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Radiopharmaceutical localization of inflammatory process; tomographic (SPECT)

CPT4 code

Name of the Procedure:

Radiopharmaceutical localization of inflammatory process; tomographic (SPECT)

Summary

A Radiopharmaceutical SPECT scan is a medical imaging technique that uses radioactive substances and a special camera to create detailed images of inflammation inside the body. It helps doctors pinpoint areas of inflammation and assess the severity of certain conditions.

Purpose

This procedure is used to detect inflammation within the body, often related to infections, autoimmune disorders, or other inflammatory conditions. The primary goal is to identify the exact location of the inflammation to aid in diagnosis and treatment planning.

Indications

  • Persistent or unexplained fever
  • Suspected infection or abscess
  • Autoimmune disorders like rheumatoid arthritis
  • Inflammatory bowel disease
  • Unexplained pain or swelling

Preparation

  • Patients are usually asked to avoid eating or drinking for a few hours before the procedure.
  • Certain medications may need to be adjusted or stopped.
  • A preliminary consultation and imaging tests like X-rays or CT scans may be required.

Procedure Description

  1. The patient is injected with a small amount of radiopharmaceutical agent.
  2. The radioactive substance travels to areas of inflammation in the body.
  3. The patient lies still on a table while a special camera (SPECT) rotates around them, capturing detailed images.
  4. The images are processed by a computer to create a three-dimensional map of inflammation in the body.

Duration

The scan typically takes about 1-3 hours, including the time needed for the radiopharmaceutical agent to localize and the imaging process.

Setting

This procedure is usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

  • Radiologist
  • Nuclear medicine technologist
  • Radiology nurse (if needed)

Risks and Complications

  • Exposure to a small amount of radiation
  • Rare allergic reactions to the radiopharmaceutical agent
  • Mild discomfort at the injection site

Benefits

  • Non-invasive method to accurately locate inflammation
  • Helps in diagnosing underlying inflammatory conditions
  • Aids in planning appropriate treatment based on precise information
  • Results are typically available quickly, improving the speed and accuracy of diagnosis.

Recovery

  • No significant recovery time is needed.
  • Patients can usually resume normal activities immediately.
  • Follow-up appointments may be scheduled to discuss results and further treatment.

Alternatives

  • MRI or CT scans
  • Ultrasounds
  • Blood tests to check for markers of inflammation
  • Biopsy or other surgical procedures for more direct examination

Patient Experience

  • Patients may feel a slight sting from the injection.
  • Lying still during the scan can be uncomfortable for some but is generally painless.
  • Most patients do not experience significant discomfort and can return to normal activities shortly after the procedure.

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