Nuke med societies: Myocardial perfusion PET widely underutilized

In many if not most cases, clinicians treating patients with suspected or known coronary artery disease would do well to order myocardial perfusion PET without delay.

That’s the gist of a position statement issued jointly this week by the American Society of Nuclear Cardiology (ASNC) and the Society of Nuclear Medicine and Molecular Imaging (SNMMI).

The societies encourage use of the imaging modality as the preferred, first-line exam for patients with known or suspected coronary artery disease who meet the criteria for a stress imaging test but are unable to exercise at a diagnostic level for the duration of such a test.

They also recommend it, albeit less strongly, as the go-to exam for various other situations.

The authors of the statement note that myocardial perfusion PET is safe, effective, efficient and uniquely fit to provide vital treatment guidance—or, in the case of negative findings, to rule out the need for drugs, additional tests and other anxiety-producing scenarios for the patient.

They underscore their recommendations by commenting that the test deserves wider use than it’s been getting.

“Among available noninvasive cardiac imaging options, [we] have noted significant underutilization of myocardial perfusion PET relative to its demonstrated advantages for patients being assessed for suspected clinically important coronary artery disease, and to its current wide availability in the United States,” they write.

Click here to read the full statement, which includes situational guidance, and here for a press release sent by perfusion-agent supplier Bracco. 

Dave Pearson

Dave P. has worked in journalism, marketing and public relations for more than 30 years, frequently concentrating on hospitals, healthcare technology and Catholic communications. He has also specialized in fundraising communications, ghostwriting for CEOs of local, national and global charities, nonprofits and foundations.

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The newly cleared offering, AutoChamber, was designed with opportunistic screening in mind. It can evaluate many different kinds of CT images, including those originally gathered to screen patients for lung cancer. 

Trimed Popup
Trimed Popup