Cardiology And Nuclear Cardiology

This book covers relevant concepts in nuclear cardiology, combining imaging techniques and clinical data to do so. Today, nuclear cardiology is a worldwide discipline connected to the broader field of cardiovascular imaging. The combination of clinical aspects (symptoms, medications, previous cardiac procedures), ancillary exams and nuclear images is key to decision-making in clinical practice. Thus, a book on this topic is essential to provide better outcomes for cardiology patients. The chapters cover a comprehensive range of topics in current cardiology practice, such as ambulatory patients, patients in emergency settings, patients after complex cardiac procedures, and patients during and after the use of cancer therapies that are potentially toxic for the heart (cardio-oncology). As such, multiple clinical scenarios are also presented: patients with suspected coronary disease, patients with heart failure of unknown origin, patients with acute chest pain in the emergency department, patients with suspected pulmonary embolism, patients with complications of the left ventricular assist device, etc. Furthermore, the book describes nuclear cardiology procedures and techniques, discusses the main clinical indications and scenarios for each procedure, presents new technological advances in the field (machine learning and artificial intelligence tools), and mentions the coronavirus disease 2019 (COVID-19) pandemic. Given its scope, the book offers a valuable guide and videos for various medical professionals, especially cardiologists and nuclear physicians.

The fifth edition of this book presents clinical data, image acquisition, and interpretation of nuclear cardiology procedures through high quality illustrative image examples. It includes up-to-date and comprehensive coverage of advances in instrumentation, radiotracers, protocols, and clinical studies. New content includes indications in imaging cardiac sarcoidosis, amyloidosis, and device infections as well as recent advances in instrumentation (Hybrid PET/MR). It also provides fresh chapters on the history of nuclear cardiology imaging, radionuclide handling techniques and radiation safety, PET-based myocardial perfusion imaging, and vascular imaging. The entire field is presented in pictographic form that is visually pleasing and conforming to current trends of medical education. The fifth edition of the Atlas of Nuclear Cardiology is an essential reference for cardiologists, radiologists, and nuclear medicine physicians interested in the latest approaches to noninvasive diagnostic cardiovascular nuclear imaging techniques. It also serves as a ready reference textbook for medical students and residents as well as nuclear physicists, nuclear medicine technologists, and radiopharmacists.

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. Iskandrian's text has become a leading book in the field and the fourth edition will continue the tradition. The text is completely updated to reflect the many advances in the field, and, as a new feature, each chapter concludes with a Q&A session on important and difficult clinical issues.

This fast-access, pocket-sized handbook offers a "just the facts" approach to the practical uses of nuclear cardiology. Its case-based coverage includes methodology, application and results in clinical cardiology.

Nuclear cardiology is one of the most widely used non-invasive techniques for the assessment of coronary artery disease and other cardiovascular conditions. It has proved to be a cost effective tool for the evaluation and management of cardiac patients and usually has a decisive role for diagnosis, prognosis and risk stratification. In particular, radionuclide myocardial perfusion imaging (MPI) is used extensively worldwide for the evaluation of known or suspected coronary artery disease, with an estimated 15-20 million procedures performed annually. This publication provides a detailed analysis of all the steps involved in the delivery of nuclear cardiology services, from referrals to reporting, and is intended to serve as guidance for the implementation, homogenization and enhancement of MPI practice in those Member States where the technique is under development.

Nuclear cardiology is critical for the medical evaluation of patients with heart disease. Clinical Nuclear Cardiology: Practical Applications and Future Directions is the second volume of this series. The volume provides information about the clinical application of imaging techniques (such as SPECT and PET) in clinical practice with the goal of guiding health care professionals to make informed decisions for identifying cardiac risk in patients with heart disease. The information in the book covers four broad aspects of nuclear cardiology: - Myocardial Perfusion Scintigraphy - Fatty Acid Imaging - Neurotransmission imaging - Molecular Imaging and Preventive Medicine Readers will be equipped with information necessary for understanding the diagnosis and management of a variety of cardiomyopathies through various imaging technologies. This volume is a comprehensive reference for cardiologists and medical imaging technicians involved in clinical settings as well as medical students who require an understanding of the cardiovascular aspects of nuclear medicine.

In the United States the performance of nuclear cardiology studies continues to increase. As an example, in 1998, 4,160,739 myocardial perfusion imaging st- ies were done. In 2001 this number increased to 5,679,258. The nonhospital performance of perfusion imaging increased over the same time period from 1,188,731 to 1,789,207 studies (Arlington Medical Resources data). In 1999, there were approximately 1300 nonhospital sites with nuclear imaging capabi- ties, of which 600 were in physician’s offices. By 2001, there were approximately 1700 nonhospital sites, of which 780 were in physician’s offices (from IMV, LTD: http://www.imvlimited.com/mid/). The growth of nuclear cardiology as an expanded outpatient laboratory ent- prise is readily apparent. In the United States, as well as in other parts of the world, this growth has been linked to the recognition of the ability of cardiologists to perform these studies. The certification examination in nuclear cardiology is now well established in the United States. Accreditation of laboratories is also well established. Over the years, some of the most frequent questions asked by our former trainees relate to practical issues involved in the establishment of a nuclear cardiology laboratory. In view of the growth of the field, this is certainly not surprising.

This latest edition of NUCLEAR CARDIOLOGY provides up-to-the-minute information on current and future uses of radionuclides in imaging diagnosis of the heart. Thoroughly revised and updated, it contains practical information on radiopharmaceuticals, tracer kinetics, instrumentation, ventricular function, perfusion, acute ischemic syndrome, viability, and metabolic images, as well as a discussion of the role of nuclear cardiology in a changing health care system. Practitioners in nuclear medicine, radiology, and cardiology will benefit from having current information on a wide range of topics in one focused reference. Provides highly detailed and comprehensive information in one convenient resource Includes more than 600 images and illustrations to aid comprehension Incorporates the knowledge of internationally recognized authors who are experts in the field Discusses a broad spectrum of nuclear cardiology applications to help you gain a better perspective on contemporary cardiac nuclear medicine