Section of Nuclear Radiology

Section of Nuclear Radiology

The UT Health's section of Nuclear Medicine provides imaging services for San Antonio’s University Hospital and UT Medicine Systems.  Our team is comprised of 7 board certified physicians that have achieved subspecialized training through dedicated nuclear medicine residencies and fellowships. Our section delivers comprehensive Nuclear Medicine services with cutting edge techniques, some of which include:

 

Advanced Nuclear Medicine Techniques Provided:

  • PET/CT Imaging: Offers on-site state of the art Time of Flight (TOF) PET/CT for detection of malignancy, initial staging, response to therapy and restaging of disease to include lymphoma (Hodgkin’s and non-Hodgkin’s lymphoma), lung, breast, ovarian, cervical, uterine, esophageal, and colon cancer, and many others. We offer imaging with the newly released radiotracer Axumin for PET/CT indicated for suspected prostate cancer recurrence.
  • Nuclear Brain Imaging:
    • Brain PET/CT Imaging: Utilizing Siemens MI Neurology software, which identifies abnormal regions and compares with a normal database, providing information on degree of deviation for a particular anatomic region. Used for dementia evaluation including Alzheimer’s disease, and for epilepsy evaluation.  
    • Dopamine Transporter Imaging (DaTscan): for the diagnosis of Parkinson’s disease.
    • Brain Perfusion SPECT Imaging: for intractable seizure localization with interictal and ictal SPECT brain scans subtraction and MRI image co-registration.
  • Osteomyelitis Imaging with Hybrid Modality: utilizing single photon emission computed tomography (SPECT)/x-ray computed tomography (CT) for 3-D imaging:
    • Bone scan with multiphase SPECT/CT imaging.
    • White blood cell (WBC) infection imaging with simultaneous acquisition of radiolabeled WBC and bone marrow agent with SPECT subtraction.
  • Myocardial SPECT Perfusion Imaging: for diagnosis of myocardial ischemia and infarction via stress and rest and as needed viability imaging and a gated acquisition for the determination of left ventricular ejection fraction.
  • Comprehensive Nuclear Medicine Endocrine Collaboration and Clinic: for diagnostic evaluation and radiotherapy of hyperthyroidism and most thyroid cancers.
  • Radiotherapeutic Microspheres for the Treatment of Liver Cancer with SPECT/CT pre-therapy and post therapy imaging. Availability of two different Y-90 beta-emitting microspheres, Y-90 SIR-spheres for a more embolic therapy and Y-90 Theraspheres for more specific radiation therapy and segmentectomy.
Solid Gastric Emptying 4 hour study: utilizing the standardized radiolabeled egg meal, simultaneous blood glucose levels and patient
  • symptoms to assess for delayed gastric emptying (gastroparesis) and rapid gastric emptying (functional dyspepsia). Availability of a standardized liquid carbohydrate glucose meal for assessment of carbohydrate gastric emptying.
  • Parathyroid Imaging using SPECT/CT Imaging with capability for Parathyroid 4D-CT Image Fusion: for the diagnosis of parathyroid adenomas and improved pre-surgical localization.
  • Extensive Research Capabilities in Clinical Nuclear Medicine: Current Phase I/II testing of a novel nanoparticle radionuclide therapy for the treatment of glioblastoma. This novel therapy has been developed in the UT Health's radiology research laboratories and its clinical testing is an example of a bench to bedside initiative. 

 

Nuclear Medicine Physicians

Umber Salman, M.D.
Assistant Professor of Radiology
Section Chief of Nuclear Medicine

 

William Phillips, M.D.
Professor of Radiology

 

Darlene Metter, M.D.
Professor of Radiology and Family & Community Medicine

 

Michel Courtines, M.D.
Clinical Specialist, board certified in Diagnostic Radiology and Nuclear Medicine

 

Daniel Duffy, M.D.
Clinical Specialist, board certified in Diagnostic Radiology and Nuclear Medicine

 

Thanh Van, M.D.
Assistant Professor of Radiology

 

Contact Information:
Angela Tarango
Nuclear Medicine Administrative Support
Phone: 210-567-6488
Fax: 210-567-6418
Email: TarangoA@uthscsa.edu