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Dr. Swagat - Nuclear Theranostic Specialist

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Faridabad
Dr. Swagat - Nuclear Theranostic Specialist

A nuclear medicine physician with over 15 years of experience in the field of conventional nuclear medicine, PET-CT procedures, and radionuclide therapy.

Well-versed with the recent advances in technology and evolving radio-tracers.

26/01/2026

Proud to celebrate the spirit of freedom, unity, and democracy that defines our great nation 🇮🇳
On this Republic Day, let us remember the sacrifices of our freedom fighters and honor the Constitution that gives us our rights, duties, and identity as Indians. May we continue to work together for a stronger, inclusive, and progressive India. Jai Hind. .

20/01/2026

Role of ⁶⁸Ga-DOTANOC PET/CT in Peptide Receptor Imaging & Therapy Planning

⁶⁸Ga-DOTANOC PET/CT is an advanced molecular imaging technique used in the evaluation of neuroendocrine tumors (NETs). It targets somatostatin receptors (SSTR) subtypes 2, 3, and 5, allowing high-resolution, whole-body imaging for accurate detection, staging, and restaging of disease. In therapy planning, ⁶⁸Ga-DOTANOC PET/CT plays a crucial role by assessing SSTR expression, selecting suitable patients for PRRT (¹⁷⁷Lu-DOTATATE), predicting therapeutic response, and excluding SSTR-negative disease, thereby ensuring precise, personalized, and effective treatment planning..

19/01/2026

PSMA PET Scan: Beyond Prostate Cancer
PSMA PET imaging is no longer limited to prostate cancer. Emerging evidence shows its role as a tumor neovascular marker, opening new possibilities in the evaluation of renal cell carcinoma, gliomas, hepatocellular carcinoma, thyroid & salivary gland cancers, and even select lung, breast, and colorectal tumors.
By targeting tumor angiogenesis, PSMA PET is evolving into a powerful pan-oncologic imaging tool, aiding in better lesion detection, accurate staging, and informed treatment planning.
A true game-changer in modern nuclear medicine..
Dr. Swagat Dash
Senior Consultant – Nuclear Medicine
Sarvodaya Hospital, Faridabad.

14/01/2026

As the sun begins its northward journey, may Makar Sankranti bring new energy, fresh beginnings, and endless positivity into your life. Let go of the past, rise higher like the kites in the sky, and welcome prosperity, happiness, and good health. Wishing you a season filled with warmth, success, and sweet moments with loved ones..

13/01/2026

As the Lohri bonfire lights up the night, may it burn away all negativity and fill our lives with warmth, prosperity, and endless happiness . This festival reminds us to be grateful for what we have, to celebrate togetherness, and to welcome new beginnings with hope in our hearts. Here’s to dancing around the fire, sharing laughter, and creating beautiful memories with loved ones. Wishing everyone a joyful, prosperous, and love-filled Lohri..

07/01/2026

How Nuclear Medicine Detects Cancer at the Molecular Level

Nuclear medicine allows cancer detection at the molecular level, often identifying disease much earlier than conventional imaging. By using targeted radiotracers that bind to specific cancer-related receptors or altered metabolic pathways, doctors can visualize abnormal cellular activity before physical or structural changes become visible. Advanced PET and SPECT imaging map how these tracers are taken up in the body, helping pinpoint cancer location, spread, and activity with high precision. This approach enables early detection, accurate staging, and personalized treatment planning. With the concept of theranostics, the same molecular targets are used for both diagnosis and therapy—bridging the gap between detection and treatment. From diagnosis to therapy, precision truly starts here..

05/01/2026

Genetics plays a crucial role in the development of thyroid cancer, as specific genetic alterations and gene mutations can trigger abnormal growth and uncontrolled division of thyroid cells. Understanding these genetic changes helps doctors identify the exact nature and aggressiveness of the cancer. With advances in precision medicine, personalized radionuclide therapy can be planned based on the tumor’s genetic profile, allowing targeted treatment while minimizing damage to healthy tissues. Targeted molecular imaging further improves the ability to detect cancer accurately, assess its spread, and monitor response to therapy. Together, these approaches support accurate diagnosis, effective treatment planning, and proper risk stratification, ensuring that each patient receives care tailored to their individual cancer biology..

29/12/2025

Burnout demands systemic redesign, not weekends.

25/12/2025

Merry Christmas! May your heart be light and your connections be real.

24/12/2025

Lu-177 PSMA Therapy: A Simple Monitoring Guide for Referring Doctors

Lu-177 PSMA therapy is changing how we treat advanced prostate cancer. Here's what to watch after your patient starts treatment.

What to Monitor and When
PSA Blood Tests: Check every 4-8 weeks. Good news: PSA dropping by 50% or more means the therapy is working. Don't worry if PSA rises slightly in the first few weeks—this is normal and temporary.

Blood Counts: Weekly checks for the first 2 months, then every 2 weeks. Watch especially for low platelets (affects clotting). About 1 in 10 patients experience this. Most cases are manageable with close monitoring.

Kidney Function Test before each treatment cycle. The therapy is processed through the kidneys, so we need to ensure they're handling it well. Good hydration helps.

Imaging Scans: PSMA PET scans around 8-12 weeks after the second dose show how cancer cells are responding. Regular CT scans every 3-6 months track physical changes in tumors.

How Your Patient Feels: Ask about pain levels, daily activities, and overall quality of life. Patients often feel better before blood tests show improvement—this matters.

When to Take Action

Contact the treatment team if you notice:
- Blood counts are staying very low
- PSA rising after it had been falling
- New pain or symptoms
- Kidney function declining

The Bottom Line
Lu-177 PSMA therapy works well for many patients, but success depends on careful monitoring. Regular communication between you and the nuclear medicine team ensures the best outcomes for your patients.

22/12/2025

Your health is a non‑negotiable deadline.

19/12/2025

Herd Mentality in Referrals: Why 70% Order FDG Without Reading Prior Scans

Here's an uncomfortable statistic: studies suggest that up to 70% of PET scan orders happen without the referring physician reviewing prior imaging reports. We're ordering scans on autopilot, following what "everyone does" rather than what each patient needs.

The Herd Mentality Problem
When uncertainty hits, we default to what our colleagues do. "Everyone orders FDG PET at this stage" becomes reason enough. Prior results? Old CT reports? Often unread before clicking "order."

This isn't laziness—it's cognitive overload meeting institutional culture.

The Real Consequences
Redundant Imaging Ordering the exact same scan that was done 6 weeks ago, without checking first. Waste of time, money, and radiation exposure.

Wrong Tracer Selection: Automatically ordering FDG PET for prostate cancer follow-up when PSMA PET would be far more sensitive. Missing disease because you didn't check what works best.

Missed Critical Information. Prior scans showed stable findings that don't need repeat imaging. Or worse—prior reports documenting patterns that should change your approach entirely.

Staging Errors: Not knowing baseline findings leads to misinterpreting new scans. Is that lymph node new, or was it always there?

Why This Happens
Time Pressure Reviewing prior imaging takes 10-15 minutes. Ordering "the usual" takes 30 seconds.

System Failures: Outside imaging reports are buried in medical records. No easy way to compare studies.

Institutional Culture "This is our standard protocol" becomes unquestioned routine rather than thoughtful medicine.

Breaking Free
Five-Minute Rule: Before ordering any imaging, spend 5 minutes reviewing: What was done before? What did it show? What question am I actually trying to answer now?
Question Defaults: When you catch yourself thinking "this is what we always do," pause. Is "always" right for THIS patient?

Read the Report. Prior imaging reports often contain critical details that change what you should order next.

The Bottom Line
Herd mentality feels safe but leads to reflexive, not reflective, medicine. Five minutes of chart review beats blindly following the crowd.

Address

Faridabad
121006

Telephone

+919953845711

Website

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