Indications and contraindications for the nuclear medicine scan

Indications for the SPECT scan

The SPECT scanning is used in the diagnostics of diseases of the bones, kidneys, nervous system, heart and vessels, thyroid, and liver. However, it is necessary to list other groups of pathologies, in which the isotope scan can also be applied:

  • Scintigraphy of tumours of the nipple (scintimammography): differentiation between benign and malignant lesions in the nipple
  • Scintigraphy of hormonally active tumours in the digestive tract (carcinoid, gastronoma, insulinoma)
  • Scintigraphy of bleeding from the digestive tract
  • Scintigraphy of primary and secondary cancers by means of monoclonal antibodies and other oncophilic markers (with tumour affinity).
  • Scintigraphy of the gastroesophageal reflux
  • Recurring pneumonia in children
  • Scintigraphy of the parathyroid: detection of the parathyroid adenoma
  • Scintigraphy of the adrenal medulla: arterial hypertension due to tumours of the adrenal medulla
  • Scintigraphy of the salivary glands: tumours of the salivary glands, disorders in saliva secretion, especially unilateral
  • Scintigraphy of the bone marrow: cancerous infiltration of the bone marrow
  • Meckel’s diverticulum scintigraphy: bleeding from the digestive tract, especially in children
  • Scintigraphy of the duodenogastric reflux: suspicion of gastritis, especially in children

Contraindications for the SPECT scan

  • Pregnancy or no possibility of ruling out the patient’s pregnancy
  • Breastfeeding poses some limitations for the examination - it is advisable to stop breastfeeding for 12 hours after administration of the radiotracer, and the first lot of milk produced after the procedure should not be given to the child
  • No clinical indications for the examination
  • The scanning should not be performed immediately after or during radiotherapy, chemotherapy, after endoscopic examinations, operations, or biopsies, excluding individual cases as prescribed by a doctor.