Thallium Redistribution
- Preparation
- NPO for 4 hours prior to exam
- Clear liquids only after injection until test is complete
- Isotope administration
- Patient will receive a 4mci Tl201
- Camera Parameters SPECT
- LEHR collimators used for imaging
- Matrix: 128X128
- Zoom: 1
- Time: 40 sec per stop
- Views: 32
- Rotation: counter clockwise
- Start angle: 0
- Degree rotation: 90
- Detector configuration : 45
- Orbit NCO preset
- Mode step/shoot
- Patient position: supine
- Orientation: head out
- Scanning protocol
- Patient will be scanned at 15 minutes and 6 hours post injection, with the possibility of a 24 hour post injection scan.
- Patient will empty bladder immediately before being scanned
- All metal objects removed from chest area prior to placing patient of scanning table
- Patient will be scanned supine position with arms above the head and scanned over the area of interest
- 1 bed SPECT imaging will be preformed
- Men will have a SPECT/CT and CT imaging is used for attenuation correction.
- SPECT/CT Reconstruction
- Nuclear Medicine Parameters
- Filtered backprojection
- Butterworth cutoff of .45 and order of 5
- Nuclear Medicine Parameters
- Chang’s Attenuation Coefficient 0.15
- Automatic contours
- Projection angel is 2
- Edge strength of .5
- Background threshold of 5
- Kernel 3X3
- CT Parameters
- Abd Window
- Body 5.0 B30s Med Smooth
- 5 mm Slice
- Post processing/Display/Achieve
- Images will be checked for motion and motion correction will be applied when needed
- Automatic orientation and position processing will be applied
- Contours will be checked and adjusted to include all myocardial tissue
- Cedars QPS protocol will be applied
- Image intensity will be adjusted for optimal viewing
- Images will be sent to the PAC’s system and Syngo Via for archiving/physician review