Journal Article

EANM procedural guidelines for radionuclide myocardial perfusion imaging with SPECT and SPECT/CT: 2015 revision

Slart, Riemer H. J. A., Buechel, Ronny R., Acampa, Wanda, Lindner, Oliver, Kaufmann, Philip A., Ljungberg, Michael, Hesse, Birger, de Wit, Tim C., Flotats, Albert, Verberne, Hein J., Hacker, Marcus, Anagnostopoulos, Constantinos, Manrique, Alain, Trägårdh, Elin, Ballinger, Jim, van Eck-Smit, Berthe L. F., Lonsdale, Markus, Bengel, Frank, Hindorf, Cecilia, Minarik, David, Scholte, Arthur J. H. A., Cuocolo, Alberto, De Bondt, Pieter

2015

Overview

Since the publication of the European Association of Nuclear Medicine (EANM) procedural guidelines for radionuclide myocardial perfusion imaging (MPI) in 2005, many small and some larger steps of progress have been made, improving MPI procedures. In this paper, the major changes from the updated 2015 procedural guidelines are highlighted, focusing on the important changes related to new instrumentation with improved image information and the possibility to reduce radiation exposure, which is further discussed in relation to the recent developments of new International Commission on Radiological Protection (ICRP) models. Introduction of the selective coronary vasodilator regadenoson and the use of coronary CT-contrast agents for hybrid imaging with SPECT/CT angiography are other important areas for nuclear cardiology that were not included in the previous guidelines. A large number of minor changes have been described in more detail in the fully revised version available at the EANM home page: https://eanm.org/wp-content/uploads/2025/04/2015_myocardial_perfusion.pdf .

• Publisher: Springer Berlin Heidelberg,Springer Nature B.V,Springer Verlag (Germany) [1976-....]
• Subject: Adult / Angiography / Bioengineering / Cardiology / Cardiology and cardiovascular system / Clinical Medicine / Computed tomography / Contrast agents / Contrast Media / Coronary Artery Disease - diagnostic imaging / Coronary Artery Disease - physiopathology / Dose-Response Relationship, Drug / Exercise / Guidelines / Human health and pathology / Humans / Image Processing, Computer-Assisted / Imaging / Klinisk medicin / Life Sciences / Male / Medical and Health Sciences / Medical imaging / Medicin och hälsovetenskap / Medicine / Medicine & Public Health / Middle Aged / Multimodal Imaging / Myocardial Perfusion Imaging - adverse effects / Myocardial Perfusion Imaging - instrumentation / Myocardial Perfusion Imaging - methods / Nuclear Medicine / Oncology / Orthopedics / Perfusion / Practice Guidelines as Topic / Purines - adverse effects / Purines - pharmacology / Pyrazoles - adverse effects / Pyrazoles - pharmacology / Radiation effects / Radiation Exposure / Radioisotopes / Radiologi och bildbehandling / Radiology / Radiology and Medical Imaging / Safety / Single photon emission computed tomography / Societies, Medical / Software / Tissues and Organs / Tomography / Tomography, X-Ray Computed - adverse effects / Tomography, X-Ray Computed - instrumentation / Tomography, X-Ray Computed - methods / Vasodilator Agents - adverse effects / Vasodilator Agents - pharmacology