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EANM/ESC procedural guidelines for myocardial perfusion imaging in nuclear cardiology

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Abstract

The European procedural guidelines for radionuclide imaging of myocardial perfusion and viability are presented in 13 sections covering patient information, radiopharmaceuticals, injected activities and dosimetry, stress tests, imaging protocols and acquisition, quality control and reconstruction methods, gated studies and attenuation-scatter compensation, data analysis, reports and image display, and positron emission tomography. If the specific recommendations given could not be based on evidence from original, scientific studies, we tried to express this state-of-art. The guidelines are designed to assist in the practice of performing, interpreting and reporting myocardial perfusion SPET. The guidelines do not discuss clinical indications, benefits or drawbacks of radionuclide myocardial imaging compared to non-nuclear techniques, nor do they cover cost benefit or cost effectiveness.

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Abbreviations

AC:

Attenuation compensation (attenuation correction)

ALS:

Advanced life support

COR:

Centre of rotation

DRL:

Diagnostic reference levels

EF:

Ejection fraction

FBP:

Filtered back-projection

FDG:

Fluorodeoxyglucose

FWHM:

Full-width at half-maximum

LEAP:

Low-energy, all-purpose (collimator)

LEGP:

Low-energy general-purpose (collimator)

LEHR:

Low-energy high-resolution (collimator)

LV:

Left ventricular

LVEF:

Left ventricular ejection fraction

MLEM:

Maximum likelihood expectation maximisation

NEMA:

National Electrical Manufacturers Association

OSEM:

Ordered subsets expectation maximisation

PVC:

Premature ventricular contractions

QC:

Quality control

SA block:

Sinoatrial block

SDS:

Summed difference score

SRS:

Summed rest score

SSS:

Summed stress score

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Acknowledgements

We wish to thank the European Association of Nuclear Medicine for financial support. We thank the European Council of Nuclear Cardiology for support and national European societies of nuclear medicine and cardiology for helpful information. The group is grateful to Jenny Sandgren for her devoted efforts with secretarial assistance.

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Authors and Affiliations

  1. Department of Clinical Physiology and Nuclear Medicine, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark

    B. Hesse (Editor) & A. Kjaer

  2. Department of Clinical Physiology, Malmö University Hospital, Malmö, Sweden

    K. Tägil (Editor) & L. Edenbrandt

  3. Department of Biomorphological and Functional Sciences, University Federico II, Naples, Italy

    A. Cuocolo (Editor)

  4. Imperial College School of Medicine (NHLI), London, UK

    C. Anagnostopoulos

  5. INSERM U601, Nantes, France

    M. Bardiés

  6. Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands

    J. Bax

  7. Nuklearmedizinische Klinik der TU, Munich, Germany

    F. Bengel

  8. Department of Nuclear Medicine, Academic Medical Center, Amsterdam, The Netherlands

    E. Busemann Sokole

  9. Department of Medical Physics, Hull and East Yorkshire Hospitals NHS Trust, Hull, UK

    G. Davies

  10. Nuclear Medicine Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria

    M. Dondi & B. van Eck-Smit

  11. Nuclear Medicine, AZ VUB, Brussels, Belgium

    P. Franken

  12. Turku PET Centre, Turku University Central Hospital, Turku, Finland

    J. Knuuti

  13. Klinik für Nuklearmedizin, Universität Würzburg, Würzburg, Germany

    M. Lassmann

  14. Department of Medical Radiation Physics, The Jubileum Institute, Lund, Sweden

    M. Ljungberg

  15. Fondazione Maugeri, IRCCS, Verona, Italy

    C. Marcassa

  16. Service de Médecine Nucléaire, Hôpital de Brabois, Vandoeuvre, France

    P. Y. Marie

  17. Nuclear Medicine Department, Aberdeen Royal Infirmary, Foresterhill, Scotland, UK

    F. McKiddie

  18. Section of Nuclear Medicine, Mayo Clinic, Rochester, MN, US

    M. O’Connor

  19. Institute of Nuclear Medicine, Middlesex Hospital, London, UK

    E. Prvulovich

  20. Department of Nuclear Medicine, Royal Brompton Hospital, London, UK

    R. Underwood

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  1. B. Hesse
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Correspondence to B. Hesse.

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Hesse, B., Tägil, K., Cuocolo, A. et al. EANM/ESC procedural guidelines for myocardial perfusion imaging in nuclear cardiology. Eur J Nucl Med Mol Imaging 32, 855–897 (2005). https://doi.org/10.1007/s00259-005-1779-y

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