Nuclear Medicine

Imaging Methods and Treatment Applications

  • The respiratory system
  • Central Nervous System
  • Cardiovascular System
  • Skeletal System
  • Endocrine System
  • Gastrointestinal System
  • Genitourinary System
  • Imaging for Infection

NUCLEAR ONCOLOGY TREATMENTS

  • Iodine 131 Treatment (low dose and high dose therapy)
  • Neuroendocrine tumor treatment with Lutetium-177 DOTATATE
  • Prostate cancer treatment with lutetium-177 PSMA
  • Prostate cancer treatment with Radium 223 (Xofigo)
  • Radionuclide Therapy, Samarium-153
  • Radionuclide Therapy, Strontium-89
  • Radionuclide Therapy, Rhenium-186
  • Y90 Microsphere Therapy
  • Radiosynovectomy

Diagnosis, Treatment and Follow-up of Thyroid Diseases

The thyroid gland is an endocrine gland located in the neck region that regulates metabolism in the human body. In case of hard work; It causes symptoms such as irritability, hair loss, infertility, loss of libido, fever, sweating, palpitations, hypertension, heart diseases, weakness, increased appetite, prominence in the eyes (toxic goiter). In case of less work, it causes complaints such as continuous sleepiness, difficulty understanding, weight gain, weakness, constipation, arrhythmia, cramps, depression, infertility and decreased libido.

Nowadays, cancer cases are increasing due to environmental factors and living conditions. Unlike most cancers, cancers originating from the thyroid gland are largely treatable with early diagnosis. In scans performed with USG, it was found that there was a nodule in one out of every 5 people in the community. Approximately one in 10 nodules contains cancer.

Diagnosis

Thyroid scintigraphy and USG correlation;

The study is called thyroid scintigraphy to obtain detailed information about the size, location, structure and function of this gland. Pre-test preparation (fasting, medication, etc.) is not required for this examination. The examination takes about 20 minutes. If the images obtained are simultaneously evaluated with USG, it is understood which nodules pose a risk, especially in patients with more than one nodule, and more focused biopsies can be performed.

Treatment

Radioactive iodine (131I) is one of the best targeted therapies used in medicine. These treatments can be used safely in all age groups, including children, when necessary. Generally, the concepts of low-dose therapy and high-dose therapy are confused in the society.

In the treatment of non-cancer thyroid diseases, low-dose treatments (<20mci) are applied to the patients. In these treatments, the patient does not need to be hospitalized. Iodine administered for treatment provides silencing of active (hot) nodule and overworking thyroid gland without surgery.

In cancer diseases, ablation with high dose iodine is applied after surgery. In this treatment, the patient must stay in specially prepared rooms for two days. There are two iodine treatment rooms in our department. All your comfort is considered in these rooms with TV, internet connection, DVD player, library, daily newspaper, tea and coffee and friendly service. During two days, your relatives can visit you for a short time. 4-5 days after the treatment, your whole body will be screened for cancer with the dose given in the treatment.

Follow-up

In thyroid cancer, by performing ablation (high-dose iodine therapy), remaining cancer cells and metastases are destroyed, if present. It reduces the possibility of the disease recurrence. In the postoperative follow-up of your disease; examination, USG, Thyroglobulin and iodine screening are the most frequently used methods. Thyroglobulin level and iodine scanning provide benefit for screening in patients who undergo ablation, and their benefit in diagnosis is reduced in patients who do not receive ablation therapy.

Sentinel Lymph Node Scintigraphy and Intraoperative Gamma Probe Sentinel lymph node is the first lymph node in the pathway of the tumor. If there is no disease in this lymph node, there is a high probability that there is no disease in the following lymph nodes. Sentinel lymph node examination is performed in various diseases, especially breast, thyroid and malignant melanoma. With the intraoperative gamma probe, our surgeons can easily detect this lymph node during surgery. In this way, unnecessary regional lymph node surgeries are prevented, lymph edema in the limbs is prevented and false lymph node dissections are prevented.