Systems and methods for nuclear medicine (NM) imaging using different radiopharmaceuticals are provided. One method includes generating images of a region of interest (ROI) from radioactive emissions from a localization radiopharmaceutical to position the ROI in a field-of-view (FOV) of a gamma camera based on the generated images of the ROI. The method further includes performing an imaging scan of the ROI using an imaging radiopharmaceutical to acquire image data of the ROI, wherein the imaging radiopharmaceutical is different than the localization radiopharmaceutical.