Abstract
The purpose of this document is to update the “ASNC Imaging Guidelines for Nuclear Cardiology Procedures: Single photon-emission computed tomography”1 in several areas in which novel evidence has emerged since its publication. Recent advances in Single Photon Emission Computed Tomography (SPECT) have fundamentally changed acquisition, processing, and interpretation of myocardial perfusion images using new technology. Myocardial perfusion imaging (MPI) can now be personalized and tailored to the individual patient and the clinical question. This publication is designed to provide MPI guidelines for conventional and novel SPECT for qualified medical professionals engaged in the practice of nuclear cardiology. While the information supplied in this document has been carefully reviewed by experts in the field, the document should not be considered as medical advice or a professional service. We recognize that SPECT technology is evolving rapidly and that these recommendations may need further revision in the near future. Hence, the imaging guidelines described in this publication should be applied clinically only after review and approval by qualified local institutional physicians and technologists.
The current update includes the latest knowledge on SPECT MPI incorporated into existing and new sections of the document. The instrumentation quality assurance and performance section was updated with advances in novel detectors, novel cameras, and hybrid SPECT/computed tomography (CT) equipment. Acquisition protocols for MPI on existing cameras were updated and new protocols added for MPI with semiconductor detector cameras. The processing section now has expanded coverage of iterative reconstruction and attenuation correction (AC). New information was added on reduced count density reconstruction techniques and reconstruction for solid state cameras. The interpretation section now includes guidance on interpretation of MPI from dedicated cardiac cameras. The section on reporting of SPECT MPI has been removed and is now included in the new American Society of Nuclear Cardiology (ASNC) reporting guideline document.2 Finally, several figures and new sections on myocardial blood flow with SPECT, stress-first/stress-only imaging, and patient centered MPI are added to this update.
This document was approved for publication by the governing body of ASNC and was endorsed by the Society of Nuclear Medicine and Molecular Imaging (SNMMI).
The current update includes the latest knowledge on SPECT MPI incorporated into existing and new sections of the document. The instrumentation quality assurance and performance section was updated with advances in novel detectors, novel cameras, and hybrid SPECT/computed tomography (CT) equipment. Acquisition protocols for MPI on existing cameras were updated and new protocols added for MPI with semiconductor detector cameras. The processing section now has expanded coverage of iterative reconstruction and attenuation correction (AC). New information was added on reduced count density reconstruction techniques and reconstruction for solid state cameras. The interpretation section now includes guidance on interpretation of MPI from dedicated cardiac cameras. The section on reporting of SPECT MPI has been removed and is now included in the new American Society of Nuclear Cardiology (ASNC) reporting guideline document.2 Finally, several figures and new sections on myocardial blood flow with SPECT, stress-first/stress-only imaging, and patient centered MPI are added to this update.
This document was approved for publication by the governing body of ASNC and was endorsed by the Society of Nuclear Medicine and Molecular Imaging (SNMMI).
Original language | English |
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Journal | Journal of Nuclear Cardiology |
Early online date | 25 May 2018 |
DOIs | |
Publication status | Published - 2018 |