Lung Imaging with SPECT-CT. Michael M. Graham University of Iowa
|
|
- Susanna Fleming
- 5 years ago
- Views:
Transcription
1 Lung Imaging with SPECT-CT Michael M. Graham University of Iowa
2 Timeline of Lung Scintigraphy Perfusion MAA Microspheres Ventilation Xe-133 Aerosol Technegas Imaging Planar SPECT SPECT/CT
3 Biersack HJ, et al. Single photon emission computed tomography of the lung: preliminary results. Eur J Nucl Med. 1982;7(4):
4 Touya JJ, et al. SPECT in the diagnosis of pulmonary thromboembolism. Semin Nucl Med. 1986; 16:
5 Collart JP, et al. Is a lung perfusion scan obtained by using single photon emission computed tomography able to improve the radionuclide diagnosis of pulmonary embolism? Nucl Med Commun. 2002; 23: Mont-Godinne Hospital, Université Catholique de Louvain, Yvoir, Belgium. The sensitivities for PE diagnosis were similar for planar and SPECT perfusion scans (80%), whereas SPECT had a higher specificity (96% vs 78%; P =0.01). SPECT correctly classified 8/9 intermediate and 31/32 low probability V/Q scans as negative.
6 Reinartz P, et al. Tomographic imaging in the diagnosis of pulmonary embolism: a comparison between V/Q lung scintigraphy in SPECT technique and multislice spiral CT. J Nucl Med. 2004; 45:
7 N=149 Clin Nucl Med 2015; 40: 553
8 Technegas Generator
9 Gutte H, et al. Detection of pulmonary embolism with combined ventilation-perfusion SPECT and low-dose CT: head-to-head comparison with multidetector CT angiography. J Nucl Med. 2009; 50:
10 Seminars in Nuclear Medicine V 40 November 2010 SPECT V/Q Imaging of the Lungs Edited by Bailey, DL and Roach, PJ Letter from the Editors: SPECT V/Q Imaging of the Lungs Leonard M. Freeman, M. Donald Blaufox Guest Editorial: Why SPECT for V/Q Lung Scanning? Dale L. Bailey, Paul J. Roach Transition from Planar to SPECT V/Q Scintigraphy: Rationale, Practicalities, and Challenges Paul J. Roach, Dale L. Bailey, Geoffrey P. Schembri, Paul A. Thomas V/Q Imaging in 2010: A Quick Start Guide Elizabeth A. Bailey, Dale L. Bailey, Paul J. Roach Methodology for Ventilation/Perfusion SPECT Marika Bajc, Brian Neilly, Massimo Miniati, Jan Mortensen, Björn Jonson V/Q SPECT and Computed Tomographic Pulmonary Angiography Michel Leblanc, Narinder Paul Radiation Dosimetry and Safety Issues in the Investigation of Pulmonary Embolism Geoffrey P. Schembri, Anne E. Miller, Richard Smart SPECT/CT in V/Q Scanning Paul J. Roach, Denis J. Gradinscak, Geoffrey P. Schembri, Elizabeth A. Bailey, Kathy P. Willowson, Dale L. Bailey V/Q SPECT: Utility for Investigation of Pulmonary Physiology Gregory G. King, Benjamin Harris, Sriram Mahadev SPECT Imaging of Pulmonary Emboli with Radiolabeled Thrombus-Specific Imaging Timothy A. Morris
11 SPECT V/Q Imaging at Iowa started in 2012 Ventilation with Tc-99m sulfur colloid (50 mci) SPECT imaging: 13 minutes; High Res; 60 stops Perfusion with Tc-99m MAA (6 mci) SPECT imaging: 11 minutes; High Res; 60 stops Reconstruct SPECT and generate planar images Display SPECT and planar images
12 Generation of Planar Images ANT RAO LAO RLAT LLAT RPO LPO POST
13 Normal VQ
14 Normal VQ SPECT
15 Lung Scan Interpretation Criteria Refined Modified PIOPED Grading Criteria PE is reported if there is a V/P mismatch of at least one segment or two sub-segments EANM Guidelines
16 Lung Scan Interpretation Criteria PE is reported if there is: V/P mismatch of at least one segment or two sub-segments that conforms to the pulmonary vascular anatomy No PE is reported if there is (are): Normal perfusion pattern Matched or reversed mismatch V/P defects Mismatch that does not have a lobar or segmental pattern Bajc M, Neilly JB, Miniati M, Schuemichen C, Meignan M, Jonson B; EANM Committee. EANM guidelines for ventilation/perfusion scintigraphy : Part 1. Pulmonary imaging with ventilation/perfusion single photon emission tomography. Eur J Nucl Med Mol Imaging. 2009; 36:1356.
17 Le Roux PY, et al. Safety of V/Q SPECT for PE diagnosis. Eur J Nucl Med Mol Imaging. 2014; 41:1957. The final diagnostic conclusion was established by the physician responsible for patient care, based on clinical symptoms, laboratory test, V/Q SPECT and other imaging procedures performed. Patients in whom PE was deemed absent were not treated with anticoagulants and were followed up for 3 months. Positive is 1 segment or 2 sub-segments V/Q mismatch Specificity = 99.6% Sensitivity = 99.1%
18 Le Roux PY, et al. Safety of V/Q SPECT for PE diagnosis. Eur J Nucl Med Mol Imaging. 2014; 41:1957.
19 84 year old woman with dyspnea and mildly elevated right PA pressures concerning for pulmonary hypertension.
20
21 Kan Y, Yuan L, Meeks JK, Li C, Liu W, Yang J. The accuracy of V/Q SPECT in the diagnosis of pulmonary embolism: a meta-analysis. Acta Radiol. 2015;56: Pooled Sensitivity = 0.96
22 Kan Y, Yuan L, Meeks JK, Li C, Liu W, Yang J. The accuracy of V/Q SPECT in the diagnosis of pulmonary embolism: a meta-analysis. Acta Radiol. 2015;56: Pooled Specificity= 0.97
23 USA Parker JA, et al. SNM practice guideline for lung scintigraphy 4.0. J Nucl Med Technol. 2012; 40: Issues requiring further clarification: There is considerable literature on SPECT lung scintigraphy, and there is emerging literature on SPECT/low-dose CT lung scintigraphy. However, there is currently no information about the comparison of these methods with planar imaging in a multiinstitutional setting. The criteria for interpretation of SPECT and SPECT/low-dose CT need to be established. Europe Current Status Bajc M, et al. EANM guidelines for ventilation/perfusion scintigraphy : Part 1. Pulmonary imaging with ventilation/perfusion single photon emission tomography. Eur J Nucl Med Mol Imaging. 2009; 36: V/P(SPECT) is strongly preferred to V/P(PLANAR) as the former permits the accurate diagnosis of PE even in the presence of co-morbid diseases such as COPD and pneumonia. Technegas is preferred to DTPA in patients with COPD.
24 Is SPECT-CT better than SPECT alone?
25 Gutte H, et al. Detection of pulmonary embolism with combined ventilation-perfusion SPECT and low-dose CT: head-to-head comparison with multidetector CT angiography. J Nucl Med v50:
26 Gutte H, et al. Detection of pulmonary embolism with combined ventilationperfusion SPECT and low-dose CT: head-to-head comparison with multidetector CT angiography. J Nucl Med Dec;50(12): V/Q SPECT V/Q SPECT & CT Q SPECT & CT CT angio Sens=97% Spec=88% Sens=97% Spec=100% Sens=93% Spec=51% Sens=68% Spec=100%
27 Mortensen J, Gutte H. SPECT/CT and pulmonary embolism. Eur J Nucl Med Mol Imaging. 2014; 41 Suppl 1:S81-90.
28 Mortensen J, Gutte H. SPECT/CT and pulmonary embolism. Eur J Nucl Med Mol Imaging. 2014; 41 Suppl 1:S Gutte Ling Kan: Meta-analysis for V/Q SPECT Sens = 96% Spec = 97%
29 Roach PJ, Schembri GP, Bailey DL. V/Q scanning using SPECT and SPECT/CT. J Nucl Med. 2013; 54:
30 Le Roux PY, Pelletier-Galarneau M, De Laroche R, Hofman MS, Zuckier LS, Roach P, Vuillez JP, Hicks RJ, Le Gal G, Salaun PY. Pulmonary Scintigraphy for the Diagnosis of Acute Pulmonary Embolism: A Survey of Current Practices in Australia, Canada, and France. J Nucl Med Aug;56(8):
31 Graham, MM Estimation of the current approach to V/Q imaging in the United States SPECT-CT SPECT Planar with aerosol Planar with Xe- 133
32 Slowly Conclusions US sites are remarkably slow to adopt new methodology V/Q SPECT is more accurate than planar 94% vs 81% (planar w Xe-133 is almost certainly worse) V/Q SPECT-CT is slightly more accurate CT can pick up other abnormalities As SPECT-CT becomes available, sites will switch
33
34
Ventilation/perfusion tomography V/P-SPECT vs planar technique
CASE REPORT Ventilation/perfusion tomography V/P-SPECT vs planar technique Amela Begic 1, Emina Opanković 1, Sadžida Begović-Hadžimuratović 1, Miran Konjić 2, Senahid Krekić 2 1. Clinic for Nuclear Medicine,
More informationPlanar ventilation perfusion (V/Q) lung scintigraphy was the
V/Q SPECT Interpretation for Pulmonary Embolism Diagnosis: Which Criteria to Use? Pierre-Yves Le Roux 1 3, Philippe Robin 1 3, Aurélien Delluc 1,2,4, Ronan Abgral 1 3, Alexandra Le Duc-Pennec 1 3, Emmanuel
More informationTITLE: Technegas Plus Generators: A Review of the Clinical Effectiveness, Cost Effectiveness, and Guidelines
TITLE: Technegas Plus Generators: A Review of the Clinical Effectiveness, Cost Effectiveness, and Guidelines DATE: 28 July 2016 CONTEXT AND POLICY ISSUES Pulmonary embolism (PE) is a relatively common
More informationReview Article Ventilation/Perfusion SPECT for Diagnosis of Pulmonary Embolism and Other Diseases
International Molecular Imaging Volume 2011, Article ID 682949, 7 pages doi:10.1155/2011/682949 Review Article / SPECT for Diagnosis of Pulmonary Embolism and Other Diseases Marika Bajc and Björn Jonson
More informationJournal of Nuclear Medicine, published on August 1, 2013 as doi: /jnumed
Journal of Nuclear Medicine, published on August 1, 2013 as doi:10.2967/jnumed.113.124602 CONTINUING EDUCATION V/Q Scanning Using SPECT and SPECT/CT Paul J. Roach, Geoffrey P. Schembri, and Dale L. Bailey
More informationCritical review of SPECT imaging in pulmonary embolism
Clin Transl Imaging (2014) 2:379 390 DOI 10.1007/s40336-014-0079-6 REVIEW ARTICLE Critical review of SPECT imaging in pulmonary embolism Paul D. Stein H. Dirk Sostman Fadi Matta Received: 22 March 2014
More informationLung scintigraphy in the diagnosis of pulmonary embolism: current methods and interpretation criteria in clinical practice
research article 113 Lung scintigraphy in the diagnosis of pulmonary embolism: current methods and interpretation criteria in clinical practice Ajda Skarlovnik 1, Damjana Hrastnik 2, Jure Fettich 3, Marko
More informationVentilation perfusion (V/Q) scintigraphy allows assessment
Journal of Nuclear Medicine, published on September 9, 2011 as doi:10.2967/jnumed.111.093344 Ga PET/CT Ventilation Perfusion Imaging for Pulmonary Embolism: A Pilot Study with Comparison to Conventional
More informationPatient Dose in the Diagnosis of PE
Patient Dose in the Diagnosis of PE IZAAZ BADSHAH 2018 CANM-CAMRT Joint Annual Meeting March 22-24, 2018 Disclosure I do not have a financial interest, arrangement or affiliation including receipt of honoraria
More informationCYCLOPHARM (CYC) Investor Presentation. 4 April 2019 James McBrayer
CYCLOPHARM (CYC) Investor Presentation 4 April 2019 James McBrayer Disclaimer Certain views expressed here contain information derived from publicly available sources that have not been independently verified.
More informationPulmonary embolism: assessment and imaging
clinical Sarah Skinner Pulmonary embolism: assessment and imaging Keywords pulmonary embolism; radionuclide imaging; pulmonary embolism/radiography It is estimated that there are approximately 17 000 new
More informationSCINTIGRAPHY OF THE LUNGS THE VQ SCAN
SCINTIGRAPHY OF THE LUNGS THE VQ SCAN By George N. Sfakianakis, M.D. Professor of Radiology and Pediatrics October 2009 PULMONARY EMBOLISM 94,000 cases annually in US. Not a disease by itself. A potentially
More informationSPECT/CT and pulmonary embolism
Eur J Nucl Med Mol Imaging (2014) 41 (Suppl 1):S81 S90 DOI 10.1007/s00259-013-2614-5 REVIEW ARTICLE SPECT/CT and pulmonary embolism Jann Mortensen & Henrik Gutte Received: 9 October 2013 /Accepted: 10
More informationOriginal Article The benefit of personalized hybrid SPECT/CT pulmonary imaging
Am J Nucl Med Mol Imaging 2016;6(4):215-222 www.ajnmmi.us /ISSN:2160-8407/ajnmmi0028873 Original Article The benefit of personalized hybrid SPECT/CT pulmonary imaging Milan Simanek 1, Pavel Koranda 2,3
More informationPotential of hybrid V/P SPECT low-dose CT in lung diagnostics
Marika Bajc Department of Clinical Physiology, Lund University Hospital, 22 185 Lund, Sweden Department of Clinical Physiology, Lund University Hospital, 22 185 Lund, Sweden marika.bajc@med.lu.se Potential
More informationCase 1. Technegas Case Studies. Prostate cancer. Finished treatment recently. Smoker. Angina. Presents sudden dyspnea and poorly defined chest pains.
Case 1 Michel Leblanc MD; RCPSC; ABNM Head of the Nuclear Medicine Department, Centre Hospitalier Régional de Trois-Rivières. Clinical Professor, Centre Hospitalier Universitaire de Sherbrooke, Cannada.
More information2017: V/Q in PE What s up? Darlene Metter, MD, FACR
2017: V/Q in PE What s up? Darlene Metter, MD, FACR None Disclosure Thank you Mark Tulchinsky, MD* Leonard M Freeman, MD* * Co-authors for Current Status of Ventilation-Perfusion Scintigraphy in Suspected
More informationUsefulness of Tomographic Versus Planar Lung Scintigraphy in Suspected Pulmonary Embolism in a Daily Practice
The Open Medical Imaging Journal, 2008, 2, 49-55 49 Open Access Usefulness of Tomographic Versus Planar Lung Scintigraphy in Suspected Pulmonary Embolism in a Daily Practice Pierre Weinmann *,1, Jean-Luc
More informationEnhancing Lung Scintigraphy With Single-Photon Emission Computed Tomography
Enhancing Lung Scintigraphy With Single-Photon Emission Computed Tomography Paul J. Roach, MBBS, FRACP,* Dale L. Bailey, PhD,* and Benjamin E. Harris, MBBS, PhD, FRACP, Although widely used for many years
More informationImpact of ventilation/perfusion single-photon emission computed tomography on treatment duration of pulmonary embolism.
Impact of ventilation/perfusion single-photon emission computed tomography on treatment duration of pulmonary embolism. Begic, Amela; Opanković, Emina; Cukić, Vesna; Rustempašić, Medzida; Bašić, Amila;
More informationMethods of nuclear medicine
Methods of nuclear medicine Per Wollmer Dept. of Translational Medicine Lund University Gamma camera Positron camera Both frequently combined with CT Ventilation/perfusion scanning Perfusion: Albumin macroaggregates
More informationOver the past several decades, there has been a huge
Journal of Nuclear Medicine, published on July 29, 2011 as doi:10.2967/jnumed.111.090753 Successful and Safe Implementation of a Trinary Interpretation and Reporting Strategy for V/Q Lung Scintigraphy
More informationDr. Kshama Wechalekar Lead Consultant in Nuclear Medicine Royal Brompton and Harefield NHS Foundation Trust London
Dr. Kshama Wechalekar Lead Consultant in Nuclear Medicine Royal Brompton and Harefield NHS Foundation Trust London Royal Brompton Hospital PIOPED criteria indeterminate results and different probability
More informationVentilation / Perfusion Imaging for Pulmonary Embolic Disease
Ventilation / Perfusion Imaging for Pulmonary Embolic Disease 1. Purpose This guideline must be read in conjunction with the BNMS Generic Guidelines. The purpose of this guideline is to assist specialists
More informationThe Effect of Administered Activity on Patient Radiation dose and Image Quality in SPECT at Korle-Bu Teaching Hospital
2017 IJSRST Volume 3 Issue 1 Print ISSN: 2395-6011 Online ISSN: 2395-602X Themed Section: Science and Technology The Effect of Administered Activity on Patient Radiation dose and Image Quality in SPECT
More informationProvider Led Entity. CDI Quality Institute PLE Chest / Pulmonary Embolus AUC 07/31/2018
Provider Led Entity CDI Quality Institute PLE Chest / Pulmonary Embolus AUC 07/31/2018 Appropriateness of advanced imaging procedures* in patients with suspected or known pulmonary embolus and the following
More informationLUP. Lund University Publications. Institutional Repository of Lund University
LUP Lund University Publications Institutional Repository of Lund University This is an author produced version of a paper published in European Journal of Nuclear Medicine and Molecular Imaging. This
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,900 116,000 120M Open access books available International authors and editors Downloads Our
More informationChronic lung disease (CLD) is a major cause or mortality and morbidity world-wide.
Reproducibility of a semi-quantitative lobar pulmonary ventilation and perfusion technique using SPET and CT Esber N El-Barhoun MBBS, FRANZCR, Ghee Chew MBBS, FRACP, FAANMS, Benjamin Crouch BSc (Hons),
More informationThe Diagnostic Dilemma of Pulmonary Embolism: Is It a Clinico-Investigatory Portrayal or Only an Investigatory Portrayal? A Clinically Based Study.
PULMONARY EMBOLISM ORIGINAL RESEARCH The Diagnostic Dilemma of Pulmonary Embolism: Is It a Clinico-Investigatory Portrayal or Only an Investigatory Portrayal? A Clinically Based Study. A Amin 1, M Hamid
More informationCertain symptoms and signs are more commonly observed
Methodology for Ventilation/Perfusion SPECT Marika Bajc, MD, PhD,* Brian Neilly, MD, FRCP, Massimo Miniati, MD, PhD, Jan Mortensen, MD, PhD, and Björn Jonson, MD, PhD* Ventilation/perfusion single-photon
More informationNew Criteria for Ventilation-Perfusion Lung Scan Interpretation: A Basis for Optimal Interaction with Helical CT Angiography 1
1206 July-August 2000 RG Volume 20 Number 4 New Criteria for Ventilation-Perfusion Lung Scan Interpretation: A Basis for Optimal Interaction with Helical CT Angiography 1 Alexander Gottschalk, MD Introduction
More informationAcute pulmonary embolism (PE) is a severe and
Detection of Pulmonary Embolism with Combined Ventilation Perfusion SPECT and Low-Dose CT: Head-to-Head Comparison with Multidetector CT Angiography Henrik Gutte 1,2, Jann Mortensen 1, Claus Verner Jensen
More informationORIGINAL ARTICLE INTRODUCTION
ORIGINAL ARTICLE Annals of Nuclear Medicine Vol. 16, No. 8, 549 555, 2002 Present diagnostic strategies for acute pulmonary thromboembolism; results of a questionnaire in a retrospective trial conducted
More informationChronic thromboembolic pulmonary hypertension (CTEPH) and the essential role of imaging specialists PP-ADE-ALL
Chronic thromboembolic pulmonary hypertension (CTEPH) and the essential role of imaging specialists PP-ADE-ALL-0086-2 CTEPH and the essential role of imaging specialists 1 Introduction, and signs, symptoms
More informationEpidermiology Early pulmonary embolism
Epidermiology Early pulmonary embolism Sitang Nirattisaikul Faculty of Medicine, Prince of Songkla University 3 rd most common cause of cardiovascular death in the United States, following ischemic heart
More informationSimplified approach to investigation of suspected VTE
Simplified approach to investigation of suspected VTE Diagnosis of DVT and PE THSNA 2016, Chicago 15 April 2016 Clive Kearon, McMaster University, Canada Relevant Disclosures Research Support/P.I. Employee
More informationCRUCIBLE. Feature Other Uses for Technegas (Part 2)
CRUCIBLE THE CYCLOMEDICA NUCLEAR MEDICINE VOL 9 / NO. 1 - FEBRUARY 2016 Feature Other Uses for Technegas (Part 2) I n the last issue of the Crucible a brief overview of the usefulness of ventilation scans
More informationImaging of acute pulmonary thromboembolism*
Silva, Isabela et al. Imaging of acute pulmonary thromboembolism Imaging of acute pulmonary thromboembolism* C. ISABELA S. SILVA, NESTOR L. MÜLLER The diagnosis of acute pulmonary thromboembolism is based
More informationThe Current and Continuing Important Role of Ventilation-Perfusion Scintigraphy in Evaluating Patients With Suspected Pulmonary Embolism
The Current and Continuing Important Role of Ventilation-Perfusion Scintigraphy in Evaluating Patients With Suspected Pulmonary Embolism Leonard M. Freeman, MD, Evan G. Stein, MD, PhD, Seymour Sprayregen,
More informationA low probability interpretation of a ventilation/
Very Low Probability Interpretation of V/Q Lung Scans in Combination with Low Probability Objective Clinical Assessment Reliably Excludes Pulmonary Embolism: Data from PIOPED II Alexander Gottschalk 1,
More informationA 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
More informationControversies in Diagnosis of Pulmonary Embolism
Original Articles Controversies in Diagnosis of Pulmonary Embolism Clinical and Applied Thrombosis/Hemostasis 17(2) 140-149 ª The Author(s) 2011 Reprints and permission: sagepub.com/journalspermissions.nav
More informationGastrointestinal tract
Gastrointestinal tract Colloidal liver-spleen imaging Presented by: Jehad Felemban Introduction: To obtain better anatomic display of liver and spleen architecture, we use (CT Ultrasound). (Radionuclide
More informationRadiation Exposure in Pregnancy. John R. Mayo UNIVERSITY OF BRITISH COLUMBIA
Radiation Exposure in Pregnancy John R. Mayo UNIVERSITY OF BRITISH COLUMBIA Illustrative Clinical Scenario 32 year old female 34 weeks pregnant with recent onset shortness of breath and central chest pain
More informationScintigraphic Lung Scans and Clinical Assessment in Critically Ill Patients With Suspected Acute Pulmonary Embolism*
Scintigraphic Lung Scans and Clinical Assessment in Critically Ill Patients With Suspected Acute Pulmonary Embolism* Jerald W. Henry, MS; Paul D. Stein, MD, FCCP; Alexander Gottschalk, MD, FCCP; Bruce
More informationChronic Thromboembolic Pulmonary Hypertension (CTEPH): A Primer
Chronic Thromboembolic Pulmonary Hypertension (CTEPH): A Primer H. Page McAdams, MD Duke University Medical Center Durham, NC 27710 page.mcadams@duke.edu Question Which of the following imaging tests is
More informationApproaches to Diagnosing Acute Pulmonary Embolism in Canada: current practice, challenges, and availability of testing
CADTH ENVIRONMENTAL SCAN REPORT Approaches to Diagnosing Acute Pulmonary Embolism in Canada: current practice, challenges, and availability of testing 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
More informationLung cancer is the leading cause of cancer death in the
ORIGINAL ARTICLE Semiquantification and Classification of Local Pulmonary Function by V/Q Single Photon Emission Computed Tomography in Patients with Non-small Cell Lung Cancer Potential Indication for
More informationTruncation in Myocardial Perfusion SPECT Imaging
International Journal of Nuclear Energy Scie nce and Engineering Vol. 2 Iss. 4, December 2012 Truncation in Myocardial Perfusion SPECT Imaging Brian Wosnitzer *, Marvin Friedman, Gordon DePuey Division
More informationAppropriate Use Criteria for Ventilation Perfusion Imaging in Pulmonary Embolism
Appropriate Use Criteria for Ventilation Perfusion Imaging in Pulmonary Embolism Alan D. Waxman 1, Marika Bajc 2, Michael Brown 3, Frederic H. Fahey 1, Leonard M. Freeman 1, Linda B. Haramati 4, Peter
More informationMarika Bajc Hanna Markstad Linnea Jarenbäck Ellen Tufvesson Leif Bjermer Jonas Jögi
Ann Nucl Med (2015) 29:91 99 DI 10.1007/s12149-014-0913-y RIINAL ARTICLE rading obstructive lung disease using tomographic pulmonary scintigraphy in patients with chronic obstructive pulmonary disease
More informationIdentifying the heterogeneity of COPD by V/P SPECT. Bajc, M.
https://helda.helsinki.fi Identifying the heterogeneity of COPD by V/P SPECT Bajc, M. 2017 Bajc, M, Chen, Y, Wang, J, Li, X Y, Shen, W M, Wang, C Z, Huang, H, Lindqvist, A & He, X Y 2017, ' Identifying
More informationAcute Management of Pulmonary Embolism
Acute Management of Pulmonary Embolism Dr Alex West Respiratory Consultant Guy s and St Thomas Hospital London Declarations - none Order of Play Up date in Diagnostic Imaging - CTPA and V:Q SPECT Sub-massive
More informationb) Tc-99m MAA may be used in adults as an imaging agent to aid in the evaluation of peritoneovenous (LeVeen) shunt patency.
1. OVERVIEW a) Tc 99m Macroaggregated Albumin (MAA) is a lung imaging agent which may be used as an adjunct in the evaluation of pulmonary perfusion in adults and pediatric patients. b) Tc-99m MAA may
More informationNuclear Medicine in Thyroid Cancer. Phillip J. Koo, MD Division Chief of Diagnostic Imaging
Nuclear Medicine in Thyroid Cancer Phillip J. Koo, MD Division Chief of Diagnostic Imaging Financial Disclosures Bayer Janssen Learning Objectives To learn the advantages and disadvantages of SPECT/CT
More informationAudit of CT Pulmonary Angiogram in suspected pulmonary embolism patients
Audit of CT Pulmonary Angiogram in suspected pulmonary embolism patients Poster No.: C-2511 Congress: ECR 2012 Type: Scientific Exhibit Authors: N. D. Gupta, M. K. Heir, P. Bradding; Leicester/UK Keywords:
More informationGa68 Imaging. Roland HUSTINX Division of Nuclear Medicine and Oncologic Imaging Centre Hospitalier Universitaire de Liège Belgium
Ga68 Imaging Roland HUSTINX Division of Nuclear Medicine and Oncologic Imaging Centre Hospitalier Universitaire de Liège Belgium 68 Ga Produced by a 68 Ge/ 68 Ga generator Decays by positron emission
More informationHayden Smith, PhD, MPH /\ v._
Hayden Smith, PhD, MPH.. + /\ v._ Information and clinical examples provided in presentation are strictly for educational purposes, and should not be substituted for clinical guidelines or up-to-date medical
More informationAudit of CT Pulmonary Angiogram in suspected pulmonary embolism patients
Audit of CT Pulmonary Angiogram in suspected pulmonary embolism patients Poster No.: C-2511 Congress: ECR 2012 Type: Scientific Exhibit Authors: N. D. Gupta, M. K. Heir, P. Bradding; Leicester/UK Keywords:
More informationSORAMIC: NM Procedures
: NM Procedures J. Ruf Klinik für Radiologie und Nuklearmedizin : NM Procedures Evaluation - 99m Tc MAA Scintigraphy Lung shunt assessment Treatment activity determination Therapy - 90 Y-SIR-Spheres Procedure
More informationNuclear Medicine in the Diabetic Foot
26.11.2015, Uniklinik Balgrist Nuclear Medicine in the Diabetic Foot Martin Hüllner Nuklearmedizin und Neuroradiologie, USZ / UZH Outline A. Imaging modalities brief technical overview B. Nuclear medicine
More informationRecent initiatives of the FANC. Michel Biernaux Health Protection Service Health and Environment Department
Recent initiatives of the FANC Michel Biernaux Michel.biernaux@fanc.fgov.be Health Protection Service Health and Environment Department Reminder objectives of the national survey : 1.Review the average
More informationImaging Pulmonary Embolism
May 2001 Imaging Pulmonary Embolism New ways to look at a diagnostic dilemma Emily Willner,, HMS III Core Radiology Clerkship, BIDMC New approaches to imaging PE: Agenda 1. Review two patients who had
More informationAlveolar-Arterial Oxygen Gradient in the Assessment of Acute Pulmonary Embolism*
Alveolar-Arterial Oxygen Gradient in the Assessment of Acute Pulmonary Embolism* Paul D. Stein, MD, FCCP; Samuel Z. Goldhaber, MD, FCCP; and jerald W. Henry, MS Purpose: The purpose of this investigation
More informationPulmonary embolism (PE) remains a diagnostic challenge,
Comparison of Observer Variability and Accuracy of Different Criteria for Lung Scan Interpretation Petronella J. Hagen, MD 1,2 ; Ieneke J.C. Hartmann, PhD 3,4 ; Otto S. Hoekstra, PhD 2,5 ; Marcel P.M.
More informationMultiple Gated Acquisition (MUGA) Scanning
Multiple Gated Acquisition (MUGA) Scanning Dmitry Beyder MPA, CNMT Nuclear Medicine, Radiology Barnes-Jewish Hospital / Washington University St. Louis, MO Disclaimers/Relationships Standard of care research
More information8/1/2017. Disclosures. Outline. SAM Imaging Education Course 90Y-Microsphere Therapy: Emerging Trends and Future Directions
SAM Imaging Education Course Y-Microsphere Therapy: Emerging Trends and Future Directions Matt Vanderhoek, PhD Henry Ford Health System, Detroit, MI Vanessa Gates, MS Northwestern University, Chicago,
More informationCARDIAC 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
More informationDepartment of Nuclear Medicine with Positron Emission Tomography
(PET) Unit [1] Contact information: Registration: +48 41 367 4850 Main office: +48 41 367 4860 Fax: +48 41 367 4887 e-mail: zmnsco@onkol.kielce.pl [2] Head of the Department: Professor Janusz Braziewicz
More informationPrecision of pre-sirt predictive dosimetry
International Course on THERANOSTICS AND MOLECULAR RADIOTHERAPY Precision of pre-sirt predictive dosimetry Hugo Levillain Department of Nuclear Medicine Medical Physics Jules Bordet Institute, Université
More informationSuspected pulmonary embolism in patients with pulmonary fibrosis: Discordance between ventilation/perfusion SPECT and CT pulmonary angiography
ORIGINAL ARTICLE Suspected pulmonary embolism in patients with pulmonary fibrosis: Discordance between ventilation/perfusion SPECT and CT pulmonary angiography GABRIELA LEUSCHNER, 1* VERA WENTER, 2* KATRIN
More informationClinical Guide - Suspected PE (Reviewed 2006)
Clinical Guide - Suspected (Reviewed 2006) Principal Developer: B. Geerts Secondary Developers: C. Demers, C. Kearon Background Investigation of patients with suspected pulmonary emboli () remains problematic
More informationRadionuclides in Medical Imaging. Danielle Wilson
Radionuclides in Medical Imaging Danielle Wilson Outline Definitions History and development Radionuclide applications & techniques in imaging Conclusion Definition #1 : Radionuclide An unstable nucleus
More informationOptimal Strategies for the Diagnosis of Acute Pulmonary Embolism: Recommendations
CADTH OPTIMAL USE REPORT Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism: Recommendations Service Line: Optimal Use Issue Number: Volume 6, No. 3c Publication Date: March 2018 Report Length:
More informationIncidental Detection of Abdominal Aortic Aneurysm on Skeletal Scintigraphy
ISPUB.COM The Internet Journal of Nuclear Medicine Volume 3 Number 2 Incidental Detection of Abdominal Aortic Aneurysm on Skeletal Scintigraphy B Cumarasingam, R Mansberg, V Mansberg Citation B Cumarasingam,
More informationProper Diagnosis of Venous Thromboembolism (VTE)
Proper Diagnosis of Venous Thromboembolism (VTE) Whal Lee, M.D. Seoul National University Hospital Department of Radiology 2 nd EFORT Asia Symposium, 3 rd November 2010, Taipei DVT - Risk Factors Previous
More informationOptimal Strategies for the Diagnosis of Acute Pulmonary Embolism: Recommendations
CADTH OPTIMAL USE REPORT Optimal Strategies for the Diagnosis of Acute Pulmonary Embolism: Recommendations Service Line: Optimal Use Issue Number: volume, no. Publication Date: Month 2018 Report Length:
More informationBone PET/MRI : Diagnostic yield in bone metastases and malignant primitive bone tumors
Bone PET/MRI : Diagnostic yield in bone metastases and malignant primitive bone tumors Lars Stegger, Benjamin Noto Department of Nuclear Medicine University Hospital Münster, Germany Content From PET to
More informationCitation for published version (APA): Douma, R. A. (2010). Pulmonary embolism: advances in diagnosis and prognosis
UvA-DARE (Digital Academic Repository) Pulmonary embolism: advances in diagnosis and prognosis Douma, R.A. Link to publication Citation for published version (APA): Douma, R. A. (2010). Pulmonary embolism:
More informationNuclear pulmonology. Katalin Zámbó Department of Nuclear Medicine
Nuclear pulmonology Katalin Zámbó Department of Nuclear Medicine Imaging techniques Morphology Physiology Metabolism Molecules X-ray / CT MRI NM - SPECT/ PET MR spectroscopy fmri Ultrasound Hybrid imaging:
More informationDetectability of subsegmental pulmonary vessels in 64 MDCT-pulmonary angiography.
ISPUB.COM The Internet Journal of Radiology Volume 11 Number 2 Detectability of subsegmental pulmonary vessels in 64 MDCT-pulmonary angiography. T Niemann, G Bongartz Citation T Niemann, G Bongartz. Detectability
More informationACR Appropriateness Criteria Suspected Lower Extremity Deep Vein Thrombosis EVIDENCE TABLE
. Fowkes FJ, Price JF, Fowkes FG. Incidence of diagnosed deep vein thrombosis in the general population: systematic review. Eur J Vasc Endovasc Surg 003; 5():-5.. Hamper UM, DeJong MR, Scoutt LM. Ultrasound
More informationPulmonary Embolism. Pulmonary Embolism. Pulmonary Embolism. PE - Clinical
Pulmonary embolus - a practical approach to investigation and treatment Sam Janes Wellcome Senior Fellow and Respiratory Physician, University College London Background Diagnosis Treatment Common: 50 cases
More informationApproaches to Diagnosing Acute Pulmonary Embolism in Canada: Current Practice, Challenges, and Availability of Testing
ENVIRONMENTAL SCAN Approaches to Diagnosing Acute Pulmonary Embolism in Canada: Current Practice, Challenges, and Availability of Testing Service Line: Environmental Scanning Issue: 63 Version: 1.0 Publication
More informationSPECT-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
More informationOriginal articles. Role of spiral volumetric computed tomographic scanning in the assessment of patients with
Thorax 1996;51:23-28 23 Original articles Department of Diagnostic Radiology A B van Rossum F E E Treumiet G J Kieft R Schepers-Bok Department of Internal Medicine S J Smith Leyenburg Hospital, Leyweg
More informationFrom the Departments of Medicine, University of Ottawa, Ottawa, Canada, McMaster University, Hamilton, Canada, Dalhousie University, Halifax, Canada
2000 Schattauer Verlag, Stuttgart Derivation of a Simple Clinical Model to Categorize Patients Probability of Pulmonary Embolism: Increasing the Models Utility with the SimpliRED D-dimer Philip S. Wells,
More informationVTE General Background
VTE General Background VTE incidence is about 1:1000 persons annually >250,000 admissions for VTE annually >100,000 people die of PE annually >90% of PE s arise from lower limb DVT 50% of DVT at diagnosis
More informationThe Final 10-Year Follow-up Results from the Bari Randomized Trial J Am Coll Cardiol (2007) 49;1600-6
The Final 10-Year Follow-up Results from the Bari Randomized Trial J Am Coll Cardiol (2007) 49;1600-6 n&list_uids=17433949 64-Multislice Detector Computed Tomography Coronary Angiography as Potential Alternative
More informationRadiologic Features of The Pulmonary Embolus
January 2003 Radiologic Features of The Pulmonary Embolus Travis McGlothin HMSIII Mr. J is a 51 y.o. male who presented to the BIDMC ED w/ acute onset of: Lft. Hemiparesis slurred speech mild dyspnea mild
More informationPULMONARY EMBOLISM ANGIOCT (CTA) ASSESSMENT OF VASCULAR OCCLUSION EXTENT AND LOCALIZATION OF EMBOLI 1. BACKGROUND
JOURNAL OF MEDICAL INFORMATICS & TECHNOLOGIES Vol. 11/2007, ISSN 1642-6037 Damian PTAK * pulmonary embolism, AngioCT, postprocessing techniques, Mastora score PULMONARY EMBOLISM ANGIOCT (CTA) ASSESSMENT
More informationPET-MRI in malignant bone tumours. Lars Stegger Department of Nuclear Medicine University Hospital Münster, Germany
PET-MRI in malignant bone tumours Lars Stegger Department of Nuclear Medicine University Hospital Münster, Germany Content From PET to PET/MRI General considerations Bone metastases Primary bone tumours
More informationCitation for published version (APA): Douma, R. A. (2010). Pulmonary embolism: advances in diagnosis and prognosis
UvA-DARE (Digital Academic Repository) Pulmonary embolism: advances in diagnosis and prognosis Douma, R.A. Link to publication Citation for published version (APA): Douma, R. A. (2010). Pulmonary embolism:
More informationDosimetry Optimization System and Integrated Software (DOSIS): a comparison against Fluka code results over a standard phantom
Dosimetry Optimization System and Integrated Software (DOSIS): a comparison against Fluka code results over a standard phantom Institute of Physics E. Gaviola - CONICET & LIIFAMIRX - Laboratorio de Investigación
More informationTechnical 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
More informationToo much medicine and venous thromboembolism: How can we make things Well again?
Too much medicine and venous thromboembolism: How can we make things Well again? Emily G McDonald MD MSc; Assistant professor of medicine; McGill University Health Centre Canadian Society of Internal Medicine;
More informationAn Introduction to Dual Energy Computed Tomography
An Introduction to Dual Energy Computed Tomography Michael Riedel University of Texas Health Science Center at San Antonio Introduction The idea of computed tomography (CT) was first introduced in the
More informationDiagnosis 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
More informationSuccess of a Safe and Simple Algorithm to Reduce Use of CT Pulmonary Angiography in the Emergency Department
Cardiopulmonary Imaging Original Research Stein et al. CT Pulmonary Angiography in the Emergency Department Cardiopulmonary Imaging Original Research Evan G. Stein 1 Linda B. Haramati 1 Murthy Chamarthy
More information