Louisiana State University
Health Sciences Center
Radiology Department
Shreveport, La
(318) 675 - 6200

 

Nuclear Medicine Policy and Procedure
Table of Contents
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Patient Care (18.1) General Policies(18.2)
Personnel in NM to Inject Patients (18.2.6) Quality Assurance & Maintenance Procedures (18.4)
Nuculear Medicine Procedures (18.8) Hematopoietic, Reticuloendotheial adn Lymphatic System (18.8.2)
Respiratory System (18.8.6) Nervous System (18.8.7)
Genitourinary System (18.8.8) Tumor and Abscess Imaging (18.8.9)
Therapeutic Procedures (18.8.10)
18.0 Nuclear Medicine
18.1 Patient Care
18.1.1 Patient Education
18.1.2 Nuclear Medicine Questionnaire
18.1.3 Policy for Pregnant or Possible Pregnant patients
18.1.5 Nuclear Medicine Appropriateness Indicators
18.1.6 Nuclear Medicine Dose Schedule for Adults
18.1.7 Pediatric Dose Schedule
18.1.8 Nuclear Medicine I.V. Access Policy
18.2 General Policies - Personnel and Lab
18.2.1 Policy for Pregnant Worker in Nuclear Medicine
18.2.2 Declaration of Pregnancy
18.2.4 Regulations of Nuclear Medicine Personnel
18.2.5 Misadministration of Radiopharmaceutical
18.2.6 Personnel in NM to Inject Patients
18.2.6.1 Bioassay Procedure
18.2.6.2 Quality Control in Radiopharmacological Laboratory
18.3 Radioactive Materials Management
18.3.1 Theft or Loss Radioactive Materials
18.4 Quality Assurance & Maintenance Procedures
18.4.1 Equipment PM Schedule
18.5 Area Monitoring and Wipe Test
18.6 Decontamination
18.7 Quality Management Program
18.8 Nuc Med Procedures
18.8.1 Enodocrine System
18.8.1.1 Thyroid Uptake
18.8.1.2 Interfering Chemicals and Drugs
18.8.1.3 I-123 Thryroid Scintigraphy
18.8.1.4 Tc99m Pertechnetate Thyroid Scintigraphy
18.8.1.5 I-131 Whole Body Scintigraphy
18.8.1.6 I-131 Whole Body (Uptake) Retention
18.8.1.7 Differentiated Thyroid Cancer Scintigraphy
18.8.1.8 Parathyroid Scintigrahy
18.8.1.9 I-31 MIBG Scintigraphy
18.8.1.10 I-131 Therapy of Hyperthyroidism
18.8.1.11 Radiation Safety During Iodine Therapy over 30 mCi (Inpatient)
18.8.1.12 Nursing Instructions for Patients Treated with I-131
18.8.1.13 Radiation Safety Checklist for I-131 Therapy over 30 mCi (Inpatient)
18.8.1.14 Radiation Safety Instructions for Nursing Personnel Participating in I-131 Treatment
18.8.1.15 Room Survey and Instructions
18.8.1.16 Room Release survey form
18.8.1.17 Release of I-131 Patients
18.8.1.18 Physician Written Directive for Radiopharmaceutical Dose
18.8.1.19 Criteria for Early Release of Patient (>33 mCi I-131)
18.8.1.20 Thyroid Carcinoma Therapy Release Determination
18.8.1.21 Immediate Release Dose Calculations
18.8.1.22 Instructions to Patients Who Have Received Radioactive Material
18.8.1.23 Records for Release of Radioactive Patients
18.8.1.24 Hyperthyroid Pts Safety instructions (Dose is 7 mCi)
18.8.1.25 Hyperthyroid Pts Safety Instructions,Dose is 7 mCi-15 mCi
18.8.1.26 Hyperthyroid Pts Safety Instructions, Dose is 16 mCi-15 mCi
18.8.1.27 Hyperthyroid Pts Safety Instructions, Dose is 34 mCi-15 mCi
18.8.1.28 Carcinoma Patients Safety Instructions, Dose < 33mCi
18.8.1.29 Carcinoma Patients Safety Instructions, Dose is 33 mCi - 100 mCi
18.8.1.30 Carcinoma Patients Safety Instructions, Dose is 101 mCi - 150 mCi
18.8.1.31 Carcinoma Patients Safety Instructions, Dose is 151 mCi - 200 mCi
18.8.1.32 Instructions to Nursing Mothers who have received Radioactive Materials
18.8.2 Hematopoietic, Reticuloendothelial and Lymphatic System
18.8.2.1 Bone Marrow Scintigraphy
18.8.2.2 Lymphuscintigraphy for Breast Cancer
18.8.2.3 Lymphoscintigraphy for Melanoma and Other skin cancers
18.8.2.4 Spleen Imaging
18.8.3 Gastrointestinal System
18.8.3.1 Tc99m Labeled Red Blood Cells for Evaluation Hepatic Hemangioma
18.8.3.2 Liver Spleen Scintigraphy (Reticuloendothelial Function)
18.8.3.3 Liver Scan, Biliary Function
18.8.3.4 Liver Scan, Biliary Function with EF
18.8.3.5 Salivary Gland Scitigraphy
18.8.3.6 Esophageal Reflux/Pulmonary Aspiration Scintigraphy
18.8.3.7 Pediatric Gastroesophageal Reflux Study (Milk Scan)
18.8.3.8 Gastric Emptying Imaging
18.8.3.9 Acute GI Bleed (In Vitro Method)
18.8.3.10 Intestinal Imaging (Ectopic gastric Mucosa) - Meckels
18.8.3.11 Peritoneovenous Shunt Study (Denver Shunt)
18.8.3.12 Peritoneal Cavity Scintigraphy
18.8.4 Musculoskeletal System
18.8.4.1 Bone Scintigraphy
18.8.4.2 Reflex Sympathetic Dystrophy Syndrome Imaging
18.8.5 Cardiovascular System
18.8.5.1 Myocardial Perfusion Stress Protocol Dual Tracer
18.8.5.2 Resting TI-201 (Viability) Myocardial Imaging
18.8.5.3 Stress Rest TI-201 Imaging
18.8.5.4 Resting Tc99m tertofosmin Imaging
18.8.5.5 Tc99m Stress Rest Imaging
18.8.5.6 Gated Blood Pool Study (MUGA)
18.8.5.7 First Pass for Quantification of a Left to Right Shunt
18.8.5.8 Myocardial Infarct Imaging
18.8.6 Respiratory System
18.8.6.1 Pulmonary Perfusion Scintigraphy
18.8.6.2 Aerosol Ventilation Scintigraphy
18.8.6.3 Xenon Ventilation Scitigraphy
18.8.6.4 Ventilation and Perfusion Lung Scan
18.8.6.5 Quantitative Xenon Ventilation Scinitigraphy
18.8.6.6 Pulmonary Shunt
18.8.6.7 Safety Regulations for Xenon 133 Gass
18.8.7 Nervous System
18.8.7.1 Radionuclide Cerebral Imaging for Brain Death
18.8.7.2 Brain Scan
18.8.7.3 Brain Perfusion SPECT Imaging
18.8.7.4 Cisternography
18.8.7.5 CSF Leak Imaging
18.8.7.6 CSF Shunt Patency
18.8.7.7 Dacryocystography
18.8.8 Genitourinary System
18.8.8.1 Renal Scintigraphy
18.8.8.2 Transplant Renal Imaging
18.8.8.3 Renal Cortical (DMSA) Scintigraphy
18.8.8.4 Gates Method (GFR) Imaging
18.8.8.5 Duretic (LASIX) Renal Scintigraphy
18.8.8.6 ACE-Inhibited (CAPTOPRIL) Renal Scintigraphy
18.8.8.7 ACE Inhibitor List
18.8.8.8 Urethral reflux Study (Radionuclide Cystogram)
18.8.8.9 Cystogram Data Sheet
18.8.8.10 Testicular Scan
18.8.9 Tumor and Abscess Imaging
18.8.9.1 Radiopharmaceutical Selection for Infection/Inflammation Imaging
18.8.9.2 White Blood Cell Scan (In-111 oxine)
18.8.9.3 Tc99m White Blood Cell Imaging
18.8.9.4 Gallium Imaging
18.8.9.5 Octreotide (Somatostatin-Receptor)Imaging
18.8.9.6 Prostatic Tumor (Prostascint) Imaging
18.8.10 Therapeutic Procedures
18.8.10.1 Sr-89 Chloride Therapy
18.8.10.2 Sm-153 EDTMP (Quadramet) Therapy
18.8.10.3 Zevalin Therapy
18.8.10.4 Treatment of Ovarian Carcinoma with P32

 

 

 

 

 

 

 

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