Establishment : “Nuscint Diagnostics Pvt. Ltd.”, the Isotope Scan Center, was established in January 2004 at Om Chambers, Sadhu Vaswani road, Nr. MICO Circle, Opp. Holaram Colony, Nasik. This is the first & only ‘Nuclear Medicine Facility’ available in the North West of Maharashtra, catering to many districts like Nasik, Malegaon, Dhulia, Jalgaon and also beyond. The trust and faith shown by the Medical Fraternity in us over the past nine years helped us to grow and expand to a nearby city of Aurangabad, where a branch of Nuscint Diagnostics in collaboration with Tapadia Diagnostics has been established and is functional since last eighteen month.

Motto : motto of our center is to provide Personalized, Quality Nuclear Medicine Diagnostic & Therapeutic services.

Our Mission:The Mission of Our Diagnostic Center is to provide “Precision Nuclear Medicine Services of the Highest Quality at Affordable Cost” to all the needy patients.

Our Team,

Dr. Mrs. Neelima D. Chafekar, MD (Med ) , DRM (Nuc Med ) , Head & Director

She is a qualified, nuclear medicine physician with vast experience of around 15 years in Nuclear Medicine. She completed her under graduation & post graduation in Medicine, from Grant Medical College, Mumbai. She has done Dip. in Radiation Medicine of University of Mumbai , from Radiation Medicine Centre at Tata Memorial Hospital affiliated to BARC. She was awarded American society of nuclear medicine’s student fellowship award in 2001 and underwent training at Department of Nuclear medicine at Memorial Sloan Kettering Hospital at New York.

Mr. Anil Singh, CEO

He is a B. Sc. Physics graduate, with vast experience of around 13 years in carrying out all the nuclear medicine procedures. He takes care of accounts, administration & marketing Departments.

With this background, as a new endeavor, we have decided to communicate with the doctors through a news letter, which will be circulated periodically, reviving their interest in nuclear medicine, and also to update the knowledge of these busy doctors and make them aware about the latest information and diagnostic utility of various isotope scans during their practice.

Scinti News :

We are pleased to announce the launch of “Scinti News”, a periodic news letter, first of its kind, to keep the doctors posted about the advances in the field of Nuclear Medicine by articles, images and sharing interesting cases done at our centre.

The first few “Scinti News” letters will discuss some basic nuclear scans of all the major organs which are useful during routine clinical practice. Subsequent Scinti newsletters will cover some uncommon but useful diagnostic utility of isotope scans by giving case studies where nuclear medicine helped clinicians in making a correct diagnosis.

Before discussing about various isotope scans, let us briefly run through the historic background and evolution of nuclear medicine over the past century which surely be very interesting and informative.

History & Evolution of Nuclear Medicine

The discovery of artificial radioactivity in 1934 and the production of radionuclides by Oak Ridge National Laboratory for medicine related use, in 1946 probably may be considered as the beginning of nuclear medicine.

Widespread clinical use of Nuclear Medicine began in the early 1950s, as knowledge expanded about radionuclides, detection of radioactivity, and using certain radionuclides to trace biochemical processes.

Pioneering works by Benedict Cassen in developing the first rectilinear scanner and Hal O. Anger's scintillation camera (Anger camera) broadened the young discipline of Nuclear Medicine into a full-fledged medical imaging specialty.


Hal Anger and Benedict Cassen at the International Conference on Peaceful Uses of Atomic Energy in Geneva, Switzerland, 1955.

Technetium-99m was first discovered in 1937 by C. Perrier and E. Segre as an artificial element to fill space number 43 in the Periodic Table.Today, Technetium-99m is the most utilized element in Nuclear Medicine .


The concept of emission and transmission tomography, which developed into single photon emission computed tomography (SPECT) in 1980, was introduced by David E. Kuhl and Roy Edwards in the late 1950s.More recent developments in Nuclear Medicine include the invention of the first positron emission tomography scanner (PET).


These innovations led to fusion imaging with SPECT and CT by Bruce Hasegawa from University of California San Francisco (UCSF), and the first PET/CT prototype by D. W. Townsend from University of Pittsburgh in 1998. PET/CT imaging is now an integral part of oncology for diagnosis, staging and treatment monitoring.

Isotope imaging is also known as functional imaging as it diagnoses the functions of various organs before there is a structural change which is seen by other radiological imaging modalities.Historically first organ in which isotope scan was extensively utilized was- Thyroid

The Technetium Thyroid Isotope Scan or Thyroid Scintigraphy Indications :


1.Lingual Thyroid : Focal tracer in ectopic thyroid gland in the pharynx. No tracer in the normal thyroid bed in the neck
2. Submental Thyroid : focal tracer in the submental region corresponding to the clinically evident swelling . No tracer in the thyroid bed. There fore this is the only functioning thyroid tissue and should be left alone .
3. Patient having toxic symptoms like tremors, palpitations, weight loss . Thyroid Function Test shows T3, T4 high and TSH low.

Two possibilities :
1.Grave’s Disease:
Requires long term Anti thyroid medication o I 131 Radio Iodine ablation therapy
2. Acute ?autoimmune Thyroiditis:
Requires symptomatic treatment with beta blockers or steroids and follow up as patient may eventually go into hypothyroidism
5.Solitary nodule : With Toxic symptoms and hot nodule with suppressed gland
6. Solitary solid cold nodule high suspicion for malignancy, needs FNAC evaluation
7.Clinically solitary nodule which is again cold on Tc thyroid scan but cystic on sonography : Colloid Cyst
8.I131 WB scan Remnant thyroid in bed and LN met in c/o papillary thyroid.
9. DMSA V WHOLE BODY SCAN c/o medullary CA thyroid
Patient was referred for Tc Thyroid scan for goitre and toxic symptoms
Tc99m Thyroid scan showed MNG with retrosternal extension and thorax view showed multiple abnormal focal tracer uptake . CXR showed lung metastases .

Pearl : Long standing MNG can harbour neoplasia

CXR: showed Rt parasternal mass lesion & bilateral canon balls (Mets)

MEDICAL GAGS



1 BONE SCAN
2 BRAIN SPECT
3 CSF CISTERNOGRAPHY
4 DMSA SCAN
5 DMSA V WHOLE BODY IMAGING
6 DTPA RENOGRAM
7 EC RENOGRAM
8 G E REFLUX
9 GALLIUM SCAN
10 GASTRIC EMPTYING
11 GI BLEED STUDY
12 HIDA SCAN
13 IODINE WHOLE BODY
14 LIVER COLLOID SCAN
15 LUNG PERFUSION SCAN
16 LUNG V/Q SCAN
17 MECKELS DIVERTICULUAM SCAN
18 MIBG
19 MUGA
20 PARATHYROID SCAN
21 REST MYOCARDIAL PERFUSION STUDY
22 STRESS & REST MYOCARDIAL PERFUSION STUDY
23 THYROID SCAN
24 VUR STUDY
Nuclear Therapeutic Procedure
  • Low Dose Radio Iodine Ablation
  • P32 / Sm 153 / Strontium for bone pain palliation
  • Radiation Synovectomy