Top

Published in:

01-12-2017 | Editorial

Reducing radiation exposure from nuclear myocardial perfusion imaging: Time to act is now

Authors: Ankur Gupta, MD, PhD, Navkaranbir S. Bajaj, MD, MPH

Published in: Journal of Nuclear Cardiology | Issue 6/2017

Excerpt

Over the past two decades there has been approximately 60% increase in the number of outpatient cardiac stress tests in the US.1 In 2010, around 87% of these stress tests were done with concordant use of imaging. The bulk of growth in cardiac imaging has been due to a rising use of nuclear stress testing.2 Increased emphasis on appropriate use criteria, may have led to a slight decline in nuclear myocardial perfusion imaging (MPI);3 however, it still maintains its place as the workhorse for cardiac stress testing. …

Ladapo JA, Blecker S, Douglas PS. Physician decision making and trends in the use of cardiac stress testing in the United States: An analysis of repeated cross-sectional data. Ann Intern Med 2014;161:482-90.CrossRefPubMedPubMedCentral

Andrus BW, Welch HG. Medicare services provided by cardiologists in the United States: 1999-2008. Circ Cardiovasc Qual Outcomes 2012;5:31-6.CrossRefPubMed

McNulty EJ, Hung YY, Almers LM, Go AS, Yeh RW. Population trends from 2000-2011 in nuclear myocardial perfusion imaging use. JAMA 2014;311:1248-49.CrossRefPubMed

Einstein AJ, Pascual TN, Mercuri M, et al. Current worldwide nuclear cardiology practices and radiation exposure: Results from the 65 country IAEA nuclear cardiology protocols cross-sectional study (INCAPS). Eur Heart J 2015;36:1689-96.CrossRefPubMedPubMedCentral

Mercuri M, Pascual TN, Mahmarian JJ, et al. Comparison of radiation doses and best-practice use for myocardial perfusion imaging in US and Non-US laboratories: Findings from the IAEA (international atomic energy agency) nuclear cardiology protocols study. JAMA Intern Med 2016;176:266-69.CrossRefPubMed

Lindner O, Burchert W, Schafer W, Hacker M. Myocardial perfusion SPECT 2015 in Germany. Results of the 7th survey. Nuklearmedizin 2017;56:31-8.CrossRefPubMed

Lindner O, Pascual TN, Mercuri M, et al. Nuclear cardiology practice and associated radiation doses in Europe: Results of the IAEA nuclear cardiology protocols study (INCAPS) for the 27 European countries. Eur J Nucl Med Mol Imaging 2016;43:718-28.CrossRefPubMed

Cerqueira MD, Allman KC, Ficaro EP, et al. Recommendations for reducing radiation exposure in myocardial perfusion imaging. J Nucl Cardiol 2010;17:709-18.CrossRefPubMed

Jerome SD, Tilkemeier PL, Farrell MB, Shaw LJ. Nationwide laboratory adherence to myocardial perfusion imaging radiation dose reduction practices: A report from the intersocietal accreditation commission data repository. JACC Cardiovasc Imaging 2015;8:1170-76.CrossRefPubMed

10.

Einstein AJ, Berman DS, Min JK, et al. Patient-centered imaging: shared decision making for cardiac imaging procedures with exposure to ionizing radiation. J Am Coll Cardiol 2014;63:1480-89.CrossRefPubMedPubMedCentral

11.

Mercuri M, Pascual TN, Mahmarian JJ, et al. Estimating the reduction in the radiation burden from nuclear cardiology through use of stress-only imaging in the United States and worldwide. JAMA Intern Med 2016;176:269-73.CrossRefPubMed

12.

Otsuka R, Kubo N, Miyazaki Y, Kawahara M, Takaesu J, Fukuchi K. Current status of stress myocardial perfusion imaging pharmaceuticals and radiation exposure in Japan: Results from a nationwide survey. J Nucl Cardiol 2017;1-6.

13.

Einstein AJ. Effects of radiation exposure from cardiac imaging: how good are the data? J Am Coll Cardiol 2012;59:553-65.CrossRefPubMedPubMedCentral

14.

Berrington de Gonzalez A, Kim KP, Smith-Bindman R, McAreavey D. Myocardial perfusion scans: projected population cancer risks from current levels of use in the United States. Circulation 2010;122:2403-10.

Title: Reducing radiation exposure from nuclear myocardial perfusion imaging: Time to act is now
Authors: Ankur Gupta, MD, PhD
Navkaranbir S. Bajaj, MD, MPH
Publication date: 01-12-2017
Publisher: Springer US
Published in: Journal of Nuclear Cardiology / Issue 6/2017
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI: https://doi.org/10.1007/s12350-017-0915-y

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Reducing radiation exposure from nuclear myocardial perfusion imaging: Time to act is now

Excerpt

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 6/2017

The Private Practice Corner: A new column in the Journal of Nuclear Cardiology

Quantifying predictive accuracy in survival models

PET should not replace routine SPECT MPS for the assessment of patients with known or suspected CAD

Incidental extra-cardiac findings on 13N-ammonia myocardial perfusion PET/CT

Guidelines in review: Comparison between AHA/ACC and ESC guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death

American perspective: Comparing the AHA/ACC and ESC guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page