TY - JOUR
T1 - Improving Efficiency in the Nuclear Cardiology Laboratory
T2 - The Role of Stress-Only Imaging Coupled with Faster Acquisition Protocols and New Stressor Agents
AU - Mahmarian, John J.
N1 - Funding Information:
Disclosure J. J. Mahmarian: consultant for Astellas Pharma US Inc., GE Healthcare, and Gilead Sciences; grants from Astellas Pharma US Inc. and Gilead Sciences; and speakers’ bureau/presentations for Astellas Pharma US Inc.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2011/6
Y1 - 2011/6
N2 - Laboratory efficiency is an important benchmark to achieve whether imaging is hospital-based or in the private practice setting. The stressor and imaging protocols used and the camera systems available for imaging all play a pivotal role toward this end. A same-day low-dose rest/high-dose stress imaging protocol has been widely adopted in nuclear cardiology laboratories. However, recent studies indicate that rest imaging may be unnecessary in patients with a normal initial stress single photon emission CT (SPECT) study. Appropriate elimination of rest imaging would decrease costs, streamline patient evaluations, and significantly reduce radiation exposure. Several recent studies have validated the safety of stress-only imaging in patients who have an initially normal perfusion study. Combined with new pharmacologic stressor agents and camera systems that can complete imaging within minutes, laboratory efficiency and patient satisfaction should improve considerably. The following article will review these currently available advances in SPECT imaging.
AB - Laboratory efficiency is an important benchmark to achieve whether imaging is hospital-based or in the private practice setting. The stressor and imaging protocols used and the camera systems available for imaging all play a pivotal role toward this end. A same-day low-dose rest/high-dose stress imaging protocol has been widely adopted in nuclear cardiology laboratories. However, recent studies indicate that rest imaging may be unnecessary in patients with a normal initial stress single photon emission CT (SPECT) study. Appropriate elimination of rest imaging would decrease costs, streamline patient evaluations, and significantly reduce radiation exposure. Several recent studies have validated the safety of stress-only imaging in patients who have an initially normal perfusion study. Combined with new pharmacologic stressor agents and camera systems that can complete imaging within minutes, laboratory efficiency and patient satisfaction should improve considerably. The following article will review these currently available advances in SPECT imaging.
KW - Acquisition protocols
KW - Myocardial perfusion imaging
KW - Pharmacologic stress agents
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U2 - 10.1007/s12410-011-9084-6
DO - 10.1007/s12410-011-9084-6
M3 - Review article
AN - SCOPUS:84873050669
VL - 4
SP - 207
EP - 216
JO - Current Cardiovascular Imaging Reports
JF - Current Cardiovascular Imaging Reports
SN - 1941-9066
IS - 3
ER -