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Ramer · Alavi Nuclear Medicine Technology

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K. Ramer A. Alavi

Nuclear Medicine Technology

Review Questions

for the Board Examinations

Second Edition

2 3

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Karen Ramer, B.A., R.T.(N), CNMT Bystricka 64, 90033 Marianka, Slovakia Abass Alavi, M.D.

Hospital of the University of Pennsylvania 117 Donnor Building, 3400 Spruce Street 19104-4283 Philadelphia, PA, USA

ISBN-10 3-540-25374-2 Springer Berlin Heidelberg New York ISBN-13 978-3-540-25374-7 Springer Berlin Heidelberg New York

ISBN 3-540-43271-X 1st Edition Springer Berlin Heidelberg New York

Library of Congress Control Number: 2005924137

A catalog record for this book is available from Library of Congress.

Bibliographic information published by Die Deutsche Bibliothek.

Die Deutsche Bibliothek lists this publication in the Deutsche Nationalbibliografie;

detailed bibliographic data is available in the Internet at http://dnb.ddb.de

This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer- Verlag. Violations are liable for prosecution under the German Copyright Law.

Springer is a part of Springer Science+Business Media springeronline.com

© Springer Berlin Heidelberg 2001, 2005 Printed in Germany

The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.

Product liability: The publishers cannot guarantee the accuracy of any information about the application of operative techniques and medications contained in this book. In every individual case the user must check such information by consulting the relevant literature.

Editor: Dr. Ute Heilmann, Heidelberg, Germany

Desk editor: Dörthe Mennecke-Bühler, Heidelberg, Germany Production: PRO EDIT GmbH, Heidelberg, Germany Cover-Design: Frido Steinen-Broo, eStudio Calamar, Spain Typesetting: Fotosatz-Service Köhler GmbH, Würzburg, Germany Printing and Binding: Stürtz GmbH, Würzburg, Germany Printed on acid-free paper 21/3151/Di – 5 4 3 2 1 0

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Many individuals deserve my thanks for their help with this second edition. Firstly, Dr. Alavi, without whose support it would not exist. It has again been a great pleasure to work with Ms. Dörthe Mennecke-Bühler at Springer-Verlag.

I must thank those closest to me for their unwavering support:

my husband, Lubomir Ochotnicky and our daughter Alexa, my faithful friend Marcia Allman, and my dear parents, Henry and Diane Ramer. Special thanks go to Dennis and Val Blair for picking me up and dusting me off, and finally to Peter Miller, for friendship and proofreading. I thank God for all of them, and for the opportunity and ability to complete this project.

Acknowledgements

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1 Introduction . . . . 1

2 Radioactivity, Radiopharmacy, and Quality Assurance . . . . 3

3 Radiation Safety . . . . 20

4 Instrumentation and Quality Assurance . . . . 31

5 Image Presentation and Computers . . . . 47

6 Skeletal System Scintigraphy . . . . 52

7 Central Nervous System Scintigraphy . . . . 62

8 Cardiovascular System Scintigraphy . . . . 69

9 Respiratory System Scintigraphy . . . . 86

10 Gastrointestinal Tract Scintigraphy . . . . 96

11 Genitourinary System Scintigraphy . . . 106

12 Neoplasm and Infection Scintigraphy . . . 117

13 Thyroid, Parathyroid, and Salivary Gland Scintigraphy . . . 126

14 Non-Imaging Procedures and Radionuclide Therapy . . . 136

15 Patient Care . . . 146

16 Mock Examination . . . 152

Appendix: Answers to Questions . . . 175

Table of Contents

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