Nuclear Medicine

Nuclear medicine (also called molecular imaging) includes positron emission computed tomography (PET) and single photon emission computed tomography (SPECT) imaging. Nuclear imaging is achieved by injecting small amounts of radioactive material (radiopharmaceuticals) into patients before or during their scan. These can use sugars or chemical traits to bond to specific cells. The radioactive material is taken up by cells that consume the sugars. The radiation emitted from inside the body is detected by photon detectors outside the body. Computers take the data to assemble images of the radiation emissions. Nuclear images may appear fuzzy or ghostly rather than the sharper resolution from MRI and CT.  But, it provides metabolic information at a cellular level, showing if there are defects in the function of the heart, areas of very high metabolic activity associated with cancer cells, or areas of inflammation, data not available from other modalities. These noninvasive imaging exams are used to diagnose cancer, heart disease, Alzheimer’s and Parkinson’s disease, bone disorders and other disorders. 

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Siemens debuts new, cleared SPECT/CT model

Siemens Healthineers splashed an FDA-approved SPECT/CT system June 12 at the 2022 annual meeting of the Society of Nuclear Medicine & Nuclear Imaging in Vancouver, B.C.

Advnaces in nuclear cardiac imaging include the use of PET, quantitative coronary flow reserve and the additional CT ro SPECT and PERT scans. #ASNC

VIDEO: 2 key advances in cardiac nuclear imaging technology

Randall Thompson, MD, immediate past president of the American Society of Nuclear Cardiology (ASNC), explains two key advances in cardiac nuclear imaging.
 

A comparison on the black hole at the center of the Milky Way galaxy (left) with PET cardiac myocardial perfusion nuclear imaging exams (right).  The cardiac diagnosis of the galactic heart is motion artifact. Black hole image from the EHT Collaboration

Cardiologist and ASNC president diagnoses the heart of the galaxy based on black hole imaging

The first image of the black hole at the heart of our Milky Way galaxy amazed the scientific community, but left cardiologists with questions about the true cardiac health of the galaxy.

The American Society of Nuclear Cardiology (ASNC) is asking Congress to repeal the appropriate use software provision mandate, which physicians say is an obstacle to efficient care.

VIDEO: Imaging societies ask Congress to repeal appropriate use decision support mandate

Randall Thompson, MD, immediate past president of the American Society of Nuclear Cardiology (ASNC), explains the current ASNC lobbying efforts.

The ASNC is one of several medical imaging societies asking Congress to repeal the appropriate use criteria (AUC) criteria mandate. They say it poses issues for clinicians and is becoming outdated by changes in CMS payment systems. The AUC requirements call for documentation using CVMS authorized software in order to show advanced imaging such as nuclear and CT is justified, or else Medicare payments might be withheld.

American Society of Nuclear Cardiology urges Congress to speed prior authorizations, repeal AUC mandate 

Over the past few weeks, members of ASNC’s Health Policy Committee have held meetings with their members of Congress.

District of Columbia DC congress capitol hill

Imaging advocates, bipartisan lawmakers unite to oppose ‘misguided and massive’ Medicare pay cuts

Congressmen highlighted a planned wage increase for clinical labor that will spell 20% reductions elsewhere, due to budget neutrality. 

quality imaging appropriateness clinical decision support CAS AUC

Quality experts urge CMS to fold imaging Appropriate Use Criteria Program into other value initiatives

After years of delays, the initiative's usefulness has "diminished significantly," imaging leaders from several noted institutions wrote in Health Affairs. 

quality imaging appropriateness clinical decision support CAS AUC

Lawmakers urge CMS to reexamine long-delayed imaging Appropriate Use Criteria program

The quality initiative has been pushed back several times, and some are concerned that it's no longer relevant and duplicates other efforts. 

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