Home Nuclear • Download Nuclear Cardiology, The Basics: How to Set Up and Maintain a by Frans J. Th. Wackers MD, PhD, Wendy Bruni BS, CNMT (auth.), PDF

Download Nuclear Cardiology, The Basics: How to Set Up and Maintain a by Frans J. Th. Wackers MD, PhD, Wendy Bruni BS, CNMT (auth.), PDF

By Frans J. Th. Wackers MD, PhD, Wendy Bruni BS, CNMT (auth.), Frans J. Th. Wackers MD, PhD, Wendy Bruni BS, CNMT, Barry L. Zaret MD (eds.)

The objective of this publication is to supply the description for the "nuts and bolts" institution and operation of a nuclear cardiology laboratory. In so doing, the authors have tried to accommodate the proper concerns laboratory director needs to tackle in both developing the laboratory or keeping its aggressive side and scientific competence through the years. The authors basically tried to spot matters regarding outpatient imaging amenities. even if, the place acceptable matters relating to inpatients in hospital-based laboratories also are discussed.

In this new version, the authors have saved the fundamental layout proven within the first variation. as well as reviewing, editing and updating every one bankruptcy within the first variation, they've got additional fullyyt new chapters on puppy imaging, hybrid imaging and the scientific appropriateness of nuclear cardiology techniques.

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Good-quality ECG-gated study due to high dose. Disadvantages • Takes 2 days to get final results. • Inconvenient; patient needs to come to the laboratory on 2 separate days. • Relatively high sub-diaphragmatic activity after pharmacological stress. Tc-99m Agent 1-Day Stress First–Rest Second Advantages • All stress testing is done in the morning. , physicians seeing patients in the afternoon). 32 Nuclear Cardiology, The Basics • Efficient protocol; if stress images are completely normal, and clinical and exercise parameters do not suggest coronary artery disease, no rest study may be needed.

Substantial portions of photons in image are scattered photons. • Low-energy photons are easily attenuated and cause artifacts especially in obese patients and women with large breasts. • Long protocol: approximately 4 h. Tc-99m Agent 2-Day Stress–Rest Advantages • Relatively high dose (20–30 mCi) administered; good count statistics and good quality. • Efficient protocol; if stress images are completely normal, and clinical and exercise parameters do not suggest coronary artery disease, no rest study may be needed.

Preparing Radiopharmaceutical Kits On-Site If the decision is made to prepare radiopharmaceuticals on-site in the imaging facility, written protocols must be in place that describe the procedures in detail. These detailed procedure protocols are required for accreditation by the ICANL. For each specific brand of radiopharmaceutical, separate protocols should exist. Kits from different vendors have different procedural steps and criteria. The protocol should meet the manufacturers’ recommendations that can be found in the package insert.

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