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1. What is Nuclear Medicine?
2. What are some common uses of the procedure?
3. How should I prepare for the procedure?
4. How is the procedure performed?
5. Are there any risks associated with a nuclear medicine examination?


1. What is Nuclear Medicine?
Nuclear medicine comprises diagnostic examinations that result in images of body anatomy and function. The images are developed based on the detection of energy emitted from a radioactive substance given to the patient either by mouth or by vein. Radiation to the patient is, generally, similar to that resulting from standard x-ray examinations. By imaging the way the substance is handled by the body, we get a detailed evaluation of the physiology and function of particular organs.

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2. What are some common uses of the procedure?
Nuclear medicine images can assist the physician in localizing tumors or infection as well as other disorders related to specific organ function. Specifically, nuclear medicine can be used to:
• Analyze kidney function
Image blood flow and function of the heart
Scan lungs for respiratory and blood-flow problems
Identify blockage of the gallbladder (cystic duct)
Evaluate bones for fracture, infection, arthritis or tumor
Determine the presence or spread of cancer
Locate the presence of infection
Measure thyroid uptake to detect hyperthyroidism or hypothyroidism


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3. How should I prepare for the procedure?
Usually, no special preparation is needed for a nuclear medicine examination. However, if the procedure involves evaluation of the stomach, you may have to skip the meal immediately before the test. If the procedure involves evaluation of the kidneys, you may need to drink plenty of water before the test.

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4. How is the procedure performed?
A radiopharmaceutical is administered into a vein or mouth. Depending on which type of scan is being performed, the imaging will be done either immediately or a few hours or even two days after the injection. Imaging time varies, generally ranging from 20 to 45 minutes.
The radiopharmaceutical that is used is determined by what part of the body is under study since some compounds collect in specific organs better than others. Depending on the type of scan, it may take several seconds to several days for the substance to travel through the body and accumulate in the organ of interest.
You must remain as still as possible during imaging. Sometimes sequential images are obtained to show how an organ functions over time.
In general, the radiopharmaceutical loses its radioactivity generally over 24 hours and leaves the body quickly as it is excreted in the urine or stool.


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5. Are there any risks associated with a nuclear medicine examination?
Nuclear Medicine procedures will result in exposure to a small dose of radiation. However, the doses of radiopharmaceutical administered are the smallest possible. Nuclear medicine has been used for more than three decades, and there are no known long-term adverse effects from such low-dose studies.
As with all radiologic procedures, be sure to inform your physician if you are pregnant. In general, exposure to radiation during pregnancy should be kept to a minimum.
Allergic reactions to the radiopharmaceutical may occur, but are extremely rare.

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