Online guideline
Equilibrium radionuclide angiocardiography

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A. Purpose

Planar equilibrium radionuclide angiography (ERNA) is used to determine global and regional measures of ventricular function (primarily left ventricular [LV] function) at rest and/or during exercise stress or pharmacologic intervention. These measures of ventricular function may include evaluations of ventricular wall motion, ejection fraction (EF), and other parameters of systolic and diastolic function. The following sections provide a technical description of the techniques to acquire and

A. Purpose

Single photon emission computed tomography (SPECT) ERNA is used to determine global and regional measures of ventricular function (primarily LV function) at rest and/or during pharmacologic intervention. These measures of ventricular function may include evaluations of ventricular wall motion, EF, and other parameters of systolic and diastolic function. The following sections provide a technical description of the techniques to acquire and process the data necessary to assess parameters of

III. Equilibrium radionuclide angiocardiography: Guideline for interpretation

. Guideline for interpretation

Empty CellEmpty CellFor information, see paragraph
Empty CellEmpty CellPlanarSPECT
A. Display
 1. Quad screen cinematic displayStandardI.D.1II.D.1 and .5
 2. Time smoothingStandardI.D.2II.C.10
 3. Spatial smoothingOptionalI.D.2II.C.10
B. Quality control
 1. Image quality
  a. Statistics–qualitativeStandardI.B.2II.C.10
  b. Statistics–quantitativeOptionalI.C.9II.C.8 and .10
  c. Labeling efficiency–qualitativeStandardI.B.2I.B.2
 2. Appropriate imaging anglesStandardI.C.10II.C.8 and .9
 3. Appropriate zoomStandardI.C.2II.C.3
 4.

IV. Equilibrium radionuclide angiocardiography: Guideline for reporting

. Guideline for reporting

Empty CellEmpty CellFor information, see paragraph
Empty CellEmpty CellPlanarSPECT
A. Demographic data
 1. NameStandard
 2. GenderStandard
 3. AgeStandard
 4. Ethnic backgroundOptional
 5. Date acquisitionStandard
 6. Medical record number for inpatientStandard
 7. Height/weight body surface areaStandard
B. Acquisition parameters
 1. Type of studyStandard
 2. Radionuclide/doseStandard
 3. Indication for studyStandardI.A. and V.I.A. and V.
 4. Study qualityOptionalI.B.2, I.C.6, and I.E.6II.C.5 and .10
C. Results: Rest
 1. LV size
  a.

V. Guidelines for clinical use of radionuclide angiocardiography

The American College of Cardiology, American Heart Association, and American Society of Nuclear Cardiology have developed guidelines for the use of radionuclide imaging of the heart. Table 10 has been adapted from these guidelines. Note that items may be categorized as class III if not enough data are presently available to substantiate routine clinical implementation.85, 86

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