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The application of Nuclear medicine in clinical practice has come of age. Physicians seldom considered using this science on their patients several years ago because of restricted availability, radiation phobia, etc. The KEM Hospital gave a serious thought about it and set up a well-equipped nuclear medicine unit. The speciality unit is being increasingly recognised as an integral part of medical practice. The Spect Lab is headed by Dr. Srikant Solav, MD, DRM.

 
     
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1. Nuclear Cardiology:
 

Nuclear medicine has a unique property in that it evaluates the organ function as against other imaging specialities which deal with imaging of organ structure. Precise physiologic evaluation is an unique property of Nuclear medicine. ECG, echocardiography angiography are commonly used terms and people are quite familiar with them. However, Thallium scan which generally refers to myocardial perfusion imaging is the most commonly applied nuclear cardiology procedure used.

 
 
 
     
 

Thallium 201- chloride, Tc-99m-MIBI (methoxy-isobutyl-isonitrile), Tc-99m-Tetrofosmin are the radiopharmaceutical compounds used to perform myocardial perfusion imaging.

 
     
2. Nuclear Nephrology:
 

Use of radioisotopes in evaluation of various organ functions has come of age and a practicing Nephrologists / Urologist uses this facility more often than any other specialist. The clinical conditions where a Nephrologists /Urologist uses Nuclear medicine facilities are:

 
     
 
Hypertension:
 
     
 

Before labelling a patient as a case of Primary Hypertension, it is mandatory to eliminate the causes of secondary hypertension. Following procedures can be performed in the Nuclear Medicine Lab at the KEM Hospital:

 
     
 

a Captopril renal scan: to rule out renovascular hypertension.

 
 
 

b MIBG scan: This study is meant to document adrenal or extra-adrenal pheochromocytoma. 131 Iodine MIBG is the agent used to perform this test.

 
     
 

C DMSA renal scan: Children with reflux nephropathy may present with hypertension secondary to renal scars, which can be diagnosed using DMSA renal scan.

 
     
  3. Urinary tract infection.  
     
 

Urinary tract infection in children can occur because of vesicoureteric reflux. This condition can be diagnosed with a simple procedure called Direct radioisotope cystogram. Acute pyelonephritis and renal scars are diagnosed using DMSA renal scan.

 
     
 
4. Transplant Evaluation:
 

this technique is uses to evaluate the donor kidney and the recipient kidney.

 
5. Hydronephrosis:
 

Pre and post pyeloplasty renal scans are extremely useful in documenting successful surgery because anatomically some degree of hydronephrosis always persists in post pyeloplasty patients.

 
     
  CONTACT:  
     
  Dr. Srikant Solav: 020- 66037438.  
     
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