Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, abdomen and pelvis
CPT4 code
Name of the Procedure:
Radiopharmaceutical Localization of Tumor, Inflammatory Process, or Distribution of Radiopharmaceutical Agent(s) Common names: SPECT Imaging, Single Photon Emission Computed Tomography
Summary
Radiopharmaceutical localization using SPECT imaging is a type of nuclear medicine scan that uses a radioactive substance (radiopharmaceutical) to create detailed images of tissues and organs. It helps in identifying tumors, inflammatory processes, or the distribution of specific agents within the body, typically targeting areas like the pelvis and knees, or the abdomen and pelvis.
Purpose
This procedure is used to detect abnormalities such as tumors or inflammation in the body tissues and organs. The goal is to provide detailed images that can help in diagnosing conditions, planning treatments, and assessing how well treatments are working.
Indications
- Detection of cancerous tumors and metastases.
- Evaluation of inflammatory processes.
- Assessment of blood flow and vascular conditions.
- Patients presenting symptoms such as unexplained pain, swelling, or abnormal blood tests.
- Patients who need further evaluation following inconclusive results from other imaging tests.
Preparation
- Fasting may be required for a few hours before the procedure.
- Patients should inform their doctor about any medications they are taking; some adjustments might be necessary.
- A full medical history and any previous diagnostic tests should be reviewed.
Procedure Description
- The patient receives an injection of a radiopharmaceutical agent.
- The agent travels through the bloodstream and accumulates in the target areas.
- The patient lies on a scanning table, which slides into the SPECT camera.
- The SPECT camera rotates around the patient, taking multiple images from different angles.
- The images are processed by a computer to create detailed 3D images of the organs and tissues.
- No sedation is usually required, but patients should remain still during the scan.
Duration
The procedure typically takes 1 to 2 hours to complete, including preparation and actual imaging time.
Setting
The procedure is typically performed in a hospital or an outpatient nuclear medicine clinic.
Personnel
- Nuclear Medicine Technologist
- Radiologist or Nuclear Medicine Specialist
- Occasionally, a nurse for administering the radiopharmaceutical agent
Risks and Complications
- Exposure to a small amount of radiation.
- Allergic reactions to the radiopharmaceuticals (rare).
- Discomfort or bruising at the injection site.
- Possible faintness or dizziness, especially in fasting patients.
Benefits
- Highly detailed images that help accurately diagnose conditions.
- Noninvasive compared to surgical biopsy.
- Can detect abnormalities not visible on other imaging tests. Benefits can often be realized immediately or within a few days as the imaging data is analyzed.
Recovery
- Patients can usually return to normal activities immediately after the procedure.
- Drink plenty of fluids to help flush the radiopharmaceutical from the body.
- Follow-up appointments with the healthcare provider to discuss the results.
Alternatives
- CT Scan or MRI for detailed anatomical imaging.
- Ultrasound for certain conditions.
- Biopsies, though more invasive, can provide tissue samples. Each alternative has its own pros and cons, such as different levels of detail, invasiveness, and suitability depending on the medical condition.
Patient Experience
- The injection might cause minor discomfort.
- The scanning process is painless.
- Patients might feel anxious about being in the scanner but should remain still for clear images.
- After the procedure, patients may feel tired but should otherwise feel normal. Pain management is typically not needed.