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3 Phase Bone scan
Limited Bone Scan
Whole Body Bone Scan
SPECT Bone Scan
Bone Marrow Scan
Denatured RBC scan
GI Bleed Scan
Hepatic Perfusion Scan
Liver Blood Pool
Salivary Gland Scan
Parathyroid - Dual Isotope
Parathyroid - Single Isotope
Thyroid Therapy- Ablation
Thyroid Scan only
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DaTscan (Ioflupane I 123 Injection) is a radiopharmaceutical indicated for striatal dopamine transporter visualization using single photon emission computed tomography (SPECT) brain imaging to assist in the evaluation of adult patients with suspected Parkinsonian syndromes (PS). DaTscan may be used to help differentiate essential tremor from tremor due to PS (idiopathic Parkinson's disease, multiple system atrophy and progressive supranuclear palsy)
DaTscan is contraindicated in patients with known hypersensitivity to the active substance, any of the excipients, or iodine.
Patient utilizing any of the following drugs that may affect the results of the scan and therefore the scan should not be conducted:
Amoxapine, amphetamine, benztropine, bupropion, buspirone, cocaine, mazindol, methamphetamine, methylphenidate, norephedrine, phentermine, phenylpropanolamine, selegiline, sertraline, citalopram and paroxetine
Questions asked in Patient History:
Are you pregnant or nursing?
Do you have any Hx of Kidney or Liver disease?
DaTscan is a federally controlled substance (Schedule II). A DEA license is required for handling or administering this controlled substance.
Radiopharmaceutical: Ioflupane I 123 Injection
Adult dosing: 3-5 mCi
SSKI administered 1 hr prior to injection
Pediatric dosing: Not to be used in Pediatrics
Method of administration: IV slow injection over 15-20 sec
Method of Localization: Receptor binding to the dopamine transporter
Physical Half-life: 13.1 hrs
Patient must stop the following drugs:
Amoxapine, amphetamine, benztropine, bupropion, buspirone, cocaine, madindol, methamphetamine, methylphenidate, norephedrine, phentermine, phenylpropanolamine, selegiline, sertraline, citalopram and paroxetine
Will the patient feel any different during or after the procedure?
Patient should not feel different during or after a normal reaction to the procedure, but adverse reactions can occur in hypersensitive patients. In only 1% of observed patients was there an adverse reaction. Side Effects included headache, nausea, vertigo, dry mouth and dizziness.
SPECT Dual headed Gama camera
180 degree configuration
Total Rotation: 360
Starting point: 0
Number of Azimuths: minimum of 60azimuths per Gama camera detector head
2-D butterworth pre-filter
power factor 8
Administer SSKI ( or any other drug to protect thyroid) at least 1 hour before radiopharmeceutical is injected
Administer 3-5mCi slowly through IV over 15-20 seconds
After 3-6 hours image patient this will take about 30min
Normal Uptake and common variants:
Normal quotation symmetry bilaterally
Abnormal Uptake and causes:
Decreased uptake in left putnam while is seems that the right putnam has slight decreased activity as well. The activity is confined to the caudate nuclei bilaterally.
Incorrect Energy window outside 10%
NORMAL ENERGY WINDOW
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