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Nuclear cardiac imaging refers to cardiac radiological diagnostic techniques performed with the aid of radiopharmaceuticals, which are perfused into the myocardium as markers. These imaging studies provide a wide range of information about the heart, including the contractility of the heart, the amount of blood supply to the heart and whether parts of the heart muscle are alive or dead. This is essential information for cardiologists, and nuclear imaging has become an increasingly important part of the cardiologist's armamentarium. Chapters in Nuclear Cardiac Imaging cover historical, technical and physiological considerations, diagnosis and prognosis, conditions other than Coronary Artery Disease (CAD), advanced cardiac imaging, and challenges and opportunities. New to the fifth edition are key point summaries at the start of each chapter, clinical cases with videos, and a question and answer chapter on practical issues. This volume is ideal for nuclear cardiologists in training and nuclear clinicians alike who are searching for quick answers to important clinical and technical questions.
Section I. Historical, Technical and Physiological Considerations
1. Nuclear Cardiology: History and Milestones
2. Radiation physics and Radiation Safety
3. SPECT and PET Instrumentation: Conventional and New
4. Kinetics of Conventional and New Cardiac Radiotracers
5. Radionuclide Angiography: Planar and Tomographic
6. Gated SPECT MPI: Imaging Protocols and Acquisition
7. Gated SPECT MPI Processing and Quantitation
8. Image Artifacts
9. Attenuation Correction
10. Pharmacological Stress Testing
Section II. Diagnosis and Risk Assessment
11. Treadmill Exercise Testing
12. Gated SPECT Perfusion in Diagnosis/Risk Assessment in Stable Patients
13. Risk Assessment in Acute Coronary Syndromes
14. Risk Assessment Before Noncardiac Surgery
15. Myocardial Perfusion Imaging Before and After Cardiac Revascularization
16. Screening Asymptomatic Subjects
17. Role of Imaging in Chronic Kidney Disease
18. Role of Imaging in Diabetes Mellitus
19. Imaging Patients with Chest Pain in the Emergency Department
20. Role of PET in Diagnosis and Risk Assessment in Patients with Known or Suspected CAD
21. Myocardial Viability Assessment: Nuclear Techniques and Clinical Implications
Section III. Role of Nuclear Imaging Beyond CAD
22. Phase analysis for Dyssynchrony by MPI and MUGA
23. Imaging Myocardial Innervation
24. Measurements of Myocardial Blood Flow by Imaging
25. Imaging of Myocardial Metabolism
26. Inflammatory, Infiltrative Diseases, and Tumors
27. Radionuclide Imaging in Heart Failure
Section IV. Advances in Cardiac Imaging
28. Hybrid Imaging
29. Cardiovascular Molecular Imaging
30. Use of Artificial Intelligence Including Decision Support Systems in Cardiac Imaging
Section V. Challenges for Nuclear Cardiology
31. Physician Certification and Lab Accreditation
32. Cost-Effectiveness of Imaging with Nuclear Cardiology
33. Guidelines and Appropriate Use Criteria
34. Radiation Considerations
35. Practical Issues: Ask the Experts
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