Contemporary Cardiac SPECT Imaging-Innovations and Best Practices: An Information Statement from the American Society of Nuclear Cardiology
Contemporary Cardiac SPECT Imaging-Innovations and Best Practices: An Information Statement from the American Society of Nuclear Cardiology
复制标题
DOI：
10.1161/hci.0000000000000020
复制
发表时间：
2018-09-01
影响因子：
7.5
通讯作者：
Wells, R. Glenn
中科院分区：
文献类型：
--
作者：
Abbott, Brian G.;Case, James A.;Wells, R. Glenn
使用单光子发射计算机断层扫描（SPECT）进行的心肌灌注成像（MPI）仍然是核心脏病学中最常见的程序，这是由于强大的临床研究数据库在已知或疑似心血管疾病患者的评价和风险分层中显示出宝贵的疗效和实用性。虽然心脏SPECT技术在过去三十年中已在临床上广泛使用，但旨在优化图像质量、提高诊断准确性和减少辐射暴露的设备和协议的最新进展尚未广泛纳入现有实践。1，2美国核心脏病学会（ASNC）最近发布了两个SPECT成像指南的更新，一个涉及“仪器、采集、处理和解释”3，另一个涉及“应力、协议和示踪剂”。4这些文件向核心脏病学程序提供者提供了最佳性能的标准。本文件重点介绍了这些建议中涉及的新技术和协议的使用。鉴于心脏SPECT成像的最新进展，本文件的目的是强调这些创新，并为采用以患者为中心的方法执行高质量成像的最佳实践提供指导，以实现对患者管理和结局有意义影响的最佳结果。
Myocardial perfusion imaging (MPI) performed using Single Photon Emission Computed Tomography (SPECT) remains the most common procedure in nuclear cardiology, owing to a robust database of clinical studies demonstrating invaluable efficacy and utility in the evaluation and risk stratification of patients with known or suspected cardiovascular disease. While cardiac SPECT technology has been in widespread use clinically for the past three decades, recent advances in equipment and protocols aimed at optimizing image quality, improving diagnostic accuracy, and reducing radiation exposure have not been widely incorporated into existing practice. 1, 2The American Society of Nuclear Cardiology (ASNC) recently published updates to two SPECT Imaging Guidelines, one addressing ‘‘Instrumentation, Acquisition, Processing, and Interpretation’’3 and the other addressing ‘‘Stress, Protocols, and Tracers’’. 4These documents apprise providers of nuclear cardiology procedures of standards for their optimal performance. This document highlights the use of new technology and protocols addressed in these recommendations. Given recent advances in Cardiac SPECT imaging, the aim of the current document is to both highlight these innovations and also provide guidance on best practices for performing high quality imaging, employing a patient-centered approach, to achieve optimal results that will have a meaningful impact on patient management and outcomes.