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Radiology

Introduction to Nuclear Medicine

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Introduction to Nuclear Medicine
The first 25 slides, exactly as they appear. The full deck has 53 content slides.

What’s inside

6 sections · 53 slides

  1. 01

    Overview

    • Section contents

    1 slide

  2. 02

    Introduction

    Functional imaging that complements anatomy

    • Nuclear medicine and anatomic imaging
    • Anatomic versus functional imaging
    • PET/CT scan of brain
    • Hybrid PET/CT and SPECT/CT imaging
    • PET/CT in cancer staging and response
    • Whole-body PET FDG maximum intensity projection
    • Molecular imaging and therapy tracking
    • Sentinel node mapping and lymphoscintigraphy
    • Therapeutic uses of nuclear medicine

    9 slides

  3. 03

    Imaging principles

    Tracers, biodistribution, and radiopharmaceuticals

    • The nuclear medicine study sequence
    • Normal biodistribution reveals disease
    • Radionuclide versus radiopharmaceutical
    • Iodine-123 thyroid scan
    • One isotope, many radiopharmaceuticals
    • Tracers built from isotopes

    6 slides

  4. 04

    Radiotherapy

    Particle-emitting isotopes used for treatment

    • Therapeutic radioisotopes and particulate emission
    • Beta-minus particles and tumor damage
    • Iodine-131 in thyroid disease
    • Radioimmunotherapy for lymphoma
    • Indium-111 Zevalin antibody diagnostic scan
    • Radioembolotherapy for liver tumors

    6 slides

  5. 05

    Approach to image interpretation

    A systematic method for reading studies

    • Identifying the study and radiopharmaceutical
    • Inferring the tracer from count density
    • Reading the image series type
    • Biodistribution as a tracer fingerprint
    • Two common interpretation errors
    • Dynamic studies and time per frame
    • Spotting change across dynamic frames
    • Static image review routines
    • Skeletal imaging review
    • Whole-body bone scan with Tc-99m MDP
    • SPECT myocardial perfusion: quality control
    • SPECT myocardial perfusion: slice order
    • SPECT myocardial perfusion: conclusions
    • Ventilation-perfusion imaging: chest first
    • Ventilation-perfusion matching and summary
    • Hepatobiliary imaging: acquisition order
    • Hepatobiliary imaging: dynamic detail
    • VINDICATE generic causes: part 1
    • VINDICATE generic causes: part 2
    • Causes of a hot spot on bone scan
    • Delivery, activity, and dwell time causes
    • Final summary review
    • Building a personal approach

    23 slides

  6. 06

    Section overview

    Whole-body, functional, diagnostic, and therapeutic roles

    • Capabilities of nuclear medicine
    • Whole-body and functional evaluation
    • Split function and diagnostic evaluation
    • Response-to-therapy assessment
    • Response to therapy on whole-body PET FDG scans
    • Molecular imaging and targeted therapy
    • Key takeaways
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    8 slides