Cardiovascular System

Treves, S. Ted; Blume, Elizabeth D.; Armsby, Laurie R.; Kuruc, Alvin

doi:10.1007/978-0-387-32322-0_6

Cited by 4 publications

(3 citation statements)

References 87 publications

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“…At rest, approximately 1.5% of the injected dose is taken up in the myocardium, where it remains fixed, with no redistribution over time. With 99m Tc-MIBI, both resting and pharmacologic stress evaluations can be performed on children (35,36).…”

Section: Heartmentioning

confidence: 99%

“…Most young children show adequate perfusion during the early postoperative period. Along with coronary angiography, myocardial perfusion SPECT helps in the diagnosis of coronary artery disease and myocardial viability (35).…”

Section: Heartmentioning

confidence: 99%

“…Several surgical techniques have been used to transfer the anomalous coronary artery back to the aortic cusp. Myocardial perfusion scintigraphy can assess ventricular wall damage and evaluate recovery of function after repair (35). Children with right ventricular hypertension or right ventricular overload show greater tracer uptake of myocardial perfusion agents in the right ventricular myocardium.…”

Section: Heartmentioning

confidence: 99%

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Nuclear Medicine in the First Year of Life

Treves¹,

Baker²,

Fahey³

et al. 2011

J Nucl Med

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Learning Objectives: On successful completion of this activity, participants should be able to describe, for children less than 1 y old, (1) the wide variety of nuclear medicine indications; (2) the nuclear medicine studies, relative to other imaging methods, that can provide the highest diagnostic yield; (3) how to obtain high-quality nuclear medicine examinations at the lowest radiation exposures; (4) how growth and development affect the appearance, and therefore the interpretation, of nuclear medicine images; and (5) special care needed, such as patient preparation, immobilization, distraction techniques, environment, sedation or general anesthesia, imaging techniques, image processing, and presentation of results.Financial Disclosure: The authors of this article have indicated no relevant relationships that could be perceived as a real or apparent conflict of interest. CME Credit: SNM is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing education for physicians. SNM designates each JNM continuing education article for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only credit commensurate with the extent of their participation in the activity.For CE credit, participants can access this activity through the SNM Web site (http://www.snm.org/ce_online) through June 2012.Nuclear medicine has an important role in the care of newborns and children less than 1 y old. Patients in this age group present with a spectrum of diseases different from those of older children or adults. These patients can benefit from the full range of nuclear medicine studies. In these young children, nuclear medicine studies are more likely to be used to evaluate a wide range of congenital conditions but also can be helpful for evaluating acquired conditions such as infection, cancer, and trauma. This review first will cover the general aspects of nuclear medicine practice with these patients, including the special considerations that can help achieve successful diagnostic imaging. These topics will include clinical indications, imaging technology, instrumentation, software, positioning and immobilization, sedation, local and general anesthesia, radiopharmaceutical doses, radiation risk, and dose reduction. The review then will discuss the specific nuclear medicine studies that typically are obtained in patients in this age group. With extra care and attention to the special needs of this population, nuclear medicine departments can successfully study patients less than 1 y old.

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Section: Heartmentioning

confidence: 99%

Section: Heartmentioning

confidence: 99%

Section: Heartmentioning

confidence: 99%

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