Myocardial Perfusion SPECT How to do it E. Moralidis
|
|
|
- Lester Cannon
- 5 years ago
- Views:
Transcription
1 Myocardial Perfusion SPECT How to do it E. Moralidis Aristotelian University AHEPA Hospital Thessaloniki
2 Myocardial perfusion SPECT procedure Stress Imaging Data analysis and reporting
3 Myocardial perfusion SPECT: basic principles
4 Stressing techniques in myocardial perfusion SPECT Dynamic exercise Treadmill Upright bicycle Vasodilator drugs Adenosine Dipyridamole Regadenoson Inotropic drugs Dobutamine
5 Patient preparation Type of stress test Exercise Vasodilator Dobutamine Nitrates β-blockers + ± + Methylxanthines (72 hrs) Caffeine (12-24 hrs) Persantine (48 hrs) Light meal, preferably fasting for 2-3 hours before testing Food and insulin optimization in diabetics
6 Exercise stressing in myocardial perfusion SPECT ASNC Imaging Guidelines 2008 & 2009 on stress protocols and tracers All exercise tests should be symptom limited Achievement of target heart rate is not an indication for termination of the test 5 METS are required for an adequate work load
7 Coronary vasodilators
8 Vasodilator stressing ( 99m Tc-agents) ASNC Imaging Guidelines 2009: stress protocols and tracers dipyridamole Accomplished in COPD patients pretreated with bronchodilators Short adenosine infusion protocols adenosine regadenoson
9 Adenosine with mild exercise
10 Dobutamine protocol Stop β-blockers for 48 hrs Monitor HR, BP, 12-lead ECG IV esmolol / atenolol available
11 Selection of stress protocol Dynamic exercise provides optimal stress for those that can afford it. Pharmacological stress more appropriate if: Unable to achieve adequate work-load Contraindication to exercise LBBB More convenient Women (?)
12 Diagnostic performance of stressors 5,954 patients in 57 studies
13 SPECT 201 Tl in women AHA Scientific Sessions. Circulation 1995:92:1 Specificity (%)
14 Properties of perfusion agents Factors favouring Thallium-201 Superior biokinetics Low extracardiac activity Factors favouring 99m Tc-MIBI, 99m Tc-tetrofosmin Superior image quality Stress & imaging at a distance No resting injection May be better for viability evaluation Lower radiation burden to staff and family members ECG gated imaging with confidence Advantageous in obese, female, acute chest pain Lower radiation burden to the patient
15 Tracers in clinical practice Kapur A, et al. (ROBUST) Eur J Nucl Med 2002:29:
16 201 Tl 99m Tc An obese woman 201 Tl 99m Tc 201 Tl 99m Tc
17 Tracers in clinical practice Kapur A, et al. (ROBUST) Eur J Nucl Med 2002:29: (%)
18 Tracers in clinical practice (mci) Thallium 99m Tc-agents Stress Reinjection Stress Rest Europe USA msv/mci
19 Myocardial perfusion SPECT: data acquisition
20 Myocardial perfusion SPECT: data acquisition
21 Issues in myocardial SPECT imaging Image acquisition Quality control Reconstruction methods Gated SPECT Patient positioning Orbit Acquisition type γ-camera system Acquired, original, processed data Filtered back projection Iterative reconstruction Filtering Motion correction ECG triggering Image processing, analysis, display Attenuation & scatter compensation Data analysis Visual, quantitative Integration of perfusion & function Viability assessment
22 Image processing
23 Myocardial perfusion SPECT: planes
24 Image display
25 Image interpretation Stress Rest normal perfusion no ischemia reversible defect induced ischemia fixed defect myocardial fibrosis
26 Myocardial perfusion SPECT quantitative analysis AHA, Circulation 2002;105: = normal 1 = slight reduction 2 = moderate reduction 3 = severe reduction 4 = no uptake SSS, SRS, SDS Small area of ischemia vs Moderate or Large area
27 Normalization error
28 Color scale
29 Standardized reporting of myocardial SPECT Patient details Indication Stress technique Tracer & imaging protocol Image quality Findings Conclusions Name, age, gender, date of study Relevant data from medical history Exercise and workload / Pharmacological Response to stress: heart rate, blood pressure, symptoms, ECG changes Including injected activities Including significant artifacts Presence, localization, extent and depth of stress and rest defects Pathology outside the left ventricle: right ventricle, lungs, etc Normal, inducible ischemia, myocardial infarction Extent and location Inconclusive study Correlation with clinical information or other data
30 Myocardial SPECT in 4 academic centers in Greece Preliminary results ( 3,000 pts) Stressor Institution A B C D Exercise 0 71% 24% 0 Pharmacological 100% 29% 76% 100% Perfusion agent Thallium % 80% 1% 94% 99m Tc-tetrofosmin 13% 20% 99% 6%
31 Myocardial SPECT in 4 academic centers in Greece 3.5% mean 7.2min 10% mean 5.7min
32 Thank you for your attention
Fundamentals of Nuclear Cardiology. Terrence Ruddy, MD, FRCPC, FACC
Fundamentals of Nuclear Cardiology Terrence Ruddy, MD, FRCPC, FACC Objectives To understand the Principles of Nuclear Cardiac Imaging Radiotracers Image acquisition and processing Stress protocols To appreciate
CHRONIC CAD DIAGNOSIS
CHRONIC CAD DIAGNOSIS Chest Pain Evaluation 1. Approach to diagnosis of CAD 2. Classification of chest pain 3. Pre-test likelihood CAD 4. Algorithm for chest pain evaluation in women 5. Indications for
EMPHISIS ON PHYSIOLOGY PHYSIOLOGY REQUIRES TIME QUALITATIVE vs. QUANTITATIVE ISOTOPES TO RADIOPHARMACEUTICALS
1926 Herman Blumgard used solutions of radon gas to measure what he called velocity of the circulation. 1927 Blumberg and Soma Weiss wrote article in (Journal of Clinical Investigation) 1929 Werner Forssmann
NUCLEAR CARDIOLOGY UPDATE
Nuclear Cardiology David K. Shelton, Jr., MD NUCLEAR CARDIOLOGY UPDATE No Conflicts. No Disclosures. No Smoking. David K. Shelton UCDMC Nuclear Cardiology Nuclear Cardiology Radionuclide Ventriculography
Appropriateness of Stress Echocardiography and Nuclear Stress Thallium/Sesta Mibi Testing Methods
Appropriateness of Stress Echocardiography and Nuclear Stress Thallium/Sesta Mibi Testing Methods Review by Michael Devenport, MS, RDCS Objectives: A basic description and review of appropriate use of
Tc-99m Sestamibi/Tetrofosmin Stress-Rest Myocardial Perfusion Scintigraphy
APPROVED BY: Director of Radiology Page 1 of 6 Tc-99m Sestamibi/Tetrofosmin Stress-Rest Myocardial Primary Indications: Evaluation of myocardial perfusion and viability in patients with known or suspected
Dual-Tracer Gated Myocardial Scintigraphy
APPROVED BY: Director of Radiology Page 1 of 7 Dual-Tracer Gated Myocardial Scintigraphy Primary Indications: Evaluation of myocardial perfusion and viability in patients with known or suspected coronary
Cardiovascular nuclear imaging employs non-invasive techniques to assess alterations in coronary artery flow, and ventricular function.
National Imaging Associates, Inc. Clinical guidelines CARDIOVASCULAR NUCLEAR MEDICINE -MYOCARDIAL PERFUSION IMAGING -MUGA CPT4 Codes: Refer to pages 6-9 LCD ID Number: L33960 J 15 = KY, OH Responsible
Paradoxical pattern in a patient with previous myocardial infarction F. Mut, M. Kapitan
Paradoxical pattern in a patient with previous myocardial infarction F. Mut, M. Kapitan Nuclear Medicine Service, Italian Hospital Montevideo, Uruguay Clinical history Woman 66 y.o. Previous MI. Dyspnea
Cardiovascular nuclear imaging employs non-invasive techniques to assess alterations in coronary artery flow, and ventricular function.
National Imaging Associates, Inc. Clinical guidelines CARDIOVASCULAR NUCLEAR MEDICINE -MYOCARDIAL PERFUSION IMAGING -MUGA Original Date: October 2015 Page 1 of 9 FOR CMS (MEDICARE) MEMBERS ONLY CPT4 Codes:
Nuclear medicine in general practice. Dr Reza Garzan MD, FRACP, FAANMS
Nuclear medicine in general practice Dr Reza Garzan MD, FRACP, FAANMS Myocardial perfusion study Bone scans in general practice Thyroid scans in general practice Gamma camera Detection of gamma rays Myocardial
Choosing the Appropriate Stress Test: Brett C. Stoll, MD, FACC February 24, 2018
Choosing the Appropriate Stress Test: Brett C. Stoll, MD, FACC February 24, 2018 Choosing the Appropriate Stress Test: Does it Really Matter? Brett C. Stoll, MD, FACC February 24, 2018 Conflicts of Interest
Previous MI with no intervention
Previous MI with no intervention F. Mut, M. Beretta Nuclear Medicine Service, Asociacion Española Montevideo, Uruguay Clinical history Woman 68 y.o. Recent acute MI (3 weeks) with no intervention. Discharged
Nuclear Cardiology Cardiac Myocardial Perfusion with 82 Rb. Dominique Delbeke, MD, PhD Vanderbilt University Medical Center Nashville, TN
Nuclear Cardiology Cardiac Myocardial Perfusion with 82 Rb Dominique Delbeke, MD, PhD Vanderbilt University Medical Center Nashville, TN VUMC PET/CT conference 2009 82 Rb Cardiac Perfusion PET 82 Rb is
Choosing the Right Cardiac Test. Outline
Choosing the Right Cardiac Test Atif Qasim, M.D., M.S.C.E. University of California, San Francisco Disclosures: None 2013 Outline Focus on choosing the optimal tests for coronary disease evaluation Overview
Stress echo workshop STRESSORS
Stress echo workshop STRESSORS Adham Ahmed, MD Lecturer of Cardiology, Ain Shams Indications of Stress Echo CAD Diagnosis Prognosticat ion 1 Physiologic Basis 1930s: Tennant and Wiggers Relationship between
Pearls & Pitfalls in nuclear cardiology
Pearls & Pitfalls in nuclear cardiology Maythinee Chantadisai, MD., NM physician Division of Nuclear Medicine, Department of radiology, KCMH Principle of myocardial perfusion imaging (MPI) Radiotracer
Case-Based Pitfalls of SPECT and PET: Recognizing and Working with Artifacts
2:20 PM Friday WORKSHOP V Case-Based Pitfalls of SPECT and PET: Recognizing and Working with Artifacts Sean W. Hayes, MD Associate Clinical Professor of Medicine UCLA School of Medicine Cedars-Sinai Heart
Interventional Agents in Stress Myocardial Perfusion Imaging
.::VOLUME 13, LESSON 2::. Interventional Agents in Stress Myocardial Perfusion Imaging Continuing Education for Nuclear Pharmacists and Nuclear Medicine Professionals By George H. Hinkle, R.Ph., M.S.,
PHARMACOLOGICAL STRESS TESTING
PHARMACOLOGICAL STRESS TESTING Southwestern Chapter - SNMMI Warren H. Moore, MD, FACNM, FACC Baylor College of Medicine Dept. of Radiology Baylor St. Luke s Medical Center Texas Heart Institute Houston,
Exercise Test: Practice and Interpretation. Jidong Sung Division of Cardiology Samsung Medical Center Sungkyunkwan University School of Medicine
Exercise Test: Practice and Interpretation Jidong Sung Division of Cardiology Samsung Medical Center Sungkyunkwan University School of Medicine 2 Aerobic capacity and survival Circulation 117:614, 2008
Stress only Perfusion Imaging
European Society of Cardiology Annual meeting, 2010, Stockholm, Sweden Stress only Perfusion Imaging Oliver Gaemperli, MD Cardiovascular Center, University Hospital Zurich, Switzerland Male patient, 48
My Patient Needs a Stress Test
My Patient Needs a Stress Test Amy S. Burhanna,, MD, FACC Coastal Cardiology Cape May Court House, New Jersey Absolute and relative contraindications to exercise testing Absolute Acute myocardial infarction
Click here for Link to References: CMS Website HOPPS CY 2018 Final Rule. CMS Website HOPPS CY2018 Final Rule Updated November 2017.
Final Compared to 3Q 2017 Rates Medicare Hospital Outpatient Prospective Payment System HOPPS () Nuclear Cardiology Procedures, Radiopharmaceuticals, and Drugs Click here for Link to References: CMS Website
Abnormal, Autoquant Adenosine Myocardial Perfusion Heart Imaging. ID: GOLD Date: Age: 46 Sex: M John Doe Phone (310)
Background: Reason: preoperative assessment of CAD, Shortness of Breath Symptom: atypical chest pain Risk factors: hypertension Under influence: a beta blocker Medications: digoxin Height: 66 in. Weight:
Pharmacological stress agents and protocols
Pharmacological stress agents and protocols João V. Vitola, MD, PhD Cardiologist and Nuclear Medicine Physician Quanta Diagnostico Nuclear Curitiba - Brazil DISCLOSURES Honorarium Research and Conferences
Fellows on this rotation are expected to attend nuclear conferences and multimodality imaging conference.
Rotation: Imaging 1 Imaging 1 provides COCATS Level 1 experience for nuclear cardiology (including SPECT and PET) and cardiac CT. Fellows will administer, process, and read cardiac nuclear studies with
Myocardial Perfusion Scintigraphy
Myocardial Perfusion Scintigraphy CDL Bavelaar-Croon, Ziekenhuis Gelderse Vallei, Ede S van Eeckhoudt, Bravis ziekenhuis, Roosendaal 1. Introduction Myocardial perfusion scintigraphy (MPS) produces images
I have no financial disclosures
Manpreet Singh MD I have no financial disclosures Exercise Treadmill Bicycle Functional capacity assessment Well validated prognostic value Ischemic assessment ECG changes ST segments Arrhythmias Hemodynamic
Diagnosis of CAD S Richard Underwood
Diagnosis of CAD S Richard Underwood Professor of Cardiac Imaging Royal Brompton Hospital & Imperial College Faculty of Medicine London, UK The history and diagnosis 89% Non-cardiac chest pain 50% Atypical
Chad Morsch B.S., ACSM CEP
What Is Cardiac Stress Testing? Chad Morsch B.S., ACSM CEP A Cardiac Stress Test is a test used to measure the heart's ability to respond to external stress in a controlled clinical environment. Cardiac
Conflict of Interest Disclosure
Comparative Advantages of PET Over SPECT: Is PET Really Better? Timothy M. Bateman M.D. Co-Director, Cardiovascular Radiologic Imaging Mid America Heart Institute Professor of Medicine University of Missouri-Kansas
P F = R. Disorder of the Breast. Approach to the Patient with Chest Pain. Typical Characteristics of Angina Pectoris. Myocardial Ischemia
Disorder of the Breast Approach to the Patient with Chest Pain Anthony J. Minisi, MD Department of Internal Medicine, Division of Cardiology Virginia Commonwealth University School of Medicine William
INTRAVENOUS ADENOSINE MYOCARDIAL PERFUSION STUDY (rest/pharmacologic stress SPECT with gated SPECT wall motion studies at rest and post-stress)
nucware.com, LLC Product Demo Anytown Cardiac Specialists, Inc. Janet Jones, MD, FACC Ed Wilson, MD, FACC Tom Smith, MD, FACC Jim Wilson, MD, FACC John Womack, MD, FACC JOHNSON, VICTOR DOB: 09/06/1938
Rotation: Imaging 2. Nuclear Cardiology (in Imaging 1 and 2)
Rotation: Imaging 2 Imaging 2 provides addition nuclear cardiology experience and COCATS Level 1 cardiac MRI experience. Fellows administer, process, and read VHVI cardiac nuclear studies with cardiology
Tailoring Cardiac stress testing. When and how to use Exercise, Vasodilators and Inotropes.
Tailoring Cardiac stress testing. When and how to use Exercise, Vasodilators and Inotropes. Raffaele Giubbini Chair and Nuclear Medicine Unit University and Spedali Civili Brescia - Italy Provocative Stress
MPI Overview. Artifacts and Pitfalls in MPI. Acquisition and Processing. Peeyush Bhargava MD, MBA
Artifacts and Pitfalls in MPI MPI Overview Peeyush Bhargava MD, MBA www.nuclearmd.com ~ 40% of all Nuclear Medicine Procedures ~ 9 million procedures every year in US >95% are SPECT,
ASNC CONSENSUS STATEMENT REPORTING OF RADIONUCLIDE MYOCARDIAL PERFUSION IMAGING STUDIES. Approved August 2003
ASNC CONSENSUS STATEMENT REPORTING OF RADIONUCLIDE MYOCARDIAL PERFUSION IMAGING STUDIES Approved August 2003 Robert C. Hendel, M.D. Frans J. Th. Wackers, M.D., Ph.D. Daniel S. Berman, M.D. Edward Ficaro,
Stress Testing:Which Study is Indicated for My Patient?
Stress Testing:Which Study is Indicated for My Patient? Cardiology-Primary Care Conference 7/14/17 Peter Casterella, MD Co-Executive Director Swedish Heart and Vascular Institute 1 Stress Testing Options
How to Report Effectively on a Nuclear Cardiology Study
How to Report Effectively on a Nuclear Cardiology Study A/Prof. NATHAN BETTER Cardiologist and Deputy Director of Nuclear Medicine Royal Melbourne Hospital University of Melbourne December 2012 The case
Cardiac Diagnostics Workshop. Lori Savard NP Cardiology Update 2015
Cardiac Diagnostics Workshop Lori Savard NP Cardiology Update 2015 Disclosure of Commercial Support Potential for conflict(s) of interest: none Objectives Increase understanding regarding stable IHD and
CURRENT STATUS OF STRESS TESTING JOHN HAMATY D.O.
CURRENT STATUS OF STRESS TESTING JOHN HAMATY D.O. INTRODUCTION Form of imprisonment in 1818 Edward Smith s observations TECHNIQUE Heart rate Blood pressure ECG parameters Physical appearance INDICATIONS
Stress Testing and Its Role in Coronary Artery Disease
8 Stress Testing and Its Role in Coronary Artery Disease Rajkumar K. Sugumaran and Indu G. Poornima The Gerald McGinnis Cardiovascular Institute-Allegheny General Hospital, USA 1.Introduction Coronary
Je bénéficie régulièrement de fonds privés, dans le cadre de projets de recherche ou d activités de formation.
Je bénéficie régulièrement de fonds privés, dans le cadre de projets de recherche ou d activités de formation. Ces fonds proviennent essentiellement d industriels travaillant dans les domaines de l imagerie
BIOAUTOMATION, 2009, 13 (4), 89-96
Preliminary Results оf Assessment of Systolic and Diastolic Function in Patients with Cardiac Syndrome X Using SPECT CT Tsonev Sv. 1, Donova T. 1, Garcheva M. 1, Matveev M. 2 1 Medical University Sofia
SPECT TRACERS Tl-201, Tc-99m Sestamibi, Tc-99m Tetrofosmin
SPECT TRACERS Tl-201, Tc-99m Sestamibi, Tc-99m Tetrofosmin Elmer Jasper B. Llanes, M.D. Nuclear Cardiology St. Luke s Medical Center Outline Ideal Physiologic Characteristics of MPI radioactive tracers
SPECT. quantitative gated SPECT (QGS) II. viability RH-2 QGS. Butterworth. 14% 10% 0.43 cycles/cm ( 39: 21 27, 2002) ( )
21 201 Tl SPECT * * * * * * * * SPECT QGS 99m Tc 201 Tl QGS 20 QGS Butterworth Butterworth 0.39 cycles/cm 14% 10% 0.43 cycles/cm ( r = 0.80 r = 0.86 r = 0.80) 201 Tl QGS ( 39: 21 27, 2002) I. quantitative
Conflict of Interest Disclosure
Challenges and Opportunities for SPECT & PET in 2013: Implementing Latest Acquisition and Processing Protocols Timothy M. Bateman M.D. Co-Director, Cardiovascular Radiologic Imaging Mid America Heart Institute
OTHER NON-CARDIAC USES OF Tc-99m CARDIAC AGENTS Tc-99m Sestamibi for parathyroid imaging, breast tumor imaging, and imaging of other malignant tumors.
DEFINITION OF CARDIAC RADIOPHARMACEUTICAL: A radioactive drug which, when administered for purpose of diagnosis of heart disease, typically elicits no physiological response from the patient. Even though
A Snapshot on Nuclear Cardiac Imaging
Editorial A Snapshot on Nuclear Cardiac Imaging Khalil, M. Department of Physics, Faculty of Science, Helwan University. There is no doubt that nuclear medicine scanning devices are essential tool in the
Radiopharmaceuticals For Nuclear Cardiology Studies. Mark Soffing, PharmD, MBA, MS, RPh, BCNP
Radiopharmaceuticals For Nuclear Cardiology Studies Mark Soffing, PharmD, MBA, MS, RPh, BCNP marksoffing@gmail.com Objectives Understand basics and advantages of myocardial imaging Describe isotopes and
High Speed Myocardial Perfusion SPECT: Validation of Quantitative Analysis and use in Low Dose Stress only Protocol
High Speed Myocardial Perfusion SPECT: Validation of Quantitative Analysis and use in Low Dose Stress only Protocol Tali Sharir 1, Marina Pinskiy 1, Vitaly Prochorov 1, Andrzej Bojko 1, Arik Rochman 1,
The comparison of two gated SPET protocols: adenosine Tc-99m tetrofosmin and treadmill exercise Tc-99m MIBI
Nuclear Medicine Review 2003 Vol. 6, No. 1, pp. 11 15 Copyright 2003 Via Medica ISSN 1506 9680 Original The comparison of two gated SPET protocols: adenosine Tc-99m tetrofosmin and treadmill exercise Tc-99m
Guidance and Recommendations for the Implementation of Nuclear Cardiology in Developing Countries
Guidance and Recommendations for the Implementation of Nuclear Cardiology in Developing Countries FOREWORD Nuclear cardiology represents one of the most widely used non-invasive techniques for the assessment
Cardiac Stress Test [ ] Procedures. Cardiac Studies Stress Tests (Single Response)
![Cardiac Stress Test [ ] Procedures. Cardiac Studies Stress Tests (Single Response)](/thumbs/82/85301141.jpg "Cardiac Stress Test [ ] Procedures. Cardiac Studies Stress Tests (Single Response)")
Cardiac Stress Test [3041300006] Procedures Cardiac Studies Stress Tests (Single Response) ( ) EKG Only Exercise Stress Test - Treadmill Do Not Order if: Baseline ST segment abnormalities on EKG (LBBB,
2019 Qualified Clinical Data Registry (QCDR) Performance Measures
2019 Qualified Clinical Data Registry (QCDR) Performance Measures Description: This document contains the 18 performance measures approved by CMS for inclusion in the 2019 Qualified Clinical Data Registry
Pharmacologic Stress With and Without Adjunctive Exercise: Question 1. Which agent do you use routinely for vasodilator stress in your laboratory?
Pharmacologic Stress With and Without Adjunctive Exercise: Sean W. Hayes, MD Associate Clinical Professor of Medicine UCLA School of Medicine Cedars-Sinai Heart Institute Cedars-Sinai Medical Center Los
Which Test When? Avoid the Stress of Stress Testing. Marc Newell, MD, FACC, FSCCT Minneapolis Heart Institute
Which Test When? Avoid the Stress of Stress Testing Marc Newell, MD, FACC, FSCCT Minneapolis Heart Institute Outline Understand the importance of coronary artery disease assessment Understand the basics
Chest Pain Wave I. Making Dollars and Sense Out of Stress Testing
Chest Pain Wave I Making Dollars and Sense Out of Stress Testing Presenters Kristin Newby, MD, FACC Michael Kontos, MD, FACC Disclosures Dr. Newby: None specifically related to this activity All RWI are
RADIOTRACERS FOR MYOCARDIAL PERFUSION IMAGING
RADIOTRACERS FOR MYOCARDIAL PERFUSION IMAGING RAYMOND TAILLEFER, M.D. FRCP(c), ABNM DIRECTOR, DEPARTMENT OF NUCLEAR MEDICINE HOPITAL ST-JEAN-SUR-RICHELIEU Disclosures to Report: Grant Research Support:
Cardiac Imaging. Kimberly Delcour, DO, FACC. Mahi Ashwath, MD, FACC, FASE. Director, Cardiac CT. Director, Cardiac MRI
Cardiac Imaging Kimberly Delcour, DO, FACC Director, Cardiac CT Mahi Ashwath, MD, FACC, FASE Director, Cardiac MRI Cardiac Imaging Discuss the clinical applications of and indications for: Cardiac CT Nuclear
Cardiac Imaging Tests
Cardiac Imaging Tests http://www.medpagetoday.com/upload/2010/11/15/23347.jpg Standard imaging tests include echocardiography, chest x-ray, CT, MRI, and various radionuclide techniques. Standard CT and
2017 Qualified Clinical Data Registry (QCDR) Performance Measures
2017 Qualified Clinical Data Registry (QCDR) Performance Measures Description: This document contains the 15 performance measures that were approved by CMS for use in ASC's 2017 Qualified Clinical Data
Prior Authorization for Non-emergency Cardiac Imaging Procedures
Attention: All Providers Prior Authorization for Non-emergency Cardiac Imaging Procedures The N.C. Medicaid Program is considering implementation of a prior authorization (PA) program for non-emergency
IAEA International Conference on Integrated Medical Imaging in CV Disease 2013
IAEA International Conference on Integrated Medical Imaging in CV Disease 2013 How to Stress My Patient Choosing the Proper Stress Test Consultant and Advisory Board for Astellas John J. Mahmarian, MD,
Patient-centered Imaging in Coronary Artery Disease. Jason H Cole, MD, MS, FACC January 10, 2015
Patient-centered Imaging in Coronary Artery Disease Jason H Cole, MD, MS, FACC January 10, 2015 Non-invasive coronary imaging Non-invasive cardiac imaging has improved assessment of cardiac function, anatomy,
The Value of Stress MRI in Evaluation of Myocardial Ischemia
The Value of Stress MRI in Evaluation of Myocardial Ischemia Dr. Saeed Al Sayari, MBBS, EBCR, MBA Department of Radiology and Nuclear Medicine Mafraq Hospital, Abu Dhabi United Arab Emirates Introduction
Assessment of Local Myocardial Perfusion in SPECT Images when Bicycle Exercise Test is Noninterpretable
e 11 Assessment of Local Myocardial Perfusion in SPECT Images when Bicycle Exercise Test is Noninterpretable Ilona Kulakienė, Zigmundas Satkevičius, Juozas Kiudelis, Irena Milvidaitė 1 Kaunas Medical University,
PET myocard perfusion & viability Riemer Slart
PET myocard perfusion & viability Riemer Slart Nuclear Medicine Physician Dept. of Nuclear Medicine and Molecular Imaging University Medical Center Groningen, the Netherlands Professor in Molecular Imaging,
Update in Nuclear Cardiology: Patient-Centered Imaging Radiation Dose Reduction
Update in Nuclear Cardiology: Patient-Centered Imaging Radiation Dose Reduction E. Gordon DePuey, M.D. Icahn School of Medicine ant Mt. Sinai New York, NY Disclosures: Grant Support: Michael J. Fox Foundation
SPECT-CT: Τι πρέπει να γνωρίζει ο Καρδιολόγος
SPECT-CT: Τι πρέπει να γνωρίζει ο Καρδιολόγος Δρ Αναστασία Κίτσιου Διευθύντρια, Καρδιολογική Κλινική, Σισμανόγλειο ΓΝΑ Chair, Education Committee, Section on Nuclear Cardiology & Cardiac CT, EACVI, ESC
ASNC IMAGING GUIDELINES. ASNC imaging guidelines for SPECT nuclear cardiology procedures: Stress, protocols, and tracers
ASNC IMAGING GUIDELINES ASNC imaging guidelines for SPECT nuclear cardiology procedures: Stress, protocols, and tracers Milena J. Henzlova, MD, a W. Lane Duvall, MD, b Andrew J. Einstein, MD, c Mark I.
Rational use of imaging for viability evaluation
EUROECHO and other imaging modalities 2011 Rational use of imaging for viability evaluation Luc A. Pierard, MD, PhD, FESC, FACC Professor of Medicine Head, Department of Cardiology, CHU Liège, Belgium
New Challenges in Nuclear Cardiology Practice
New Challenges in Nuclear Cardiology Practice Brian G. Abbott, MD, FACC, FASNC, FAHA President, ASNC 2016 Associate Professor of Medicine Warren Alpert Medical School of Brown University Director, Cardiovascular
Qualitative and Quantitative Assessment of Perfusion
APCDE 2011 Qualitative and Quantitative Assessment of Perfusion Hyun Ju Yoon Chonnam National University Hospital Gwangju, Korea ISCHEMIC CASCADE Blood flow mismatch Perfusion defects on nuclear imaging,
Non Invasive Diagnostic Modalities for Coronary Artery Disease. Dr. Amitesh Aggarwal
Non Invasive Diagnostic Modalities for Coronary Artery Disease Dr. Amitesh Aggarwal Ebers papyrus, ca. 1555 BCE If thou examine a man for illness in his cardia, and he has pains in his arms, in his breasts
Risk Stratification for CAD for the Primary Care Provider
Risk Stratification for CAD for the Primary Care Provider Shimoli Shah MD Assistant Professor of Medicine Directory, Ambulatory Cardiology Clinic Knight Cardiovascular Institute Oregon Health & Sciences
Treadmill Exercise Produces Larger Perfusion Defects Than Dipyridamole Stress N-13 Ammonia Positron Emission Tomography
Journal of the American College of Cardiology Vol. 47, No. 2, 2006 2006 by the American College of Cardiology Foundation ISSN 0735-1097/06/$32.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2005.09.027
CARDIAC PET PERFUSION IMAGING with RUBIDIUM-82
CARDIAC PET PERFUSION IMAGING with RUBIDIUM-82 Pr Denis AGOSTINI Président du Groupe de Cardiologie Nucléaire et IRM CHU Caen Bordeaux 2006 Cardiac Perfusion-Metabolism Mismatch with PET Cumulative Survival
Technical Meeting on: Current Role of Nuclear Cardiology in the Management of Cardiac Diseases Vienna, May 2008 Vienna International Centre
Technical Meeting on: Current Role of Nuclear Cardiology in the Management of Cardiac Diseases Vienna, 5-95 9 May 2008 Vienna International Centre Evidence-based Nuclear Cardiology: Imaging of CAD The
Assessment of cardiac function using myocardial perfusion imaging technique on SPECT with 99m Tc sestamibi
Journal of Physics: Conference Series PAPER OPEN ACCESS Assessment of cardiac function using myocardial perfusion imaging technique on SPECT with 99m Tc sestamibi To cite this article: M R A Gani et al
Nuclear Perfusion Imaging of Angina
January 2002 Nuclear Perfusion Imaging of Angina Davin Quinn HMS III Beth Israel Deaconess Medical Center Radiology Department Goals of Presentation Understand what a perfusion scan is Understand what
Myocardial viability testing. What we knew and what is new
Myocardial viability testing. What we knew and what is new Dr B K S Sastry, MD, DM. CARE Hospitals, Hyderabad What is Viability Viability Dysfunctional myocardium subtended by diseased coronary arteries
Noninvasive Evaluation of Coronary Artery Disease:
Noninvasive Evaluation of Coronary Artery Disease: Selecting the Right Test for the Right Patient Saurabh Malhotra, MD, MPH Timothy Wong, MD Faculty Saurabh Malhotra, MD, MPH Assistant Professor of Medicine
The diagnostic role of stress echocardiography in women with coronary artery disease: evidence based review John R. McKeogh
The diagnostic role of stress echocardiography in women with coronary artery disease: evidence based review John R. McKeogh Key points 1) Coronary artery disease in women differs from men in several ways,
HEART CONDITIONS IN SPORT
HEART CONDITIONS IN SPORT Dr. Anita Green CHD Risk Factors Smoking Hyperlipidaemia Hypertension Obesity Physical Inactivity Diabetes Risks are cumulative (multiplicative) Lifestyles predispose to RF One
Normal Stress-Only Versus Standard Stress/Rest Myocardial Perfusion Imaging
Journal of the American College of Cardiology Vol. 55, No. 3, 2010 2010 by the American College of Cardiology Foundation ISSN 0735-1097/10/$36.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2009.09.022
Hybrid Imaging Improving Nuclear Cardiology Practice
Lippincott Williams & Wilkins, - Nuclear Medicine teaching File, 2009 Hybrid Imaging Improving Nuclear Cardiology Practice João V. Vitola, MD, PhD Cardiologist and Nuclear Medicine Physician Quanta Diagnostico
Cardiovascular Disease
증상, 진단및임상양상의차이 2013.6.15 충남대학교의학전문대학원의학과박재형 Cardiovascular Center, Chungnam National University Hospital 1 Cardiovascular Disease Cardiovascular Center, Chungnam National University Hospital 2 1 CVD Statistics,
EDITORIAL. Dual-isotope myocardial perfusion SPECT imaging: Past, present, and future
EDITORIAL Dual-isotope myocardial perfusion SPECT imaging: Past, present, and future Tali Sharir, MD, a,b and Piotr Slomka, PhD c,d a b c d Department of Nuclear Cardiology, Assuta Medical Center, Tel
Stress tests: How to make a calculated choice Spare your patients unnecessary stress testing by determining their pretest probability for CAD
PRACTICA MEDICALÅ19 REFERATE GENERALE Stress tests: How to make a calculated choice Spare your patients unnecessary stress testing by determining their pretest probability for CAD DENNIS P. BREEN, MD University
Screening for Asymptomatic Coronary Artery Disease: When, How, and Why?
Screening for Asymptomatic Coronary Artery Disease: When, How, and Why? Joseph S. Terlato, MD FACC Clinical Assistant Professor, Brown Medical School Coastal Medical Definition The presence of objective
Guideline for Rest and Stress Myocardial Perfusion Scintigraphy
243 International Journal of Cardiovascular Sciences. 2016;29(3):243-247 CARDIOVASCULAR IMAGING - SPECIAL GUIDELINE Guideline for Rest and Stress Myocardial Perfusion Scintigraphy Authors: Bárbara Juarez
RPS EU July See Prescribing Information at the end of this presentation
RPS EU 146-006 July 2015 See Prescribing Information at the end of this presentation The first and only selective A2A adenosine receptor agonist licensed for radionuclide myocardial perfusion imaging in
Procedure Guidelines for Radionuclide Myocardial Perfusion Imaging
Procedure Guidelines for Radionuclide Myocardial Perfusion Imaging Adopted by the British Cardiac Society, the British Nuclear Cardiology Society, and the British Nuclear Medicine Society Writing Group:
Zahid Rahman Khan, MD(USA), MS Diplomate American Board of Nuclear Medicine Consultant t Nuclear Medicine
Zahid Rahman Khan, MD(USA), MS Diplomate American Board of Nuclear Medicine Consultant t Nuclear Medicine i North West Armed Forces Hospital Tabuk, KSA. 1 Introduction Hibernation: Term coined by Rahimtoola
ORIGINAL ARTICLE. Iulia Heinle 1,*, Andre Conradie 2 and Frank Heinle 1
PJNM 2011, 1:42-48 331691 2011 Pakistan Society of Nuclear Medicine ORIGINAL ARTICLE A clinical and angiographic correlation of myocardial perfusion scintigraphy in the assessment of isolated apical/peri-apical
Welcome! To submit questions during the presentation: or Text:
Welcome! To participate in the interactive Q & A please do the following: 1. Download the Socrative Student App 2. Enter Teacher s Room Code: ZD0F3X5Q 3. Select Quiz: Intermountain Cardiac Stress Testing
Nuclear Cardiology Reimbursement. Todd Lamb, BS, AS, CNMT Clinical Operations Mgr Regions Hospital St. Paul, MN
Nuclear Cardiology Reimbursement Todd Lamb, BS, AS, CNMT Clinical Operations Mgr Regions Hospital St. Paul, MN Slides are not to be reproduced without the permission of the author Slides are not to be