Nuclear Medicine
The Department of Nuclear Medicine at Sir H. N. Reliance Foundation Hospital and Research Centre offers a wide range of services, including Diagnostic Nuclear Imaging and Targeted Radionuclide Therapies. This unique state-of-the-art Molecular Imaging facility in Mumbai has best-in-class infrastructure with state-of-the-art nuclear medicine equipment, led by a team of experienced Nuclear Medicine specialists - for precise diagnoses and treatment, which is the philosophy of our institute.
We envision a transformative approach to healthcare that moves beyond traditional diagnostics to a more personalised model of medical care.
Through advances in the field of medicine, we can now examine not only the structural details of organs via radiological scans, but also their functions and changes happening due to disease in real-time, via Functional Imaging techniques in Nuclear Medicine.
Imaging the molecular processes within organs and tissues allows precise understanding of the metabolic activity, receptor expression, changes in blood flow, detection of malignant disease, and various other pathological processes via PET-CT and Gamma camera scans. These functional imaging changes are unique to each patient. This helps transform ‘Medical Care’ to ‘Personalized Medical Care’ by allowing precise diagnosis and hence direction towards the appropriate treatment – leading to improved outcomes for our patients.
Our Nuclear Medicine Specialists deliver world-class services focused on improving diagnostic results.
The department is equipped with best in class Imaging devices - with highest sensitivity and resolution.
The dedicated team ensure best clinical results as well as patient comfort and experience at every step.
The department is thoughtfully designed for ergonomic efficiency, following a patient-centred workflow to ensure a smooth and welcoming process for all patients.
Our Technology
1. Siemens Biograph mCT Flow PET-CT
This hybrid PET/CT system at out department supports high levels of productivity with Time of Flight (TOF) technology and an intelligent imaging platform. The high resolution and high contrast definition of PET images with Time of Flight technology allows excellent delineation of even small tumors and capturing of precise anatomical detail.
The inbuilt hybrid CT system features a 40-slice CT configuration, surpassing the standard 16-slice PET/CT scanners commonly available.
This advanced capability allows for high quality CT imaging alongside PET acquisitions, providing faster scan times, and minimizing patient radiation exposure, all while maintaining exceptional image quality.
2. Siemens Symbia Pro-specta Q3
We have an advanced, integrated, fully automated high definition SPECT-CT gamma camera with a 32-slice diagnostic CT at our department.
This Gamma Camera boasts the best-in-class image quality, with industry-leading sensitivity, delivering high-resolution images at a minimum dose and maximum speed.
IQ-SPECT - Special Feature - For Cardiac scans
The Gamma camera at Sir HN Reliance Foundation hospital has advanced IQ-SPECT technology - for dedicated imaging of heart. It provides high quality Myocardial Perfusion Imaging (MPI). The special converging collimators along with special imaging processing enhances cardiac imaging, providing superior clarity at lesser dose of radiation, and lesser time - leading to better patient safety and higher patient comfort.
3. High Dose Radionuclide Therapy ward:
We have a 2-bedded High-Dose Therapy ward for our Targeted Radionuclide Therapy patients
After some therapies like high dose I131 therapy, patients need to be admitted in special rooms for the sake of Isolation for Radiation protection purpose. We ensure that our patients receive careful monitoring, while ensuring their comfort and safety. Each room is designed to provide a comfortable and spacious stay, featuring ample lighting and a dedicated bathroom. The rooms are constructed in full compliance with international radiation safety standards and have received certification from Atomic Energy Regulatory Board (AERB).
Our Services
Imaging Services:
(A) Positron Emission Tomography Imaging - PET-CT scans
- (1) Whole body FDG PET-CT
For diagnosis and staging in Oncology, detecting recurrence and monitoring response to therapy in various malignancies, evaluation of Fever of unknown origin, Paraneoplastic syndromes, etc.
- (2) FDG Cardiac PET
(a) For myocardial viability assessment
(b) For myocardial inflammation/infection
- (3) FDG Brain PET-CT
For diagnosis of Alzheimer's disease and various other dementias, Neuro-inflammation, evaluation of epilepsy, Imaging brain tumours, and other neurological conditions
- (4) Ga68-DOTANOC/DOTATATE PET-CT (Somatostatin receptor PET-CT)
For Imaging Neuroendocrine tumours
- (5) 68-Ga - PSMA PET/CT
For imaging Prostate malignancy
- (6) F18-DOPA PET - (Fluorodopa PET)
- (a) F-DOPA Brain PET –
for evaluation of Parkinsons disease, Brain Tumor Imaging
- (b) F18-DOPA – Fluorodopa whole body PET
For tumour imaging
- (7) Ga68-FAPI PET-CT
Imaging of Pancreatic cancer, GI tract malignancies, Head & Neck cancer, Hepatocellular cancer, others
- (8) Ga68- Exendin scan
For imaging Insulinoma
- (9) Ga68-Pentixafor (CXCR4) PET-CT
Imaging Myeloma, Functioning adrenal adenoma imaging
- (10) Ga68-Trivehexin PET-CT
(a) Parathyroid Adenoma Imaging
(b) Imaging Head and Neck, and other tumors
- (11) F18-Fluoride Bone PET
For benign, malignant and metastatic bone disease
- (12) F18-FLT PET-CT (Fluothymidine PET-CT)
Brain Tumor Imaging, Imaging other tumors
- (13) F18-Choline PET-CT
For Parathyroid adenoma, other tumour imaging
(B) Gamma Camera - with SPECT-CT (Single Photon Emission Computed Tomography, with inbuilt CT scanner)
- Thyroid scan (Tc-99m)
- Parathyroid scan
- Myocardial perfusion scan - Exercise or Pharmacological (Adenosine, Dobutamine)
- MUGA scan
- Pyrophosphate (Tc-PYP) scan for Cardiac Amyloidosis
- Renal scans - DTPA/EC Renogram
- DMSA scans
- GFR evaluation
- Renal transplant scan
- Direct and Indirect Radionuclide Cysto-urethrography
- Ventilation/Perfusion (V/Q) scan for Lungs
- Perfusion scans (MAA) for lung shunt, R:L shunt,
- GE reflux scan (Milk scan)
- Gastric emptying study – solid and liquid.
- Meckels’ Diverticulum scan
- Gastrointestinal bleed scan
- RBC blood pool scan
- Hepatobiliary (HIDA) scan
- Liver colloid scan
- MAA scan for hepatopulmonary syndrome
- MAA scan for TARE planning
- Bone scan
- Bone marrow scan
- Brain SPECT scan (cerebral perfusion).
- Dopamine Transporter Imaging using 99mTc TRODAT (For Parkinson’s disease)
- Radio-iodine whole body scan (I-131)
- I131-mIBG Scan
- Tumour imaging scans with TcSestamibi
- Post Radionuclide Therapy Scans - High Dose Iodine 131 scan, Lu177 Post Therapy scans
- Lymphoscintigraphy: For Lymphoedema, chylous leaks
- Sentinel Node Imaging
- Dacryoscintigraphy: For Lacrimal function
- Salivary scintigraphy
- Testicular scan
- Peritoneo-pleural shunt scan
(2) Radionuclide Targeted Therapy: Theranostics
A variety of tumors are now treated with Targeted Alpha and Beta particles in our High Dose Therapy ward
- (1) Radio-Iodine Therapy (I131 Radioactive Iodine)
For Thyroid Cancer, For Graves disease, Toxic nodules, Nodular goitres
- (2) PRRT - Lu177-DOTATATE Therapy for Neuroendocrine tumors
- (3) Lu177-PSMA Therapy for Prostate Cancer
For Prostate Cancer
- (4) Ac225 PSMA and Ac225 DOTATATE Therapy - Alpha Therapy with Actinium225labeled Molecules
- (5) I131-mIBG Therapy
For Neuroblastomas, Paragangliomas, other tumors
- (6) Y90-TARE (Transarterial Radio-embolization with Yttrium 90 microspheres)
For Liver tumors, liver metastases
- (7) Bone Pain Palliation Therapy – Sm153, Sr89
For relief from bone pain due to cancers