Advanced Imaging to Evaluate Heart
Function
A MUGA scan is a sophisticated
cardiovascular imaging study in which radio-labeled red blood
cells are injected into the bloodstream to evaluate how well the heart is
pumping.
The injected blood
cells emit radioactive energy that is detected by a special camera that creates
an outline of the heart chambers and eventually a movie of the beating heart.
The heart doctors at
UT Southwestern use MUGA scanning for a highly accurate measurement of heart
function, especially when other tests have proven inadequate. Many situations require
such an exact assessment, when even mild changes in the heart function necessitate
a change in the patient’s individualized treatment plan.
Conditions We Diagnose with a MUGA Scan
MUGA scans are most
often used to evaluate patients who are undergoing chemotherapy or who have
pulmonary hypertension (high blood pressure in the lungs), congestive heart
failure, or cardiomyopathy (weakened heart pumping function). They are also
used when the patient’s heart is not adequately visualized or assessed with
more traditional imaging tests.
What to Expect
Before a MUGA Scan
Prior to the MUGA
scan, the physician will give specific instructions to the patient and discuss
issues such as pre-scan medication use and allergies.
MUGA Scan
Details
A technician will take
the patient to a special room where red blood cells labeled with radioactive
technetium sestamibi will be injected intravenously. After the patient has
rested quietly for 30 minutes while the injected cells accumulate in the body
tissue, the scan begins.
The gamma camera is
pointed at the heart, gathering low-level radiation emissions and creating an
outline image of blood flow through the heart. The imaging portion generally
takes 15 to 20 minutes to complete while the patient lies comfortably flat on a
table.
Post-MUGA
Scan Details
Patients are done once
the MUGA scan is complete. There are usually no restrictions to daily
activities. Patients should drink plenty of fluids to wash out the radioactive
substance. It generally takes a few days for the scan results to be
interpreted.
Support Services
UT Southwestern’s
cardiac rehabilitation specialists create customized
plans that integrate proper nutrition, exercise, and, if necessary,
nicotine cessation into patients’ lifestyles to improve their
cardiovascular health.