Stress-First Myocardial Perfusion Imaging

Stress-first approaches to myocardial perfusion imaging provide diagnostically and prognostically accurate perfusion data equivalent to a full rest-stress study while saving time in the imaging laboratory and reducing the radiation exposure to patients and laboratory staff. Unfortunately, implementi...

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Bibliographic Details
Published in:	Cardiology clinics Vol. 41; no. 2; pp. 163 - 175
Main Authors:	McMahon, Sean R., Patel, Etee K., Duvall, W. Lane
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Inc 01-05-2023
Subjects:	Cardiology Humans Myocardial perfusion imaging Myocardial Perfusion Imaging - methods Radiation reduction Stress-first Stress-only Tomography, Emission-Computed, Single-Photon - adverse effects Stress-only Myocardial perfusion imaging Stress-first Radiation reduction
Online Access:	Get full text
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Summary:	Stress-first approaches to myocardial perfusion imaging provide diagnostically and prognostically accurate perfusion data equivalent to a full rest-stress study while saving time in the imaging laboratory and reducing the radiation exposure to patients and laboratory staff. Unfortunately, implementing a stress-first approach in a nuclear cardiology laboratory involves significant challenges such as the need for attenuation correction, triage of patients to an appropriate protocol, real-time review of stress images, and consideration of differential reimbursement. Despite it being best practice for both the patient and the laboratory, these impediments have kept the proportions of studies performed stress-first relatively unchanged in North America and world-wide in the last 10 years.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	0733-8651 1558-2264
DOI:	10.1016/j.ccl.2023.01.005