Diagnostic Imaging of Coronary Artery Disease

Co-authored by a nuclear cardiologist and a cardiologist, this book presents practical, up-to-date information on diagnostic imaging for coronary artery disease, including coronary CT angiography, cardiac SPECT, cardiac PET, and MRI. The authors present the basic concepts and must-know facts of these modalities and offer guidelines for risk stratification of coronary artery disease. Test questions for board review are included.

A companion Website will contain clinical case examples of coronary CT angiography studies and nuclear studies. Full-color images of black-and-white print CT, SPECT, and PET materials will be included. The Website will also include 31 video clips.

Table Of Contents

Introduction

1: Basic Physics of Single Photon Emission Computed Tomography Physics

2: Myocardial Perfusion Scans

3: Equilibrium Radionuclide Angiography

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

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
5.3: Clinical Indications and Limitations
5.4: Iodinated Radiocontrast Agents

6: Cardiac Magnetic Resonance Imaging in Coronary Artery Disease

7: Risk Stratification Using Inflammatory Markers and Other Risk Factors in Nuclear Imaging

8: The Future

Appendix 1: Important Web Sites
Appendix 2: COCATS Guidelines for Level 2 Training in Nuclear Cardiology
Index