Advances in Nuclear Cardiology, Cardiac CT and Cardiac MRI: 34th Annual Case Review with the Experts

Cardiac MRI: when is it the test of choice

Best articles of 2018

Guidelines and best practices:
- Which test and when?

1. Implement latest protocols for acquisition and processing, including the use of instrumentation and software, to provide optimal quality studies
2. Reduce radiation exposure to patients by implementing new acquisition protocols and reconstruction methods
3. Identify the strengths and limitations of the modalities and select the test best suited to the needs of individual physicians and their patients
4. Demonstrate improved skills in image interpretation, including the recognition of imaging artifacts, and create optimal reports that integrate test findings with clinical information
5. Select patients for imaging studies based on appropriate use criteria to reduce the frequency of inappropriate tests and increase the use of appropriate tests
6. Recommend or suggest change in patient management following testing so the test information can be optimally used to improve patient outcomes
7. Analyze the clinical settings in which the studies provide value in terms of outcomes and cost
8. Utilize most contemporary approaches to pharmacologic stress
9. Improve skills in semi-quantitative and quantitative methods of interpretation, including assessment of absolute coronary blood flow
10. Utilize the combination of myocardial perfusion and ventricular function information from gated MPI procedures more effectively
11. Utilize in practice the ability of ischemia shown by SPECT and PET-MPI to guide management decisions regarding coronary revascularization
12. Identify applications of new myocardial perfusion and adrenergic nervous system imaging agents and the potential of nuclear cardiology for molecular imaging
13. Discuss the extensive evidence base supporting the use of cardiac CT in a wide variety of settings
14. Assess the use of coronary artery calcium scanning in prevention of coronary artery disease
15. Identify the underlying principles of cardiac CT and the ways in which cardiac CT can examine coronary arteries, other aspects of cardiac structure, function, and extracardiac findings
16. Recognize how the assessment of coronary artery plaque can add to coronary stenosis in assessing prognosis and predicting the likelihood of an acute coronary event
17. Discuss the methods by which cardiac CT can simultaneously assess coronary anatomy as well as the physiologic significance of coronary stenosis (eg. CP perfusion & FFRct)
18. Utilize CT for non-coronary studies to guide treatment planning of TAVR
19. Evaluate the capabilities of Cardiac MRI and the evidence supporting its use
20. Identify the specific circumstances for which Cardiac MRI is the test of choice

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