1. Quality metrics for single-photon emission computed tomography myocardial perfusion imaging: an ASNC information statement.
- Author
-
Hage, Fadi G., Einstein, Andrew J., Ananthasubramaniam, Karthikeyan, Bourque, Jamieson M., Case, James, DePuey, E. Gordon, Hendel, Robert C., Henzlova, Milena J., Shah, Nishant R., Abbott, Brian G., Al Jaroudi, Wael, Better, Nathan, Doukky, Rami, Duvall, W. Lane, Malhotra, Saurabh, Pagnanelli, Robert, Peix, Amalia, Reyes, Eliana, Saeed, Ibrahim M., and Sanghani, Rupa M.
- Abstract
Keywords: Myocardial perfusion imaging; SPECT (single-photon emission computed tomography); Quality; Appropriate use; Coronary artery disease; Ischemia EN Myocardial perfusion imaging SPECT (single-photon emission computed tomography) Quality Appropriate use Coronary artery disease Ischemia 864 907 44 04/26/23 20230401 NES 230401 Supplementary Information The online version contains supplementary material available at https://doi.org/10.1007/s12350-022-03162-7. Patient-centered imaging B Background: b Recently, professional societies have recognized the need to develop imaging protocols that are adaptable to a patient's specific need.[76],[77] Specifically, protocols should be adaptable to increase the administered radionuclide dosage when patients have a higher body mass index (BMI) and reduce that dose for lower BMI patients. B Definition of measure: b I Use of patient-centered SPECT MPI protocols. i Confirm the site has written protocols for modifying the imaging protocol for specific populations: Using different patient doses or variable acquisition times for low and high BMI patients. Literature demonstrates that attenuation mitigation strategies improve the normalcy rate of stress-first imaging.[88]-[90] B Definition of measure: b I Percentage of Tc-99m stress SPECT MPI studies performed with stress-only imaging. i B Rationale for inclusion: b Stress-only imaging, when possible, substantially reduces radiation dosage and improves patient convenience and experience compared to stress-rest or rest-stress protocols. It is rarely appropriate to repeat imaging if < 2 years after PCI.[8] Imaging post revascularization is a common indication for SPECT MPI, and nuclear labs should encourage high-value imaging guided by a change in clinical status that is concerning for ischemia, assessment of ischemia in the setting of incomplete revascularization or progression of disease. [Extracted from the article]
- Published
- 2023
- Full Text
- View/download PDF