Nuclear Cardiac Imaging

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.

Cardiac SPECT Imaging, Second Edition offers the best of all possible worlds--a critical topic, internationally recognized authors and cutting-edge coverage. It guides you through all aspects of the modality--from basic principles (acquiring and processing images, quality control)...and clinical applications (evaluating myocardial infarction and coronary artery disease)...to the very latest equipment. It even compares SPECT with other modalities (PET, CT, MRI, and echocardiography) to ensure smart, cost-effective decisions by both the cardiologist and nuclear medicine physician.Look for new chapters on attenuation correction, gated perfusion SPECT, radiopharmaceuticals, and myocardial perfusion SPECT, as well as the very latest on myocardial perfusion SPECT in conjunction with exercise and pharmacologic stress, assessment of perfusion/viability with Tc-99m agents, how SPECT compares with other advanced cardiac imaging modalities, and more!

The definitive resource for nuclear cardiologists and nuclear clinicians on the technical, physiological, diagnostic and prognostic considerations of cardiac diagnostic techniques performed with the aid of radiopharmaceuticals.

Recent years have seen numerous advances in cardiovascular nuclear medicine technology, leading to more precise diagnoses and treatment and an expanded understanding of the molecular basis for cardiac disease. Nuclear Cardiology and Multimodal Cardiovascular Imaging is a one-stop, comprehensive guide to the diagnostic and clinical implications of this complex and increasingly important technology. Part of the Braunwald family of renowned cardiology references, it provides cutting-edge coverage of multimodal cardiac imaging along with case vignettes and integrated teaching content—ideal for cardiologists, cardiology fellows, radiologists, and nuclear medicine physicians. Features all the latest cardiovascular nuclear medicine studies with practical, evidence-based implications for personalized patient evaluation and treatment. Presents a consistent, patient-centered approach using integrated case vignettes correlated with specific nuclear medicine imaging findings. Discusses patient assessment criteria, risk factor criteria, pathology, evaluation criteria, outcomes, and other clinical implications. Covers a full range of imaging technologies, including SPECT/CT, PET/CT, and CT/MR hybrid radionuclide cardiovascular imaging studies. Addresses emerging clinical applications of nuclear imaging techniques for precision-based medicine, including targeted molecular imaging and cell therapies. Includes sections on instrumentation/principles of imaging; protocols and interpretation; applications in coronary artery disease, special populations, and heart failure; artificial intelligence, and more. Contains guidelines and appropriate use documents to provide appropriate context for clinicians. Features hundreds of high-quality figures including multimodal cardiac imaging studies, anatomic illustrations, and graphs. Provides Key Point summaries, 50 procedural videos, and 100 multiple-choice questions and answers to reinforce understanding and facilitate review.

Atlas of Nuclear Cardiology, an Imaging Companion to Braunwald’s Heart Disease, offers the practical, case-based guidance both cardiologists and radiologists need to make optimal use of nuclear imaging techniques in the evaluation of cardiovascular function. Drs. Ami E. Iskandrian and Ernest V. Garcia discuss hot topics including PET and PET-CT, SPECT and gated SPECT, myocardial perfusion imaging, equilibrium radionuclide angiocardiography, and equilibrium radionuclide angiography in a consistent, clearly illustrated format. The fully searchable text is also online at www.expertconsult.com - supplemented with an image and video library - making this an ideal resource for mastering nuclear cardiology. Access the fully searchable contents online at www.expertconsult.com, along with a moving image library that demonstrates myocardial perfusion imaging, myocardial tracers, PET, PET-CT, and gated SPECT. Stay current on recent developments in nuclear cardiac imaging such as equilibrium radionuclide angiocardiography (ERNA) and first-pass radionuclide angiography (FPRNA). Master the application of techniques to specific clinical situations with detailed case studies and discussions of challenging issues. Gain a clear visual understanding from numerous, high-quality images in full color. Find information quickly and easily thanks to a practical, consistent format throughout the text.

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.

Cardiovascular nuclear medicine emerged 15 years ago as a new noninvasive technique for the detection of human cardiac disease. It arised from the fields of nuclear medicine and cardiology and the cooperation of both specialties has been very productive. At present, nuclear cardiology techniques belong to the routine armamentarium of the clinical cardiologist. Results obtained by perfusion markers, metabolic tracers, and radionuclide angiography have shown to have important impact on patient management. Although exercise electrocardiography and echocar diography yield the large bulk of necessary data in the cardiac patient, nuclear cardiology provides important data that go far beyond the results obtained by the standard procedures. Magnetic resonance imaging is a relative newcomer in cardio logy and has still to prove its value in clinical cardiology . Yet, initial results have been encouraging both in congenital heart disease and in coronary artery disease. This book is based on 16 review publications that have been written throughout the period of 1985 till present time. Most chapters have been published in the period 1989 until 1991; the preceding review papers have been updated as much as possible. Furthermore, Chapter 15 entitled" What's new in cardiac imaging" has been espe cially written for this book. The Chapters 9, 11 and 13 have been recently written and have not been published yet.