Main description:

Drs. Vitola and Delbeke assembled a group of standout contributors in order to create a resource that advances the knowledge and skills of experienced nuclear cardiologists and radiologists while also preparing residents for the cutting-edge field of nuclear cardiology. Diagnostic tools, physics and instrumentation, and radiopharmaceuticals and protocols central to the field are examined. The comprehensive text covers key applications of myocardial perfusion imaging, including applications in special populations and in emergency departments. Risk assessment, pitfalls, and artefacts are addressed. Additional chapters detail the value of cardiac MRI, multislice computed tomography, stress echocardiography, and PET and PET/CT to nuclear cardiology. Practical case presentations and a wealth of illustrations reinforce instruction on diagnostic guidelines and methods.

Contents:

Contents Foreword, by Joseph S. Alpert
Foreword, by E. Gordon DePuey III
Contributors Chapter 1: Diagnostic Tools to Approach the Cardiac Patient
Joao V. Vitola and Dominique Delbeke
Case Presentations
1.1. Imaging of Atherosclerosis by FDG PET-CT Chapter 2: Physic Principles and Instrumentation in Nuclear Cardiology
James A. Patton
Case Presentations
2.1. Dose Infiltration at Site of Injection
2.2. Artifact Caused by Metal Object
2.3. Truncation Artifact
2.4. Motion Artifact
2.5. Diaphragmatic Attenuation Artifact
2.6. Breast Attenuation Artifact
2.7. Detector Malfunction in the PET System
2.8. Motion Artifact on PET/CT
Chapter 3: Radiopharmaceuticals and Protocols in Nuclear Cardiology
Dominique Delbeke, Joao V. Vitola, and William H. Martin
Cases Presentations
3.1. Biodistribution of 201Tl and Clinical Protocols
3.2. Biodistribution of 99mTc-MIBI and Clinical Protocols
3.3. Dual Isotope Rest 201Tl/Stress 99mTc-tetrofosmin Study
3.4. Extracardiac 99mTc-MIBI Uptake in a Tumor
3.5. Pattern of FDG Uptake in the Heart
3.6. Puerperal Breast Uptake of FDG: Dose Radiation Issues
3.7. Semiquantitative Analysis of Perfusion and Function
3.8. Myocardial Perfusion Imaging with PET
3.9. Biodistribution of 99mTc Pertechnetate
3.10. Gastrointestinal Radiopharmaceutical Uptake Chapter 4: Stress Modalities to Evaluate Myocardial Perfusion
Joao V. Vitola, Otavio Kormann, Arnaldo Laffitte Stier Jr., William Azem Chalela,
Luis E. Mastrocolla, and Dominique Delbeke
Cases Presentations
4.1. Exercise 99mTc-MIBI Demonstrating Multi-Vessel CAD with Borderline ECG Changes
4.2. Dipyridamole 99mTc-MIBI Demonstrating RCA and LCX Ischemia in a Patient with LBBB
4.3. Combined Dipyridamole-Low Exercise 99mTc-MIBI Demonstrating Multi-Vessel CAD
4.4. Combined Dipyridamole-Low Exercise 99mTc-MIBI with Severe ST-Segment Elevation
4.5. Dobutamine 99mTc-MIBI Demonstrating Extensive Three-Vessel CAD
4.6. Dipyridamole 99mTc-MIBI in a Patient with a Pacemaker
4.7. Adenosine 99mTc-MIBI Demonstrating Significant Endothelial Dysfunction
4.8. Differential Hepatic and Gastrointestinal Uptake of 99mTc-MIBI after Exercise and Dypiridamole Stress
4.9. Dipyridamole-Induced Coronary Steal and ST-Segment Depression
4.10. Interference of Medications with MPI Chapter 5: Myocardial Perfusion Imaging: Detection of Coronary Artery Disease and Miscellaneous Clinical Applications
Joao V. Vitola, Dominique Delbeke, C. Andrew Smith, Carlos Cunha Pereira,
William H. Martin, and M. Reza Habibian
Cases Presentations
5.1. Left Main Occlusion Diagnosed by MPI
5.2. Myocardial Bridging of the LAD
5.3. Exercise-Induced Artifact in a Patient with LBBB
5.4. LAD Ischemia in a Patient with LBBB
5.5. Transient Ischemic LV Dilatation
5.6. Multi-vessel Disease on MPI and Myocardial Stunning
5.7. Reverse Distribution on 201Tl Imaging
5.8. Anomalous Takeoff of the RCA
5.9. Anomalous Takeoff of the LCA
5.10. Transposition of the Great Vessels
5.11. Moderate Lesion Causing Ischemia
5.12. Chest Pain Due to Multiple Pulmonary Emboli
5.13. Coronary Spasm
5.14. Semiquantitative Analysis Using Different Commercial Software Packages Chapter 6: Myocardial Perfusion Imaging in the Emergency Department
Olimpio Ribeiro Franca Neto, Dominique Delbeke, Joao V. Vitola, and Jack A. Ziffer
Cases Presentations
6.1. Occluded LCX Detected by Rest 99mTc-MIBI
6.2. Occluded OM Detected by Rest 99mTc-MIBI
6.3. Correlation of Rest 99mTc-MIBI and MRI for ACS
6.4. Normal Rest But Abnormal Stress MPI
6.5. Value of Prone Imaging for Rest MPI
6.6. AMI Diagnosed by Rest 99mTc-MIBI and 99mTc-Pyrophosphate
6.7. Acute Pulmonary Embolism as a Differential Diagnosis in the ED
6.8. AMI Detected by Rest 99mTc-MIBI
6.9. Acute C