aula - 1 - medicina nuclear 26-08-09
DESCRIPTION
MN Congreso MadridTRANSCRIPT
![Page 1: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/1.jpg)
MEDICINA NUCLEARMEDICINA NUCLEAR
Dr. Bruno Galafassi GhiniDr. Bruno Galafassi GhiniC.D.I. – Centro de Diagnóstico por ImagemC.D.I. – Centro de Diagnóstico por ImagemC.R.A. – Clínica Radiológica de AnápolisC.R.A. – Clínica Radiológica de Anápolis
[email protected]@yahoo.com
![Page 2: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/2.jpg)
Medicina nuclear
• Uso de radiofármacos com finalidade Uso de radiofármacos com finalidade diagnóstica (emissão gama) ou terapêutica diagnóstica (emissão gama) ou terapêutica (emissão beta)(emissão beta)
• Radiofármacos : compostos químicos Radiofármacos : compostos químicos marcados com radioisótopo que se marcados com radioisótopo que se acumulam SELETIVAMENTE em acumulam SELETIVAMENTE em determinados órgãos ou tecidosdeterminados órgãos ou tecidos
![Page 3: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/3.jpg)
MEDICINA NUCLEARMEDICINA NUCLEAR
• RadiofármacosRadiofármacos
• Sistema detector Sistema detector
• Processamento de imagensProcessamento de imagens
• Aplicações clínicasAplicações clínicas
![Page 4: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/4.jpg)
RadiofármacosRadiofármacos
RadioisótoposRadioisótopos• 131,123,125131,123,125II• 1818FF• 6767GaGa• 201201TlTl• 153153SmSm• 99m99mTcTc
FármacosFármacos• SESTAMIBISESTAMIBI
• PIROFOSFATOPIROFOSFATO
• MDP MDP (METILENODIFOSFONATO)(METILENODIFOSFONATO)
• ENXOFRE COLOIDALENXOFRE COLOIDAL
• DMSA- 99mTcDMSA- 99mTc
• DTPADTPA
• MIBGMIBG
• FLUORDEOXIGLICOSEFLUORDEOXIGLICOSE
![Page 5: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/5.jpg)
Decaimentos
γ Próton + β-
Nêutron
Nêutron + β+
Próton
e-
γ
γ
99mTc 153Sm 18F
![Page 6: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/6.jpg)
RADIOFÁRMACOSRADIOFÁRMACOS
• SESTAMIBI-99mTc:SESTAMIBI-99mTc: Perfusão Miocárdica e OncologiaPerfusão Miocárdica e Oncologia
• PIROFOSFATO- 99mTc:PIROFOSFATO- 99mTc: Necrose MiocárdicaNecrose Miocárdica
• MDP (METILENODIFOSFONATO)-99mTc:MDP (METILENODIFOSFONATO)-99mTc: Cintilografia ÓsseaCintilografia Óssea
• ENXOFRE COLOIDAL-99mTc:ENXOFRE COLOIDAL-99mTc: Esvaziamento Esofágico/gástrico; Esvaziamento Esofágico/gástrico; Pesquisa de Refluxo Gastro-esofágico Pesquisa de Refluxo Gastro-esofágico
• DMSA- 99mTcDMSA- 99mTc:: Cintilografia Renal EstáticaCintilografia Renal Estática
• DTPA -99mTc:DTPA -99mTc: Cintilografia Renal DinâmicaCintilografia Renal Dinâmica
• GÁLIO-67:GÁLIO-67: Oncologia / Avaliação de Processos InflamatóriosOncologia / Avaliação de Processos Inflamatórios
• MIBG-(I131 OU 123): MIBG-(I131 OU 123): Tumores NeuroectodérmicosTumores Neuroectodérmicos
• F18-FLUORDEOXIGLICOSE:F18-FLUORDEOXIGLICOSE: Oncologia ; Viabilidade MiocárdicaOncologia ; Viabilidade Miocárdica
• IODO 131 OU 123: IODO 131 OU 123: Cintilografia da Tireóide ; P.C.I.; TerapiaCintilografia da Tireóide ; P.C.I.; Terapia
![Page 7: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/7.jpg)
Princípio de Pick
Radiologia Medicina Nuclear
Anatomia Função
Radiação externa Radiação administrada
Digitalização opcional Sempre digital
![Page 8: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/8.jpg)
FONTES NÃO-SELADAS / FONTES NÃO-SELADAS / RADIOISÓTOPOSRADIOISÓTOPOS
![Page 9: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/9.jpg)
FONTES NÃO-SELADAS / FONTES NÃO-SELADAS / RADIOISÓTOPOSRADIOISÓTOPOS
![Page 10: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/10.jpg)
FONTES NÃO-SELADAS / FONTES NÃO-SELADAS / RADIOISÓTOPOSRADIOISÓTOPOS
![Page 11: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/11.jpg)
OBTENÇÃO DE CINTILOGRAFIAOBTENÇÃO DE CINTILOGRAFIA
![Page 12: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/12.jpg)
Sistema detectorSistema detector
131,123,125131,123,125II1818FF6767GaGa201201TlTl153153SmSm99m99mTcTc
![Page 13: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/13.jpg)
Sistema detectorSistema detector
![Page 14: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/14.jpg)
Sistema detectorSistema detector
![Page 15: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/15.jpg)
Obtenção da imagem PET
PET GCPET GCPET
![Page 16: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/16.jpg)
InstrumentaçãoInstrumentação
• Câmera de cintilação (gama câmera)Câmera de cintilação (gama câmera)
• Tipos de aquisições :Tipos de aquisições : - Planares estáticas- Planares estáticas dinâmicas seqüenciaisdinâmicas seqüenciais
engatilhadasengatilhadas
- Tomográficas- Tomográficas
![Page 17: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/17.jpg)
Imagens EstáticasImagens Estáticas
![Page 18: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/18.jpg)
Imagens EstáticasImagens Estáticas
![Page 19: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/19.jpg)
Imagens DinâmicasImagens Dinâmicas
![Page 20: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/20.jpg)
Imagens Dinâmicas - GatedImagens Dinâmicas - Gated
![Page 21: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/21.jpg)
Imagens SPECTImagens SPECT
![Page 22: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/22.jpg)
Imagens SPECTImagens SPECT
![Page 23: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/23.jpg)
Imagens GSPECTImagens GSPECT
![Page 24: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/24.jpg)
EndocrinologiaEndocrinologia
Nódulo “quente” Glândula sublingual
![Page 25: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/25.jpg)
EndocrinologiaEndocrinologia
Graves Nódulo “frio”
![Page 26: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/26.jpg)
EndocrinologiaEndocrinologia
PCI 131Iodo
Restos tiroidianos
![Page 27: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/27.jpg)
EsqueléticoEsquelético
Fratura com osteomielite
![Page 28: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/28.jpg)
EsqueléticoEsquelético
Fratura sem osteomielite
![Page 29: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/29.jpg)
EsqueléticoEsquelético
Doença de Paget
![Page 30: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/30.jpg)
EsqueléticoEsquelético
Fratura de estresse
Entesopatia (shin-splint)
![Page 31: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/31.jpg)
EsqueléticoEsquelético
99mTc-MDP 153Sm-EDTMP
![Page 32: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/32.jpg)
PulmãoPulmão
![Page 33: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/33.jpg)
GastrointestinalGastrointestinal
RGE
![Page 34: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/34.jpg)
GastrointestinalGastrointestinal
Sólido
Líquido
![Page 35: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/35.jpg)
GastrointestinalGastrointestinal
Hemorragia digestiva
![Page 36: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/36.jpg)
GálioGálio
Miocardite
![Page 37: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/37.jpg)
GálioGálio
Pneumonite pós QTX
![Page 38: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/38.jpg)
GálioGálio
Linfoma
![Page 39: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/39.jpg)
CérebroCérebro
AVC isquêmico
![Page 40: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/40.jpg)
CérebroCérebro
Trauma
![Page 41: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/41.jpg)
CérebroCérebro
Alzheimer
![Page 42: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/42.jpg)
CérebroCérebro
Demência frontal
![Page 43: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/43.jpg)
CérebroCérebro
Demência frontal Atrofia cortical
![Page 44: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/44.jpg)
Renograma Renograma 99m99mTc-DTPATc-DTPA
![Page 45: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/45.jpg)
Cintilografia renal Cintilografia renal 99m99mTc-DTPATc-DTPA
![Page 46: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/46.jpg)
Rins em ferraduraRins em ferradura
![Page 47: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/47.jpg)
Cicatrizes renaisCicatrizes renais
![Page 48: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/48.jpg)
CINTILOGRAFIA DE PERFUSÃO DO CINTILOGRAFIA DE PERFUSÃO DO MIOCÁRDIOMIOCÁRDIO
FUNDAMENTOS DO EXAME FUNDAMENTOS DO EXAME
![Page 49: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/49.jpg)
Short Axis Short Axis ( Eixo Menor )( Eixo Menor )
InferiorInferior
AnteriorAnterior
SSeeppttoo
LLaatteerraall
CINTILOGRAFIA DE PERFUSÃO DO CINTILOGRAFIA DE PERFUSÃO DO MIOCÁRDIOMIOCÁRDIO
FUNDAMENTOS DO EXAME FUNDAMENTOS DO EXAME
![Page 50: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/50.jpg)
HLA HLA ( Eixo Longo Horizontal )( Eixo Longo Horizontal )
SeptoSepto LateralLateral
BaseBase
ÁpiceÁpice
CINTILOGRAFIA DE PERFUSÃO DO CINTILOGRAFIA DE PERFUSÃO DO MIOCÁRDIOMIOCÁRDIO
FUNDAMENTOS DO EXAME FUNDAMENTOS DO EXAME
![Page 51: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/51.jpg)
VLAVLA( Eixo Longo Vertical )( Eixo Longo Vertical )
Anterior
Inferior
Ápice
Base
CINTILOGRAFIA DE PERFUSÃO DO CINTILOGRAFIA DE PERFUSÃO DO MIOCÁRDIOMIOCÁRDIO
FUNDAMENTOS DO EXAME FUNDAMENTOS DO EXAME
![Page 52: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/52.jpg)
Fluxo Coronariano NormalFluxo Coronariano Normal
Concentração do traçadorConcentração do traçador na fibra miocárdicana fibra miocárdica
Imagens CintilográficasImagens Cintilográficas ( Short axis )( Short axis )
CINTILOGRAFIA DE PERFUSÃO DO CINTILOGRAFIA DE PERFUSÃO DO MIOCÁRDIOMIOCÁRDIO
FUNDAMENTOS DO EXAMEFUNDAMENTOS DO EXAME
![Page 53: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/53.jpg)
CINTILOGRAFIA DE PERFUSÃO DO CINTILOGRAFIA DE PERFUSÃO DO MIOCÁRDIOMIOCÁRDIO
FUNDAMENTOS DO EXAME FUNDAMENTOS DO EXAME
Obstrução ao Fluxo CoronarianoObstrução ao Fluxo Coronariano
Concentração do traçadorConcentração do traçador na fibra miocárdicana fibra miocárdica
Imagens CintilográficasImagens Cintilográficas ( Short axis )( Short axis )
![Page 54: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/54.jpg)
![Page 55: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/55.jpg)
CINTILOGRAFIA DE PERFUSÃO DO CINTILOGRAFIA DE PERFUSÃO DO MIOCÁRDIOMIOCÁRDIO
ACHADOS CINTILOGRÁFICOSACHADOS CINTILOGRÁFICOS
HipoperfusãoHipoperfusãoTransitóriaTransitória
HipoperfusãoHipoperfusãoPersistentePersistenteNormalNormal
StressStress
RepousoRepouso
![Page 56: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/56.jpg)
ESTUDOESTUDONORMALNORMAL
![Page 57: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/57.jpg)
ISQUEMIAISQUEMIA
![Page 58: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/58.jpg)
HIPOPERFUSÃO HIPOPERFUSÃO PERSISTENTEPERSISTENTE
![Page 59: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/59.jpg)
P E TPositron Emission Tomography
(Tomografia por Emissão de Pósitrons)
![Page 60: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/60.jpg)
PET vs. Câmara com Circuito de
coincidência
PETCÂMARA DE COINCIDÊNCIA
![Page 61: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/61.jpg)
![Page 62: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/62.jpg)
isótopos emissores de pósitrons
não são estocáveis
1,25Rubídio-82
68,3Gálio-68
2,07Oxigênio-15
9,96Nitrogênio-13
20,4Carbono-11
109,7Flúor-18
MEIA-VIDA(min)ISÓTOPO
![Page 63: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/63.jpg)
Acúmulo de 5-fluoruracil no tumoruracil18F-fluoruracil
Apoptose celularAnnexin V18F-Annexin V
Status do receptor de estrógenoestradiol18F-fluoro-17-β-estradiol
Hipóxia18F-fluoromisonidazole
Transporte de aminoácidostirosina11C-tirosina
Metabolismo da membrana celular, proliferação da célula tumoral
colina11C-colina
Síntese de proteína, proliferação da célula tumoral
metionina11C-metionina
Síntese de DNA, proliferação da célula tumoral
timidina11C-timidina18F-fluorotimidina
Glicólise, consumo de glicose ou metabolismo
glicose18F-FDG
Efeito avaliadoAnálogo biológicoRadiofármaco
Radiofármacos PET em Oncologia
![Page 64: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/64.jpg)
Cíclotron (acelerador de partículas)
![Page 65: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/65.jpg)
![Page 66: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/66.jpg)
![Page 67: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/67.jpg)
16/4/2005
26/4/2005
16/6/2005
22/6/2005
QT 6 sessões
![Page 68: Aula - 1 - Medicina Nuclear 26-08-09](https://reader034.vdocuments.mx/reader034/viewer/2022042613/548c3b04b47959df0a8b4a67/html5/thumbnails/68.jpg)
18FDG – Câncer de cólon