Rapid nuclear medicine blood volume analysis for emergency assessment

• Published in: Journal of emergencies, trauma and shock Vol. 13; no. 4; pp. 301 - 305
• Main Authors: Sadowsky, David, Suarez-Mazon, Abel, Lugo, Charles, Rashid, Tariq, Wu, Jennifer, Gerard, Perry, Mozzor, Matty
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01-10-2020; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Blood; blood volume; Body fluids; Diagnosis; Diagnostic tests; Emergency medical care; fluid status; Heart; Hemodynamics; Hypertension; indicator dilution; Nuclear medicine; rapid; Review; fluid status; rapid; Blood volume; indicator dilution; nuclear medicine
• ISSN: 0974-2700; 0974-519X
• DOI: 10.4103/JETS.JETS_167_19

Assessment of fluid status can play a critical role in the diagnosis and management of emergent conditions such as trauma, shock, decompensated heart failure, syncope, and hypertension. Unfortunately, common methods are all qualitative and/or indirect, and often inaccurate. With the recent introduction of a modernized method of nuclear medicine blood volume analysis (NM-BVA), offering results in 90 min or less as well as improved precision and ease of performance, this decade-old technique is for the first time a viable tool in the emergent setting. In this review, we discuss the history of NM-BVA, the modern method, and our institution's experience implementing this method.