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Journal of Nuclear Cardiology
Published in: Journal of Nuclear Cardiology 4/2022

23-06-2022 | Cardiac Amyloidosis | ASNC President’s Message

Go with the Flow!

Author: Dennis A. Calnon, MD, MASNC

Published in: Journal of Nuclear Cardiology | Issue 4/2022

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Excerpt

The ability to quantify absolute myocardial blood flow (MBF) represents a game changer for the field of nuclear cardiology. MBF reserve (MBFR), the ratio of stress to resting MBF, can be accurately and reproducibly measured with PET myocardial perfusion imaging (MPI) using the PET flow tracers 15O-water, 13N-ammonia, or 82rubidium chloride. PET MBFR has firmly achieved “prime-time” status. PET MBFR has a category I CPT code, confirming MBFR is a well established and clinically useful imaging procedure; and the use of MBFR with PET was endorsed by the 2021 multi-societal chest pain guideline.1 …
Literature
1.
Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the evaluation and diagnosis of chest pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 2021;144:e368‐454.PubMed
2.
Danad I, RaiJmakers PG, Driessen RS, et al. Comparison of coronary CT angiography, SPECT, PET, and hybrid imaging for diagnosis of ischemic heart disease determined by fractional flow reserve. JAMA Cardiol 2017;2:1100‐7.CrossRef
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Naya M, Murthy VL, Taqueti VR, et al. Preserved coronary flow reserve effectively excludes high-risk coronary artery disease on angiography. J Nucl Med 2014;55:248‐55.CrossRef
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Patel KK, Chan PS, Spertus JA, et al. Extend of myocardial ischemia on positron emission tomography and survival benefit with early revascularization. J Am Coll Cardiol 2019;74:1645‐54.CrossRef
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Bateman TM, Heller GV, Beanlands R, et al. Practical guide for interpreting and reporting cardiac PET measurements of myocardial blood flow: An Information Statement from the American Society of Nuclear Cardiology and the Society of Nuclear Medicine and Molecular Imaging. J Nucl Cardiol 2021;28:768‐87.CrossRef
Metadata
Title
Go with the Flow!
Author
Dennis A. Calnon, MD, MASNC
Publication date
23-06-2022
Publisher
Springer International Publishing
Published in
Journal of Nuclear Cardiology / Issue 4/2022
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI
https://doi.org/10.1007/s12350-022-03037-x

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