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Nuclear Medicine and Molecular Imaging

 

  1. About Us
  2. Department Activity
  3. Education & Courses
  4. Research
  5. Patient Information
  6. Contact Us

Nuclear medicine is the modality which utilises “open” radioisotopes for evaluating function of organs and also diagnosing tumors ; as it assess functionality of tissue at cellular level. It is used as a source of ‘internal’ brachytherapy thus also having therapeutic applications . Various radioisotopes are available but the most commonly used are gamma emitter which are imaged using a gamma scanners and positron emmiters which can be located using the PET technology. in recent years a hybrid technology is available with the PET scanner called the PET/CT scanner which provides both anatomical and functional information simultaneously. This fusion technology has shown a great potential in the management of malignancies and is incorporated as a standard of care in multiple protocols of cancer care.

The department was inaugurated  in 2004 as the Bio Imaging department. The country’s first hybrid PET/CT scanner was installed here with a foresight of the increasing application of this modality in management of cancer.

This department was unique as it had the services of both the nuclear medicine and radiology specialist working under one roof which helped in building various protocols using the advantages of both the modalities - radiology and nuclear medicine to suit the requirements of the clinicians. Modifications in imaging methods followed by the developed world were done to suit the Indian patient population. It continues to offer this fusion service towards patient care.

We strictly abide by the norms of the regulatory body (Atomic energy regulatory board -AERB). The licence to procure a radioisotope was the limiting factor to increase the patients imaged in the department. To overcome this a novel method of handling large dose of radioisotope by following the ‘lot system of delivery of radio tracer is implemented. This technique enables fractionated doses of the total dose to be delivered at regular intervals which allows permissible radiation limits to be maintained.

The radiation personnel follow strict protocols as per the SOP’s to reduce the radiation exposure. Everyone is provided with TLD’s and dosimeters if necessary to measure the radiation exposure.

All necessary documentation is maintained as per the AERB regulations.

The department underwent an expansion with the installation of a gamma scanner in the department in 2006 to cater to the demand for functional imaging of organs deemed prone to chemotherapy or radiation induced toxicity. The department offers multitude of services to assess functionality of organs and tumors - Tc 99m renal scans for GFR estimation, multi gated acquisitions (MUGA) for cardiac assessment, 99m macro aggregated albumin (MAA) scans for lung function to name few.

Sentinel node detection or biopsies are also performed in conjunction with the surgical departments for breast, gynecological, head & neck and urological malignancies.

A second PET/CT scanner was added in 2011 to provide for the increasing demand of the services. The older scanner was also replaced with a new scanner at the same time. We now perform approximately 1800 scans in a month.

We procure a Gallium generator on a regular basis to use Gallium 68 labelled radio tracer for specific tutor imaging like Ga 68 PSMA (prostate specific membrane protein) for prostate imaging & Ga 68 labelled somatostatin labelled tracer for neuroendocrine tumors.

Many invivo testing service were initiated in the department with the addition of various instruments. 

Providing both in vivo and in vitro service and specialised tumor imaging the department was rightly renamed as the “Department of Nuclear medicine and Molecular imaging” in 2010 as it is know in the present day.

Radionuclide therapies using Phosphorus 32, Strontium 89, Samarium  for bone pain palliation is offered to patients on an OPD basis. 

Low dose 131 -iodine therapies for thyroid cancers are also done on an OPD basis. An isolation ward for radionuclide therapies requiring in - patient services is also being constructed and these services shall be initiated soon.

Yttrium 90 therapeutic beads for Hepatic malignancies both primary and secondaries is provided in conjunction with the interventional radiology department.

The department is connected to the Hospital PACS system fro storage of the data. It also has mini intradepartmental PACS for archival of data for teaching purpose - teaching files. 

Post Graduate education to doctors - M.D. and technologists - D.F.I.T (Diploma in Fusion Technology) affiliated to the HBNI universities are being conducted.

The department is divided into 5 sections

1. General Nuclear medicine section - Gamma Imaging.

2. PET/CT section
            PET/CT 1 scanner room
            PET/CT 2 scanner room

3. In vivo imaging and Medical Physics section

4. ACTREC department

5. Therapeutic section

General Nuclear medicine section

General Nuclear medicine section

1. General Nuclear medicine section

This section of the department is concerned with imaging utilising the gamma scanner. there is a radio pharmacy as per the with a fume hood

Patients undergo following investigations

Renal - camera based GFR, estimation, renal function evaluation - excretory and cortical differential function,

Cardiac evaluation - perfusion scintigraphy using Tc 99m MIBI for myocardial function and multi gated acquisition (MUGA) for LV ejection fraction for cardio toxicity,

Pulmonary - lung function evaluation - perfusion scintigraphy for quantitative estimation; V/Q scans for pulmonary embolism

Skeletal - Bone scans

Hepatobiliary - HIDA scans for hepatic function, biliary leaks, biliary atresia

gastric - gastric emptying studies , gastro oesophageal reflux

vascular - lymphoscintigrapghy , GI bleed

MIBG scans for neuroblastoma

Sentinel node detection - breast, gynecological, head and Neck and urological malignancies.

PET/CT scanner sections

PET/CT scanner sections

2. PET/CT scanner sections

These are the places where PET/CT is performed.

18 F FDG PET/CT studies account for 95% of the total scans acquired. Ga 68PSMA and Ga 68 DOTA TOC PET/CT are the there PET/CT scan performed in the department. 18 F FET and MISO are being used for trial purposes.

Both the scanners have a facilities for RT planning PET/CT acquisition.

Scanner 1 region

This section has the 64 slice hybrid PET/CT scanner. the injection room of this area is connected to the cyclotron of the BARC from where the radioisotope 18 F FDG is procured.

Scanner 2 region

This is located in the passage of the basement of the main building. The radio pharmacy of this section has the Germanium - Gallium generator. This section has facilities to better manage patients on trolleys.

In vivo imaging and Medical physics section

In vivo imaging and Medical physics section

3. In vivo imaging and Medical physics section

This section is associated with the in vivo estimation. The section is equipped with well counters, thyroid probe, QA and QC of new labelled radio tracers is done in this part of the departments.

ACTREC

ACTREC

4. ACTREC

This is a department in the ACTREC facility of the hospital located in Khar Ghar, Navi Mumbai. this section is equipped with a 5 ring PET/CT scanner. this department caters to only 18 F FDG PET/CT scans at present. RT planning PET/CT facilities are available here.

Therapeutic section

Therapeutic section

5. Therapeutic section

This is located adjacent to the gamma scanning section due to need for pre and post therapy evaluation.

OPD procedures for following therapies are provided:
1. low dose 131 - Iodine therapies for low risk thyroid cancer  
2. Bone pain palliation using P32/Sr 89/Sm 

Post treatment scans are obtained for these patients to document deposition of therapeutic tracer.

Y90 beads are injected in the patient in the interventional radiology department situated close by and patients are shifted to the gamma imaging section for post therapy imaging.

Phase 1 trials are under process for evaluation of labelled antibodies  for therapeutic purposes namely 131 - I Rituximab and Lu 177 Herceptin. Radio kinetics, uptake studies and dosimetry is being done in the department related to these trials. 

Education and courses run by the Department of Nuclear Medicine and Molecular Imaging

Post graduate MD in Nuclear Medicine

The Department is affiliated to the Homi Bhabha National Institute (Deemed University) under Department of Atomic Energy, Government of India and has MCI recognized postgraduate MD course.

Course - M.D. in Nuclear Medicine

No of seats – 6

Duration – 3 years.


Post graduate technology diploma course (paramedical)

Degree awarded by Homi Bhabha National Institute (Deemed University) under Department of Atomic Energy, Government of India.

Course - Diploma in Fusion Imaging Technology (DFIT)

Duration – 2 years. (one year academic training plus one year internship program)

The course is recognized by Atomic Energy Regulatory Board (AERB) competent body of Government of India.


Observership programme in PET/CT –

6 months observership in PET/CT imaging – Comprehensive training programme for post graduate doctors, radiologists and radiation oncologists who want hands-on experience of doing and reporting PET/CT. The course includes training in FDG PET/CT, 18F- Fluoride PET/CT, 68Ga- PSMA and DOTA imaging.

Duration – 6 months.

Certificate course.

 

Ongoing Research

Sr. No.

 
1.

An observational study to assess the role of FDG PET/CT in detection of systemic metastatic spread in patients of rectal cancer with lateral pelvic lymph nodes.

Project No 1556.

Principal investigator:  Agrawal A, Saklani A
2

Retrospective audit to evaluate the role of 18F FDG PET/CT in anorectal melanoma.

Project No. 1786.

Principal investigator: Agrawal A, Rangarajan V
3

Retrospective evaluation of Somatostatin receptor scintigraphy and 18F-FDG PET and correlation with histopathology and tumor markers in initial staging of gastro-entero-pancreatic (GEP) neuroendocrine tumors.

Project No 1514

Principal investigator: Agrawal A.

4

Evaluation of radioimmunoconjugate (131I and Rituximab) SPECT imaging for staging of CD-20 positive Non-Hodgkin Lymphomas (Co-PI)

Project No 1374.

Principal investigators: Rangarajan V, Agrawal A
5

Risk stratification of Thyroid cancer patients post Total thyroidectomy based on ATA 2009 and 2015 and their compliance with the actual radioiodine dose administered to the patient.

Project No – 1774.

Principal investigators: Rangarajan V, Agrawal A, Pantavaidya G.
6

Prognostic Implication of the metabolic parameters measured by 18 FDG PET/CT in patients with uterine and cervical cancers.

Project No- 1744

Principal investigator: Sneha Shah
7

Evaluation of pulmonary  carcinoidtumors using PET/CT

Project No- 1606

Principal investigator: NilenduPurandare
8

Prognostic value of metabolic parameters measured by 18F FDG PET/CT in surgically resected NSCLC patients

Project No- 1718

Principal investigator: NilenduPurandare
9

“BIONIC: Big Imaging Data Approach For Oncology in a Netherlands India Collaboration”

Project No.: 1905.

Principal investigators: VenkateshRangarajan, Ashish Kumar Jha, SnehaMithun
10

A technical and radiation safety audit of transarterialradioembolization (TARE) by Y-90 microsphere.

Project no. “1894”

Principal investigator: Ashish Kumar Jha
11

Audit of radiation exposure from patients injected with 18F·FDG

Project No. 1893

Co-Principal investigator: Ashish Kumar Jha
12

Estimation of radiation dose from 18F-FDG and CT to the patient undergoing PET/CT

Project No. 1482

Principal investigator: Ashish Kumar Jha
13

Prognostic value of metabolic parameters measured by 18 F FDG PET CT in surgically resected Oesophageal carcinoma.

Project No- 1958

Principal investigator: NilenduPurandare

Patient Information

Sr. No.

SER_DET

MODALITY

INSTRUCTIONS
1.
 Tc99m MDP Whole Body Bone SPECT
NM
 NO fasting
Remove all metallic objects
No patient preparation is necessary.
You may eat, and are encouraged to drink extra fluids.
First appointment for injection: 30-60 minutes.
Second appointment for scan 4-5 hours after the injection: 1 hour.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
2.
 99M-TC-MDP Bone Scan Planar
NM
 NO fasting
Remove all metallic objects
No patient preparation is necessary.
You may eat, and are encouraged to drink extra fluids.
First appointment for injection: 30-60 minutes.
Second appointment for scan 4-5 hours after the injection: 1 hour.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
3.
 Tc99m GHA Brain SPECT
NM
 NO fasting. No patient preparation is necessary.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
4.
 Tc99m GHA Brain Scan Planar
NM
 NO fasting. No patient preparation is necessary.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
5.
 99M-TC-ECD Brain SPECT
NM
 NO fasting. No patient preparation is necessary.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
6.
 99M-TC-Salivary Scan
NM
 No patient preparation is necessary.
NO fasting
Bring a lemon
7.
 99M-TC-Thyroid Scan
NM
 NO fasting
No patient preparation is necessary.
You must be off interfering medications. Check with your doctor before stopping any medications.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment. Note: Check with the nuclear medicine department before study for further instructions
8.
 Iodine 131 Large Dose Scan
NM
 You must be off interfering medications. Check with your doctor before stopping any medications.
No iodinated contrast for past 3 months.
Please bring copies of your thyroid function blood tests (including T3, T4, TSH). Also bring a copy of thyroid ultrasound if it was not done at TMC.
You will fast for 2 hours before the dose and 1 hour after the dose.
You may have plain water.
You will have to come on two separate days.
Day1: 1hour
Day2: Next morning, 2-3 hours
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment. Note: Check with the nuclear medicine department before study for further instructions
9.
 99M-TC-Oesophageal Transit Time
NM
 For older patients fasting is required for 4 hours prior to exam time
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment. PEDIATRIC for Milk Scan: Ryle’s tube in place on day of exam. Patient should have nothing to eat or drink for two hours only.
Note: Check with the nuclear medicine department before study for further instructions
10.
 99M-TC-SC / Phytate Liver Scan
NM
 No fasting
No patient prep necessary.
Exam time: About 1 hour.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
11.
 99M-TC-Gastric Emptying Time
NM
 Nothing to eat or drink (NPO) after midnight before your exam.
Bring a list of medications you are currently taking. You should be off narcotic medicines.
Bring a glass of milk, 3-4 slices of bread and a disposable spoon. Patient will consume a meal of bread and milk prepared in the department at the time of scan.
Exam time: About 6 hours.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Note: Check with the nuclear medicine department before study for further instructions
12.
 99M-TC-MAA Lung Perfusion Scan
NM
 No fasting
No patient preparation necessary.
Please bring recent chest X-ray if it was not done at TMC.
Exam time: About 2 hours.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
13.
 99M-TC-MIBI Myocardial Perfusion Scan
NM
 With Pharmacological Stress: No caffeine products (coffee, decaf coffee, tea, chocolate, cola) for 24 hours before test. Nothing to eat or drink (NPO) for at least 6 hours before stress test.
Allow 3 to 4 hours for an entire rest/stress one-day exam.
No Theophylline or Xanthine medications (such as asthma medications, Aggrenox, etc.) for 48 hours. OK to use inhalers. With Treadmill Stress: You must stop taking any beta-blockers. Check with your doctor before stopping any medications.
Please bring your complete list of medications, and food if needed.
If you are diabetic, please bring your diabetes medications.
2-day protocol: rest scan is scheduled on Day1 with stress/FDG cardiac viability scan on Day2.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Note: Check with the nuclear medicine department before study for further instructions
14.
 99M-TC-EC Renogram
NM
 NO fasting
PAED:I.V.line in place/Diapers
Patient should be well hydrated.
Exam time: 1 hour for full renogram
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
15.
 99M-TC-DTPA Renogram with GFR
NM
 NO fasting
PAED:I.V.line in place/Diapers
Patient should be well hydrated.
Exam time: 1 hour for full renogram
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renogram with Captopril: You must be off ACE inhibitors. Check with your doctor before stopping medications.
Exam time: Above study  will be performed twice on two different days .
You must be off ACE inhibitors. Check with your doctor before stopping medications.
Exam time: study will be performed on two different days
Day1: normal DTPA Renogram (as instructed above) Day2: Renogram with Captopril challenge Note: Check with the nuclear medicine department before study for further instructions
16.
 99M-TC-DMSA Renal Cortical Scan
NM
  NO fasting
PEDIATRIC: I.V.line in place/Diapers
First appointment: For injection
Second appointment: 4 hours later; takes 1 hour.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
17
 99M-TC-DTPA GFR
NM
 NO fasting
PAED:I.V.line in place/Diapers
Patient should be well hydrated.
Exam time: 15-30mins for just GFR.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
18
 99M-TC-MIBI Tumor Imaging
NM
 No fasting
No patient preparation necessary.
Exam time: About 2 hours.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
For Parathyroid Scan: No fasting
No patient preparation.
Test will start in the morning and go on till evening. Sequentials scans will be aquired during the time period. You will be given two separate injections at two different times.
19
 Tc99m Ciprofloxacillin Infection Imaging
NM
 No fasting
No patient preparation necessary.
Exam time: About 2 hours.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment. NOTE: Check with the nuclear medicine department before study for further instructions
20
 99M-TC-DTPA Aerosol Scan
NM
 No fasting
No patient preparation necessary.
Exam time: About 2hours
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
21
 99M-TC-DTPA Clearance
NM
 No fasting
No patient preparation necessary.
Exam time: About 2hours
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
22
 99M-TC-RBC Gated Pool (Muga)
NM
 NO fasting
No patient prep necessary.
Exam time: About 2 hours.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
23
 99M-TC-Sentinel Node Imaging
NM
 No fasting
No patient prep necessary.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
24
 99M-TC-Merbrofenin Scan
NM
 Nothing to eat or drink, including water (NPO) for 2 hours before exam.
For pediatric patients: Phenobarbitol 3 days prior (to consult the nuclear medicine department)
Exam time: About 2-4 hours.
You may be asked to return the next day for delayed imaging. FOR ADULT: No opiate-based narcotics for 24-48 hours. Always check with your doctor before stopping any medication.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Note: Check with the nuclear medicine department before study for further instructions
25
 I131 MIBG Scan
NM
 You will take saturated iodine drops 2 days before injection and continue for 2 days after study is finished.
No fasting necessary.
Exam must start on a Monday or Tuesday.
Day 2 -Second day after first appointment date or as instructed: 90-120 minutes
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Note: Check with the nuclear medicine department before study for further instructions
26
 Radio Iodine Therapy for Thyrotoxicosis
NM
 You must be off thyroid medications.
Thyroid uptake and scan must have been done within two weeks.
Please bring a copy if it was not done at TMC.
Thyroid Function Test (T4, FTI, or TSH) required.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
You will fast for 2 hours before the dose and 1 hour after the dose.
Water is OK.
You will have many lifestyle restrictions for some days after the treatment as instructed by the nuclear medicine RSO.
Note: Check with the nuclear medicine department before study for further instructions
27
 Whole Body Scan (Higher Energy)
NM
 You must be off thyroid medications.
Thyroid uptake and scan must have been done within two weeks.
Please bring a copy if it was not done at TMC.
Thyroid Function Test (T4, FTI, or TSH) required.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
You will fast for 2 hours before the dose and 1 hour after the dose.
Water is OK.
You will have many lifestyle restrictions for some days after the treatment as instructed by the nuclear medicine RSO.
Note: Check with the nuclear medicine department before study for further instructions
28
 Whole Body Scan (Low Energy)
NM
 No diet restrictions necessary.
You will need to be off Somatostatin-receptor meds (such as Sandostatin) for three days. Check with your doctor before stopping any medications.
Bring a list of your current medications.
4 hours after injection: 1 hour
If required, Second: Next morning, 2.5 hours
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Note: Check with the nuclear medicine department before study for further instructions
29
 Radiopharmaceutical Charges for GHA Brain SPECT
NM
 NO fasting. No patient preparation is necessary.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
30
 Radiopharmaceutical Charges for Tumor Imaging with MIBI
NM
 No fasting
No patient preparation necessary.
Exam time: About 2hours
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
31
 Radiopharmaceutical Charges for MIBG Scan
NM
 You will take saturated iodine drops 2 days before injection and continue for 2 days after study is finished.
No fasting necessary.
Exam must start on a Monday or Tuesday.
Day 2 -Second day after first appointment date or as instructed: 90-120 minutes
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Note: Check with the nuclear medicine department before study for further instructions
32
 Meckel Scan
NM
 Nothing to eat (NPO) after midnight.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
33
 GI Bleed Scan
NM
 No patient prep necessary.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment
34
 Consultation (Bio Imaging Unit)
PC
 No patient prep necessary.
35
 Cross Consultation (Bio Imaging Unit)
PC
 No patient prep necessary.
36
 Follow-Up Consultation (Bio Imaging Unit)
PC
 No patient prep necessary.
37
 HRCT
PC
 No patient prep necessary. Remove any metallic objects on the upper body.
38
 PET CT Scan Whole Body (Non Contrast)
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
39
 CT Head Plain and Contrast + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
40
 CT BRAIN PLAIN + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
41
 CT PNS + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
42
 CT NASOPHARYNX + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
43
 CT SELLA + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
44
 CT TEMPORAL BONE + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
45
 CT ORBITS + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
46
 HRCT + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
47
 CT NECK + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
48
 CT Head and Neck + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
49
 CT NECK AND THORAX + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
50
 CT Thorax + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
51
 CT Abdomen + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
52
 CT Thorax and Abdomen + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
53
 CT PELVIC REGION + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
54
 CT Abdomen and Pelvis + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
55
 CT Thorax and Abdomen and Pelvis + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
56
 CT SPINE + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
57
 CT UPPER LIMB + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
58
 CT LOWER LIMB + PET
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
59
 Outside Reporting of PET / PET-CT
PT
 Please bring a CD, Films, Images along with a copy of all previous reports if the test was not done at TMC.
60
 PET Scan Brain (FDG)
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
61
 PET-CT (Fluoride)
PT
 No patient preparation is necessary.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
62
 FDG Cardiac Viability
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications.
If you are diabetic, please bring your diabetes medications.
Bring 100g Glucon-D powder packet.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Note: Check with the nuclear medicine department before study for further instructions
63
 PET CT Scan Whole Body (IV Contrast)
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
64
 PET-CT Guided Biopsy
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
65
 Regional PET/CT
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
With Contrast: FASTING 4HRS. Renal function test preferably 48 hours prior to scan.
66
 PET-CT Based RT Planning
PT
 Patient should have nothing to eat or drink for six hours prior to the exam time except a small amount of water with routine medications. You should remove all metallic objects from your body. If there are any metallic objects on your clothes, you will be asked to change to hospital clothes. Bring a warm blanket to keep yourself comfortable. Please mention to the doctor if you use dentures. If you are diabetic, please bring your diabetes medications.
Ensure that your fasting blood sugar level is below 200
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
Renal function test preferably 48 hours prior to scan
67
 Fluoride PET/CECT
PT
 FASTING 4HRS. Renal function test preferably 48 hours prior to scan.
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
68
 Ga 68- DOTA PET/CT Scan
PT
 Patient should have nothing to eat or drink for 4 hours prior to the exam time except a small amount of water with routine medications.
Renal function test preferably 48 hours prior to scan
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
69
 Ga 68- PSMA PET/CT Scan
PT
 Patient should have nothing to eat or drink for 4 hours prior to the exam time except a small amount of water with routine medications.
Renal function test preferably 48 hours prior to scan
If you are a female 13-55 years old, you will need a pregnancy test done within 24 hours before the first appointment.
70
 Radiopharmaceutical charge for 188 Re-HEDP Therapy
PT
 No patient preparation required.                                                                                                                         Note: Check with the nuclear medicine department before study for further instructions

Phone: Department Office Number: (+9122) 24177000 / Ext.No.4170/4162

Address: Department of Nuclear Medicine , Basement, Main Building,

TATA MEMORIAL HOSPITAL, Dr.E.Borges Road, Parel, Mumbai-400-012

Maharashtra, India

Fax: Hospital Fax Number: (+9122) 24146937

Email-id:Email-id: drvrangarajan@gmail.com

हमसे संपर्क करें

टाटा स्मारक अस्पताल
डॉ ई बोर्जेस रोड, परेल, मुंबई - 400 012 भारत 
फ़ोन: +91-22- 24177000, 24146750 - 55
फैक्स: +91-22-24146937
ईमेल : msoffice@tmc.gov.in (रोगी देखभाल और प्रश्नों के लिए) / hrd@tmc.gov.in(प्रशासनिक के लिए - HRD मायने रखता है)

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