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.

A detailed review of the techniques used in nuclear cardiology This well-illustrated guide offers a comprehensive look at the principles and techniques behind myocardial perfusion imaging, including instrumentation and cameras, general considerations, radiopharmaceuticals, and radiation safety and regulatory issues. Whether you are a physician or technologist, a resident or fellow in training, or are preparing for the Cardiology Board Exam, Nuclear Cardiology: Technical Applications is the most effective way to learn the important technical aspects of performing accurate nuclear cardiology and cardiac CT studies. Features: Offers an in-depth overview of technical information regarding stress procedures and imaging agents, as well as the acquisition and processing protocols related to nuclear cardiology and cardiovascular CT Covers applications of PET, PET/CT, SPECT, and Gated SPECT Reviews camera instrumentation and computer systems involved in nuclear cardiology studies Discusses radiation safety and regulatory issues, including state regulations and licensure information Numerous images, including a 16-page full-color insert

The purpose of this book is to provide the outline for the "nuts and bolts" establishment and operation of a nuclear cardiology laboratory. In so doing, the authors have attempted to deal with the relevant issues that a laboratory director must address in either setting up the laboratory or maintaining its competitive edge and clinical competence over time. The authors primarily attempted to identify issues related to outpatient imaging facilities. However, where appropriate issues related to inpatients in hospital-based laboratories are also discussed.

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 medicine is undergoing major orientation both praetieally and eoneeptu ally. To this point nuclear medieine has direeted the major portion of its effort to visualization of statie organ systems. The true value of this teehnique lies not in its ability to graphieally display organ systems, but rather its ability to measure organ funetion in a noninvasive manner. Dr. Serafini and his eolleagues have, in this book, brought together the experts of the different phases of cardiodynamies. The eontents lead one to believe that there are relatively simple innoeuous tests that ean supply large amounts of extremely important physiologie data without the neeessity for open invasion of the heart. Perhaps the most exciting part of the studies is the glimpse into the future they provide. The depth and versatility of these teehniques is displayed by the surprising variety of problems amenable to nuclear medieine examination. Perhaps the one point that is ever present in all these teehniques is the ability to perform the tests sequentially in different time frames as the patient's eondi tion ehanges or a major event is taking plaee, sueh as surgery. The work presented in this volume must be eonsidered the genesis of the new nuc1ear medieine and I, for one, look forward with great anticipation to what will follow.