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Kidney function/Urinary

Cystogram

Purpose:  This test shows unusual flow of urine to the kidneys.    
Preparation:  There is nothing you need to do to get ready for this test. 

What to expect:  A foley catheter will be placed because a small amount of radioactive material will go directly into the bladder.  This material has no side effects.  You will be lying on your back with the camera underneath you.  A series of pictures will be taken to watch your bladder fill up.  You must try to stay still and let us know when you can no longer stand your bladder being filled.  At this time we will take the foley catheter out and take pictures of your bladder as it is emptying.  This test varies as far as the time it takes because it depends on how long it takes the bladder to fill and empty.  In most cases, it will take about one hour or less.

Renal Scan

Purpose:  This will show how well each kidney is functioning.
Preparation:  Drink plenty of liquid before this test.  Empty your bladder if you can when you arrive.

What to Expect:  You will lie on your back with the camera underneath you.  We will inject a small amount of radioactive material in your arm or hand. The pictures begin immediately.  There are no side effects.  The pictures will take thirty minutes and it is important that you stay still during that time. 

Renal with Lasix-same as above except that fifteen minutes into this test, you will be given 40 mg of Lasix, a medicine that helps get rid of extra water in your body. 

Renal with Captopril-same as above except that the pictures will be taken two times, once before being given a medicine called Captopril, a medicine that helps lower your blood pressure.

Testicular

Purpose:  This test shows any reduced or increased blood flow to the testicles.  
Preparation:  There is nothing you need to do to get ready for this test. 

What to Expect: You will be given a small amount of radioactive material in your arm or hand.  The material given does not have any side effects.  The test will take about thirty minutes to one hour. 

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Blood flow and function of the heart

Nuclear Stress Test

Purpose:  This test shows if there are any reduced areas of blood flow in the heart especially after the heart has been exercised.
Preparation:  You should not eat or drink anything at least four hours before this test and do not have any caffeine for one day before the exam.  Check with your doctor about which of your medicines you should take or not take before the test. 

What to Expect:  You will be given a material that will show your heart in our camera and is slightly radioactive, but has no side effects.  This will need to move through your body for one hour, and then we will take a fifteen minute set of pictures in with our camera.  Leads are put on, like an EKG, and the doctor will be there for the stress part of the test.  You will either walk on a treadmill or be given a medicine that works in your body the same as exercising.  You may feel weak or short of breath when exercising.  These feelings will go away shortly.  A second dose of the radioactive material is given during the stress part of the test and another set of pictures will be taken either immediately after the stress test or about one hour later depending on which type of stress test was done.  The entire process takes about four hours.

MUGA – Multi-gated Acquisition

Purpose:  This test lets the doctor know if the heart is strong enough for treatment.
Preparation:  There is nothing you need to do to get ready for this test. 

What to Expect:  First, a material called PYP is given in a vein in the arm or hand.  This material gets the blood ready for the radioactive material to be given later.  After ten minutes or so the technologist will take some blood from you.  This blood is mixed with radiation for fifteen minutes and given back to you.   You will not have any side effects from these substances.  Two to three pictures are taken of the heart.  Each picture takes about five to ten minutes.  The entire test takes about one hour.

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The lungs for respiratory and blood-flow problems

VQ Lung Scan

Purpose:  This test checks for blood clots in the lungs.    
Preparation:  There is nothing you need to do to get ready for this test. 

What to Expect:  This test has two parts:  the first part you will breathe through a mask which has an airborne radioactive material going to you.  For the second part, you will be given a small amount of radioactive material in a vein either in your arm or hand which has no side effects.  The first part takes about five to ten minutes and this shows the air flow through your lungs.  A mask will be fitted tightly around the nose and mouth for about five minutes.  The second part takes about ten to fifteen minutes and it shows the blood flow through the lungs.

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The gallbladder to identify a blockage

Hepatobiliary Scan

Purpose: This test helps to identify blockages in the intestines and gallbladder.
Preparation:  Do not eat or drink at least six hours before this test and you should not have any pain medicine at least four hours before the test unless you no longer have a gallbladder. 

What to Expect:  You will lie on your back with the camera over your stomach and you must stay still during the test.  A small amount of radioactive material is given in a vein in your arm or hand that has no side effects.  Pictures will be taken of your stomach area for at least one hour. This test will take one to three hours or more.  This depends on how long it takes the gallbladder and intestines to show up and if the doctor wants to know how well your gallbladder is working.

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Bones for fracture, infection, arthritis or tumor

Bone Scan

Purpose:  This test shows bone irregularities; such as, breaks, infection, or disease in the bone.
Preparation:  There is nothing you need to do to get ready for this test. 

What to expect:  This exam has two parts.  For the first part, a small amount of radioactive material will be given to you in your vein (in the arm or hand).  This material has no side effects.  Come back in three hours from the first part of the test for pictures.  Drink plenty of fluid during the three hour waiting time unless you have another test that needs you to keep from eating and drinking.  Allow thirty to forty-five minutes for pictures when you come back.  Be sure to go to the restroom just before the test.  You will be lying on your back and you must stay still during the test.

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The presence or spread of cancer

Lymphoscintigraphy

Purpose:  This test helps to detect the presence or spread of cancer in the lymph nodes.
Preparation:  There is nothing you need to do to get ready for this test.  However, you will not be able to eat or drink before the surgery that follows this test.

What to Expect:  Four to eight injections of a small amount of radioactive material are given in and near the site of interest, either breast or melanoma site.  This material has no side effects.  Some of the injections will be given under the skin.   A series of pictures will be taken of the area until the first and biggest node shows up.  (Lymph nodes are about the size of an eye that forms on a potato.)  We mark the node with an X and you will go on to surgery or back to your room to wait for surgery.  This test can take from thirty minutes to three hours depending on when the lymph node shows up.

MIBG Scan

Please call Nuclear Medicine at (432) 221-1580 extension 1904 for details about this test.

Octreoscan

Please call Nuclear Medicine at (432) 221-1580 extension 1904 for details about this test.

Parathyroid Scan

Purpose:  This test shows the thyroid first, then the parathyroid.  It shows any irregularities of the parathyroid gland.  
Preparation:  There is nothing you need to do to get ready for this test.

What to Expect:  This exam has two parts.  For the first part, a small amount of radioactive material is given in a vein in your arm or hand that goes to your thyroid and parathyroid.  This material has no side effects. After mixing in your body for ten to fifteen minutes, you will lie on your back for a series of pictures. You will then return three hours later for more pictures.  Each set of pictures take about one hour.

Prostascint Scan

Please call Nuclear Medicine at (432) 221-1580 extension 1904 for details about this test.

Zevalin Scan

Please call Nuclear Medicine at (432) 221-1580 extension 1904 for details about this test.

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Stomach/Abdomen

Gastric Emptying

Purpose:  This test shows how well your stomach processes food.
Preparation:  Do not eat or drink anything at least eight hours before this test. 

What to expect:  You will be asked to eat eggs with a small amount of radioactive material on them with toast.  If you cannot eat eggs, you will be given oatmeal and toast instead. There are no side effects to this test.  A one minute picture of both the front and back of your stomach is taken after you eat this meal.  We will take additional images at thirty minutes, at one hour, and at four hours.  This exam will take four hours total.

Liver/Spleen

Purpose:  This test shows the size and shape of the liver and spleen.  It shows how well the liver is functioning and if the liver or spleen is enlarged.       
Preparation:  There is nothing you need to do to get ready for this test. 

What to Expect:  A small amount of radioactive material is given in your vein either in your arm or hand which has no side effects.  You will lie on your back to have several pictures taken with our camera.  This test will take about thirty minutes to one hour.

Meckles

Purpose:  This test shows if there is a flap in the intestines causing pain and/ or bleeding.
Preparation:  There is nothing you need to do to get ready for this test. 

What to Expect:  You will lie on your back with the camera over your stomach for the test.  A small amount of radioactive material is given through a vein in the arm or hand that goes to your stomach and intestines.  This material has no side effects. This test takes about one hour.

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The presence and location of infection

Gallium Scan

Please call Nuclear Medicine at (432) 221-1580 extension 1904 for details about this test.

White Blood Cell Study

Purpose:  This test checks for infection in the body.
Preparation:  Drink plenty of liquid before this test.

What to Expect:  This exam has several parts.  For the first part of the exam, we will draw some of your blood.  The white blood cells in the blood will be tagged with a radioactive tracer.  This takes two to three hours.  You will return to the hospital and will re-inject your white blood cells.  There are no side effects to this test.  You will return the next day and possibly the day after that for pictures.  The pictures will be taken with you lying on your back for about one hour each day. 

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Thyroid function

Thyroid Scans

Purpose:  This test is to show the size and shape of the thyroid and to see if there are any knots called nodules on the thyroid.
Preparation:  You must be off thyroid medicine and not have had a contrast scan like CT for two weeks before this test.  You may eat and drink before this test. 

What to Expect: A small amount of radioactive material is given in your vein, either hand or arm.  This material has no side effects, but it has to mix in the body for about ten minutes before the pictures are taken.  The pictures will be taken of you lying on your back with the camera over your neck.  There are four pictures which take about one to five minutes for each.  The total test time will be about thirty to forty-five minutes.

Thyroid Uptake and Scan

Purpose:  This test not only shows the size and shape of the thyroid, but also how the thyroid is working. 
Preparation:  You must be off thyroid medicine for one to four weeks depending on the type of thyroid medicine you take.  You must have not had a contrast scan like CT in the last six weeks to two months before this test. Also, do not eat foods with iodine in it such as seafood.  

What to Expect: This is a two day test.  The first day, you must not have anything to eat or drink for two hours before the test and do not eat or drink for two hours after the test.  The first day you will take a pill which is iodine (the same thing that is in table salt) and a small amount of radioactive material.  This has no side effects.  The second day we will run a test to see how much iodine is in your thyroid compared to the rest of your body.  Then you will be given another small dose of radioactive material in a vein in your arm or hand.  There are four pictures taken of the neck while you are lying on your back with your neck under the camera.  The test takes about thirty minutes to one hour.

Thyroid Whole Body Scan

Purpose:  This test shows if there is any thyroid tissue left after surgery that needs to be treated.
Preparation:  The same preparation as the thyroid uptake and scan applies to this test. 

What to Expect:  This is also a two day test, but you will take the radioactive iodine pill as described above the first day, wait a day in between and have the scan done forty-eight hours after you take the pill.  You will be scanned lying on your back from head to feet.  An extra picture or two will be taken of your neck.  The test will take about one hour.

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Brain function/spinal cord

Brain Spect

Purpose:  This test shows any reduced blood flow in areas of the brain.
Preparation:  There is nothing you need to do to get ready for this test.   

What to expect:  An IV will be placed in your arm or hand and you will be in a room that is dark and quiet.  Lie on your back with your head as straight and flat as possible.  After a few minutes, you will be given a small amount of radioactive material in that IV.  This material has no side effects and will mix with your body fluids for another few minutes.  The pictures will take twenty minutes with the camera going around your head.  You must stay very still during these pictures.  It takes about thirty minutes to one hour for this test.

Cisternogram

Please call Nuclear Medicine at (432) 221-1580 extension 1904 for details about this test.

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