Nuclear Imaging Flashcards

1
Q

nuclear imaging is what

A

nuclear medicine though indicates intent of dx

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2
Q

general indication

A

testing of function of tissues

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3
Q

dx by what

A

physiologic change as opposed to structure

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4
Q

mechanism

A
  1. radionuclide emits gamma rays introduced
  2. absorbed differently by tissues based on metabolic activity
  3. gamma rays observed by special camera
  4. computer converts to digital image
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5
Q

static method

A

single image of targeted body region

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6
Q

whole body method

A

AP - bone scans

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7
Q

dynamic imaging

A

timed sequence - cardiac, hepatobiliary, gastric

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8
Q

single photon emission computed tomography (SPECT)

A

3D - bone, cardiac perfusion, brain, liver

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9
Q

positron emission tomography (PET)

A

biologic function of cells - CNS studies, tumors

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10
Q

indications

A

cancer
detection of metabolic bone diseases and other osteopathies
detection of other bone abnormality

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11
Q

MSK indications

A

HO
fx & stress fx
inflammation/infxn
complications of foreign hardware/prosthetic
CRPS
PFPS
AVN

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12
Q

scintigraphy

A

nuclear image of a skeleton

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13
Q

what do hot spots on an image indicate

A

black spots
increased uptake

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14
Q

increased uptake

A

osteoblastic

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15
Q

decreased uptake

A

osteoclastic

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16
Q

what are the 3 phases of a bone scan

A

1st phase - flow study - immediate

2nd phase - blood pool - 30 mins

3rd phase - delayed - 2-4 hrs

17
Q

advantages of bone scan

A

high sensitivity for changes in bone metabolism

18
Q

disadvantages of bone scan

A

low specificity
poor anatomic detail

19
Q

contraindications of bone scan

A

preg
currently breast-feeding