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Nuclear Cardiology and Correlative Imaging: A Teaching File
Joao V. Vitola

Nuclear Cardiology and Correlative Imaging: A Teaching File Retail Price: $175.00
Cardiotext Price: $171.50

Availability: In stock. Usually ships within 24 hours. Rush shipping available.

Product Information:
ISBN-13: 9780387207070
ISBN-10: 0387207074
Publisher: SPRINGER VERLAG INC
Format: Hardcover
Pub Date: 10/2004
Edition Number: 1



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Synopsis

Drs. Vitola and Delbeke assembled a group of standout contributors in order to create a resource that advances the knowledge and skills of experienced nuclear cardiologists and radiologists while also preparing residents for the cutting-edge field of nuclear cardiology. Diagnostic tools, physics and instrumentation, and radiopharmaceuticals and protocols central to the field are examined. The comprehensive text covers key applications of myocardial perfusion imaging, including applications in special populations and in emergency departments. Risk assessment, pitfalls, and artefacts are addressed. Additional chapters detail the value of cardiac MRI, multislice computed tomography, stress echocardiography, and PET and PET/CT to nuclear cardiology. Practical case presentations and a wealth of illustrations reinforce instruction on diagnostic guidelines and methods.




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Additional Description

Contents
Foreword, by Joseph S. Alpert
Foreword, by E. Gordon DePuey
III Contributors
Chapter 1: Diagnostic Tools to Approach the Cardiac
Patient
Joao V. Vitola and Dominique Delbeke
Case Presentations1.1.
Imaging of Atherosclerosis by FDG PET-CT
Chapter 2: Physic Principles
and Instrumentation in Nuclear Cardiology
James A. PattonCase
Presentations 2.1. Dose Infiltration at Site of Injection
2.2. Artifact Caused
by Metal Object
2.3. Truncation Artifact
2.4. Motion Artifact
2.5. Diaphragmatic Attenuation Artifact
2.6. Breast Attenuation Artifact
2.7. Detector Malfunction in the PET System
2.8. Motion Artifact on PET/CT
Chapter 3: Radiopharmaceuticals and Protocols in Nuclear
Cardiology
Dominique Delbeke, Joao V. Vitola, and William H.
MartinCases
Presentations3.1. Biodistribution of 201Tl and Clinical
Protocols
3.2. Biodistribution of 99mTc-MIBI and Clinical Protocols
3.3. Dual Isotope Rest 201Tl/Stress 99mTc-tetrofosmin Study
3.4. Extracardiac
99mTc-MIBI Uptake in a Tumor
3.5. Pattern of FDG Uptake in the
Heart
3.6. Puerperal Breast Uptake of FDG: Dose Radiation Issues
3.7. Semiquantitative Analysis of Perfusion and Function
3.8. Myocardial
Perfusion Imaging with PET
3.9. Biodistribution of 99mTc
Pertechnetate
3.10. Gastrointestinal Radiopharmaceutical Uptake
Chapter 4:
Stress Modalities to Evaluate Myocardial Perfusion
Joao V. Vitola, Otavio
Kormann, Arnaldo Laffitte Stier Jr., William Azem Chalela, Luis E.
Mastrocolla, and Dominique DelbekeCases
Presentations
4.1. Exercise
99mTc-MIBI Demonstrating Multi-Vessel CAD with Borderline ECG
Changes
4.2. Dipyridamole 99mTc-MIBI Demonstrating RCA and LCX
Ischemia in a Patient with LBBB
4.3. Combined Dipyridamole-Low
Exercise 99mTc-MIBI Demonstrating Multi-Vessel CAD
4.4. Combined
Dipyridamole-Low Exercise 99mTc-MIBI with Severe ST-Segment
Elevation
4.5. Dobutamine 99mTc-MIBI Demonstrating Extensive Three-
Vessel CAD
4.6. Dipyridamole 99mTc-MIBI in a Patient with a
Pacemaker
4.7. Adenosine 99mTc-MIBI Demonstrating Significant
Endothelial Dysfunction
4.8. Differential Hepatic and Gastrointestinal
Uptake of 99mTc-MIBI after Exercise and Dypiridamole Stress
4.9. Dipyridamole-Induced Coronary Steal and ST-Segment Depression
4.10. Interference of Medications with MPI
Chapter 5: Myocardial Perfusion
Imaging: Detection of Coronary Artery Disease and Miscellaneous Clinical
Applications
Joao V. Vitola, Dominique Delbeke, C. Andrew Smith, Carlos
Cunha Pereira, William H. Martin, and M. Reza HabibianCases
Presentations
5.1. Left Main Occlusion Diagnosed by MPI
5.2. Myocardial
Bridging of the LAD
5.3. Exercise-Induced Artifact in a Patient with
LBBB
5.4. LAD Ischemia in a Patient with LBBB
5.5. Transient Ischemic
LV Dilatation
5.6. Multi-vessel Disease on MPI and Myocardial
Stunning
5.7. Reverse Distribution on 201Tl Imaging
5.8. Anomalous
Takeoff of the RCA
5.9. Anomalous Takeoff of the LCA
5.10. Transposition
of the Great Vessels
5.11. Moderate Lesion Causing Ischemia
5.12. Chest
Pain Due to Multiple Pulmonary Emboli
5.13. Coronary Spasm
5.14. Semiquantitative Analysis Using Different Commercial Software Packages
Chapter 6: Myocardial Perfusion Imaging in the Emergency
DepartmentOlimpio Ribeiro Franca Neto, Dominique Delbeke, Joao V.
Vitola, and Jack A. ZifferCases Presentations
6.1. Occluded LCX Detected
by Rest 99mTc-MIBI
6.2. Occluded OM Detected by Rest 99mTc-MIBI
6.3. Correlation of Rest 99mTc-MIBI and MRI for ACS
6.4. Normal Rest But
Abnormal Stress MPI
6.5. Value of Prone Imaging for Rest MPI
6.6. AMI
Diagnosed by Rest 99mTc-MIBI and 99mTc-Pyrophosphate
6.7. Acute
Pulmonary Embolism as a Differential Diagnosis in the ED
6.8. AMI
Detected by Rest 99mTc-MIBI
6.9. Acute Cholecystitis versus ACS Chapter
7: Evaluation of Cardiac FunctionKenneth J. Nichols, Marvin W.
Kronenberg, and Sabahat BokhariCases Presentations
7.1. RVG and LVEF:
8 versus 16 Frames
7.2. LVEF: Concordance Between RVG and Contrast
Ventriculography
7.3. Gated SPECT and LVEF: Improved Accuracy with 16
Frames
7.4. Exercise-Induced Ischemia and LV Dysfunction Detected by
RVG
7.5. Dipyridamole-Induced LV Dysfunction by RVG
7.6. Anthracycline-Induced Cardiomyopathy Detected by RVG
7.7. Evaluation
of CHF by RVG
7.8. RVG SPECT to Follow-up Chemotherapy
7.9. RVG
SPECT to Follow-up Heart Transplantation
7.10. LV Dysfunction Following
Heart Transplantation
7.11. Aortic Insufficiency Evaluated by RVG
SPECT
7.12. Eisenmenger's Syndrome Evaluated by RVG SPECT
7.13.
Anterior MI Evaluated by RVG SPECT
7.14. Idiopathic Dilated
Cardiomyopathy Evaluated by RVG SPECT
7.15. Pulmonary Fibrosis and
Pulmonary Hypertension by RVG SPECT
Chapter 8: Evaluation of
Myocardial ViabilityDominique Delbeke, Jeroen J. Bax, William H. Martin,
and Martin P. SandlerCases Presentations
8.1. Anterior Myocardial
Infarction: 99mTc SPECT/FDG PET
8.2. Inferoseptal Myocardial Viability:
99mTc SPECT/FDG PET
8.3. Anterolateral Myocardial Viability: 99mTc
SPECT/FDG PET
8.4. Anteroapical Myocardial Viability: 99mTc
SPECT/FDG PET
8.5. Myocardial Viability: Anteroseptal, Inferior Wall and
Apex (24H-201Tl/FDG PET)
8.6. Myocardial Viability in a Diabetic
Patient: Anterior and Inferior Wall (99mTc SPECT/FDG SPECT Single
Acquisition)
8.7. Myocardial Infarction: Inferior Wall (99mTc SPECT/FDG
SPECT Single Acquisition)
8.8. Implications of Attenuation Correction of
FDG PET Images Compared with 99mTc-tetrofosmin Without Attenuation
Correction
8.9. Myocardial Viability: Resting and Nitrate-Enhanced 99mTc-
MIBI
8.10. Ischemia in LAD Territory Demonstrated by Nitrate-Enhanced
99mTc-MIBI
8.11. 18FDG SPECT More Sensitive Than Dobutamine
Echocardiography for Detection of Myocardial Viability
8.12. Myocardial
Viability and Prognosis (Rest 201Tl/FDG SPECT)
8.13. Myocardial
Viability and LV Remodeling (Rest-Redistribution 201Tl and FDG
SPECT)
8.14. Myocardial Infarction (Rest/Dobutamine and Delayed Gd-
Enhancement MRI)
Chapter 9: Myocardial Perfusion Imaging for Cardiac
Risk StratificationSean W. Hayes, Daniel S. Berman, Rory Hachamovitch,
and Guido GermanoCase Presentations
9.1. Patients Without Known
Coronary Artery Disease
9.2. Added Value of Gated SPECT
9.3. Diabetic
Women
9.4. Elderly
9.5. Post-myocardial Infarction
9.6. Post-angioplasty
9.7. Early, Symptomatic Post Coronary Artery Bypass Surgery
9.8. Late,
Asymptomatic Post Coronary Artery Bypass Surgery
9.9. Extensive
Coronary Calcium
Chapter 10: Nuclear Cardiology for Imaging the Effects
of TherapyLeslee J. Shaw, Gary V. Heller, Ronald G. Schwartz, Carlos
Cunha Pereira, Vinicius Ludwig, Joao V. Vitola, Dominique Delbeke, and
Daniel S. BermanCases Presentations
10.1 . MPI Demonstrating Successful
PCI
10.2 . MPI Post-Drug-Eluting Stent with Rapamycin
10.3 . Post-
saphenous Graft Stent with Improved Perfusion and Function
10.4 . MPI
Showing Successful CABG
10.5 . MPI Showing Poor Results of CABG
10.6 . Early Post-stent MPI Demonstrating Endothelial Dysfunction
Chapter 11: Risk Assessment Before Noncardiac SurgeryJeffrey A. Leppo and Seth
DahlbergCase Presentations
11.1. Preoperative Evaluation of High-Risk
Surgery in an Asymptomatic Patient with Poor Exercise Tolerance
11.2. Moderate Inferoapical Ischemia Improving with Medical Therapy in a
Patient with Good Exercise Tolerance Demonstrated with Stress/Rest
SPECT MPI Performed for Preoperative Evaluation and Follow-Up
11.3. Normal MPI in a Patient with Documented CAD Stratified as Low
Preoperative Risk
Chapter 12: Applications of Myocardial Perfusion
Imaging in Special PopulationsJennifer H. Mieres, Jean M Cacciabaudo,
and Mikhail LevinCases Presentations
12.1. MPI Detecting LAD Ischemia
in a Women with Atypical Presentation
12.2. Atrial Fibrillation Inducing a
Septal Artifact on a Patient with LBBB
12.3. Diabetes Mellitus in a Woman
with Significant Ischemia on MPI
12.4. CHF and Chagas' Disease
12.5. Incremental Value of MPI in an Asymptomatic Man with a Positive
Exercise ECG
Chapter 13: Pitfalls and Artifacts in Cardiac ImagingErnest
V. Garcia, Cesar Santana, Gabriel Grossman, Russell Folks, and Tracy
FaberCases Presentations
13.1. Incorrect Axis Selection
13.2. Incorrect Base
Selection13.3. Suboptimal Display
13.4. Patient Motion
13.5. Incorrect
Filtering and Small Ventricle Affecting LVEF and Volumes
13.6. Artifacts
Related to Poor ECG Gating
13.7. Inferior Wall Attenuation Resolved by
ECG Gating and Attenuation Correction
13.8. Breast Attenuation Artifact
Resolved by Attenuation Correction
13.9. Artifact Related to LBBB Chapter
14: Correlation of Nuclear Imaging with Cardiac MRIJose Claudio
Meneghetti and Carlos Eduardo RochitteCases Presentations
14.1. Large
Anterior MI Treated with Medical Therapy, LV Rupture and Death
14.2. Nontransmural MI with Collateral Circulation
14.3. Small Apical and Septal
MI Treated with Stent Placement
14.4. Small MI, Viable Tissue and
Function Recovery with Revascularization
14.5. Large Anterior MI with
Significant Remodeling and Aneurysm Formation
14.6. Multivessel
Myocardial Ischemia Detected by MRI
Chapter 15: Cardiac Applications of
Multislice Computed TomographyJaydip DattaCases Presentations
15.1.
Anomalous Origin and Course of the RCA
15.2. Accessory Right-Sided
Pulmonary Venous Ostia
15.3. Left Atrial Appendage Thrombus in a Patient
with Atrial Fibrillation
Chapter 16: Correlation of Nuclear Cardiology with
Stress EchocardiographyJoao V. Vitola, Wilson Mathias Jr., Jose Claudio
Meneghetti, and Dominique DelbekeCase Presentations
16.1. Concordance
Between Stress Nuclear Imaging and Dobutamine Echocardiography to
Demonstrate Myocardial Ischemia in Two-Vessel Territories (LAD and
RCA)
16.2. Hyperdynamic Response of the LV to dobutamine with
Echocardiography Masking Mild Ischemia
16.3. Multivessel (LAD and
RCA) Ischemia Detected with Exercise/Rest Gated SPECT and LAD
Ischemia Detected with Contrast-Enhanced Adenosine
Echocardiography
16.4. Extensive Acute Anterior Wall MI with No-Reflow
Phenomenon Demonstrated with Myocardial Contrast Echocardiography
and SPECT
16.5. Two-Vessel CAD Detected with Both Dipyridamole/Rest
Spect and Adenosine Stress Echocardiography with Ultrasonic Contrast
Whereas There Was No Stress-Induced Wall Motion Abnormality on
Dobutamine Echocardiography
16.6. Incremental Value of Parametric
Imaging Associated with Contrast-Enhanced Adenosine Echocardiography
Chapter 17: Advances in Cardiac Applications for PET and
PET/CTDominique Delbeke, Thomas H. Schindler, David Townsend,
Philipp A. Kaufmann, Gustav K. von Schulthess, and Heinrich R.
SchelbertCase Presentations
17.1. Endothelial Dysfunction Demonstrated
with Cold Pressor Testing/Rest 13N-ammonia PET
17.2. Feasibility of
Integrated CT Angiography/13N-ammonia PET Imaging
Chapter 18: Future
Directions in Nuclear CardiologyRaed Al-Dallow and Robert C.
HendelCase Presentations
18.1. Adenosine/Rest 99mTc-teboroxime/Rest
201Tl SPECT Images Demonstrating a Fixed Defect in the Inferior Wall
and Partial Reversibility in the Inferoseptal Region
18.2. Stress/Rest 99mTc-
N-NOET Demonstrating Ischemia in the LAD Territory
18.3. 99mTc-
Annexin Demonstrating Apoptosis
18.4. 99mTc-glucarate Demonstrating
Acute Myocardial Necrosis in the Anterolateral Wall of the LV
18.5. Selective Adenosine Receptor Stress 99mTc-MIBI/Rest 201Tl
Demonstrating Ischemia in the LAD Territory
18.6. Dobutamine/Rest
99mTc-MIBI Demonstrating Extensive Three-Vessel CAD
18.7. Cardiac
Transplant Rejection Demonstrated with 67Ga
18.8. Treatment of Heart
Failure Monitored with 123I-MIBG
18.9. 123I-BIMPP Demonstrating
Ischemic Memory in LAD Territory
18.10. Better Visualization of the
Endocardial Borders with Contrast Echocardiography in an Obese
Patient
18.11. Extensive Calcification on EBCT Leading to Further Testing
and Diagnosis of Ischemia in the LAD Territory
18.12. Anteroseptal MI
Demonstrated with Delayed-Gd-Enhanced MRI
18.13. Better Quality of
SPECT Images with IR than FBP Reconstruction Index



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