Aim of the examination:

• Determination of the erythrocyte survival time
• Determination of the degradation site

Indications: Anemia

Preparation for the examination:

• Bring along the current blood values
• No blood transfusions during the examination

Procedure of the examination:

• Consultation with the doctor to explain any uncertainties regarding the examination
• Blood collection
• Marking of the erythrocytes with a radiopharmaceutical
• Reinjection of the labeled blood
• Determination of the measurement areas (heart, liver, spleen, sacrum) using ultrasound
• Probe measurement of the labeled regions
• Further probe measurements and blood samples over the next 3 weeks (1st week daily, 2nd and 3rd week every 3 days)
• Debriefing
• The findings are sent to the requesting doctor in writing as soon as possible

Radiopharmaceutical used: Cr-51

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Internal cardiac scintigraphy
Aim of the examination: Determination of the pumping capacity of the right and left ventricle at rest and under stress

Indications:

• Cardiac muscle damage or weakness
• Condition after a heart attack
• Condition after cardiac surgery
• Assessment of function before lung transplants
• Follow-up of therapy with heart-damaging medication

Preparation for the examination: No special preparation on the part of the patient is necessary

Procedure of the examination:

• Consultation with the doctor to explain any uncertainties regarding the examination
• Blood collection
• Marking of the erythrocytes with a radiopharmaceutical
• Reinjection of the labeled blood
• Preparation of the images
• Exposure to medication if images are taken at the same time
• Debriefing
• Report of findings to the requesting physician as soon as possible in written form

Radiopharmaceutical used: Tc-99m RBC

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Aim of the examination:

• Detection of circulatory disorders in the brain
• Determination of perfusion reserve in the brain

Indications:

• Dementia (Alzheimer's disease)
• circulatory disorders
• cerebral infarction
• Condition after cerebral hemorrhage
• epilepsy

Preparation for the examination: special preparation on the part of the patient is not necessary

Procedure of the examination:

• Consultation with the doctor to explain any uncertainties regarding the examination
• Resting phase of approx. 15 minutes (lying down, eyes closed, no talking, darkened room)
• Injection of the Tc-99m-Neurolite
• Recording after approx. 10 minutes
• For certain questions:
  • Injection of Diamox after a further 5 minutes (recording still in progress)
  • Injection of Tc-99m-Neurolite after completion of the recording
  • Preparation of the image after approx. 10 minutes
• Debriefing
• Findings are sent to the requesting doctor in writing as soon as possible

Substances used:

Tc-99m Neurolite
Diamox (acetazolamide - carbonic anhydrase inhibitor)

Liver scintigraphy
Aim of the examination: Assessment of masses in the liver

Indications:

• Liver perfusion scintigraphy
• Functional scintigraphy of the liver

Preparation for the examination: fasting is required

Procedure of the examination:

• Liver perfusion scintigraphy (blood pool scintigraphy):
  • Consultation with the doctor to explain any uncertainties regarding the examination
  • If necessary, blockade of the thyroid gland with perchlorate (Irenat drops)
  • Injection of the radiopharmaceutical
  • Taking of images after injection and after 2 hours
  • Debriefing
  • The findings are sent to the requesting doctor in writing as soon as possible
• Functional scintigraphy of the liver (biliary scintigraphy):
  • Consultation with the doctor to explain any uncertainties regarding the examination
  • Injection of the radiopharmaceutical
  • Acquisition of images after injection and after 90 minutes, if necessary SPECT and sorbital administration
  • Debriefing
  • Assignment of findings to the requesting physician as soon as possible in written form

Radiopharmaceutical used:

Liver perfusion scintigraphy: Tc-99m-RBC
Liver function scintigraphy: Tc-99m-EHIDA

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Myocardial scintigraphy with Tl-201
Aim of the examination: visualization of blood flow in the muscles of the left ventricle at rest

Indications:

• Differentiation between scar tissue and vital muscle tissue in the case of a heart attack
• Clarification of the prospects of success of a bypass operation

Preparation for the examination: fasting on the day of the examination

Procedure of the examination:

• Consultation with the doctor to explain any uncertainties regarding the examination
• Injection of the radiopharmaceutical
• Taking the images 5-10 minutes and 3-4 hours after injection
• Debriefing
• The findings are sent to the requesting doctor in writing as soon as possible

Radiopharmaceutical used: Tl-201

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Adrenal medulla scintigraphy
Aim of the examination: Tumor visualization

Indications:

• Pheochromocytoma
• Neuroblastoma (in childhood)
• Medullary thyroid carcinomas
• Carcinoids

Preparation for the examination: no special preparation is required on the part of the patient

Procedure of the examination:

• Consultation with the doctor to explain any uncertainties regarding the examination
• Blockade of the thyroid gland with perchlorate (Irenat drops)
• Injection of the radiopharmaceutical after 30 minutes
• Images are taken after approx. 4-5 hours and after 24 hours
• Debriefing
• The findings are sent to the requesting doctor in writing as soon as possible

Special features: images may be taken after 48 hours

Radiopharmaceutical used: J-123 MIBG