By Robert C. Hendel M.D., Robert C. Hendel M.D. (auth.), Gary V. Heller, Robert C. Hendel (eds.)
This small instruction manual offers a "just the proof" method of using nuclear cardiology for the final cardiology inhabitants. it really is an accessory to the prevailing literature in supplying an easy case-based method of the method, software and result of using nuclear cardiology. it's a fast-access, pocket-sized compendium of data, seriously biased towards a medical cardiology inhabitants. As such will probably be a competitively priced, colourful and attractive reference source that would be well known to a lot of cardiologists across the world. As higher numbers of nations put money into the recent innovations, the starvation for info increases vastly.
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Additional resources for Handbook of Nuclear Cardiology: Cardiac SPECT and Cardiac PET
The current radiopharmaceuticals used for SPECT MPI include technetium-99m (Tc-99m) based agents and to a lesser extent thallium-201. Further information on radionuclide agents used in MPI is detailed in Chap. 11. TI-201 is one of the longest used agents in MPI and has been found to be effective in the detection of CAD with an estimated sensitivity and specificity of 89% and 76% respectively . The limitations seen with the use of TI-201 include long half life, poor count statistics, and low-energy emission.
Further information on radionuclide agents used in MPI is detailed in Chap. 11. TI-201 is one of the longest used agents in MPI and has been found to be effective in the detection of CAD with an estimated sensitivity and specificity of 89% and 76% respectively . The limitations seen with the use of TI-201 include long half life, poor count statistics, and low-energy emission. Because of the higher radiation exposure when compared to alternative agents, the use of thallium has been discouraged unless there are no other options.
1 A comparison of the diagnostic accuracy of exercise treadmill testing and of various stressors of myocardial perfusion imaging (Adapted from Heller et al. ) been shown to have a higher sensitivity and specificity when compared to ETT alone (Fig. 1) . However, diagnostic accuracy is considered equivalent between exercise or pharmacologic stress for SPECT MPI. In patients considered intermediate risk for CAD, stress imaging alone has been demonstrated to be safe and effective in identifying CAD and additionally has prognostic value [1, 12].