NUCLEAR STRESS TEST ❤️ HOW TO PERFORM | HOW TO PROCESS

I wanted to show you guys how I perform a Nuclear Medicine Stress Test!
In this video I will give you a view from the patient’s perspective on how the test is performed, and then I’ll cover the behind the scenes information on how the images are processed!
Nuclear Stress Tests are one of the most common tests ordered, but arguably one of the most complicated to learn! I remember wishing I had more experience processing when I was a student in Nuc Med school, so I imagined this to be helpful!
Let me know if you found this video useful! Be sure to drop any questions below! And if you haven’t already - SUBSCRIBE - so that you don’t miss out on the next one!
Thanks for watching! 💋
-Vanessa Woods, CNMT, NMTCB(CT)

[@MsCocoa75]

I had this done today. You explained it very well. Beautiful video.

[@andreaangwin]

Thank you, Im scheduled march 20th for one and this has helped me tremendously understand more .

[@Sarinafye]

I’m so scared… I failed my exercise stress test and now going to do the nuclear…😟 I like watching videos of the process so I know what to expect and it helps calm my anxiety, thank you for your video😇

[@SlightlySimilar]

You don’t know how much I am appreciating these informational videos!! It’s like a virtual volunteer experience 🤩 I look forward to more NMT videos to brush up on before my program interview.

[@kwamenacann9857]

Wow what a great insight on nuclear stress test. I love it

[@francishubertovasquez2139]

Thanks Ma'am Vanessa Woods, you have reiterated well with poise the important points of vertical, horizontal, elongated heart aspects images as well as the comparisons image of stressed and rested heart and the doses, it's significance, very well explained on nuclear cardiac stress test details, showing that technology matters in healthcare. Thanks

[@johnb4183]

Hello you NEED to explain the risks associated with the Lexiscan "chemical" stress test , nothing mentioned here patients need to be informed.

[@tanyachapin5069]

What are the risks?

[@johnb4183]

@@tanyachapin5069 There is a FDA WARNING re the drugs used to stress / stimulate your heart. The drugs are lexiscan or adenosine. As per the FDA warning "can cause serious heart attack or death" nice uh? During the stress test they have an "antidote" ready to counter-act the effects of the drug if you get into trouble. Hopefully the person observing you is qualified to make that judgement call. Good Luck. You can easily research the subject yourself.

[@donnasheppard7371]

Your injected with radioactive chemicals always risk

[@Fozzi1-1836]

What are the risks? Well possibly death. I’m up for this and it’s voluntary. I’m presently having issues where I’m dizzy and have tightness in my chest and numbing in both arms and a elevated heart rate. That’s a risk. I’ll gladly do this test. My other option is not acceptable too my friends gone to heart attack.

[@filmswithpurposestudios6860]

Thank Vanessa. I go in tomorrow for my stress test and I was a bit nervous but seeing this really helps. I pray that they are as passionate and on it as you are. I enjoy your passion. I'll be showing this to my wife as well. Keep up the great work.

[@aianjayimpuesto4686]

How are you? What's the result?

[@jrbjr12345]

Thank you so much for an excellent video to help me understand, somewhat, what I am to expect. Great job...

[@dman8092]

Wow good info my coworker is about to go for this procedure I was here to see what the progress entails, he has a inserted defibrillator in his chest its a fascinating thing.

[@gmvanz01847]

This is an "Excellent Explanation" of this testing procedure.

[@sydneyrichardson9681]

Learning all about the cardiac system and constantly doing stress tests at my clinical site! This video was extremely helpful! Thanks for sharing!!

[@UndeniablyMee]

So happy you found it helpful!! Thanks for your feedback!

[@kwamenacann9857]

Thank you so much Vanessa for in-depth knowledge on cardiac stress test

[@UndeniablyMee]

I’m glad you found it helpful! Thanks for your feedback! 🥰

[@lisagardner4814]

@@UndeniablyMee I have a question so I went for a regular stress test and they found some irregularity and want me to do the nuclear testing to rule out blockages I’m really worried in regards to whatever it is that’s injected I’m a very sensitive person I have histamine issues and things of that nature is it safe what are the side effects?

[@paularamsammy2682]

Vanessa, you are totally AWESOME!!! Thank you for your detailed explanation! God BLESS You!!!

[@AgeIsJustANumber]

Thank you for such a great video. I am scheduled for a treadmill nuclear stress test on 10/29 after having a coronary calcium screening text that revealed issues in the LAD.

[@BB-oy1vb]

Such a great and detailed explanation! Thank you so much Vanessa!!!!

[@TheeMrsChampion]

Vanessa this is awesome. I start my first year clinicals February 11th and I am beyond nervous. I just want to do well. Please keep posting these videos. We appreciate them!

[@UndeniablyMee]

Aw it’s normal to feel a little nervous! But clinicals are honestly the most fun and easiest part! Everything you’ve learned will start to click once you’re hands on and practicing! You’ve got it! Thank you for watching and your feedback!

[@TheeMrsChampion]

@@UndeniablyMee thank you for the encouragement. Looking forward to your next video!

[@jenniferpordieguez9507]

I loved the way you explained this study. This will help me a lot at my clinical site, I’m even taking notes of your explanation. Please keep uploading videos explaining how to perform each specific study. I am very curious about the renal flow and function and the bone scan. Thank you very much.

[@UndeniablyMee]

The renal scan is definitely another one of those whose processing is a bit more in depth! Thanks for those great ideas! And thanks for watching! ❤️

[@jenniferschweichler6773]

I'm really lucky I did my clinical at a place that did some awesome tests. Some I've never seen again. Maybe you can show some. WBC Tag, Post Chemo Cardiac Function, Pre mastectomy lymph node, Gastric empty, Renogram, Shunt study on a Hydrocephalus, I¹³¹ room set up and breakdown ( we were one of the few hospitals that kept patients because we had two rooms that were on corner of hospital with storage below and it was far easier than folks having to adapt thier home. Maybe you can explain the ins & outs of I¹³¹ treatment. The worst was a brain perfusion eval for a young man who flipped his 4 wheeler.

[@larrygol7734]

​@@UndeniablyMee hello desde Venezuela,,,soy técnico en Medicina Nuclear,,exelente materia .

[@danielmartinez3861]

I recently had this test, but was able to see this video before it. It gave me a good idea of what expect. Now just waiting for my cardiologist to give me the results and planned treatment.

[@jullz1000]

How was your results? Also when they put the nuclear in do you feel any symptoms??

[@rurutherussian]

You’re the best. There really aren’t enough NMT youtube channels out there. I find your videos to be a huge help, plus you’re beautiful! Lol, so thank you again. This will help me finally get my competency for this study.

[@balramkhehra9637]

Great job explaining so nicely! 👍

[@lorette2443]

Wow I have been told to take a nuclear stress test and watching the procedure I'm already feeling stressed out 🤯🥺😉🤭😄

[@aicxaalex1]

So how was you do? How did it feel?

[@taylor4864]

i take my nuclear stress test this coming Thursday thanks for all the info

[@curtpiazza1688]

Cool stuff! I'm getting mine next week! 🎉 ❤

[@thadmayfield5289]

You're amazing too Vanessa; excellent job! Thanks!

[@arensel84]

Good job bringing awareness to the field and exam. Of note, and some of these can be subjective... for spect acquisition, positioning patient about one heart height from top FOV allows smaller collimator distance increasing resolution. Lung heart ratio can still be obtained with this positioning. The reader should take GI activity into consideration, thus allowing visualization of extracardiac activity and its possible influence on LV uptake. Placing the gut beyond FOV will not influence Compton Scatter of intense gut near the LV. This can give a false sense of negative influence. It will only allow the automatic software processing to find the LV more easily. Using the mask feature in Cedars can be necessary. I see your institution is using front back projection for image reconstruction.. This is prone to ramp filter artifact, larger imaging times/dose, and a need for a shorter azimuth for acceptable resolution. Iterative reconstruction is widely accepted as the current standard in SPECT. The version of Exeleris you have could display both if the reader is uncomfortable moving away from FBP images. Many readers out there are utilizing save screens to diagnose. This is unfortunate as it is left up to the technologist to correctly process and deliver all the data without allowing the reader full control over manipulation of the data. Many would find it too time consuming to learn and implement anyways! Normalizing rest/stress LV intensity and close attention to quantitative contours is key to accurate results. Anyways, just my 2cents...really appreciate your work on KZbin making unclear medicine more clear to people!

[@opp17485]

Very good explanation, thank you. Seems this should be part of a routine test at 50 yoa like a colonoscopy is. Preventative health care should be routine. What we have in the U.S. is Sick Care.

[@tarastevenson9050]

I work in Nuclear Cardiology also! Love seeing other NMTs 😊

[@michaelkum7776]

hi, greetings from Asia Malaysia. This is a really educational, practical view for us patients. Even for some of us heart attack patients, we get to understand the steps behind, what the MO is looking for, and how we patients can prepare ahead. Wish your work success and keep creating more educational programs (where you can). Cheers.

[@dezo8586]

Do a video about what it has been like as a travel tech! I’ve been a NMT for 3 years and have always wondered what it’s like.

[@Thetophatmonke]

I loved how you explained this! I get to do a lot of these in my clinical site right now.

[@UndeniablyMee]

Thank you! 🥰 And thats awesome! This test is one of my favorites!

[@bettystanford9595]

No your amazing thank you for the tour of the test tske care keep up the great Tutorial of the test now I know what to expect

[@Asadsoil1]

Thanks for your awesome video. I am scared about going inside a machine. How long i need to stay inside the machine ? You said 10 minutes first Then how many minutes later!!

[@partheniabrown1943]

Thank you for being sooooooo detailed. You are the best!

[@heyhelmet7526]

Hi there. So I've graduated from Medical Imaging and currently pursuing my masters in NM and I came across your channel today. I've seen a couple of your videos and I'm already loving them. I like how you keep things professional yet entertaining. Hoping to see a lot more content from you. Stay safe and have a good day

[@sammiyakhurshid4011]

1😊😊😊

[@dksapfl]

I'm my final semester of my nuc med program and the stress test is my favourite study to do!

[@sometimesoonfan]

did you finish if so what school did you go to?

[@dksapfl]

@@sometimesoonfan yes I did finish. I went to SAIT in Alberta Canada.

[@liselibarringham988]

❤❤❤❤ Hey Vanessa, getting ready to apply to the program. Any tips on writing a memorable personal statement?

[@sonny1597]

Just had one of these done along with other test over the last 3 years .. kept telling the cardio folks that something was wrong .. this latest nuclear stress test I had again showed me to be just fine! I told the cardio Dr that they were nuts and I could put myself into a heart attack on a treadmill .. and he believed me and did a heart cath .. I was 80% plugged!!!! The nuclear stress test did not show this at all. In a few days I will have a triple bypass. If I didn't push the issue I could have been dead from a heart attack. My cardio Dr was totally pissed that the stress test did not show this and told the imagining folks about what was found.

[@artsmodelstation9396]

I’m scheduled for a nuclear stress test. If I over exert myself or even walk far I get short of breath and chest burning sensation. I told Cardio this and still wants to do it. I don’t get it. On a treadmill it’s gonna act up and gonna hurt. They should just do an angiogram I think 🤔 how did your bypass go ?

[@kristenjazdzewski6701]

Thank you for this I love when you do these videos on NM!

[@davidm.alicea8332]

Very informative and interesting. Great job and thanks for what you do.

[@Decoyeia]

This is awesome and super informative

[@UndeniablyMee]

🥰 Thank you!

[@edmilsonalves7281]

Good job..... nice and clear.. understandable

[@cherylradabaugh2720]

Many he ,might have been better ,if they'd paid attention .as after they gave me the meds ,I was greatly ignored ,I felt horrible wanted to lay down somewhere .but no where to do that at.finally had the scan done .sent home after that and felt so lousy ,and ended up having a migraine headache for hours .and it took me a couple of weeks before I started to feel any different.

[@sj-eg5pj]

Hi, My name is Judy from South Korea. Thank you for this video. It's really great for you to share this. Actually,.I am a nurse working in the same department in one of the prestigious hospitals, South Korea. Can we share some events or patients' cases while performing this procedure? I just want to share each other's experiences and expand our knowledge and something more.

[@oldbones3092]

I actually just had the Lexiscan stress test done today. I wish I had sen this before the test!

[@djjoep100]

Can I drive myself home after the test?

[@oldbones3092]

@@djjoep100 I was OK to drive.

[@djjoep100]

@@oldbones3092 ok doing my test this Friday 8/19 but I don't smoke or drink why do I have to do this test I am a type 2 diabetes my a1c is 6.7 my sugar is good I am a vegetarian vegan

[@chynwn257]

Hi Please Can there be an accurate reading without the rest and stress test/ imaging undertaken. I only had a stress test with Lesican without the rest test done. and I am told that it's fine.(which I am not accepting) obviously, no 2nd image to compare -just as you clearly explained, Meanwhile all my symptoms are still there. I am challenging this. because having watched this video I don't think my myocardial perfusion scan is done properly. because no 2 images to compare.

[@natealvarado3141]

i love her

[@lindycantu2757]

I am so nervous to take my board exams!! Any advice?

[@gbprovince2650]

Just Amazing

[@bjulien6280]

you said in one of your videos that you wish you choose the bachelor route for NucMed. Could you tell us what other doors or opportunities are there if you had a bachelor?

[@mohammedabdurrazak7359]

Thanks Vanessa.

[@oreos3223]

Hello I’m currently a senior in high school and was planning on becoming an NMT. Would you recommend a bachelors degree over an associates? And another question was whether or not you need to major in nuclear medicine or if you could rather pick rad tech as your major and then do a 12 month nmt program? I understand that you are busy and ask that you please respond whenever you are free, there aren’t many resources for me to go to regarding this and I have less than two months to choose a college to go to. Stay safe.

[@joycemankel2110]

Vanessa - I’m going for a nuclear stress test tomorrow & I’m so scared! Can I take a 1 mg. Xanax before I go for my high anxiety?😢

[@littlehummingbird1015]

How did it go for you? I have to do the test on Nov. 22nd and I have been nervous too.

[@jullz1000]

@@littlehummingbird1015 How did it go for you?

[@autumn3035]

I got to have one day after tomorrow I’m so scared I been having real bad chest pains it’s just effecting my every day life I’m 23 I been getting dizzy and light headed and my legs and arms been getting tingly and numb and I don’t know what’s cause my dad passed away from a beat attack at 33 and heart disease run in the family and I’m scared to do it

[@tiffanymichelerogers6490]

How was the test do you?

[@DOGFOXY]

Hello Vanessa, I just noticed your last video was 3 years ago. Are you ok?🙏🏿🙏🏿🙏🏿🙏🏿

[@farrahfayyaz]

How much time is spent on this test

[@kathyselements]

Is their any side effects after the radioactive injection? I have swollen throat barely can swallow anything and some light bleeding down the the bottom and had no period for 9 years after my tube been taken out. Please need information

[@williamnegron3264]

I am in loveeeeeee

[@thomascoghan6972]

Thank you

[@cinceregaulden9826]

Im scared to take this test, someone just scared me

[@Asadsoil1]

I m scared too. Tell me about your experience. I am nervous about staying inside any machine

[@user-jp4tl9zd8n]

I'm having this done on February 26,2024. Me excercise my heart I won't do, they will lexscan medication for the doctor to see the ejection score for me before I will or not get the ICD in my heartbeat be normal.

[@tessaochoa3340]

How would I know if there are defects in wall motion? Or abnormal wall motion?

[@Courtie825]

Thank you for the videos! I have a few questions for you... I am almost done with pre reqs for the program and I’m torn between nuc med and rad tech. Can you get extra certs after nuclear med program to do mri, ct, xrays ? Also, other than patients, do you mainly work by yourself most of the day? And are there night shifts available for nuc med or is it mostly a day time job?

[@UndeniablyMee]

It depends on what state you live in so I would double check the requirements! But as a Nuc Med tech I am able to cross train into CT and MRI but not Xray. For Xray you’d have to attend a program dedicated to Xray.

[@Courtie825]

@@UndeniablyMee Thank you so much for the input ❤️

[@mcsmith7606]

This seems rather haphazard if the tester gets to choose and create names. I would think the tester would be prompted for test areas and that these would have specific names that would make retrieval later a much easier task. It would make comparisons across patient easier to understand allowing knowledge collection..

[@luqmanaskander8536]

Am so studying radiology and ultrasound (sonar)technology third level

[@teresasellers2722]

Watching from Australia!

[@MagicCityWD40]

I'm a NMT. What do you think about traveling and what state do you work?

[@remusrome985]

Ohh the irony in this video at 1:07 mark.

[@sandycrane1739]

I have a nuclear stress test. They told be one hour apx and no tread mill. So , they are lying to me ?

[@Rainbow_1312]

What does it mean "ROI" ?

[@razvandobos9759]

I’ve been interested in radiology for over 10 years. I have Aspergers, and know a lot about cars and skyscrapers and space and geography and animals. Your videos impress me. I see you have Instagram too. I’ll follow you there soon. You can follow me if you like, although my posts may or may not be your style.

[@AryanSharma-qn4zf]

Hello can you provide nmt books plzz

[@jesusmex3186]

Are you a radiologist?

[@margaretferguson6948]

I'm supposed too have one April 20 but I read can cause fatal heart attack.no thanks

[@williamwilson9283]

❤

[@ColorMeTech]

😯💪🏾💪🏾💪🏾

[@UndeniablyMee]

Thank you!

[@JidJibril]

What's your annual salary?

[@Freeazabird]

The nuclear is horrific

[@cheryladams8066]

Why?

[@debigeorge7588]

Just watching all the fast photo changes made me too stressed out to watch!

[@mibelloaleman]

Why is the camera man foscusing on your ass? Seriously? This takes away from the seriouness of this topic!

[@OSRSstiffy]

got foking lost lmao...

[@5150member]

I give it a thumbs down. I understand watching the screen. But why not show the patient show there expression. Doing this test you forget to breath, you feel like you just hit turbo in your body, head hurts, neck hurts and know that radiation is going in your body. Which of you go to a public place like train stations or airport. You will have multiple police near you since they have a radiation detector on the body and will pick you up... 😂😂😂 Yeah multiple effect...

[@UndeniablyMee]

Lol I’m sorry! I anticipated the interest to be from fellow professionals, I did not anticipate this much patient interest! Filming actual patients is something tricky. There are several laws on protecting patient information..I wish I could figure out a way! And ahhh you must have had a taste of the pharmaceutical stress medication, it is true that it can make you feel a little ill and strange temporarily 😢. As for when you leave (now radioactive!) the amount of radiation you receive is such a small amount, I assure you that no alarms would be setting off lol. There are other THERAPEUTIC radioactive injections that are a larger and stronger type of radiation, so those are a completely different story! Thanks for your feedback! Better luck next time if you ever have to repeat the exam. ❤️

[@paigeburton8995]

Can women wear a shirt

[@lovephotography1966]

I'm sending you hugs 🫂 . I have one next week. I'm a little calmer

[@littlehummingbird1015]

How was it for you? I have one to do this coming Tuesday, Nov. 22nd.

[@barrykervin4219]

I go in on Wednesday and Thursday why 2 days