Radionuclide Localization > Steps > Step 11

Step 11

With continuous monitoring by nursing staff, the patient is then transported to the nuclear medicine area where planar scintigraphic imaging of the chest with a standard gamma camera (ideally in two planes) is performed to confirm that the radionuclide is located in the approximate region of the nodule. If focal radioactivity can be confirmed within the lung in the general region of the nodule, the patient is ready for thoracoscopy.

If the radionuclide injection is poorly located the patient can be taken back to the CT suite and a second injection performed. In these cases, the follow-up scintigraphic image confirming the activity located nearest the nodule should be clearly marked on a hard copy image to accompany the patient to the operating room. The radiologist would probably want to speak directly to the surgeon in these cases to avoid any confusion regarding location of the nodule.

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