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Nuclear Medicine in the Cardiovascular System

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A Concise Guide to Nuclear Medicine

Abstract

Nuclear medicine provides important information for the diagnosis and management of several cardiovascular disorders. It provides noninvasive means for the evaluation of cardiac function. Myocardial perfusion imaging (MPI) is a commonly performed nuclear medicine study to determine the adequacy of blood flow to the myocardium, especially in conjunction with exercise or pharmacological stress for the detection and evaluation of coronary artery disease (CAD). Myocardial perfusion studies can be obtained using different radioisotopes and protocols. The one isotope protocol is commonly performed with Tc-99m compounds. The dual isotope protocol is performed using Tc-99m compounds along with thalium-201. More recently, positron-emitting radiotracers are used with added value in the evaluation and quantification of coronary artery disease as well as in the evaluation of myocardial metabolism and viability. Nuclear medicine also helps in the diagnosis of hemangioma and lymphedema.

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Further Reading

  • Heiba S, Zubaid M (2015) Basis of cardiac imaging 1: myocardial contractility and assessment of cardiac function. In: Elgazzar AH (ed) Pathophysiologic basis of nuclear medicine, 2nd edn. Springer, Berlin

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  • Karacavus S, Yilmaz YK, Ekim H (2015) Clinical significance of lymphoscitigraphy in the evaluation of lower extremity lymphedema. Mol Imaging Radionucl Ther 24:80–84

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  • Machac J (2015) Basis of cardiac imaging 2: myocardial perfusion, metabolism, infarction and receptor imaging in coronary artery disease and congestive heart failure. In: Elgazzar AH (ed) Pathophysiologic basis of nuclear medicine, 2nd edn. Springer, Berlin

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  • Nawaz K, Hamad MM, Sadek S, Awdeh M, Eklof B, Abdel-Dayem HM (1986) Dynamic lymph flow imaging in lymphedema: normal and abnormal patterns. Clin Nucl Med 11:653–658

    Article  CAS  Google Scholar 

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Elgazzar, A.H., Alenezi, S. (2020). Nuclear Medicine in the Cardiovascular System. In: A Concise Guide to Nuclear Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-26064-4_8

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  • DOI: https://doi.org/10.1007/978-3-030-26064-4_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26063-7

  • Online ISBN: 978-3-030-26064-4

  • eBook Packages: MedicineMedicine (R0)

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