PT  - JOURNAL ARTICLE
AU  - Santosh Desai
AU  - Samuel Unzek
AU  - Reza Arsanjani
AU  - Stephanie Krause
AU  - Ba Nguyen
AU  - Fadi Shamoun
AU  - William Pavlicek
TI  - Urinary Voiding as a Tool to Reduce Radiation Exposure in the Nuclear Stress Lab
AID  - 10.2967/jnmt.118.212548
DP  - 2019 Jun 01
TA  - Journal of Nuclear Medicine Technology
PG  - 160--162
VI  - 47
IP  - 2
4099  - http://tech.snmjournals.org/content/47/2/160.short
4100  - http://tech.snmjournals.org/content/47/2/160.full
SO  - J. Nucl. Med. Technol.2019 Jun 01; 47
AB  - Nuclear stress testing is being increasingly justified in the cardiovascular risk stratification of patients. Radiation is an important consideration, and attempts to minimize exposure should be implemented. Efficiency and cost effectiveness are cornerstones in the delivery of quality patient care and should also be considered when implementing change. Methods: We studied 88 consecutive patients who presented to our stress lab for pharmacologic nuclear stress testing. A single-day rest-and-stress protocol with low-level exercise was used for all patients. After the stress portion of the examination, we measured Geiger counter activity above the bladder area to establish a baseline. Patients were then allowed to void, and repeat measurements were taken. Results: We detected a 16.9% reduction from baseline radiation levels above the bladder area after voiding. Conclusion: Urinary voiding is a simple, cost-effective strategy at reducing radiation exposure in the nuclear stress lab.