Nuclear Medicine

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Nuclear medicine is a specialty that involves non-invasive, painless, safe and cost-effective modalities of medical diagnosis and treatment. Nuclear and molecular medicine imaging and therapies have paved paths to offer best medical care for serious conditions such as benign tumors and cancers, thyroid and other endocrine abnormalities, and neurodegenerative diseases.

Nuclear medicine imaging:

Modern-day diagnostic procedures explore the utility of radiation and radio-pharmaceuticals to take diagnosis one step forward.

In nuclear medicine, radioactive tracers are used in small quantities (administered to the patient through IV or oral route or inhalation) to visualize the real-time function of a body. These radiopharmaceuticals, when administered to the patient, can be recorded using special cameras. The resulting images provide accurate detailing and contrast of the affected areas in the body. Nuclear medicine and molecular imaging help to create high-quality images of the abnormalities, which are either deep-rooted or camouflaged. Thus, nuclear medicine imaging obviates the need for expensive diagnostic procedures and invasive surgeries.

Nuclear medicine imaging (or radionuclide imaging) identifies the functional abnormalities such as areas of varying activity in the brain, blood flow to the respective organ, pumping efficiency of the heart, areas of bone healing, cancer progress.

The images can point out the defects at the molecular level, which are the earliest signs of diseases. Thus, nuclear medicine imaging becomes an essential part of cancer diagnosis as it helps in the staging of cancer and earliest detection of metastases (the spread of cancer).  

Nuclear medicine therapy:

Nuclear medicine physicians also use radionucleotides (radiopharmaceuticals) to treat cancer and other medical conditions such as thyroid diseases. Radio-pharmaceuticals are available as oral formulations, injectables and inhalants. These radiopharmaceuticals are different from those used for nuclear medicine imaging (gamma emitters), in a way that offers better biological utility and short penetration into the tissue (alpha or beta emitters).

Benign tumors (localized) and metastasized cancers can be targeted with radionucleotides that are laced with protein molecules such as an antigen, receptors in the body. Nuclear medicine therapy thus offers greater effectiveness without affecting the healthy tissues and organs using very small amounts of radionucleotides.

Targeted radionucleotide therapies such as peptide receptor radionucleotide therapy (PRPT) deliver energetic radionucleotides to destroy specific cancer cells thereby sparing the normal cells.

Radioimmunotherapy (RIT) is a combination of radionucleotides and immunotherapy. It is an injectable offered on outpatient basis for cancer patients who do not respond to chemotherapy. This modality offers targeted delivery wherein the specific antibodies are laced with radionucleotides that deliver targeted cytotoxic radiation to the cancerous or other targeted tissues.

    Best in class technologies and facilities:

    Gamma camera (SPECT): Gamma camera provides 2D functional scan by capturing the gamma radiation emitted by injected radionucleotides. The SPECT provides 3D functional images that are actually the slices through the body. This modality may be used to scan the brain, heart, thyroid, lungs, liver, gallbladder, kidneys and skeleton. 

    High definition PET-CT: PET-CT scans meet high definition with this technology and provide images with advanced resolution, specificity, and improved noise reduction. It is specially used for high definition lesion detection, early detection of smallest tumors, sharper delineation of individual nodes and much more.

    Expertise and services:

    Diagnostics:

    • Ubiquicidin imaging to detect infection of the bone implant
    • DAT imaging to evaluate chemical abnormalities involved in movement disorders such as Parkinson’s disease
    • Functional hepatobiliary scintigraphy to evaluate the quality of liver before contemplating major liver surgeries
    • Gallium – 68 DOTANOC scan for neuroendocrine tumors
    • Gallium – 68 PSMA scan for prostate cancer
    • PET-CT scan to evaluate the spread of cancer in various parts of the body
    • PET-CT scan to detect and stage cancer also helps to detect recurrence of cancer
    • PET-CT scan to evaluate systemic infection and fever of unknown origin
    • Differentiating radiation necrosis & recurrence after surgery
    • Evaluation for suspected brain tumor recurrence and localization for biopsy
    • Planning cancer treatment and evaluating the response
    • Detecting abnormalities in urinary reflux, obstruction, blood flow & blood pressure in kidneys
    • Identifying the abnormal function of the gallbladder
    • Diagnosing thyroid abnormalities
    • Evaluating stomach emptying & bleeding in bowel
    • Evaluating inflammation and blockade in the lymphatic system (lymphedema)
    • Evaluating spinal fluid flow and potential spinal fluid leaks
    • Evaluating painful prosthetic joints

    Treatments:

    Nuclear medicine therapies provided at Yashoda Institute of Nuclear Medicine include:

    • Yittrium 90 therapy for liver cancers such as hepatocellular carcinoma – Transarterial radioembolization (TARE)
    • Radioactive iodine (I-131) therapy for thyroid disorders – used for hyperthyroidism, Graves’ disease and thyroid cancer.
    • Radioactive materials for painful bonymetastases using samarium 153 radioisotope.
    • I-131 MIBG (radioactive iodine-labeled with metaiodobenzylguanidine) for adrenal gland tumors and nerve tissue tumors.
    • Lutetium – 177 DOTA-TATE therapy for neuroendocrine tumors
    • Lutetium – 177 PSMA therapy for prostate cancer
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    Dr. Hrushikesh Aurangabadkar

    MBBS, DRM, DNB, FEBNM

    Nuclear Medicine Consultant

    English, Hindi, Marathi, Telugu

    13 Yrs
    Hitec City
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    Dr. Madhuvijay P

    MBBS, DNB (Nuclear Medicine), MNAMS

    Consultant Nuclear Medicine

    English, Hindi, Telugu

    11 Yrs
    Malakpet
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    Radionuclide Cardiac Imaging, Scintigraphy Imaging in Dysphagia, Radionuclide Therapy with Newer Theranostics
    Multi Modality Imaging, Radionuclide Therapy in Oncology, Gamma Camera Imaging , Novel Imaging Processing Techniques, Image Guided Interventions-PET CT-Scan Guided Biopsy
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    Dr. Naveen Kumar Reddy Akepati

    MBBS, MD (Nuclear Medicine)

    Nuclear Medicine Consultant

    Telugu, Hindi, English, and Tamil

    11 Yrs
    Somajiguda
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    Multimodality Hybrid Oncology Imaging , Image Guided Interventions , Novel Image Processing Techniques including Quantitative Imaging , Radionuclide Therapy in Oncology: Low Dose I-131 Therapy for Hyp...
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    Dr. Vankadari Kousik

    MBBS, DNB (Nuclear Medicine)

    Consultant Nuclear Medicine

    English, Hindi, Telugu

    11 Yrs
    Secunderabad
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    Nuclear Neuroimaging, Imaging Primary Progressive Aphasia, Radionuclide Cardiac Imaging
    Novel Image Processing Techniques, Radionuclide Therapy in Oncology, Gamma Camera Imaging, Image Guided Interventions-PET/CT Guided Biopsy
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    Yashoda Institute of Nuclear Medicine is a trusted healthcare provider in Hyderabad, Telangana. Our team of nuclear medicine specialists diagnose and treat patients in Yashoda Hospitals Somajiguda, Yashoda Hospitals Secunderabad and Yashoda Hospitals Malakpet.

    We provide round the clock emergency services. However, we recommend priority appointments for specialty consultations. Our staff includes nuclear medicine specialists, internal radiation therapist, radiation therapy nurse, radiation oncologist, dosimetrist, medical physicist, general surgeon and rehabilitation support team.