Department of Nuclear Medicine

Operating Schedule:

  • Monday to Friday: 7:00 AM – 6:00 PM
  • Saturday: 8:00 AM – 5:00 PM
RADIOIMMUNOASSAY RUNNING DAYS
Free Triiodothyronine (FT3) Daily (Monday-Friday)
Free Thyroxine (FT4) Daily (Monday-Friday)
Thyroglobulin Monday, Thursday
Total Prostate Specific Antigen (PSA) Daily (Monday-Friday)
Free PSA Daily (Monday-Friday)
Carcino Embryonic Antigen (CEA) Daily (Monday-Friday)
Prolactin Monday, Wednesday, Friday
Human Chorionic Gonadotropin (HCG) Daily (Monday-Friday)
Cortisol Tuesday, Thursday
Luteinizing Hormone (LH) Monday, Wednesday, Friday
Follicle Stimulating Hormone (FSH) Monday, Wednesday, Friday
Antibody to Thyroid Peroxidase (Ab TPO) Tuesday, Thursday
Antibody to Thyroglobulin (Ab Tg) Tuesday, Thursday
Insulin Tuesday, Thursday
Estradiol Monday, Wednesday, Friday
Parathyroid Hormone (PTH) Tuesday, Thursday
Renin Monday, Friday
Aldosterone Monday, Friday
TSH Daily (Monday-Friday)
Testosterone Tuesday, Thursday

Contact Numbers:

  • Trunk line: (02) 558-0888 Local 2400
  • Direct line: (02) 558-0652
  • Address: Ground Floor, MDH Main Building, Manila Doctors Hospital, #667 United Nations Avenue, Ermita, Manila 1000

Services Offered:

Scanning Procedures:

  • Thyroid Scan
    • Evaluation of gland size and function.
    • Demonstration of functioning thyroid tissue in palpable thyroid nodules or other neck masses.
  • Whole Body Scan for Thyroid Cancer using Iodine-131 or Thallium-201
    • Demonstration of functioning thyroid tissue remnants or metastases of well-differentiated thyroid cancer, with capability for quantitation (SUV) on xSPECT-CT.**
  • Radioactive Iodine Uptake (RAIU)
    • Assessment of toxic goiter.
    • Calculation of I-131 therapy dose.
  • Parathyroid Scan
    • Detection and localization of hyper-functioning parathyroid adenomas by preferably xSPECT-CT for increased sensitivity.**
  • Myocardial perfusion scans (Thallium-201 and/or Tc-99m SestaMIBl) by Q.SPECT fast scan examinations at the xSPECT-CT.**
    • Detection of coronary artery disease.
    • Differentiation of myocardial infarction from hibernating or stunned myocardial (myocardial viability assessment).
    • Assessment of prognosis and risk for future cardiac events.
    • Assessment of residual or recurrent ischemia after revascularization.
  • Bone Scan on xSPECT-CT including quantitation (SUV) on xSPECT-CT.**
    • Detection of bone metastases.
    • Differentiation between cellulitis and osteomyelitis (Three-phase bone scan).
    • Assessment of a vascular necrosis, joint replacement, stress fractures, arthritis, etc.
  • Renal scan and GFR determination
    • Assessment of total and individual renal function.
    • Differentiation between obstructive and non obstructive uropathy (Furosemide Scan).
    • Assessment of renovascular hypertension (Captopril Scan).
    • Detection of renal cortical scars (DMSA Scan).
    • Demonstration of vesico-ureteral reflux.
  • Testicular Scan
    • Differentiation of acute torsion from epididymytis.
  • Lung perfusion and ventilation scan with regional quantitation by xSPECT-CT.**
    • Diagnosis of pulmonary embolism.
    • Qualification of regional lung function prior to resection
  • Gastrointestial bleeding scans (Tagged-RBC Scan) with xSPECT-CT for increased sensitivity.**
    • Detection and localization of gastrointestinal bleeding.
  • Meckel’s diverticulum scan
    • Detection and localization of a Meckel’s diverticulum containing functioning gastric mucosa.
  • Gastroesophageal studies
    • Detection and quantitation of gastro-esophageal reflux
    • Measurement of esophageal transit time in patients with swallowing disorders
    • Measurement of gastric emptying in patients with suspected gastroparesis (e.g poor diabetic control) or obstruction.
  • Scintimammography (Breast Scan)
    • Evaluation of breast masses where mammography is nondiagnostic or difficult to interpret.
    • Identification of multicentric masses in patients with breast cancer.
  • Liver/Spleen Scan
    • Determination of liver and spleen morphology and function
    • Detection of tumor, hematoma, cyst, abscess and trauma
    • Assessment of hepatitis and cirrhosis
  • Hepatobiliary Scan
    • Differentiation between neonatal hepatitis and biliary atresia
    • Evaluation of acute cholecystitis
  • Gallium Scan with xSPECT-CT quantitation of lesions.**
    • Detection and localization of infection
    • Assessment of the extent of malignancies i.e. Hodgkin’s lymphoma
  • Brain ScanBone Densitometry
    • Detection and evaluation of stroke, head trauma, dementia
  • Bone Densitometry
  • Measurement of bone mineral density to diagnose osteoporosis
  • Whole body (Fat and Lean)
  • BMI (WHO Standard)
  • Radionuclide Therapy
  • Radioactive iodine therapy
  • Gravesdisease or diffuse toxic goiter
  • Nodular toxic goiter
  • Ablation for papillary and follicular thyroid cancer

** Starting July 2014 with the Siemens xSPECT INTEVO.

 

Doctors:

Chairman

Dr. Antonio C. Garcia, MD
(DABR, DABNM)

Nuclear Med Physicians

  • Dr. Emmanuel C. Limlingan
  • Dr. Jerry M. Obaldo, M.D., FPSNM
  • Dr. Ruben V. Ogbac, M.D., FPSNM

Department of Nuclear Medicine Staff:

  • Lulu Paco-Garcia, RMT Head

Frequently-Asked Questions:

  1. What equipment will be used?MDH is equipped with TWO state-of-the-art Dual Head Gamma Camera Systems: a standard Signature SPECT Gamma Camera and a recently acquired xSPECT-CT, the INTEVO, which is capable of very high quality scans at remarkably shorter examination times (starting July 2014). The INTEVO, an EXCLUSIVE at MDH, is the ultimate SPECT-CT machine available in the world that is capable of not only increased sensitivity in detecting and revealing lesions of the body with exquisite image quality, but also, is able to express values of activity in lesions that are useful for instantly evaluating response to therapeutic regimens, optimizing their effectiveness for ultimately better outcomes.
  2. How does nuclear imaging work?The images obtained by our Gamma Camera System require the presence of an isotope, injected into, inhaled or ingested by the patient, which concentrates within living tissues and organs in the human body. This allow our Gamma Camera, sensitive to isotope radiation as light is to our eyes, to take pictures of these tissues and organs in their functional state, reflecting their functional integrity at the time of examination (snap-shot of organ function). Disease disrupts or destroys in part or in whole, the functional state of living tissues and organs which have been inflicted by it. It is at these moments when our very sensitive gamma camera takes pictures of the anatomical extent and functional derangement caused by the disease process. This could be a tumor in the brain, an abscess in the liver, a hemorrhage in the spleen or a fractured organ.
  3. What are the uses of the Gamma Camera?Although gamma cameras have been notably used for heart-related disease (cardiology), the technology is now being utilized for the other medical areas such as cancer (oncology), wherein patients undergo whole body bone scans to detect early spread of cancer (metastases). It can locate tumors and make it easier to evaluate the extent of disease. Because of this, the camera is now widely used in areas such as breast imaging or scintimammography, lung related (pulmonary) problems, kidney (nephrology) troubles and stomach and intestinal (gastrointestinal) disease. Brain (neurology) related disease also benefit from the gamma camera technology.Note: Ask your doctors for more detailed explanation regarding the uses of gamma camera system.
  4. What is nuclear medicine?Nuclear medicine is the safe and effective use of isotopes to diagnose and treat disease.
  5. Will a nuclear medicine scan make me radioactive?No. The isotopes are given in tiny amounts which disappear from the body within hours.
  6. Do nuclear scans hurt?No. Aside from a temporary feeling of uneasiness because of a needle stick, nuclear scans are painless. They are remarkably free of any inconvenient after effects.
  7. Are there people who should not get a nuclear scan?Women who are pregnant or breastfeeding and people with certain allergies or blood disorder are advised NOT to undergo nuclear scans.
  8. Who are the technologists in the nuclear medicine department? What are their credentials?Our Nuclear Medicine Technologists are Dual Certified by the Professional Regulatory Commission and by the Philippine Nuclear Research Institute, DOST. They have undergone a rigid and comprehensive in-house training program and are among the most competent and experienced technologists in the country capable of performing complex imaging procedures.
  9. Why should I undergo an executive check up (ECU)?You should undergo an ECU to help identify or reveal early existing disease. If you are healthy, a health professional will help you by providing guidance and advice on things to do and look out for to remain healthy.
  10. Who should I undergo an executive check up?In general, everyone, especially those above 40 years old, must undergo ECU at least once a year. ECU is a MUST for:
    • Busy/Stressed out Executives/Individuals
    • Obese
    • Smokers/Heavy Drinkers
    • People without exercise
    • Family history of diabetes
    • High blood pressure
    • Family History of Heart Disease
  11. I don’t think anything’s wrong with me. Should I still undergo one?It is always best to seek professional help in determining the status of one’s health.
  12. What is the ideal time or day to be admitted for an ECU?Admission time and day is 4:00 PM – 6:00 PM, Sunday to Thursday.
  13. If I want to have one, what do I need to do?Call our Industrial Medical Services Department (IMSD) at 558-0888 local 3350, 3870, 0639. A competent staff will take care of you.
  14. What packages will be appropriate for me?We have several packages. Our representatives at IMSD will tailor a package for you.

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