Nuclear Medicine Resources Manual 2020 Edition

Medical imaging is crucial in a variety of medical settings and at all levels of health care. In public health and preventive medicine as well as in both curative and palliative care, effective decisions depend on correct diagnoses. This edition addresses the most current needs and offers guidance on clinical practice, radiation safety and patient protection, human resource development and training required for the overall practice of nuclear medicine.

Provides comprehensive guidance at an international level in many aspects of nuclear medicine practice, including education, training, facilities and equipment, quality assurance and control systems, and radiopharmacy and clinical practice. The manual has been written with routine clinical practice in mind.

This manual is designed primarily to be of assistance to trainee nuclear medicine technicians and radiographers. It will also be of value to those who are already trained in the safe handling and use of radionuclides for imaging, as a rapid reference for routine and non-routine nuclear medicine imaging procedures. The procedures described were largely developed or modified at the Nuclear Medicine Department, Guy's Hospital, London, with regular updates during the last 10 years. The main body of each chapter deals with the technical aspects of radionuclide imaging and each chapter contains a section on the prepara tion procedure for the relevant radiopharmaceuticals used with brief summaries of the aim of any data analyses using a computer system. Although the methods described do not represent the only way to carry out such procedures, they have all been evaluated extensively and are known to give satisfactory results. I would like to record my thanks to all members of this department who have helped by providing advice, comments and data. In particular, I would like to thank Dr Colin Lazarus for his help with the radiopharmaceuticals sections. I am most grateful to Dr Sue Clarke and Dr Ignac Fogelman for checking the manuscripts and finally to Professor Michael Maisey without whose constant encouragement and support this work would not have been possible. FOREWORD The development of nuclear medicine was initially a slow process.

A practical, pocket-sized manual covering the full spectrum of radionuclide imaging common to general radiology practice. It includes normal & abnormal images, indications & contraindications for nuclear imaging studies, differential diagnosis, & the relative value of nuclear imaging in clinical diagnosis.

Covering both the fundamentals and recent developments in this fast-changing field, Essentials of Nuclear Medicine and Molecular Imaging, 7th Edition, is a must-have resource for radiology residents, nuclear medicine residents and fellows, nuclear medicine specialists, and nuclear medicine technicians. Known for its clear and easily understood writing style, superb illustrations, and self-assessment features, this updated classic is an ideal reference for all diagnostic imaging and therapeutic patient care related to nuclear medicine, as well as an excellent review tool for certification or MOC preparation. Provides comprehensive, clear explanations of everything from principles of human physiology, pathology, physics, radioactivity, radiopharmaceuticals, radiation safety, and legal requirements to hot topics such as new brain and neuroendocrine tumor agents and hybrid imaging, including PET/MR and PET/CT. Covers the imaging of every body system, as well as inflammation, infection and tumor imaging; pearls and pitfalls for every chapter; and pediatric doses and guidelines in compliance with the Image Gently and Image Wisely programs. Features a separate self-assessment section on differential diagnoses, imaging procedures and artifacts, and safety issues with unknown cases, questions, answers, and explanations. Includes new images and illustrations, for a total of 430 high-quality, multi-modality examples throughout the text. Reflects recent advances in the field, including updated nuclear medicine imaging and therapy guidelines • Updated dosimetry values and effective doses for all radiopharmaceuticals with new values from the 2015 International Commission on Radiological Protection • Updated information regarding advances in brain imaging, including amyloid, dopamine transporter and dementia imaging • Inclusion of Ga-68 DOTA PET/CT for neuroendocrine tumors • Expanded information on correlative and hybrid imaging with SPECT/CT • New myocardial agents • and more. Contains extensive appendices including updated comprehensive imaging protocols for routine and hybrid imaging, pregnancy and breastfeeding guidelines, pediatric dosages, non-radioactive pharmaceuticals used in interventional and cardiac stress imaging, and radioactivity conversion tables.

Essentials of Nuclear Medicine Imaging, by Drs. Fred A Mettler and Milton J Guiberteau, provides the practical and comprehensive guidance you need to master key nuclear imaging techniques. From physics, instrumentation, quality control, and legal requirements to hot topics such as sodium fluoride, radiopharmaceuticals, and recommended pediatric administered doses and guidelines, this sixth edition covers the fundamentals and recent developments in the practice of nuclear medicine. This excellent resource in nuclear medicine also features access to the full text online at www.expertconsult.com, high-quality images, and unknown case sets for self assessment. Get comprehensive coverage of key techniques such as PET/CT, cardiac-gated SPECT, and tumor-specific radionuclides, as well as Cerebrovascular System, Cardiovascular System, Conventional Neoplasm Imaging and Radioimmunotherapy, and Positron Emission Tomography Imaging. Reference practical clinical guidance at a glance from important "Pearls and Pitfalls" in each chapter and. helpful appendices including Injection Techniques, Pediatric Dosages, Non-radioactive Pharmaceuticals, and many more Assess your understanding with a section of Unknown Case Sets-expanded in this edition. Find information quickly and easily with a full-color format. Access the fully searchable text online at www.expertconsult.com. Apply the latest best practices thanks to extensive updates of clinical guidelines that reflect recent changes in the practice of nuclear medicine, including the use of sodium fluoride (F-18 FDG for infections and Na F-18 for skeletal imaging), suggested radiopharmaceuticals for imaging various types of tumors, and imaging procedures and new classification schemes for pulmonary embolism. Effectively use PET/CT in imaging neoplasms with coverage of the most current indications. Manage radition safety concerns using quality control procedures for hybrid imaging equipment, patient and radiation safety checklists for I-131 therapy for hyperthyroidism and thyroid cancer, and recommended pediatric administered doses and guidelines. Get a clear view of the current state of imaging from high-quality images - 35% new to this edition. A practical and comprehensive reference for nuclear medicine.

Nuclear Medicine is a fast growing specialty. The procedures provide quantitative parameters of organ functions required for modern practice of medicine. With the development of new machines and increased application of computer software, the procedures are under continuous change. Some procedures have become outdated or redundant, while new methods have been introduced to enhance the quality of information obtained from a particular application. Although there are a few books published abroad to inform doctors and technical staff about the procedures, a comprehensive source to give quick information about how different tests are performed, particularly the new developments and the expected outcome both in normal and abnormal cases has been a long felt need. The physician ordering a Nuclear Medicine test also needs to know what patient preparations are required for optimal results, how to satisfy the queries of the patient particularly in respect of radiation exposure which sometimes can be a major concern of the patient. This manual has been prepared not only to describe technical details of various procedures that are currently practiced in Nuclear Medicine but also to provide quick information for the doctors and health care personnel on how to inform the patients about the investigation for which they are being referred and how to interpret the results. Since there is no such comprehensive book published yet in Asia, including South-East Asia, it is likely to be in great demand in the region. All students of master's degree, M.D., DRM, DMRIT, M.Sc. (Nuclear Medicine) and technologists already working in various diagnostic centers will likely buy this book. General practitioners and specialists who refer patients for different radio isotope investigations may find this book useful for quick reference.