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Department of Nuclear Medicine at Narayana Health offers a wide range of diagnostic and therapeutic services. The department is equipped with a state-of-the-art Gamma Camera (SPECT CT), stress laboratory and PET CT.

Currently we also have a well designed Radio Iodine therapy ward for treating patients with Thyroid cancer. We have qualified and experienced consultants and technical staff offering various services to patients.

Scope of Nuclear Medicine

About the Department of Nuclear Medicine

DEPARTMENT OF NUCLEAR MEDICINE

Nuclear Medicine is a branch of medical science where radionuclides (tracer materials) are utilised to diagnose and manage diseases. In nuclear medicine organ function rather than anatomy is assessed.

Radiological imaging modalities can visualise diseases only as alterations in anatomy while nuclear imaging procedures define and present tissue/organ function. Nuclear medicine has increasingly become prominent in hospitals because they minimise the need for invasive procedures such as biopsy or surgery to diagnose diseases.

Nuclear Medicine is also used to identify and localise diseases in its earliest stages to decide optimal treatment.

Narayana Health, one of India's largest and the world's most economical healthcare service providers has grown to a 6900 bed healthcare conglomerate in 2014 with 26 hospitals present in 16 Cities within the country.

NH Health City was established in 2001 as a 225 bed cardiac hospital. Poised in a 26 acre complex near Electronic City-the IT hub of Bangalore, the health city today is a healing splendour with 3000 beds distributed among distinct flagship hospitals in the campus. Exceptional among these are Narayana Institute of Cardiac Sciences, one of the world’s largest cardiac hospitals successfully treating adults and children from across the world. Also, on the forefront is the Mazumdar Shaw Medical Center which houses one of India’s most advanced cancer facilities – Mazumdar Shaw Cancer Center, for treatment of and research in various types of cancers.

Mazumdar Shaw Medical Center offers treatment in more than 30 different clinical departments, with key specialities including Neurosciences, Gastrointestinal and General Surgery, Urology, Nephrology and a comprehensive Birthing Centre. Situated alongside are a super-speciality Orthopaedic and Trauma Centre as well as an Eye Hospital both of which form an integral part of NH Health City.

About Narayana Health City

KEY STATISTICAL INFORMATION

• The Department offers comprehensive postgraduate training (DNB) to 6 applicants in Nuclear Medicine (3 primary and 3 secondary)

• All graduates from the Department of Nuclear Medicine have received employment at national and international centres of medical excellence

200 PETScans

400 CameraScans

Superior Cardiac Imaging with Unique AlcyoneTM Equipment

8 131ITherapy

PROVIDING WORLD CLASS EDUCATION AND TRAINING

Nuclear Cardiology Neurology and PET CT

OUR FACULTY

Area of expertise

Dr. Sunil HVMBBS, MDDr. Sunil is the Chief of Department of Nuclear Medicine and PET CT, FDI and Care (Futuristic Diagnostic Imaging and Care). Dr Sunil has an MD degree in Nuclear Medicine from PGIMER, Chandigarh. He has many publications and presentations to his credit.

MBBS, DNB, FASNC (USA)Dr. Vijayaraghavan is a Consultant in Nuclear Medicine at Narayana Health City, Bangalore. Dr. Vijayaraghavan completed his DNB in Nuclear medicine from Narayana Health. He has a fellowship in Nuclear Cardiology from the American Society of Nuclear Cardiology in addition to a Teaching and Research Fellowship in Pathology. He has several national and international presentation and publications to his name.

Nuclear OncologyPaediatric Nuclear Medicine

Nuclear CardiologyMetabolic ImagingRadionuclide TherapyClinical Pathology

MBBS, MDDr. Mohammed Labeeb Abrar is Consultant in Department of Nuclear Medicine and PET CT, FDI + Care (Futuristic Diagnostic Imaging + Care). He has an MD degree in Nuclear Medicine from PGIMER, Chandigarh. Dr. Abrar has a host of publications and presentations in national and international journals to his name. He is also experienced in nuclear medicine therapy of various benign and malignant conditions and is actively involved in academic activities.

Dr. Vijayaraghavan RL

Area of expertise

Dr. Mohammed Labeeb Abrar

Area of expertise

Respiratory System

• Lung Perfusion Scan• Lung Ventilation Scan

Urinary System

• DMSA/GHA and DTPA/EC Renal Scans• Transplant Renography• DRCG (VUR) Study

Miscellaneous

• Lymphoscintigraphy• Sentinel Lymph node Lymphoscintigraphy• Testicular Scan• Peritoneo-Pleural Scan• Radioguided occult lesion localization (ROLL)

Therapy Treatments

• Thyrotoxicosis• Metastatic Bone Pain Palliation• Thyroid Cancer

Cardiovascular Imaging

• Myocardial Perfusion Scintigraphy- MIBI/Tetrofosmin/Thaliium Indcucible Ischaemia• Myocardial Viability First Pass Study• Shunt Quantification• MUGA• FDG PET CT for myocardial viability

Skeletal System

• Whole body and three phase bone scans• Bone SPECT• Joint Scan

Endocrinology

• Thyroid Scan• RAIU• MIBG Scan• 131I Whole body Scan• DMSA V (MCT)• Parathyroid Scan

Neurology

• Brain SPECT• Brain Scan GHA/MIBI for evaluation of Dementia and Epilepsy• Cisternography• FDG PET CT for evaluation of Dementia and Epilepsy

Gastroenterology

• Salivary Gland Scan• Oesophageal Motility and Gastroesophageal reflux scanning (Milk Scan)• Gastric Emptying• GI bleed scan• Meckel’s Diverticulum Scan• Liver (RES and Blood Pool Scan)• Hepatobiliary Scan

SERVICES OFFERED

• Brain Tumours• Head and Neck Malignancies• Breast and Gynaecological Malignancies• Gastrointestinal Malignancy• Haemato-oncology• Musculoskeletal Malignancies• Genitourinary Malignancies

PET CT Oncology

PATIENT INSTRUCTIONS

What To Do Before A Nuclear Scan?

These instructions are routine patient instructions, for detailed instructions kindly contact the department and your consulting physicians.

• Kindly produce all relevant patient history, clinical records and requisitions forms prior to scanning• Bring warm clothing. Kindly wear clothing without metal clips or fittings as such clothing will have to be removed before the scan• Consult the appointment for test specific preparations a day prior to the procedure• Female patients must declare their pregnancy status, even if they have the slightest suspicion of this. Breast feeding mothers shall receive special instructions from examining physicians regarding scan and further infant feeding • Avoid strenuous activity 12 hours prior to scan

Procedure

PET/Nuclear Scans:

• When planning transport please consider that the process would take up to 3 hours• Report to the reception desk at allocated time• If you are reporting for a PET/CT scan, an injection of FDG (radioactive glucose) will be administered, an hour prior to scan. This drug takes 60 min to distribute within the body • Drink 4-5 glasses of water after the injection. Kindly restrict movements during this stage • Prior to scan you will be asked to void/empty your bladder • The scan takes approximately 30 min during which you will have to lie still with arms extending backwards• In case of nuclear scans post clinical assessment, you will be administered the tracer substance. Imaging shall be done only after tracer has distributed within the body. This process can take as long as 6 hours• Once PET/Nuclear scan is complete, confirm with reception if repeat/delayed scanning is necessary• In cases of delay due to non-availability of radioactive material (BARC Mumbai and Cyclotron Site) or in case of other patients requiring emergency assessment, the scan can be rescheduled• Collect PET/Nuclear scan reports at reception on production of receipt and patient information

• If you think that you might be pregnant, notify staff before any procedure is started

• If you are breastfeeding, please notify the staff before any procedure is started.

SPECIAL INSTRUCTIONS

• If you think that you might be pregnant, notify staff before any procedure is started

• If you are breastfeeding, please notify the staff before any procedure is started.

SPECIAL INSTRUCTIONS

FACILITIES

Positron Emission Tomography (PET)

The department houses an integrated PET/CT (GE Discovery STETM) to provide anatomical and functional imaging simultaneously. This allows for comprehensive oncological imaging that helps in rapid and accurate determination of treatment. PET imaging is based on the principle of detecting radiation emitted from radioactive substances, injected into the body, and tagged with radioactive atoms (Fluorine-18) which has short decay times. PET detects the γ rays given off at the site where a positron emitted from the radioactive substance collides with an electron in the tissue.

Single Photon Emission Computed Tomography (SPECT)

The GE Infinia HawkeyeTM 4 is the advanced dual detector SPECT/CT system in the department. The device allows for accurate localisation and differentiation between normal and cancerous lesions. SPECT is similar to PET with only difference being that, the radioactive substances utilised (Technetium-99) have longer decay times than those used in PET and emit single instead of double γ rays.

Cardiovascular Imaging

The Institute of Nuclear Medicine possess a GE Discovery NM 530cTM, a state-of-the-art Nuclear Cardiac scanner. This device is the only such device in South India and only the third in all of India. This machine is a testament to the fact that NH wishes to provide the best care for all its patients. The device provides superior image acquisition in shorter durations with reduced radiation exposure for patients. Prevailing literature reaffirms the advantages of this device in management of coronary pathologies.

Iodine Therapy Clinic

The thyroid gland is an endocrine gland located in the front of your neck. It is seen as the gland moving when you swallow any fluid or food. The thyroid gland releases a hormones called T3 and T4 (Triiodothyronine and Thyroxine) which have numerous functions. In some patients due to certain pathologies, the thyroid gland secretes the hormone T3 and T4 in excessive amounts. This condition is known as hyperthyroidism. Hyperthyroidism left untreated can cause atrial fibrillation (a cardiac arrhythmia) and thyrotoxic crisis, a medical emergency requiring specialty medical intervention.

Treatment

There are many treatments for management of hyperthyroidism. The department of Nuclear Medicine at Narayana Health offers isotope 131I as a treatment for hyperthyroidism. The treatment involves administration of an Iodine Isotope 131I which is taken up by the thyroid gland and radiation emitted by isotope destroys thyroid cells responsible for excessive thyroid hormone secretion. The treatment has shown higher rates of success in comparison to other medications.

Department of Nuclear Medicine

For more information please call

OPD Timings: 9:00 am to 5:00 pm, Monday to Saturday

Cardiac and Brain StrokeEmergency Toll Free Number1800 4250 4250

Phone: +91 80 7122 2070