Sadowsky David, Suarez-Mazon Abel, Lugo Charles, Rashid Tariq, Wu Jennifer, Gerard Perry, Mozzor Matty
Department of Radiology, Westchester Medical Center, Valhalla, NY, USA.
J Emerg Trauma Shock. 2020 Oct-Dec;13(4):301-305. doi: 10.4103/JETS.JETS_167_19. Epub 2020 Dec 7.
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.