Myocardial Perfusion Imaging 2016
Myocardial Perfusion Imaging 2016
Myocardial Perfusion Imaging 2016: Quality, Safety, And Dose Optimization

SNMMI-TS Quality and Safety Series, Book #1

Member Fee: $149.00
Non-Member Fee: $225.00
Release Date: January 1, 2017
Expiration Date: January 31, 2020


SNMMI-TS Publications Committee
Editor – Mary Beth Farrell, MS, CNMT, NCT, FSNMMI-TS
Contributors – List in book on pp. 3-4
Preface – by Danny A. Basso, CNMT, NCT, FSNMMI-TS – Chair, SNMMI-TS Publications Committee 

Target Audience
This article contains information of value to nuclear medicine technologists.

This is a comprehensive book focusing on ways to improve quality, increase safety, and reduce radiation burden in myocardial perfusion imaging. It is designed as an easy reference that will give new insights to even the most tenured technologists. Each chapter explains general guidelines, offering more depth where needed. It is written by nuclear medicine technologists and physicians who have in-depth knowledge of all of the complexities of nuclear cardiology. It is written so to be understandable and useful to all levels of nuclear medicine professionals. The full list of objectives follows below.

Chapters include:
- Introduction and Overview
- Patient Preparation and Education
- Stress Testing
- Radiopharmaceuticals
- Quality Control
- Imaging Protocols
- Acquisition
- Processing
- Artifacts
- Basic Interpretation
- Future of Myocardial Perfusion Imaging

Continuing Education Credit Information

VOICE (Technologists)
The SNMMI, through its Verification of Involvement in Continuing Education (VOICE) program, has approved this mini-book for a maximum of 10.0 continuing education hours (CEHs). VOICE-approved credit is recognized by most licensure states and by the NMTCB and ARRT as Category A credit. In order to receive CE credit, you must first complete the activity content. When you complete each chapter, it is recommended that you take the post-test assessment for that chapter. You must obtain a score of 80% to receive the CE credit. You will have no more than 3 attempts to successfully complete each of the post-test assessments. You must pass all 10 assessments in order to receive CE credit. California Scope: 6.0 Non-Imaging (NI); 2.5 Imaging (I); 1.5 Radiopharmacy (R). 

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Chapter 2:
Explain the required patient preparation protocol for myocardial perfusion imaging
List contraindications for myocardial perfusion imaging studies
Describe the correct patient identification protocol for patient studies

Chapter 3: Note:  question #2 should be corrected to read: A contraindication for an exercise stress...
Describe metabolic equivalent and how it is applied in myocardial stress testing
List pharmacological agents and their metabolic actions used in pharmacological stress tests
Identify contraindications associated with pharmacological stress agents

Chapter 4:
List the appropriate imaging times after injection for thallium, technetium and PET imaging agents
Describe and compare imaging agents used for myocardial viability versus myocardial perfusion imaging
Compare radioactive half lives and energy ranges of currently approved myocardial imaging agents

Chapter 5:
List characteristic appearances of camera uniformity problems found during uniformity testing
Describe center-of-rotation and its possible impact on myocardial imaging procedures when alignment errors are present
Explain the application of the Jaszczak phantom in assessing resolution, contrast and uniformity in SPECT imaging.

Chapter 6:
Describe the timing sequence for performing one and two-day rest/stress myocardial perfusion protocols with 99mTc imaging agents
Compare myocardial viability studies using 201Tl and 18F-FDG
Review radiation exposure associated with thallium, technetium and PET imaging agents

Chapter 7:
Describe energy spatial and contrast resolution and its impact on myocardial imaging
Explain collimation and how different collimators are selected and used for myocardial imaging
Compare SPECT and PET detectors used in myocardial imaging

Chapter 8:
Describe the reconstruction of tomographic images acquired during myocardial SPECT imaging
Explain imaging filtering/selection as it relates to noise reduction and feature enhancement
Describe the assignment of perfusion scores as it relates to relative flow quantification

Chapter 9:
Describe image findings associated with vertical and horizontal imaging artifacts
Explain how to identify/assess motion artifacts post imaging
List common attenuation artifacts and recommended techniques to reduce or eliminate them during SPECT imaging

Chapter 10:
Describe the calculation and reporting of summed scores in myocardial imaging
Define sensitivity and specificity in myocardial perfusion imaging
Explain the application of risk stratification as it applies to the clinically relevant interpretation of a MPI study

Chapter 11:
Describe and compare new radiotracers proposed for MPI
List external challenges facing cardiac nuclear medicine
Explain how solid-state technology may revolutionize myocardial perfusion SPECT.

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