Indications and contraindications for the spect nuclear medicine scan

Indications for the SPECT examination

SPECT examinations are used in the diagnostics of diseases of the bones, kidneys, nervous system, heart and vessels, thyroid, and liver. However, there are also other groups of pathologies, in which isotope examinations may be applied:

  • Scintigraphy of the mammary tumours (scintimammography): differentiation of benign and malignant lesions in the nipple
  • Scintigraphy of hormonally active tumours of the gastric tract (carcinoid, gastrinoma, insulinoma)
  • Scintigraphy of bleeding in the gastric tract
  • Scintigraphy of primary and secondary neoplasms by means of monoclonal antibodies and other oncophilic markers (related to tumours).
  • Scintigraphy of the gastro-oesophageal reflux
  • Recurring pneumonia in children
  • Scintigraphy of the parathyroid gland: localising of the parathyroid adenoma
  • Scintigraphy of the cord of adrenals: blood pressure caused by the tumour of the cord of adrenals
  • Scintigraphy of the salivary glands: tumours of the salivary glands, saliva secretion disorders, especially unilateral.
  • Scintigraphy of the bone marrow: neoplastic infiltration of the bone marrow
  • Meckel’s diverticulum scintigraphy: bleeding in the gastric tract, especially in children
  • Scintigraphy of the gastro-duodenal reflux: suspicion of the biliary inflammation of the stomach, especially in children

Contraindications to 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 radiomarker, and the first lot of milk produced after the procedure should not be given to the child
  • No clinical indications for the examination
  • The examination should not be done directly after or during radiotherapy, chemotherapy, after endoscopic examinations, operations, biopsies, with the exception of individual cases where a specific set of circumstances may apply