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Description of the study

Nuclear medicine scans (SPECT)

A SPECT scan, or single-photon emission computed tomography, is a complex diagnostic method used in the field of nuclear medicine and applied in clinical practice. This method is painless and involves obtaining images of organs, and above all assessing their function, using small doses of radioactive isotopes (radiopharmaceuticals). A radiopharmaceutical is a chemical compound containing an isotope that emits gamma radiation (most commonly technetium-99mTc with a half-life of 6.02 hours). Devices known as gamma cameras are used to capture the image. Scintigraphic imaging is a recognised, safe diagnostic method that enables appropriate treatment procedures to be undertaken.

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The SPECT method is widely used in diagnostics: in endocrinology, oncology and cardiology, as well as in certain conditions affecting the nervous, urinary and musculoskeletal systems. It enables the detection of functional disorders in the organ being examined, often even before morphological changes occur, and facilitates the establishment of an accurate diagnosis. It also allows for the monitoring of disease progression and the assessment of treatment efficacy.

An isotope scan is a safe procedure. The radiopharmaceutical is usually administered intravenously via a venflon or a needle, and in some procedures orally, subcutaneously or by inhalation. During the scan, the patient lies still for a period ranging from a few to several dozen minutes. During this time, the gamma camera’s detector records the distribution of the radiotracer within the patient’s body, or its flow and excretion. The large detector head of this device covers the entire organ being examined (liver, heart, brain, kidneys) within its field of view.


Preparing for the examination

General recommendations

No special preparation is required for some examinations; however, for certain examinations, the patient should attend the appointment on an empty stomach (imaging of the heart, thyroid, gastrointestinal tract, inflammatory lesions and neuroendocrine tumours). The patient will be given detailed information about how to prepare for the examination and the procedure itself at the time of registration.

The patient should wear comfortable clothing free from metal parts, such as:

zips, underwires, etc., or bring a change of clothes with you. You do not usually need to undress for the examination, but you must remove any jewellery and all metal items.


Indications and contraindications

Indications for SPECT scanning

SPECT scans are used in the diagnosis of diseases of the bones, kidneys, nervous system, heart and blood vessels, thyroid and liver. However, it is worth mentioning other groups of conditions in which isotope scans are also used:

  • Breast tumour scintigraphy (scintimammography): distinguishing between benign and malignant breast lesions
  • Scintigraphy of hormonally active tumours of the gastrointestinal tract (carcinoid, gastrinoma, insulinoma)
  • Scintigraphy for gastrointestinal bleeding
  • Scintigraphy of primary and metastatic tumours using monoclonal antibodies and other onco-specific tracers (with affinity for tumours).
  • Scintigraphy of oesophageal reflux of gastric contents
  • Recurrent pneumonia in children
  • Parathyroid scintigraphy: localisation of a parathyroid adenoma
  • Adrenal medulla scintigraphy: hypertension caused by an adrenal medulla tumour
  • Salivary gland scintigraphy: salivary gland tumours, disorders of salivary secretion, particularly unilateral ones
  • Bone marrow scintigraphy: tumour infiltration of the bone marrow
  • Meckel’s diverticulum scintigraphy: gastrointestinal bleeding, particularly in children
  • Scintigraphy of gastric reflux of duodenal contents: suspected biliary gastritis, particularly in children

Contraindications to SPECT scanning

Pregnancy or the inability to rule out
pregnancy on the part of the patient

Breastfeeding – it is recommended that you stop breastfeeding for 12 hours after the radiotracer has been administered; do not give your baby the first portion of breast milk

No clinical indications
for the test

The examination should not be carried out immediately before or during radiotherapy or chemotherapy, or following endoscopic examinations, operations or biopsies, except in individual cases as recommended by a doctor


Documents

What should you bring with you to the appointment?

  • Photo ID document
  • The original referral or an e-referral for the test
  • A complete set of your medical records, including the results of previous tests, such as CDs, X-ray films and hospital discharge summaries

Remember!

If the examination is to be carried out under the National Health Fund (NFZ), the original referral must be submitted to the clinic 14 days before the scheduled date of the examination. This requirement applies only to paper referrals. It does not apply to e-referrals.

Please note that you can also register for badanie online.


The course of the study

What does a SPECT scan involve?Jak wygląda badanie SPECT?

Before the examination

  • The patient reports to the registration desk at the SPECT centre, where they will be asked to complete a patient medical questionnaire
  • Before the examination, the doctor talks to the patient and explains the examination procedures
  • The nurse will insert an intravenous cannula (if required, through which the radiopharmaceutical will be administered. The cannula will be removed once the examination is complete)
  • The administration of the radiopharmaceutical is not painful and does not cause any noticeable side effects
  • Depending on the type of examination the patient has been referred for, their stay at the nuclear medicine department may range from a few minutes to several hours.

Survey

  • The patient proceeds to the room where the imaging takes place
  • The scan is usually carried out whilst the patient is lying on their back – the technician will explain the procedure before the scan begins
  • Gamma camera imaging takes anywhere from a few to several dozen minutes, depending on the type of procedure

After the examination

  • Once the examination is over, the patient goes home
  • The administration of a radiotracers does not adversely affect how you feel, so after the examination you should feel fine and may leave the centre and resume your normal activities
  • For a few hours after the scan, you should drink plenty of fluids so that any radiopharmaceutical remaining in your blood is excreted in your urine as quickly as possible. You must observe good hygiene practices, and in particular: flush the toilet twice, thoroughly wipe away any urine with a separate piece of toilet paper, which should be disposed of in the toilet and flushed, after each visit to the toilet, wash your hands thoroughly under running water to remove any traces of the radioisotope, and use a towel for personal use only.
  • Limit close contact with children and pregnant women for 24 hours.
  • After a thyroid scan, you should avoid carrying small children in your arms for 2–3 days to prevent the child from coming into contact with the patient’s neck.

Available branches

The test can be carried out at the following centres: