Nuclear Medicine

Nuclear medicine (also called molecular imaging) includes positron emission computed tomography (PET) and single photon emission computed tomography (SPECT) imaging. Nuclear imaging is achieved by injecting small amounts of radioactive material (radiopharmaceuticals) into patients before or during their scan. These can use sugars or chemical traits to bond to specific cells. The radioactive material is taken up by cells that consume the sugars. The radiation emitted from inside the body is detected by photon detectors outside the body. Computers take the data to assemble images of the radiation emissions. Nuclear images may appear fuzzy or ghostly rather than the sharper resolution from MRI and CT.  But, it provides metabolic information at a cellular level, showing if there are defects in the function of the heart, areas of very high metabolic activity associated with cancer cells, or areas of inflammation, data not available from other modalities. These noninvasive imaging exams are used to diagnose cancer, heart disease, Alzheimer’s and Parkinson’s disease, bone disorders and other disorders. 

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Alzheimer’s drug could spur upward of $500M in new Medicare spending on imaging

Lecanemab requires a baseline PET scan and follow-up MRIs after infusions, spelling heavy demand for radiology services, experts wrote in JAMA. 

Radiology provider Akumin highlights ‘robust’ growth in PET/CT volumes with no signs of slowing

The Plantation, Florida, company saw volumes from the modality leap 16.1% on a same-store basis when compared to Q1 of 2022, leaders said. 

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Radioactive substances unnecessary in new method for measuring brain glucose metabolism

Rather than administering radiolabeled glucose for exams, imagers give patients a small amount of a harmless glucose solution that is said to be equivalent to a can of a carbonated drink.

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Accessibility, reimbursement and other issues limit uptake of PET/CT among oncologists, survey reveals

Difficulty obtaining PET/CT scans was reported by 55% of respondents, with 21% citing this as the greatest barrier in treating classic Hodgkin lymphoma.

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MRI and PET findings could guide treatment of lingering concussion symptoms

Abnormalities of the thalamus could be to blame for persistent symptoms in the months following a concussion, according to new research.

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Experts release new appropriate use criteria for lymphoscintigraphy in sentinel node mapping

The AUC includes a total of 32 clinical scenarios that have been grouped into four categories of cancer: breast, skin, cancer of other sites and lymphedema.

Imaging required to monitor effects of new Alzheimer's drug could inhibit its uptake

Leqembi can cause amyloid-related imaging abnormalities (ARIA), which must be assessed on imaging.

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Imaging considerations included in tattoo guidelines for at-risk cancer population

Cases of mistaken malignancy have become more common as the popularity of tattoos has grown in recent years.

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