The Nuclear Medicine department is a busy clinical department offering a comprehensive nuclear medicine service. The Radiopharmacy supplies other trusts and generates a substantial income for the trust from this work. The department has 2 SPECT/CT GE 16 slice CT gamma cameras which are state of the art, and new digital NM/CT 870 CZT recently installed May 2024. A new Hologic Discovery A scanner has recently been installed and around 5000 DEXA scans are undertaken within the osteoporosis unit. The department has a particular interest and expertise in Oncology, Orthopaedic Imaging, Osteoporosis, Nuclear Cardiology and Thyroid and Parathyroid disorders. However, the full range of nuclear medicine is practised including paediatrics, urology, and neurology. The largest number of tests are isotope bone scans, cardiac myocardial perfusion imaging (MPI), lung scans, thyroid scans, DAT scans, renograms and DMSA scans. There is one day set aside for paediatric work with specialist paediatric nurse support. Gated SPECT MPI studies with adenosine, rapiscan and dobutamine are performed on 3 days a week. A specialised thyroid service is offered by the nuclear medicine department combining isotope scanning with the thyroid clinic. The department has an interest in metabolic bone disease and undertakes metabolic bone clinics and provision of osteoporosis services in the trust.