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MUGA or Multi-Gated Acquisition Scan

 

What is a MUGA scan and when is it needed?

A MUGA scan is a nuclear medicine exam that takes pictures of your heart to assess the size and function.  MUGA scans are most often used for two reasons: heart failure and cancer. 

Indications:

Heart Failure: If you’re showing signs of heart failure like chest pain, dizziness, fatigue and shortness of breath, a MUGA scan can precisely detect how well your heart is functioning.

Cancer Treatments: MUGA scans are also used before and after cancer treatments. Chemotherapy, radiation therapy and immunotherapy can damage your heart. Doctors use MUGA scans to get a baseline for your heart function before treatment begins and as a follow-up to treatment to assess damage.

What are the risks?

Please let the office know if you are pregnant and/or breastfeeding, as the radiotracers maybe harmful to a fetus.

The risk to other people is very low, so these scans are considered safe and effective ways to diagnose disease.

How do you prepare for a MUGA scan?

  • No restrictions 
  • Wear comfortable clothing
  • Exam takes about 90-minutes

How does a MUGA scan work?

A nuclear medicine technologist starts an IV in your arm. They will withdraw a small amount of blood and mix that blood with a radioactive material (35 minutes) and will re-inject your blood back into your IV.  Three EKG leads are placed on your body and a special camera is then used to take 3 images of your heart.  Each of those pictures take 5 minutes. The technologist will use those images to measure the ejection fraction (EF) of your heart (how much blood your heart squeezes out every time it contracts.)  A value of  >50% is considered normal LVEF (left ventricle ejection fraction).

What should I expect after my MUGA scan?

It usually take 24-48 hours for your doctor to receive a report.  Drink plenty of fluids to help flush the radiotracer out of your body, what does not get flushed out of your body will decay out.  There are no other restrictions.