Case-based Atlas of Nuclear Cardiology

Broad Topics (Introductory Topics) Image Reconstruction and format of a normal study (e.g. normalstudy.ppt slides 4, 31 -- 41) Nuclear Imaging Protocols (e.g. nuclearimagingprotocols.ppt all slides) Use cases from stressonly.ppt to illustrate stress utility of stress only (short protocol) for Tc99m agents Slides 10-18: high pretest prob. With very abnormal stress can go straight to angiogram (note, SPECT not matching polar image) Slides 1-5: low pretest probability obese with normal high dose stress 1st images Gated Blood Pool Scan (gbps.ppt, all slides) Specific Topics Diagnostic and Prognostic Value of Nuclear Cardiology Studies (diagnosisprognosis.ppt slides 26-33) Diabetic patient (e.g. diabetic patient.ppt: case with selected slides to illustrate points Nuclear Cardiology: Perfusion imaging for Pediatric Patients (pediatrics.ppt) Perfusion imaging: definition on slide 17 Slides 22-33: Kawasaki Slides 34-55: Myocarditis with L. main disease Correlation between SPECT and angiogram (perfuscathmismatch.ppt: most slides) Attenuation and scatter corrected imaging (attencorr.ppt: most slides) Slides 10-14 low pretest probability in woman with typical breast attenuation Slides 38-43 intermediate pretest probability in man with typical diaphragm attenuation Slides 44-54 high pretest probability with normal corrected images and angiogram correlation Slide 58 alone nicely shows breast shadow on planar image Attenwicardiomyop.ppt: all slides show nice case of attenuation and scatter correction in patient with known cardiomyopathy and normal coronary arteries by angiogram Scatterartifact.ppt all slides illustrates how to properly deal with scatter from adjacent tissue Detecting Severe CAD by Imaging and Non-imaging Findings Severecad.ppt TID.ppt Balancedischemia.ppt Assessment of Myocardial Viability (viabil2.ppt) Cardiac PET: Role in Assessment of Myocardial Perfusion, Cardiac Metabolism and Quantification of Coronary Blood Flow Diagnosing cardiomyopathy:(cardiomyopathy.ppt) Slides 1-4: cardiomyopathy with concentric LVH and dilatation Slides 5-10: concentric LVH showing echo correlation Slides 11- 16: focal hypertrophy (need angiogram still shot or just indicate normal coronaries. Nice echo correlation Slides 17-21: Cardiomyopathy with CAD Slides 22-27: Valvular heart disease with eccentric LVH Slides 28-34: End stage renal disease, concentric LVH by SPECT and MUGA Common Technical Errors / Pitfalls Motion artifact (motionartifact.ppt) Scatter artifact (scatterartifact.ppt can be used here or with category 4) Artifact due to significant gut uptake of tracer (adjacent to heart) (gutuptake.ppt) Myocardial perfusion scan done too soon after V/Q scan: mibi_vqscan.ppt Significant heart block during adenosine infusion: adenosineheartblock.ppt False positive study due to exercising with LBBB: exerciselbbb.ppt Prinzemetal's Angina / Microvascular Disease (prinzemetal.ppt) Specific Unusual & Interesting Cases Primary cardiac lymphoma with infarct avid imaging: infarctavidimaging.ppt Cardiac Sarcoid: sarcoid2.ppt Transient decrease in LV function due to ischemia: stresstunning.ppt Duchenne muscular dystrophy MUGA scan: duchenne.ppt Cholecystitis diagnosed by myocardial SPECT: cholecystitis.ppt Diagnosing hiatal hernia during nuclear stress test (hiatalhernia.ppt) Significant perfusion defect with non-obstructive CAD on angiogram but significant CAD by IVUS: ivuscad.ppt Dextrocardia: dextrocardia.ppt RV enlargement by ECG and SPECT study: pulmdisease.ppt