RNI Equipment Flashcards
which RNI procedure would be best imaged using a low energy ultra-high resolution collimator?.
MDP Bone scan
what is responsible for converting gamma energy into light photons?.
the scintillation crystal
In Pet/CT radionuclides produce…
2 Gamma photons of 511 keV
physical properties of Technetium 99m that make it ideal for radionuclide imaging.
- relatively short half life
- relatively short biological half life
- relatively short effective half- life
- non-toxic
- can be administered to patient
- gives off gamma radiation - 140kV
- inert in patient’s body
- stable in situ-
Requirements for transporting radionuclide when injecting patient on the ward
- radiographer wears PPE
- needs to be transported via a syringe tube (surrounded in tungsten) or lead lined cradle
- syringe needs to be labelled - patient’s details, radionuclide being used, Activity of radionuclide
- Take something to store everything after you have used it
- trained member of staff
- never leave cradle unattended
safety requirements needed to perform injections
- ID justifications
- giving information about when the patient will be injected and what time the scan will occur
- ensuring they avoid contact with children and pregnant women.
- perhaps isolate patient - due to radioactivity
- bringing spill kit and yellow bags for radioactive disposal for storage and spill clean
- geiger counters to monitor any residual doses on our hands/ body
Why do we use RNI?
- to look at the area and whole functions of organs - can observe radiation uptake
- monitor treatment i.e cancer treatment
- can cater to those who cannot receive contrast. E.g. those who cannot have a CT IVU can have a MAG3 renogram
- can be combined with 3D imaging - PET/SPECT
- Selective uptake of radiopharmaceuticals by various bodily systems
how does SPECT work
- camera is set up to focus on a specific piece of anatomy
- individual pictures are taken at 3 degree rotations
- this is done until it reaches a 360 degree rotation
- radiographer will overlay the images- creating a 3D image
components of a gamma camera (bottom to top)
- collimators
- scintillation crystals
- photomultiplier tube
- the amplifier
collimators are made of….
- a Lead plate
- septa
why are lead plates used for collimators?
- they are inexpensive
- have a high density
- high attenuation coefficient
Septa in collimators
- a series of small holes perpendicular to the face of the collimator
- the smaller the holes and the more often they are, increases resolution - however, the scans take longer
function of the collimators
- to produce an accurate correlation between the emission of a gamma photon from the source and the position of the photon striking the crystal detector
collimators are dependent on the type of radionuclide used
- low energy collimators (<150 keV) use Tc99m, TI201, I1213 ) - most commonly used
- Medium energy (< 375 keV use In111,Ga67)
- high energy (<500 keV use I131)
types of low energy collimators
LEAP - low Energy All Purpose - used for MAG3 renogram
LEHR - Low Energy High Resolution
LEUHR - Low Energy Ultra High Resolution - used for bone imaging (metastes)