What Is a Nuclear Medicine Technologist? Duties, Pay + More

A nuclear medicine technologist (NMT) maintains and operates the imaging equipment required for medical imaging tests. Furthermore, they also prepare and administer the radioactive drugs (radiopharmaceuticals) required to conduct such imaging tests and work alongside other medical professionals to diagnose medical conditions by using radioactive drugs.

If you're interested in a patient-facing health care profession that involves working with technical equipment, you might consider a career as a nuclear medicine technologist.

Learn what an NMT does, how much they earn, and how to become one.

What is a nuclear medicine technologist?

A nuclear medicine technologist is a specially trained health care professional who works directly with patients needing medical imaging tests. As an NMT, you'll assist nuclear medicine physicians with nuclear medicine technology. 

Nuclear medicine technology is a medical process that uses imaging equipment to diagnose and treat a patient. Examples of imaging procedures are positron emission tomography (PET) and electrocardiogram (ECG).

Since you work with radioactive isotopes and radioisotope equipment some roles may refer to the position as an isotope technologist or radioisotope technologist. You also give radiopharmaceuticals to patients before an imaging procedure, then use a specialized camera to create images where the radiopharmaceuticals show within the tissues and organs of the patient. 

What does a nuclear medicine tech do day-to-day?

A nuclear medical technologist typically works with patients scheduled for imaging procedures or who need radiation treatment for a disease such as cancer. As a nuclear medicine technologist, you’ll prepare the correct radiopharmaceutical dosage and administer it to the patient. Using imaging equipment, you’ll scan the areas of the body that the patient’s health care provider requested.

When a patient arrives for their appointment, you’ll explain the procedure and answer any questions they have. Some patients might be fearful or nervous, and some might be in pain, so you’ll want to be calming and reassuring. The position also requires you to maintain the imaging equipment and ensure it’s operating safely.

Read more: 9 Health Science Jobs for Health Science Degree Holders

Nuclear medicine technologist salary

According to the BLS, nuclear medicine technologists earned a median annual salary of $92,500 as of May 2023 [1].

However, pay varies considerably based on where you're employed. For example, BLS notes that NMTs working in outpatient care centers earned a median annual pay of $139,320, while those working in physicians' offices, hospitals, and diagnostic laboratories earned between $85,280 and $93,830 in the same period [1].

How to become a nuclear medicine technologist

To pursue a nuclear medicine technologist career, you’ll need a strong interest in physics and chemistry and attend an accredited school for an associate or bachelor’s degree. You may also need to be licensed.

Follow these steps to become an NMT:

1. Obtain an associate or bachelor's degree.

An associate degree from an accredited school is the minimum requirement to qualify as a nuclear medicine technologist. Coursework typically includes physics, chemistry, anatomy, and the study of radioactive drugs. You may need clinical experience under the supervision of a nuclear medicine professional.

Bachelor's degree programs are also available, and job responsibilities can differ from those who hold an associate degree. Professional Certificate eligibility may also vary. Typically, an associate degree typically takes two years, while a bachelor’s degree generally takes four years to complete.

Read more: What Is an Undergraduate Degree?

Can I study to become a nuclear medicine technician online?

You can study to become a nuclear medicine technologist online; however, you need to complete the clinical portion of your studies in person. 

Taking some of the required courses from an accredited school provides you with the flexibility to fit the program into your work and personal life.

2. Gain your license and certifications.

More than one-half of states require licensing, and each has its requirements for qualifying. According to the Nuclear Medicine Technology Certification Board, as of 2024, at least 30 states require licensing, and each state has its requirements for obtaining a license [2].

When you’ve completed your degree, you can take the American Registry of Radiologic Technologists (ARRT) certification exam or the Nuclear Medicine Technology Certification Board (NMTCB). The ARRT requires candidates to have a degree as a nuclear medicine technologist and pass an exam. You’ll need to pay an exam fee, and it is administered by Pearson VUE.

The NMTCB offers a certification exam for nuclear medicine technologists, with a $200 fee [3]. You must submit your application two months prior to the exam, along with the fee. You will then have three months to take the exam.

3. Consider specializing.

When you’ve completed a degree program and obtained any certification and licensing required in your state, you’ll qualify for work in hospitals and imaging clinics, or you could choose to work for a physician in private practice.

Government and teaching hospitals offer other opportunities, and medical laboratories also need nuclear medicine technologists.

With additional training after becoming an NMT, you can specialize by completing a certification program beyond your degree. Some specialties include:

• Nuclear cardiology technologist: The nuclear medicine technologist specializing in nuclear cardiology works solely with imaging the heart and circulatory system.

• Positron emission tomography (PET) technologist: Specialization in PET scans involves using a special machine designed to take three-dimensional images of a specific body part.

• Computed tomography (CT) technologist: A computed tomography technologist takes two- and three-degree views of specific organs. 

Jobs related to nuclear medicine technology

Jobs related to nuclear medical technology are available with the proper education and certification. The positions are in health care settings and require working one-on-one with patients under the supervision of a physician or other diagnostic professional.

Some options to consider are: 

• Diagnostic medical sonographer: A career as a diagnostic medical sonographer requires either an associate or bachelor’s degree or completion of a certificate program with clinical experience. As a sonographer, you work with patients to take digital images using special equipment.

• Neurodiagnostic technologist: The neurodiagnostic technologist performs tests on the brain and nervous system. The job doesn’t require a degree; however, certification is available after completing a two-year program.

• Radiologic technologist: Radiologic technologists interpret X-rays for physicians. The position requires graduation from an accredited school and certification. Some states also require licensing.

• Radiation therapist: A radiation therapist works with cancer patients and others who need radiation therapy. You work as a member of an oncology team to administer treatment and monitor patients for side effects.

• Cardiovascular technologist: The cardiovascular technologist works with EKG equipment to monitor heart and lung function. You may perform other tasks as needed, such as lung capacity testing.

Read more: Radiologic Technologist: A Career Guide

Get started in nuclear medicine with Coursera 

Nuclear medicine technologists pair their knowledge of radiopharmaceuticals and imaging equipment to help diagnose patients with some of the most life-threatening conditions. If you're considering a career as an NMT, you might consider taking a cost-effective online course through Coursera.

In the University of Sydney's Life, Health and Radiation, you can learn more about the benefits as well as risks of radiation. In particular, you'll explore how scientific and medical discoveries like X-ray radiation have improved and prolonged billions of lives.