/CT guided interventions: biopsy, microwave and cryoablation of malignant lesions

Therapy

  • 131I therapy for benign and malignant thyroid lesions
  • Palliation of bone metastasis: 89Sr Chloride, Ra-223 Xofigo, 153Samarium-EDTMP

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