Nuclear Cardiology – SPECT

             

Dr Tom Wang from Cleveland Clinic reviews strength and roles of electrocardiography, MRI and Nuclear techniques in early and correct identification of AL and ATTR.
     

1. A balanced view and experience from the Principal investigator of the imaging CoreLab for the much anticipated ISCHEMIA trial. 2. Lessons on how this trail learned from the past and will influence our future practice. 3. What groups benefit from ischemia evaluation?
     

A step-by-step guide on how you can perform the fusion of CCTA with SPECT images.
     

Impact of various genetic mutations on sensitivity of TcPYP. Importance of SPECT in diagnosing ATTR amyloidosis by TcPYP. Planar images are not sufficient. Future perspectives.
     

Identifying motion artifacts on RAW images, co-registration images, and perfusion images. Steps to correct the artifacts and remedy the problem.
     

Understand the limitations of traditional SPECT. Changing landscape in type of patients being imaged by SPECT. Poor Specificity of SPECT with rising BMI. Attenuation Correction to mitigate this poor specificity. Call to adopt newer technologies in our practice to better serve our patients and limit equivocal studies/results.
     

MPS CZT clinical cases: normal, ischemia and necrosis. How to read and how to interpret perfusion and function in different clinical conditions.
     

TID, does it always represent ischemia or pathology? Understanding how perfusion and gated images are acquired.
     

Appropriate use Criteria for pre-op testing. Artifacts on SPECT-CT that can mislead the reader and be misconstrued as perfusion defects. Importance of following all the steps when reading a scan and avoiding shortcuts.
     

A brief description of the evaluation of the innervation of the heart by nuclear cardiology.
     

Review a patient presentation with heart failure and review to the clinical, ECG, Lab and imaging finding pointing to a_TTR amyloid heart disease. Review the findings on echo and Tc-PYP scans.
     

A brief description of a positive MPS in the LCx territory in a patient with mitral regurgitation.
     

Compare and contrast the value and images of PET and SPECT-CT in the setting of LBBB.
     

This tutorial will walk you step by step through an abnormal MPS CZT study.
     

A brief description of how to interpret a normal MPS scan: perfusion and function.
     

A brief description of the new CZT cameras: design, image acquisition, image reconstruction.
     

A brief primer on PET and SPECT cardiac tracers, imaging systems, and stress protocols.
     

Type of stress test in nuclear cardiology: which, when and how.
     

How to Read a Tc-PYP scan for A-TTR Cardiac Amyloid?
     

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