Nucs - What Scan Is It?!

Question 1

In-WBC

Answer 1

• Bones will be hot
• Hot Spleen

Question 2

Sulfur-Colloid

Answer 2

• Bones will be hot
• Liver = Spleen

Question 3

Gallium

Answer 3

• Bones will be hot
• Light spleen

Question 4

Octreotide

Answer 4

• High count study
• VERY HOT spleen and Kidneys

Question 5

MIBI

Answer 5

• No bones
• Hot heart (main cardiac agent)
• Hot Kidneys

Question 6

MIBG

Answer 6

• NO bones
• +/- Heart
• NO Kidneys (makes sense since its looking for adrenal pathology)

Question 7

I-131

Answer 7

• NO Bones
• NO Heart
• NO Liver
• NO Spleen

Question 8

SPECT CTs

• Aorta/IVC Present
• No Aorta/IVC
• HOT Kidneys

Answer 8

• Aorta/IVC Present = RBC Scan = hemangioma
• No Aorta/IVC = Sulfur Colloid Scan = FNH
• HOT Kidneys = Octreotide = Neuroendocrine