The Radiology Partners (RP) NMMI Radiology National Subspecialty Division (NSD) presents our newest Rad to Rad Learning case. 

 


Peer Learning Opportunitymegaphone icon

Rapid gastric emptying and gastroparesis can both present with similar clinical symptoms. Gastric emptying examinations can definitively distinguish between the two etiologies.

 1 hour: 24% retention (normal: 30-90%)

This graph displays the change in gastric activity over time at hourly intervals.

A graph showing gastric emptying over 120 minutes with raw and linear fit lines, and a dashed line for 50% emptying. The x-axis is time in minutes; the y-axis is counts per minute. Text below states Decay Corrected by Xeleris: Yes..

 

Nuclear medicine scan showing anterior and posterior views with highlighted regions labeled ANT MEDLINE, ANT HR, ANT 3HR, POST MEDLINE, POST HR, and POST 3HR in blue outlines.


Practical Insights duplicate icon

    • Seen frequently in patients post gastric surgery, vagotomy, and early diabetes.
    • Diagnostic criteria: <30% retention at 60 minutes.
    • This diagnostic criteria only applies to the standard solid-phase meal, and a combination of anterior and posterior imaging.
    • This examination can be terminated at the 1 hour time point if <30% retention is seen at 60 minutes.

Bell iconTakeaway: Obtaining a detailed patient history is key to an accurate diagnosis.

Shared to improve patient safety and healthcare delivery in the provision of radiology services. The circumstances and facts are changed, altered, or deidentified to preserve confidentiality. Privileges have not been waived.

The NMMI Radiology National Subspecialty Division (NSD) is part of RP’s Clinical Value Team, whichworks to elevate patient care and enhance value through innovation, collaboration and education. To advance this goal, our radiologists and advanced practice providers are committed to sharing peer learning as valuable reminders and insights about what we encounter in our day-to-day practiceCheck back here and on XLinkedIn and Instagram to see these common cases and our findings.

Visit the Clinical Resources page for more cases and to see what we’ve developed to enhance best practice recommendations, elevate image quality and patient care and update current standards throughout RP’s network of practices, all to deliver excellent radiology services to patients, referring clinicians and client partners.

Rad to Rad Learning: Focused tips from our experts

Radiology Partners, through RP Clinical Services and its managed practices, together with Mosaic Clinical Technologies, Inc., its technology and AI division, is the leading provider of technology-enabled radiology services in the U.S., serving more than 3,400 hospitals and other healthcare facilities with high-quality radiology, technology and artificial intelligence solutions. As a physician-led and physician-owned practice, our mission is to transform radiology by innovating across clinical value, technology, and service, while elevating the role of radiology and radiologists in healthcare. For the latest news from RP, follow us on XLinkedInInstagramYouTube and the blog.

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