Nuclear Cardiology

Single photon computed tomography (SPECT) and positron emission tomography (PET) molecular imaging are used as primary cardiac imaging modalities to evaluate the function of the heart. It uses radioactive isotopes attached to sugars that are metabolized by cardiomyocytes. This creates an image of the metabolic activity of the heart and shows areas of ischemia or infarct. Other radiotracers can image the heart to diagnosis cardiac amyloidosis and sarcoidosis. 

A figure from the 2022 CAD non-invasive imaging guidelines showing a comparison of computed tomography angiography (CTA) and a SPECT-CT vs. an invasive angiogram from the cath lab showing the same blockage in a coronary artery.

New multi-society recommendations highlight role of non-invasive imaging in evaluating coronary artery disease

A new, multi-society document, "Non-Invasive Imaging in Coronary Syndromes," focuses on how multiple imaging techniques can evaluate different aspects of coronary artery disease (CAD), all without the need for invasive angiograms.

April 21, 2022
The ASNC is one of several medical imaging societies asking Congress to repeal the appropriate use criteria (AUC) criteria mandate. They say it poses issues for clinicians and is becoming outdated by changes in CMS payment systems. The AUC requirements call for documentation using CVMS authorized software in order to show advanced imaging such as nuclear and CT is justified, or else Medicare payments might be withheld.

American Society of Nuclear Cardiology urges Congress to speed prior authorizations, repeal AUC mandate 

Over the past few weeks, members of ASNC’s Health Policy Committee have held meetings with their members of Congress.

April 18, 2022

Isotope shortage update: Target restart date for downed reactor has been set

The supply of Mo-99 and Lu-177 is expected to normalize in the coming weeks, according to the most recent announcement from the Nuclear Medicine Europe Emergency Response Team.

February 16, 2022
University of Missouri Research Reactor

University's research reactor increases medical isotope production in wake of supply disruption

“Our dedicated staff are committed to getting lifesaving treatments delivered to the patients who need them,” MURR's executive director said in a statement on Feb. 9.

February 9, 2022

Isotope update: Target date for resuming production of Mo-99 still unclear

Production of Lu-177 is expected to resume on Saturday, Feb. 12, but the Mo-99 supply shortage could continue for weeks.

February 8, 2022

Medical isotope update: Shortage expected to last weeks as nuclear reactor remains sidelined

Mo-99, Lu-177, and I-131 supply issues are forecasted until approximately one week after the downed reactor resumes operations on Feb. 12, the Nuclear Medicine Europe Emergency Response Team said.

February 3, 2022

Nuclear reactor in Poland steps up to address Mo-99 shortage

The Maria reactor in Poland began producing the isotope hours after a water leak shut down the high flux reactor in Petter, the Netherlands.

February 1, 2022

Medical isotope shortage looms as 'unplanned' outage halts Mo-99, Lu-177 production

The root cause of the problem has not yet been discovered, halting isotope production for an undisclosed amount of time, according to SNMMI.

January 26, 2022

Around the web

Automated AI-generated measurements combined with annotated CT images can improve treatment planning and help referring physicians and patients better understand their disease, explained Sarah Jane Rinehart, MD, director of cardiac imaging with Charleston Area Medical Center.

Two advanced algorithms—one for CAC scores and another for segmenting cardiac chamber volumes—outperformed radiologists when assessing low-dose chest CT scans. 

"Gen AI can help tackle repetitive tasks and provide insights into massive datasets, saving valuable time," Thomas Kurian, CEO of Google Cloud, said Tuesday. 

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