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EANM procedural guidelines for radionuclide myocardial perfusion imaging with SPECT and SPECT/CT: 2015 revision.

Verberne HJ, Acampa W, Anagnostopoulos C, Ballinger J, Bengel F, De Bondt P, Buechel RR, Cuocolo A, van Eck-Smit BL, Flotats A, Hacker M, Hindorf C, Kaufmann PA, Lindner O, Ljungberg M, Lonsdale M, Manrique A, Minarik D, Scholte AJ, Slart RH, Trägårdh E, de Wit TC, Hesse B, European Association of Nuclear Medicine (EAN - Eur. J. Nucl. Med. Mol. Imaging (2015)

Bottom Line: Since the publication of the European Association of Nuclear Medicine (EANM) procedural guidelines for radionuclide myocardial perfusion imaging (MPI) in 2005, many small and some larger steps of progress have been made, improving MPI procedures.In this paper, the major changes from the updated 2015 procedural guidelines are highlighted, focusing on the important changes related to new instrumentation with improved image information and the possibility to reduce radiation exposure, which is further discussed in relation to the recent developments of new International Commission on Radiological Protection (ICRP) models.Introduction of the selective coronary vasodilator regadenoson and the use of coronary CT-contrast agents for hybrid imaging with SPECT/CT angiography are other important areas for nuclear cardiology that were not included in the previous guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Nuclear Medicine, F2-238, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. h.j.verberne@amc.uva.nl.

ABSTRACT
Since the publication of the European Association of Nuclear Medicine (EANM) procedural guidelines for radionuclide myocardial perfusion imaging (MPI) in 2005, many small and some larger steps of progress have been made, improving MPI procedures. In this paper, the major changes from the updated 2015 procedural guidelines are highlighted, focusing on the important changes related to new instrumentation with improved image information and the possibility to reduce radiation exposure, which is further discussed in relation to the recent developments of new International Commission on Radiological Protection (ICRP) models. Introduction of the selective coronary vasodilator regadenoson and the use of coronary CT-contrast agents for hybrid imaging with SPECT/CT angiography are other important areas for nuclear cardiology that were not included in the previous guidelines. A large number of minor changes have been described in more detail in the fully revised version available at the EANM home page: http://eanm.org/publications/guidelines/2015_07_EANM_FINAL_myocardial_perfusion_guideline.pdf .

No MeSH data available.


Related in: MedlinePlus

Selection of stress test modality. Except for patients with left bundle branch block (LBBB) or ventricular paced rhythm, consider combining pharmacological vasodilatory stress with low-level exercise according to the ability of the patient to exercise. In case of pharmacological stress with dobutamine but without adequate heart rate response, consider to add atropine
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Fig1: Selection of stress test modality. Except for patients with left bundle branch block (LBBB) or ventricular paced rhythm, consider combining pharmacological vasodilatory stress with low-level exercise according to the ability of the patient to exercise. In case of pharmacological stress with dobutamine but without adequate heart rate response, consider to add atropine

Mentions: The indications are the same as for exercise MPI, but refer to patients who are not able to or who are expected to be unable to achieve ≥ 85 % of maximal age-predicted heart rate during exercise. Vasodilators (without exercise) should be preferred to exercise in cases of left bundle branch block or ventricular paced rhythms (Fig. 1). Considering diagnostic performance of MPI, there is no significant difference among the stress agents and modalities [8–10].Fig. 1


EANM procedural guidelines for radionuclide myocardial perfusion imaging with SPECT and SPECT/CT: 2015 revision.

Verberne HJ, Acampa W, Anagnostopoulos C, Ballinger J, Bengel F, De Bondt P, Buechel RR, Cuocolo A, van Eck-Smit BL, Flotats A, Hacker M, Hindorf C, Kaufmann PA, Lindner O, Ljungberg M, Lonsdale M, Manrique A, Minarik D, Scholte AJ, Slart RH, Trägårdh E, de Wit TC, Hesse B, European Association of Nuclear Medicine (EAN - Eur. J. Nucl. Med. Mol. Imaging (2015)

Selection of stress test modality. Except for patients with left bundle branch block (LBBB) or ventricular paced rhythm, consider combining pharmacological vasodilatory stress with low-level exercise according to the ability of the patient to exercise. In case of pharmacological stress with dobutamine but without adequate heart rate response, consider to add atropine
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4589547&req=5

Fig1: Selection of stress test modality. Except for patients with left bundle branch block (LBBB) or ventricular paced rhythm, consider combining pharmacological vasodilatory stress with low-level exercise according to the ability of the patient to exercise. In case of pharmacological stress with dobutamine but without adequate heart rate response, consider to add atropine
Mentions: The indications are the same as for exercise MPI, but refer to patients who are not able to or who are expected to be unable to achieve ≥ 85 % of maximal age-predicted heart rate during exercise. Vasodilators (without exercise) should be preferred to exercise in cases of left bundle branch block or ventricular paced rhythms (Fig. 1). Considering diagnostic performance of MPI, there is no significant difference among the stress agents and modalities [8–10].Fig. 1

Bottom Line: Since the publication of the European Association of Nuclear Medicine (EANM) procedural guidelines for radionuclide myocardial perfusion imaging (MPI) in 2005, many small and some larger steps of progress have been made, improving MPI procedures.In this paper, the major changes from the updated 2015 procedural guidelines are highlighted, focusing on the important changes related to new instrumentation with improved image information and the possibility to reduce radiation exposure, which is further discussed in relation to the recent developments of new International Commission on Radiological Protection (ICRP) models.Introduction of the selective coronary vasodilator regadenoson and the use of coronary CT-contrast agents for hybrid imaging with SPECT/CT angiography are other important areas for nuclear cardiology that were not included in the previous guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Nuclear Medicine, F2-238, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. h.j.verberne@amc.uva.nl.

ABSTRACT
Since the publication of the European Association of Nuclear Medicine (EANM) procedural guidelines for radionuclide myocardial perfusion imaging (MPI) in 2005, many small and some larger steps of progress have been made, improving MPI procedures. In this paper, the major changes from the updated 2015 procedural guidelines are highlighted, focusing on the important changes related to new instrumentation with improved image information and the possibility to reduce radiation exposure, which is further discussed in relation to the recent developments of new International Commission on Radiological Protection (ICRP) models. Introduction of the selective coronary vasodilator regadenoson and the use of coronary CT-contrast agents for hybrid imaging with SPECT/CT angiography are other important areas for nuclear cardiology that were not included in the previous guidelines. A large number of minor changes have been described in more detail in the fully revised version available at the EANM home page: http://eanm.org/publications/guidelines/2015_07_EANM_FINAL_myocardial_perfusion_guideline.pdf .

No MeSH data available.


Related in: MedlinePlus