Nuclear Medicine

Diagnostic Nuclear Medicine: Referrers Guide

Nuclear Medicine Locations

Castlereagh Imaging provides Nuclear Medicine services at the following locations:

Blacktown
Penrith
Westmead
Windsor

 

Cardiac - Assessment of viable myocardium
- Suggested Examination Resting and redistribution thallium scan
Cardiac - Diagnose and characterise acute myocardial infarction
- Suggested Examination Tc99m sestamibi myocardial perfusion scan or Tc99m pyrophosphate hot spot scan
Cardiac - Diagnose coronary artery disease
- Suggested Examination Tc99m sestamibi myocardial perfusion scan
Cardiac - Identify patients at high cardiac risk going to major non cardiac
- Suggested Examination Tc99m sestamibi myocardial perfusion scan
Cardiac - Identify right heart failure
- Suggested Examination Gated heart pool scan
Cardiac - Identify shunts and quantify them
- Suggested Examination QP:QS shunt study (left to right shunt)
Cardiac - Investigation of chest pain or dyspnoea
- Suggested Examination Tc99m sestamibi myocardial perfusion scan
Cardiac - Monitor effectiveness of therapy
- Suggested Examination Tc99m sestamibi myocardial perfusion scan
Cardiac - Monitor effectiveness of therapy for cardiac failure
- Suggested Examination Gated heart pool scan
Cardiac - Monitor potential cardiac toxicity from chemotherapy
- Suggested Examination Gated heart pool scan
Cardiac - Select Patients for medical vs surgical therapy
- Suggested Examination Tc99m sestamibi myocardial perfusion scan
Endocrine - Assess thyroid nodule function
- Suggested Examination Tc99m pertechnetate thyroid scan
Endocrine - Diagnose hyperthyroidism
- Suggested Examination Tc99m pertechnetate thyroid scan
Endocrine - Hypercalcaemia and primary hyperparathyroidism/parathyroid
- Suggested Examination Tc99m sestamibi/technetium pertechnetate thyroid scan
Endocrine - Post thyroid carcinoma assessment
- Suggested Examination I123 whole body scan
Endocrine - Suspected phaeochromocytoma
- Suggested Examination I123 MIBG
Gastroenterological - Assess post cholecystectomy abdominal pain
- Suggested Examination Dynamic hepatobiliary scan
Gastroenterological - Assessment of oesophageal function
- Suggested Examination Oesophageal transit study
Gastroenterological - Assessment of small bowel function
- Suggested Examination Small bowel transit study
Gastroenterological - Constipation
- Suggested Examination Colonic transit study
Gastroenterological - Detect acute or chronic cholecystitis and acalculous gallbladder
- Suggested Examination Tc99m hepatobiliary scan
Gastroenterological - Diagnose and assess in?ammatory bowel disease
- Suggested Examination Tc99m labelled white blood cell scan
Gastroenterological - Investigate epigastric discomfort and bloating
- Suggested Examination Gastric emptying study
Gastroenterological - Investigation of suspected hypersplenism
- Suggested Examination Liver/spleen sulphur colloid scan
Gastroenterological - Other hepatic masses
- Suggested Examination Liver/spleen scan for assessment of reticular endothelial component or hepatobiliary scan for assessment of hepatocyte components
Gastroenterological - Right iliac foss pain and suspected Meckel’s diverticulum
- Suggested Examination Meckel’s diverticular study
Gastroenterological - Suspected gastro-oesophageal re?ux
- Suggested Examination Gastro-oesophageal re?ux or milk Scan
Gastroenterological - Suspected hepatic haemangioma
- Suggested Examination Technetium red blood cell liver scan
Infection - Pyrexia of unknown origin
- Suggested Examination Whole body gallium or WBC scan
Lymphatic - Investigate limb swelling/diagnose lymphoedema
- Suggested Examination Lymphoscintigraphy
Lymphatic - Sentinal node localization
- Suggested Examination Lymphoscintigraphy
Neurological - Investigate dementia eg Alzheimers disease
- Suggested Examination Neurolite brain perfusion scan
Neurological - Localise seizure foci
- Suggested Examination Neurolite brain perfusion scan
Oncological - Identify metastatic sites
- Suggested Examination Bone scan, PET scan
Oncological - Monitor response to therapy
- Suggested Examination Bone scan, PET scan
Oncological - Tumour staging
- Suggested Examination Bone scan (primary bone cancer, prostate, breast, lung, colon, renal and thyroid cancer, melanoma), PET scan (Lung, Lymphoma)
Pulmonary - Detect active pulmonary alveolitis/?brosis/sarcoid
- Suggested Examination Gallium scan
Pulmonary - Detect pulmonary complications of AIDS
- Suggested Examination Gallium scan
Pulmonary - Diagnose pulmonary emboli
- Suggested Examination V/Q SPECT lung scan
Pulmonary - Quantify lung ventilation and perfusion for lung reduction surgery
- Suggested Examination V/Q lung scan
Renal - Detect pyelonephritis
- Suggested Examination Tc99m DMSA
Renal - Detect renal scars
- Suggested Examination Tc99m DMSA
Renal - Detect renal transplant rejection
- Suggested Examination TcDTPA scan
Renal - Detect urinary tract obstruction
- Suggested Examination Tc99m DTPA scan with Lasix
Renal - Diagnose renovascular hypertension
- Suggested Examination Tc99m DTPA scan with Captopril
Renal - Measure total renal function/GFR
- Suggested Examination TcDTPA scan with GFR
Skeletal/Orthopaedic - Assess mandibular hyperplasia
- Suggested Examination Regional bone scan with SPECT
Skeletal/Orthopaedic - Assessment of painful joint prostheses
- Suggested Examination Regional bone scan
Skeletal/Orthopaedic - Characterize bone lesions seen on other imaging
- Suggested Examination Whole body bone scan
Skeletal/Orthopaedic - Detection of occult scaphoid fracture
- Suggested Examination Regional bone scan
Skeletal/Orthopaedic - Detection of stress fractures and shin splints
- Suggested Examination Regional bone scan
Skeletal/Orthopaedic - Diagnose osteomyelitis
- Suggested Examination Bone and Gallium scan
Skeletal/Orthopaedic - Evaluate arthritic changes and extent
- Suggested Examination Regional bone scan
Skeletal/Orthopaedic - Identify occult bone trauma
- Suggested Examination Regional bone scan
Skeletal/Orthopaedic - Investigate elevated serum ALP
- Suggested Examination Whole body bone scan
Therapy - Graves’ disease
- Suggested Examination Radionuclide therapy with I131
Therapy - Hyperthyroidism
- Suggested Examination Radionuclide therapy with I131
Therapy - Multinodular goitre
- Suggested Examination Radionuclide therapy with I131
Therapy - Thyroid remnant ablation
- Suggested Examination Radionuclide therapy with I131