Nuclear Medicine Image processing personal notes by khalid jassim [1 ed.]

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INDEX 1 BONE

page 1

2 PARA THYROID

page 2

3 RENAL

page 3

4 RTX (Renal Rtansplant)

page 4

5 GFR

page 5

6 DMSA

page 6

7 GA-67 (Gallium - 67 Citrate)

page 7

8 MECKEL'S DIVERTICULUM

page 8

9 HIDA

page 8

10 LACRIMAL (DACRO)

page 9

11 BRAIN

page 9

12 V/Q

page 9

13 LYMPH

page 9

14 GE (Gastric Emptying)

page 10

15 Hepatic Hemangioma

page 10

16 LEUKO

page 11

17 LIVER / SPLEEN

page 11

18 TESTICULAR

page 11

19 THYROID

page 12

20 THYROID UPTAKE

page 12

21 I 131-MIBG

page 12

22 TOMO & TOMO CT

page 13

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BONE Flow image: Reframe by 3, ANT & POST images select (FLOW ANT OR FLOW POST) , then LOAD TO NEW, select image tab- reframe. on (OUTPUT Field) write 3, then Apply & Quit select the original (old) image and clear it, select File-Clear For the reformatted image, select screen format, select scroll tap, press up arrow to show all frames then select 5x4, Annot (Ant 9 sec/fr dynamic or Post 9 sec/fr dynamic)

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WB image: Load to New ( wb early & delay) Annot (Ant WB BP, Post WB BP, Ant WB Delay, Post WB Delay)

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Static images: Load to New all static images Annot (Ant , Post, Right, Left, Early, Delay, BODY PART NAME,……)

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Print Screen CAPTURE OF ALL Processed IMAGES & SEND TO PACKS (ST-ENTEGRAD) select the screen capture , then on bottom, select ST_INTEGRAD, then click on it to send it to PACKS Print Paper OF ALL Processed IMAGES

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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PARA THYROID SUBTRACTION: Select (para-5min image)-Right click-Attribute-rename to (ANT_P) Select (Thyroid image)-Right click-Attribute-rename to (ANT_T) Select (thyroid ¶thyroid) studies-Right click-MERGE-OK select (ANT_P & ANT_t) images-select parathyroid protocol: Select (ANT_P) & select parathyroid Select (ANT_T) & select thyroid Draw ROI on Para image, Co-Registration-Adjust ROI on THYROID-PROCEED Check (more& less subtraction ____ smooth & LESS smooth subtraction), click on it more than once to see the changes PROCEED to- Review Summary

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PRINT (INVERSE) Print Screen CAPTURE OF ALL Processed IMAGES & SEND TO PACKS (ST-ENTEGRAD) Print Paper OF ALL Processed IMAGES

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Static images: Load to New all static images Annot ( 5 min, 45 min, 2 HR, Thyroid) or TC_MIBI ANT 5 min,45 min, 2 HR, TC_PERTEHNITATE ANT

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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RENAL Renal Analysis: select (flow & post void) images, select Renal Analysis protocol select ( 2 kidneys, MAG3, camera based clearance NONE, pediatric state, diuretic) MODIFY: DRAW ROI on R & L kidney on FUNCTION IMAGE select KIDNEY, select Function, select right, draw ROI on R kidney) select KIDNEY, select Function, select left, draw ROI on L kidney) DRAW ROI on R & L kidney BACKGROUND on FUNCTION IMAGE select BACKGROUND, select Function, select right, draw ROI on R kidney BACKGROUND) select BACKGROUND, select Function, select left, draw ROI on L kidney BACKGROUND) Select AORTA, move mouse on AORTA PROCEED-CLINICAL SUMMARY) Print Screen CAPTURE & SEND TO PACKS (ST-ENTEGRAD) Print Paper

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IF MOTION IN DYNAMIC: SELECT DYNAMIC ONLY, THEN select motion correction protocol, then close & save the select motion corrected image & post void for Renal Analysis

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REFRAME FOR DISCOVERY CAMERA: select(flow-post void-delay)- LOAD TO NEW select flow image-REFRAME-phase 2 reframe by 12-APPLY & QUIT select the original (old) image and clear it, select File-Clear choose appropriate screen format to show all images select floe & select 5x2, select scroll tab and select up arrow to show all frames Annot (dynamic , POST, 2min/img), post void after ( ) min, Delay post void after ( ) min, Print Screen CAPTURE & SEND TO PACKS (ST-ENTEGRAD) Print Paper

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REFRAME FOR SYMBIA CAMERA: select(RENAL STATICS-post void-delay)- LOAD TO NEW FLOW ALREADY REFRAMED Annot (dynamic , POST, 2min/img), post void after ( ) min, Delay post void after ( ) min, Print Screen CAPTURE & SEND TO PACKS (ST-ENTEGRAD) Print Paper

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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RTX SAME AS RENAL PROCESS BUT (select transplant kidney, adjust perfusion index, select iliac not aorta) Renal Analysis: select (flow & post void) images, select Renal Analysis protocol select ( transplant kidney, MAG3, camera based clearance NONE, pediatric state, diuretic), ok MODIFY: DRAW ROI on kidney on FUNCTION IMAGE select KIDNEY, select Function, draw ROI on kidney), proceed DRAW ROI for BACKGROUND on FUNCTION & PERFUSION IMAGE select BACKGROUND, select Function, draw ROI on kidney BACKGROUND) select BACKGROUND, select PERFUSION, draw ROI on kidney BACKGROUND) Select ILLIAC, move mouse on ILLIAC

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Select PERFUSION INDEX, adjust vertical white lines on BEGINNING and PEAK of perfusion

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PROCEED-CLINICAL SUMMARY) Print Screen CAPTURE & SEND TO PACKS (ST-ENTEGRAD) Print Paper

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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GFR Renal Analysis: select ALL (pre & post syrnge,flow & post void, injection site) images, select Renal Analysis protocol select ( transplant kidney, MAG3, camera based clearance NONE, pediatric state, diuretic), ok MODIFY: DRAW ROI on R & L kidney on FUNCTION IMAGE select KIDNEY, select Function, select right, draw ROI on R kidney) select KIDNEY, select Function, select left, draw ROI on L kidney) DRAW ROI on R & L kidney BACKGROUND on FUNCTION IMAGE

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select BACKGROUND, select Function, select right, draw ROI on R kidney BACKGROUND)

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select BACKGROUND, select Function, select left, draw ROI on L kidney BACKGROUND)

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Select AORTA, move mouse on AORTA PROCEED-CAMERA BASED CLEARNCE PROCEED-CLINICAL SUMMARY) Print Screen CAPTURE & SEND TO PACKS (ST-ENTEGRAD) Print Paper

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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DMSA DMSA Analysis: select ONLY (ANT,POST) image, select DMSA protocol ENTER PT (AGE, H&W), OK DEFINE ROI: Select LEFT POST BUTTON, DRAW ROI ON LEFT POST kidney, then click on LEFT POST BACKGROUND BUTTON Select RIGHT POST BUTTON, DRAW ROI ON RIGHT POST kidney, then click on RIGHT POST BACKGROUND BUTTON Select LEFT ANT BUTTON, DRAW ROI ON LEFT ANT kidney, then click on LEFT ANT BACKGROUND BUTTON Select RIGHT ANT BUTTON, DRAW ROI ON RIGHT ANT kidney, then click on RIGHT ANT BACKGROUND BUTTON PROCEED-BASIC DATA Print INVERSE Print Screen CAPTURE & SEND TO PACKS (ST-ENTEGRAD) Print Paper BASIC DATA NOT CLINICAL SUMMARY NOTE: NO ANALISIS for SOLITARY KIDNEY Static images: SELECT all static images, select DMSA INV (load to new for DMSA) Print Screen CAPTURE & SEND TO PACKS (ST-ENTEGRAD) Print Paper TOMO: SELECT TOMO, then VOLIMITRIX IF NO MOTION SELECT ORGINAL IF MOTION SELECT AUTO, THEN, SELECT CORRECTED

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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GA-67 WB image: Load to New ALL WB( wb 24 hr, 48, hr) if more than 2 days select ANT WP alone and WP POST alone Annot: WB ANT 24 HR WB POST 24 HR WB ANT 48 HR WB POST 48 HR Static images: Load to New all static images Annot (ANT 24 HR, POST 24 HR, ANT 48 HR, POST 48 HR,……)

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Print Screen CAPTURE OF ALL Processed IMAGES & SEND TO PACKS (ST-ENTEGRAD)

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select the screen capture , then on bottom, select ST_INTEGRAD, then click on it to send it to PACKS Print Paper OF ALL Processed IMAGES

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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MECKELS Flow image: Reframe by 3 or 5, ANT & POST images if statics duration for 3 min reframe by 3 if statics duration for 5 min reframe by 5

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select (FLOW ANT OR FLOW POST) , then LOAD TO NEW, select image tab- reframe.

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on (OUTPUT Field) write 3 or 5, then Apply & Quit select the original (old) image and clear it, select File-Clear For the reformatted image, select screen format, select scroll tap, press up arrow to show all frames then select 5x4, Annot (dynamic Ant 3 min/img or dynamic Post 3 min/img) Annot (dynamic Ant 5 min/img or dynamic Post 5 min/img) Static images: Load to New all static images Annot (Ant , Post, RT LAT, LT LAT)

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Print Screen CAPTURE OF ALL Processed IMAGES & SEND TO PACKS (ST-ENTEGRAD)

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select the screen capture , then on bottom, select ST_INTEGRAD, then click on it to send it to PACKS Print Paper OF ALL Processed IMAGES

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HIDA STATICS LOAD TO NEW & ANNOT IF PRE & POST FATTY MEAL (ANT PRE FATTY MEAL, ANT 30 min post FATTY MEAL) ANT & POST DYNAMIC REFRAME BY 3 ( DYNAMIC 3 min/IMG)

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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LACRIMAL (DACRO) STATICS LOAD TO NEW all statics and dynamic & ANNOT 5x3 dynamic 1 min /fr 15, 20, 30, 60 min static

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BRAIN:

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EPILEPSY (ICTAL, INTER ICTAL) VOLUMTERIX or BRAIN SPECT Tomo interictal and CT AC 5mm tomo ictal CT

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I123-DAT VOLUMTERIX or BRAIN SPECT Tomo CT and CT AC 1.5mm tomo CT CT AC 2.5mm tomo CT

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V/Q STATICS LOAD TO NEW ALL & ANNOT Ant PERF,post,RLAT Rao, LPO, L LAT Lao, Rpo TOMO:SELECT TOMO CT EVO and CTQAC 2.5 MM TOMO CT EVO or 1.5 or standard or CT 102 then VOLIMITRIX

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LYMPH Load to New ALL WB( 5 min, 45 min, 3 hr) ANNOT ( ANT 5 min, 45 min, 3 hr) ANNOT ( POST 5 min, 45 min, 3 hr)

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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GE (Gastric Emptying) SELECT ALL STATICS ANT& post (o min, 1, 2, 3 , 4HR) SELECT protocol :Gastric Emptying Draw ROI ON all ant/post images-proceed Print - INVERSE IF Statics: LOAD TO NEW ALL (ANT& post) images Ant ( 0 min, 1 , 2 , 3 HR) Post ( 0 min, 1 , 2 , 3 HR) Anterior images ( IMMEDIATE AFTER MEAL, AFTER 1 , 2 , 3 HR) Posterior images ( IMMEDIATE AFTER MEAL, AFTER 1 , 2 , 3 HR)

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HAEMOANGIOMA STATICS LOAD TO NEW & ANNOT (Ant, Post, RAO, LAO, RT LAT, LT LAT)

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ANT & POST FLOW REFRAME BY ( 3 ) ( FLOW 3 min/img)

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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LEUKO STATICS LOAD TO NEW & ANNOT 2hr & 24HR 2hr & 24 HR(Ant, Post ), foot, leg WB LOAD TO NEW & ANNOT 2hr & 24HR WB 2hr & 24 HR(Ant, Post

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LIVER / SPLEEN STATICS LOAD TO NEW & ANNOT (Ant, Post, RT LAT, LT LAT) FLOW ANT & POST (flow ant 4 sec / img), (flow post 4 sec / img) Dynamic ANT & POST (Dynamic ant 1 min / img), (Dynamic post 1 min / img)

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TESTICULAR LOAD TO NEW ALL (IMMIDIATE, 10 min delay, 1 hr delay) Annot: RT& LT 5 min ANT, POST 25min ANT, POST 1HR ANT, POST

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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THYROID STATICS LOAD TO NEW & ANNOT PINHOLE: Pinhole COLL. IMAGES (Ant, Ant with marker $ SSN …….> on SSN, RT Ant OBLIQUE, LT Ant OBLIQUE, )

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LEHR: Parallel hole COLL. IMAGES (Ant, Ant with marker $ SSN …….> on SSN, RT Ant OBLIQUE, LT Ant OBLIQUE, )

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THYROID UPTAKE: select (pre & post syringe , ANT (thyroid), and injection site if taken), then THYROID UPTAKE INDEX protocol- Define thyroid ROICreate thyroid ROI Manually (double click)- draw ROI- PROCEED Review, review summary (DO NOT CLICK ON REGION UPTAKE) PRINT INVERSE

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I 131-MIBG STATICS LOAD TO NEW spot image & ANNOT 24 hr ANT , POST 48 hr ANT , POST

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IMAGE PROCESSING NOTES BY KHALID JASSIM

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TOMO: SELECT TOMO, then VOLIMITRIX IF NO MOTION SELECT ORGINAL IF MOTION SELECT AUTO, THEN, SELECT CORRECTED

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TOMO CT: SELECT TOMO-CT EVO or TOMO SELECT CT 101 (for standard 1.25 slice thickness), or CT QAC 2.5mm TOMO CT-EVO hen VOLIMITRIX IF NO MOTION SELECT ORGINAL IF MOTION SELECT AUTO, THEN, SELECT CORRECTED

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IMAGE PROCESSING NOTES BY KHALID JASSIM