Nuclear
medicine is a specialty which utilizes radioactive drugs to
diagnose and treat disease.
Images
of the patient after the administration of radioactive tracers
is done to evaluate many conditions. The bone scan may be
done to diagnose metastatic disease, fractures, infections,
etc. PET scans are utilized to evaluate cases of lymphoma,
non-small cell bronchogenic carcinoma, melanoma, recurrent
colorectal carcinoma, and head and neck cancer, etc. The hepatobiliary
scan is usually done to evaluate the gall bladder but can
diagnose other conditions as well. There are many types of
renal scans to help diagnose diseases of the kidneys such
as infection and obstruction. Cardiac studies may be done
to detect the presence of scar or ischemia of the heart or
abnormal wall motion.
Other
nuclear medicine studies include calculating the rate of gastric
emptying and finding the site of occult infection. The most
common condition treated is hyperthyroidism, associated with
Graves disease, for which an oral dose of radioactive iodine
may be given, if indicated. Some other forms of hyperthyroidism
may also be treated this way. Some thyroid cancers can also
be treated. There are many other indications for nuclear medicine
studies.
The radiation
exposure a patient receives from most nuclear medicine procedures
is less than that of one chest x-ray.