NNC NSREN Specialist case studies
NNC NSREN Specialist · Put your knowledge to work in context.
The NNC NSREN Specialist credential is aimed at nuclear medicine technologists and radiopharmacy staff who prepare, assay, dispense, and administer radiopharmaceuticals, and who want formal recognition of that specialised skill set. Candidates typically already hold a nuclear medicine technology qualification and have hands-on exposure to a radiopharmacy or hot lab. The NNC NSREN Specialist case studies are 5 cases and about 4,297 words.
1Systematic 25% SUV Drop After PET/CT Detector Block Replacement
Your department operates a time-of-flight PET/CT that underwent replacement of one detector block and a vendor software upgrade eight weeks ago. Since then, technologists report that F-18 FDG SUVmax values appear about 25% lower than on comparable earlier studies.
839 words, about 4 min2Pregnancy Declaration From a Technologist Who Administers I-131
A 31-year-old nuclear medicine technologist, 11 weeks pregnant, hands you a written declaration of pregnancy as the RSO. She works in a PET/CT and general nuclear medicine department performing 18-22 F-18 FDG injections a day (mean 370 MBq per dose), and she is one of only two staff who administer I-131 therapy capsules each week (typically 3.7-5.55 GBq per patient, two or three patients per week).
849 words, about 4 min3Tc-99m MDP Radiochemical Purity Falls Below Specification After Dosing
It is 14:40 on a Friday. A 6.5 GBq Tc-99m generator, calibrated five days earlier and last eluted 26 hours ago, yields 7.1 GBq in 8.0 mL.
861 words, about 4 min4Suspected Pulmonary Embolism at 22 Weeks' Gestation at 23:00
A 33-year-old woman at 22 weeks' gestation presents to the emergency department with sudden-onset dyspnoea, pleuritic chest pain, heart rate 116 per minute, and a D-dimer of 2,100 micrograms per litre fibrinogen-equivalent units. She has no previous venous thromboembolism, no haemoptysis, and a normal chest radiograph.
834 words, about 4 min5Remnant Ablation With I-131 in an Anuric Haemodialysis Patient
A 59-year-old man with a 4.2 cm papillary thyroid carcinoma, pT3aN1b, has undergone total thyroidectomy and is referred for remnant ablation. He has end-stage renal disease from diabetic nephropathy and has been on haemodialysis three times weekly for four years; he is anuric.
914 words, about 5 min