Maricopa Community Colleges  DMI271   20064-99999 

Official Course Description: MCCCD Approval: 2-28-06

DMI271  2006 Summer I – 2009 Summer II

LEC

3.0 Credit(s)

3.0 Period(s)

Nuclear Medicine Imaging II

Endocrine/exocrine, gastrointestinal/accessory organ, and imaging. Review of related body system anatomy, physiology and pathology. Endocrine/exocrine studies to include thyroid uptake, thyroid scan, thyroid therapy, parathyroid imaging, adrenal imaging, and lacrimal duct imaging. Gastrointestinal/accessory organ studies to include salivary gland, esophageal motility/transit and reflux, gastric emptying, helicobacter pylori detection, liver/spleen imaging, hemangima detection, hepatobiliary imaging, gastrointestinal hemorrhage, Meckel's diverticulum, Le Veen Shunt, and intrahepatic pump study. Genitourinary system studies to include renal perfusion, renogram, glomerular filtration rate (GFR), effective renal plasma flow (ERPF), renal scan for morphology, voiding cystogram, testicular imaging.

Prerequisites: DMI267 or permission of Nuclear Medicine Technology program director.

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MCCCD Official Course Competencies:

 

DMI271  2006 Summer I – 2009 Summer II

Nuclear Medicine Imaging II

 

1.

Discuss the gross anatomy and physiology of the endocrine/exocrine, gastrointestinal/accessory organ and genitourinary systems as they relate to nuclear medicine studies. (I, VIII, XXI)

2.

Describe the characteristics and causes of common pathologies of the endocrine/exocrine, gastrointestinal/accessory organ and genitourinary systems related to nuclear medicine procedures including susceptible populations and potential treatments. (II, IX, XXII)

3.

List the indications for performing selected endocrine/exocrine, gastrointestinal/accessory organ and genitourinary systems. (III-VII, XXIII-XXX)

4.

Discuss why a nuclear medicine study would be preferable to or compliment other diagnostic modalities in various cases. (III-VII, XXIII-XXX)

5.

Describe the radiopharmaceuticals used for endocrine/exocrine, gastrointestinal/accessory organ, and genitourinary systems including biorouting dose preparation, and route and method of administration. (III-VII, XXIII-XXX)

6.

Specify the dose range for endocrine/exocrine, gastrointestinal/accessory organ, and genitourinary systems and the resulting radiation doses to various organs and tissues. (III-VII, XXIII-XXX)

7.

Describe patient preparation for selected endocrine/exocrine, gastrointestinal/accessory organ and genitourinary studies. (III-VII, XXIII-XXX)

8.

Describe the procedures for selected endocrine/exocrine, gastrointestinal/accessory organ, and genitourinary studies including equipment, protocol, dose, administration technique, administration-to-acquisition times, acquisition parameters, standard positioning, special imaging adaptations, data processing and potential pitfalls. (III- VII, XXIII-XXX)

9.

Recognize the normal distribution, normal variants and various artifacts seen on selected endocrine/exocrine, gastrointestinal/accessory organ, and genitourinary systems and printed images. (III-VII, XXIII-XXX)

10.

Describe possible sources of error in selected endocrine/exocrine, gastrointestinal/accessory organ and genitourinary studies. (III, XXV, XXVI, XXVII, XXVIII)

11.

Discuss the diagnostic and prognostic value of selected endocrine/exocrine, gastrointestinal/accessory organ, and genitourinary studies. (III-VII, XXIII-XXX)

12.

Discuss common causes of false-negative and false-positive thyroid uptake results. (III-VII, XXIII-XXX)

13.

Describe the interventional procedures that may be used for selected endocrine/exocrine, gastrointestinal/accessory organ, and genitourinary studies. (X, XI, XVI, XVIII)

14.

Describe the appearance of various pathologies seen on selected endocrine/exocrine, gastrointestinal/accessory organ, and genitourinary studies and printed images. (X-XX, XXV-XXIX)

15.

Describe special radiation safety precautions considered when performing selected endocrine/exocrine, gastrointestinal/accessory organ, and genitourinary studies. (XI, XII, XIII)

16.

Calculate esophageal transit and emptying times and percent esophageal reflux and emptying. (XI)

17.

Identify structures on hemangioma detection single photon emission computed tomography (SPECT) slices. (XV)

18.

Calculate gall bladder ejection fraction. (XVI)

19.

Describe standard preparation and method for tagging and denaturing red blood cells for selective spleen imaging. (XXIX)

20.

Describe the procedures related to ablation for hyperthyroidism. (XXI)

21.

Describe the procedures related to thyroid carcinoma ablation. (XXII)

22.

Discuss the relationship between renal activity and aldosterone, renin-angiotensin and ADH. (XXIII)

23.

Describe the effects of diuretics on renal function. (XXIII)

24.

Discuss factors that contribute to success or failure of transplanted kidneys. (XXIII)

25.

Describe the interventional procedures that may be used for performing renograms. (XXIV)

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MCCCD Official Course Outline:

 

DMI271  2006 Summer I – 2009 Summer II

Nuclear Medicine Imaging II

 

I. Review of Endocrine/Exocrine Anatomy and Physiology

A. Gross structure and function of glands

B. Cellular anatomy and function

II. Review of Endocrine/Exocrine Pathology

A. Thyroid

B. Parathyroid

C. Adrenal

D. Lacrimal duct obstruction

III. Thyroid Uptake Study

A. Indications

B. Radiopharmaceuticals

1. Tracers

2. Dose range and route of administratioin

3. Diorouting

4. Dosimetry

C. Contraindications and adverse reactions

D. Equipment

E. Basic procedures and processing

F. Interpretation of data

G. Normal range

H. Normal variants

I. Abnormal

J. Sources of error

K. Diagnostic/Prognostic Value of the Study

IV. Thyroid Scan

A. Indications

B. Radiopharmaceuticals

1. Tracers

2. Dose range and route of administratioin

3. Biorouting

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparations

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Image formatting

6. Pitfalls

G. Interpretation of images

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic Value of the Study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

V. Parathyoid Imaging

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m sestamibi

b. Tc-99m sestamibi/I-123 sodium iodide

c. Tc099m sestamibi/Tl-201 thallous chloride

d. Tc099m pertechnetate/Tl-201 thallous chloride

2. Dose range and route of administratioin

3. Biorouting

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Image formatting

6. Pitfalls

G. Interpretation of images

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic Value of the Study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

VI. Adrenal Imaging

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. I-123 MIBG (metaiodobenzylguanidine)

b. I-131 MIBG

c. I-131 norcholestrol

2. Dose range and route of administratioin

3. Biorouting

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Image formatting

6. Pitfalls

G. Interpretation of images

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic Value of the Study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

VII. Lacrimal Duct Imaging (Dacryoscintigraphy)

A. Indications

B. Radiopharmaceuticals

1. Tracer: Tc-99m pertechnetate

2. Physical and chemical characteristics

3. Radiopharmaceutical preparation

4. Dose range and route of administration

5. Biorouting

6. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Image formatting

6. Pitfalls

G. Interpretation of images

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic Value of the Study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

VIII. Gastrointestinal/Accessory Organ Review of Anatomy and Physiology

A. Gross anatomy and physiology

B. Cellular anatomy and function

C. Blood flow

D. Bile production

IX. Review of Gastrointestinal/Accessory Organ Pathology

A. Primary and metastatic neoplasms

B. Salivary gland disorders

1. Sjogren's disease

2. Warthin's tumor

3. Obstruction

4. Space occupying

C. Disorders of the esophagus

1. Gastroesophageal reflux disease

2. esophagitis

3. achalasia

4. scleroderma

5. Barrett's esophagus

D. Gastric disorders

1. delayed emptying

2. "dumping" syndrome

3. peptic ulcer

E. Liver and gallbladder

1. infections

2. circulatory disorders

3. cirrhosis

4. cholecystitis

5. cholelithiasis

6. congenital abnormalities

7. tumors

a. primary

b. metastatic

c. hemangioma

8. Budd-Chiari syndrome

F. Splenic disease

1. splenomegaly

2. space occupying lesions

3. asplenia

4. accessory spleen

G. Gastrointestinal (GI) Hemorrhage

H. Meckel's diverticulum

X. Salivary Gland Imaging

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. I-123 MIBG (metaiodobenzylguanidine)

b. I-131 MIBG

c. I-131 norcholestrol

2. Dose range and route of administratioin

3. Biorouting

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Image formatting

6. Pitfalls

G. Interpretation of images

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic Value of the Study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XI. Esophageal Motility/Transit and Reflux

A. Indications

B. Radiopharmaceuticals

1. Tracer: Tc-99m sulfur colloid (SC)

2. Dose range and route of administratioin

3. Biorouting

a. distribution

b. excretion

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Special radiation safety considerations

E. Patient preparation

F. Equipment

1. camera

2. collimators

3. computer

G. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

a. motility and transit

b. reflux

c. pumonary

5. Data processing

6. Image formatting

7. Pitfalls

H. Interventions and procedures

I. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic Value of the Study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XII. Gastric Emptying

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m sulfur colloid (solid)

b. In-111DTPA (liquid)

2. Dose range and route of administratioin

3. Biorouting

a. distribution

b. excretion

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Special radiation safety considerations

E. Patient preparation

F. Equipment

1. camera

2. collimators

3. computer

G. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Data processing

6. Image formatting

7. Pitfalls

H. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XIII. Helicobacter Pylori Detection

A. Indications

B. Radiopharmaceutical

1. Carbon-14 labeled area

2. Dose range and route of administratioin

3. Biorouting

a. distribution

b. excretion

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Special radiation safety considerations

E. Patient preparation

F. Equipment

1. camera

2. collimators

3. computer

G. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Data processing

6. Image formatting

7. Pitfalls

H. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XIV. Liver/Spleen

A. Indications

B. Radiopharmaceutical

1. Tc-99 sulfur colloid

2. Dose range and route of administratioin

3. Biorouting

a. distribution

b. excretion

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. collimators

2. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

G. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XV. Hemangioma Detection

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m labeled red blood cells

b. Tc-99m sulfur colloid

2. Dose range and route of administratioin

3. Biorouting

a. uptake

b. distribution

c. excretion

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Data processing

6. Image formatting

7. Pitfalls

G. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XVI. Hepatobiliary Imaging

A. Indications

B. Radiopharmaceuticals

1. Tc-99m IDA (iminodiacetic acid) derivatives (ex.Tc-99m disofenin)

2. Dose range and route of administratioin

3. Biorouting

a. uptake

b. distribution

c. excretion

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Data processing

6. Image formatting

7. Pitfalls

G. Intervention and procedures

1. morphine enhanced

2. cholecystokinin intervention

3. quantitation (gallbladder ejection fraction)

H. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XVII. Gastrointestinal (GI) Hemorrhage

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m sulfur colloid

b. Tc-99m labeled red blood cells

2. Dose range and route of administratioin

3. Biorouting

a. uptake

b. distribution

c. excretion

4. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Data processing

6. Image formatting

7. Pitfalls

G. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XVIII. Meckel's diverticulum

A. Indications

B. Radiopharmaceuticals

1. Tc-99m pertechnetate

2. Radiopharmaceutical preparation

3. Dose range and route of administration

4. Biorouting

a. uptake

b. distribution

c. excretion

5. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Data processing

6. Image formatting

7. Pitfalls

G. Interventions and procedures

1. glucagon

2. cimetidine

3. pentagastrin

H. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XIX. LeVeen Shunt

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m MAA

b. Tc-99m sulfur colloid

2. Dose range and route of administration

3. Biorouting

a. uptake

b. distribution

c. excretion

4. Dosimtery

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse reactions

D. Special radiation safety considerations

E. Patient preparation

F. Equipment

1. camera

2. collimators

3. computer

G. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Data processing

6. Image formatting

7. Pitfalls

H. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XX. Intahepatic pump study

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m Macroaggregated albumin (MAA)

b. Tc-99m sulfur colloid

2. Dose range and route of administration

3. Biorouting

a. uptake

b. distribution

c. excretion

4. Dosimtery

C. Contraindications and adverse reactions

1. Interfering studies

2. Precautions

3. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. Protocols

2. Dose range and administration technique

3. Acquisition parameters

4. Positioning and views, including adaptations

5. Image formatting

6. Pitfalls

G. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic risk factors based on diagnosis

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XXI. Ablation for Hyperthyroidism

A. Indications

B. Radiopharmaceuticals

1. Iodine-131 (I-131) sodium iodide

2. Physical and chemical characteristics

3. Radionuclide preparations

4. Dose range and route of administration

5. Biorouting

a. uptake

b. distribution

c. excretion

6. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse Reactions

D. Special radiation safety considerations and regulations

E. Patient preparation (including consent)

F. Basic procedure

1. Protocols

2. Dose range and administration technique

3. Pitfalls

G. Prognostic Value

1. outcomes

2. treatment decisions

3. prognostic risk factors based on diagnosis

XXII. Thyroid Carcinoma Ablation

A. Indications

B. Radiopharmaceuticals

1. Iodine-131 sodium iodide

2. Physical and chemical characteristics

3. Radionuclide preparation

4. Dose range and route of administration

5. Biorouting

a. uptake

b. distribution

c. excretion

6. Dosimetry

C. Contraindications and adverse reactions

1. Physical and pathologic conditions

2. Interfering studies

3. Interfering drugs

4. Precautions

5. Adverse Reactions

D. Special radiation safety considerations and regulations

E. Patient preparation (including consent)

F. Basic procedure

1. Protocols

2. treatment decisions

3. prognostic risk factors based on diagnosis

G. Prognostic Value

1. outcomes

2. treatment decisions

3. prognostic risk factors based on diagnosis

XXIII. Genitourinary System

A. Review of Anatomy and Physiology of the Genitourinary System

1. Gross structure and function

2. Cellular structure and function

3. Blood flow

XXIV. Genitourinary System Pathology

A. Acute inflammatory disease

B. Chronic inflammatory disease

C. Acute tubular necrosis

D. Congenital abnormalities

E. Space occupying lesions

F. Renal cancers

G. Renovascular disease

H. Obstructive uropathies

I. Renal transplant and rejection

J. Vesicourethral reflux

K. Testicular torsion

L. Inflammatory diseases of the testes

XXV. Renal Perfusion Study

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m sodium pertechnetate

b. Tc-99m Diethylenetriaminepentaacetate (DTPA)

c. Tc-99m gluceptate (GH)

d. Tc-99m MAG3 (mercaptoacetylglycylglycylglycine)

e. Tc-99m succimer (DMSA)

2. Physical and chemical characteristics

3. Dose range and route of administration

4. Biorouting

a. uptake

b. distribution

c. excretion

5. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Precautions

4. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. protocols

2. dose and administration technique

3. acquisition parameters

4. positioning and views, including adaptations

5. data processing

6. image formatting

7. pitfalls

G. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic value of study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XXVI. Renogram

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m DTPA

b. Tc-99m gluceptate (GH)

c. Tc-99m MAG3 (mercaptoacetylglycylglycylglycine)

2. Physical and chemical characteristics

3. Dose range and route of administration

4. Biorouting

a. uptake

b. distribution

c. excretion

5. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Precautions

4. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. protocols

2. dose and administration technique

3. acquisition parameters

4. positioning and views, including adaptations

5. data processing

6. image formatting

7. pitfalls

G. Interventions and procedures

1. captopril

2. enalapril

3. furosemide

H. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic value of study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XXVII. Glomerular Filtration Rate (GFR) and Effective Renal Plasma Flow (ERPF)

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m DTPA

b. Tc-99m MAG3 (mercaptoacetylglycylglycylglycine)

2. Physical and chemical characteristics

3. Kit and radiopharmaceutical preparation

4. Dose range and route of administration

5. Biorouting

a. uptake

b. distribution

c. excretion

6. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Precautions

4. Adverse reactions

D. Patient preparation

E. Equipment

1. imaging equipment

2. laboratory equipment

F. Basic procedure and processing

1. protocols

2. dose and administration technique

3. acquisition parameters

4. positioning and views, including adaptations

5. data processing

6. pitfalls

G. Interventions and procedures

1. captopril

2. enalapril

3. furosemide

H. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Sources of error

5. Diagnostic/Prognostic value of study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XXVIII. Renal Scan for Morphology

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m DMSA

b. Tc-99m gluceptate (GH)

2. Physical and chemical characteristics

3. Dose range and route of administration

4. Biorouting

a. uptake

b. distribution

c. excretion

5. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Precautions

4. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. protocols

2. dose and administration technique

3. acquisition parameters

4. positioning and views, including adaptations

5. data processing

6. image formatting

7. pitfalls

G. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic value of study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XXIX. Voiding Cystogram

A. Indications

B. Radiopharmaceuticals

1. Tracers

a. Tc-99m DTPA

b. Tc-99m sodium pertechnetate

2. Physical and chemical characteristics

3. Kit and radiopharmaceutical preparation

4. Dose range and route of administration

5. Biorouting

a. uptake

b. distribution

c. excretion

6. Dosimetry

C. Contraindications and adverse reactions

1. Physical conditions

2. Interfering studies

3. Precautions

4. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

4. lab equipment

F. Basic procedure and processing

1. protocols

a. direct

b. indirect

2. dose and administration technique

3. acquisition parameters

4. positioning and views, including adaptations

5. data processing

6. image formatting

7. pitfalls

G. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic value of study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

XXX. Testicular Imaging

A. Indications

B. Radiopharmaceuticals

1. Tc-99m sodium pertechnetate

2. Physical and chemical characteristics

3. Radiopharmaceutical preparation

4. Dose range and route of administration

5. Biorouting

a. uptake

b. distribution

c. excretion

6. Dosimetry

C. Contraindications and adverse reactions

1. Interfering studie

2. Adverse reactions

D. Patient preparation

E. Equipment

1. camera

2. collimators

3. computer

F. Basic procedure and processing

1. protocols

2. dose and administration technique

3. acquisition parameters

4. positioning and views, including adaptations

5. image formatting

6. pitfalls

G. Interpretation of images and data

1. Normal

2. Normal variants

3. Abnormal

4. Artifacts

5. Diagnostic/Prognostic value of study

a. outcomes

b. treatment decisions

c. prognostic risk factors based on diagnosis

 

 

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