- Next to T. B. Hospital Main Gate, Koch’s House, Jerbai Wadia Road, Sewri
NUCLEAR RENAL SCANS
DTPA Renogram:
- Ideal, most accurate and reproducible non-invasive technique for measuring GFR
- Common indications:
● Prospective renal donors
● Cancer patients before chemotherapy
● Elevated Sr. Creatinine, to document baseline renal function
EC / MAG3 Renogram:
- Tubular secretory agent with beer imaging characteristics
- Common indications:
- Evaluation of hydronephrosis — obstructed vs non-obstructed systems
• Assess differential renal function
• Renal calculus disease – to assess function and drainage
• Evaluation Of renovascular hypertension
DMSA Renal scan:
Imaging pyelonpephris
Commonly used in paediatric population with recurrent urinary tract infections, to differentiate a lower urinary tract infection from pyelonephritis.
Evaluation of thyroid trapping function
● Common indications:
● Assessment of Thyrotoxicosis:
● Can reliably differentiates a subacute thyroiditis (that is self limitng) vs a Graves’ disease (that needs long term treatment).
● Evaluation of thyroid nodules
● Multinodular goiter with low TSH – to diagnose and
manage toxic MNG
● Evaluation of neonatal hypothyroidism
● Thyroid agenesis vs congenital hypothyroidism
● Lingual / ectopic thyroid imaging
Radioiodine therapy:
- Low dose radioiodine therapy for hyperthyroidism
- Treatment of choice in patients who do not respond to an thyroid drug trials (for 12 months usually)
- 5 min single dose treatment (swallow tasteless colourless water-like liquid) has an objective response in more than 80% patients
- No major adverse effects
High dose radioiodine therapy for thyroid cancers:
- Standard adjuvant treatment in every case of
operated thyroid cancer - Treatment of choice for metastatic well-
differentiated thyroid cancers - Excellent treatment response with no major adverse effects