Stress-Only SPECT Myocardial Perfusion Imaging

A review of the accuracy, patient outcomes, implementation strategies and new developments associated with stress-only myocardial perfusion imaging.

Course ID: Q00435 Category:
Modalities: , ,


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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Nuclear Medicine Technology: 1.75
Procedures: 1.75
Cardiac Procedures: 1.75


  1. Introduction
  2. Features of SO Myocardial Perfusion Imaging (SO MPI
    1. Feasibility and Rationale of SO MPI
    2. Attenuation Correction in Conjunction with SO MPI
      1. Electrocardiographic gating value in SO MPI
      2. Accuracy and outcomes of patients undergoing SO MPI
    3. SO MPI in Diabetic Patients
  3. SO Protocol: Patient Selection and Protocol Choices
    1. Appropriate Patients for SO Protocol
    2. Higher Vs Lower Radiotracer Dose
  4. Definition of ìNormalî Stress-Only Result
  5. Abnormal SO Myocardial Perfusion Imaging and Decision Making
    1. Case 1
    2. Case 2
  6. Radiation Exposure and the Use of SO MPI
  7. Limitations of SO Myocardial Perfusion Imaging
  8. Future Directions/Newer Developments
    1. Stress-Only (SO) Protocol with PET Myocardial Perfusion Imaging
  9. Conclusions


Upon completion of this course, students will:

  1. understand the barriers to adopting SO SPECT-MPI
  2. describe the rest rate in SO SPECT-MPI without AC or prone imaging
  3. understand the benefit of CTAC over emission based AC
  4. understand the benefit of CTAC over prone imaging
  5. understand the benefits of wall motion analysis
  6. describe defects in SO SPECT-MPI (non-AC) as it relates to gated data
  7. identify diagnostic comparisons between SO SPECT-MPI and the conventional procedure
  8. describe wall thickening analysis as it relates to SO SPECT-MPI
  9. identify cardiac event rates among normal SO SPECT-MPI cases
  10. understand outcomes of normal SO SPECT-MPI studies from the ED
  11. learn about diabetic patients (CHD equivalent) and SO SPECT-MPI
  12. identify the best group for a SO SPECT-MPI protocol
  13. understand the best pathway for patients who had other cardiac testing
  14. understand the benefit of using high dose SO SPECT-MPI
  15. describe the impact of “shine through” and “cross talk” from radiotracers
  16. know the best course of action with normal MPI and abnormal ECG