Coronary artery disease is the greatest cause of mortality in the United States, and the increasing global incidence is expected to make it the number-one killer worldwide by 2020. Recently the noninvasive detection of coronary artery disease has advanced tremendously in many fields, including nuclear cardiology (both single photon emission tomography and positron emission tomography), computed tomography angiography, and magnetic resonance imaging. Much research is also ongoing in the area of plaque characterization and inflammatory markers. In this book we provide a basic idea about these modalities. Because of time constraints facing clinicians, we tried to explain basic physics concepts in the simplest and clearest manner using examples and hand-drawn figures.
In the CD portion of this book, we provide numerous real-life cases and clinical scenarios to enhance the understanding of basic concepts and interpretation of cardiac single photon emission tomography and computed tomography angiography.
Our work is not intended to be an exhaustive analysis of these imaging modalities; rather, it provides a unique approach to the basic concepts and must-know facts of these modalities. This is especially useful as a rapid entry-level tool for those who are interested in risk stratification of coronary artery disease. The reader can use the information provided as a basis to achieve understanding of basic concepts that can then be further developed by more sub-specialized exposure to the field. Also, we include practical tips regarding the establishment of an office-based nuclear cardiology practice.
Finally, we believe that the information and concepts contained in this book can be helpful in preparation for the certifying exam of the Board of Nuclear Cardiology.
Contents
Introduction
Chapter 1: Basic Physics of Single Photon Emission Computed Tomography Physics
Chapter 2: Myocardial Perfusion Scans
Chapter 3: Equilibrium Radionuclide Angiography
Chapter 4: Cardiac Positron Emission Tomography (PET)
4.1: Basic PET Physics and the PET Camera
4.2: PET Tracers
4.3: PET Measurement of Myocardial Blood Flow
4.4: PET Viability Studies
Chapter 5: Coronary CT Angiography
5.1: Basic Physics and the CT Camera
5.2: Clinical Examples and Scenarios
5.4: Iodinated Radiocontrast Agents
Chapter 6: Cardiac Magnetic Resonance Imaging in Coronary Artery Disease
Chapter 7: Risk Stratification Using Inflammatory Markers and Other Risk Factors in Nuclear Imaging
Chapter 8: The Future
Appendix 1: Important Web Sites
Appendix 2: COCATS Guidelines for Level 2 Training in Nuclear Cardiology
Index
Our work is not intended to be an exhaustive analysis of these imaging modalities; rather, it provides a unique approach to the basic concepts and must-know facts of these modalities. This is especially useful as a rapid entry-level tool for those who are interested in risk stratification of coronary artery disease. The reader can use the information provided as a basis to achieve understanding of basic concepts that can then be further developed by more sub-specialized exposure to the field. Also, we include practical tips regarding the establishment of an office-based nuclear cardiology practice.
Finally, we believe that the information and concepts contained in this book can be helpful in preparation for the certifying exam of the Board of Nuclear Cardiology.
Contents
Introduction
Chapter 1: Basic Physics of Single Photon Emission Computed Tomography Physics
Chapter 2: Myocardial Perfusion Scans
Chapter 3: Equilibrium Radionuclide Angiography
Chapter 4: Cardiac Positron Emission Tomography (PET)
4.1: Basic PET Physics and the PET Camera
4.2: PET Tracers
4.3: PET Measurement of Myocardial Blood Flow
4.4: PET Viability Studies
Chapter 5: Coronary CT Angiography
5.1: Basic Physics and the CT Camera
5.2: Clinical Examples and Scenarios
- Case 1: LAD Disease with Cardiac Catheterization Correlation
- Case 2: Effect of Overlying Calcium: Intravascular Ultrasound Correlation
- Case 3: Patent Intracoronary Stent
- Case 4: 3-Vessel Disease with Cardiac Catheterization Correlation
- Case 5: Effect of High Calcium Score and Inaccuracy of Resultant Interpretation
- Case 6: Correlation with Stress Test and Cardiac Catheterization
- Case 7: Atypical Symptoms with CTA Being the Definitive Diagnostic Test
- Case 8: Diagnosis of CAD in Patient Presenting to Emergency Center with Acute Chest Pain
- Case 9: Diagnosis of Coronary Aneurysm and Correlation with Magnetic Resonance Imaging, Catheterization and Pathology
- Case 10: Limitation of Overlying Calcification-Correlation with Intravascular Ultrasound
- Case 11: Bicuspid Aortic Valve
- Case 12: Saphenous Vein Graft Pseudoaneurysm
- Case 13: Occluded Right Coronary Artery With an Aneurysm of the Mid Inferior Wall
- Case 14: Image Reconstruction Artifact of the Right Coronary Artery
- Case 15: Focal Stenosis of the Circumflex Artery With Cardiac Catheterization Correlation
- Case 16: Blooming Artifact in Focally Calicified Segments
- Case 17: Correlation of a Subtotal Occlusion on CTA With Cardiac Catheterization
- Case 18: Occluded Stent with Collaterals
- Case 19: Severe CAD with IVUS Correlation
5.4: Iodinated Radiocontrast Agents
Chapter 6: Cardiac Magnetic Resonance Imaging in Coronary Artery Disease
Chapter 7: Risk Stratification Using Inflammatory Markers and Other Risk Factors in Nuclear Imaging
Chapter 8: The Future
Appendix 1: Important Web Sites
Appendix 2: COCATS Guidelines for Level 2 Training in Nuclear Cardiology
Index
Book Details
- Hardcover: 320 pages
- Publisher: Lippincott Williams & Wilkins; 1 Har/Psc edition (December 5, 2008)
- Language: English
- ISBN-10: 0781766028
- ISBN-13: 978-0781766029
- Product Dimensions: 10.2 x 7.2 x 0.7 inches
Price: $194.95