RT Book, Section A1 Henzlova, Milena J. A2 Heller, Gary V. A2 Hendel, Robert C. SR Print(0) ID 1145443642 T1 SPECT Myocardial Perfusion Imaging Protocols T2 Nuclear Cardiology: Practical Applications, 3e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259644993 LK accesscardiology.mhmedical.com/content.aspx?aid=1145443642 RD 2024/03/29 AB Single photon-emission computerized tomographic (SPECT) myocardial perfusion imaging (MPI) remains the dominant noninvasive functional imaging perfusion method for the diagnosis as well as prognosis of epicardial coronary artery disease (CAD). The advent and advances of other methods used for similar purposes (cardiac positron emission tomography [PET], stress echocardiography, coronary computerized tomography [CTA], and magnetic resonance imaging [MRI]) have all contributed to recent re-examination of traditional MPI protocols to optimize its use.1 This task was facilitated by introduction of high-efficiency cadmium zinc telluride (CZT) nuclear cameras and innovative software. With changes in society and concern of radiation exposure, emphasis has shifted from "one size fits all" to patient-centered imaging with individualized approach to each patient's unique constellation of reasons and urgency of testing, comorbidities, age, body habitus, physical ability, and results of previous tests and procedures.2 In-depth knowledge of the advantages and disadvantages of available radionuclide tracers and stressors by those who perform stress testing and imaging is paramount. Patient participation in decision making becomes desirable, as well.