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Clinic for Nuclear Medicine

Medical Director
PD Dr. Gabriele Pöpperl

Telephone +49 (0)711 278-34301
Telefax +49 (0)711 278-34309
g.poepperl@klinikum-stuttgart.de

The Nuclear Medicine Clinic treats patients in all the four buildings of Stuttgart Hospital with the full range of diagnostic and therapeutic services of the department. For conventional examinations, modern two-head systems, including SPECT/CT, are used. There is also a highly modern PET/CT scanner (Biograph Molecular CT (mCT)) with an adaptive 64 slice spiral CT for (neuro-) oncological, neurological and cardiac PET/CT examinations. For specific nuclear medicine procedures, other hospitals in Stuttgart region are co-supervised.

Part of the Nuclear Medicine Clinic is a therapy centre with twelve beds, where benign and malignant thyroid diseases are treated with radioactive iodine. Another area of interest is the radio-peptide therapy in the treatment of neuroendocrine tumours as well as selective internal radiation therapy (SIRT) of primary and secondary liver tumours. Radionuclide therapy in children with neuroblastoma and palliative pain therapy for painful bone metastases is also offered in collaboration with Olga Hospital.

Treatment and care priorities

All clinically relevant nuclear medical diagnostic procedures, including:

All standard procedures for specific organ diagnostics
Sentinel lymph node scintigraphy with probe measurements
Somatostatin receptor scintigraphy
FDG-PET/CT in oncological problems
Cholin-PET/CT in prostate cancer
FET-PET in brain tumours
DOTATATE-PET/CT in neuroendocrine tumours
Fluoride PET/CT in bone metastasis therapy and orthopaedic problems

Therapy with unsealed radionuclides:

Radioiodine therapy of benign thyroid disease and in differentiated thyroid carcinoma (early ablation and metastases therapy)
Radio-peptide therapy for neuroendocrine tumours
Selective Internal Radiation Therapy (SIRT)
MIBG therapy
Palliative pain therapy for bone metastases

Special offers and facilities

PET/CT scanner (mCT S64) with 64 slice spiral CT
Three identical double-headed gamma cameras, one of which Hawkeye-technology SPECT/CT
Single-head gamma camera
Modern ultrasonic device for 5, 7.5 and 10 MHz images of the neck region
Certified centres: Breast Centre, Centre for Gynaecological Cancer, Prostate Cancer Centre
Liver centre

Exceptional procedures in Diagnosis and Therapy

Of great importance is the installation of a cutting-edge ultra-high-resolution PET/CT scanner in 2010 that brought a significant improvement in PET/CT diagnosis. Thus, oncological imaging could be refined. Even the smallest tumours can be treated using this state of the art equipment with specific radiopharmaceuticals that allow optimal treatment. The new device also allows progress in neurological diagnosis, which allows a precise representation of neurodegenerative diseases (FDG-PET scans for dementia assessment) but also metabolic processes of brain tumours (FET-PET scans for brain tumour diagnosis).
With the installation of an automated peptide synthesizer, PET/CT diagnosis can be routinely established with Ga-68-labelled somatostatin analogs for the detection of somatostatin receptor positive neuroendocrine tumours (DOTATATE PET/CT). This offers, in contrast to conventional scintigraphy, a highly sensitive method for the detection and spread diagnosis of even the smallest of neuroendocrine tumours. In addition, patients are selected for a radio peptide therapy, which is also routinely offered (Y-90- and Lu-177-labelled radiopeptides).
Other established therapies are the SIRT (Selective Internal Radiation Therapy) of primary and secondary liver tumours, palliative pain therapy of painful bone metastases and MIBG therapy of pheochromocytomas and neuroblastomas.

Quality assurance (selection)

External: Medical authority (regular quality assurance according to StrSchV and RöV)
Internal: Regular quality controls (DIN, StrSchV, RöV)

Hospital numbers

2008	2009	2010
12	12	12	Available beds
387	416	461	Inpatient cases
4.1	4.1	3.3	Length of stay in days

Selected services (case number)

2008	2009	2010
1,272	1,297	1,350	PET / CT examinations
387	416	460	Radioiodine therapy
106	164	185	Sentinel lymph node scintigraphy

Clinic for Nuclear Medicine

Klinikum Stuttgart – Katharinenhospital
Kriegsbergstrasse 60
70174 Stuttgart
Germany

Telephone +49 (0)711 278-34301
Telefax +49 (0)711 278-34309
g.poepperl@klinikum-stuttgart.de

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