Archive March 2021

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Patient-Centered Imaging: Advanced Protocoling and Stress-First SPECT

Guest Bloggers: Laura Murphy, MB BCh and Sanjay Divakaran, MD 

As per the ASNC Preferred Practice Statement on Patient-Centered Imaging,1 stress-first single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI) presents an opportunity to lower patient radiation exposure, increase overall patient convenience and satisfaction, and decrease cost and resource utilization without sacrificing study quality or the depth and breadth of information providing to referring clinicians.

Sequestration 101: Why the Sequestration Moratorium Should Be Extended

This article was updated March 29, 2021. 

On March 19, the U.S. House of Representatives passed legislation (H.R. 1868) that, if enacted, would extend the current moratorium on the 2 percent Medicare sequestration through 2021 and would waive budgetary requirements that would otherwise result in additional across-the-board Medicare provider cuts next year under the Pay-As-You-Go Act. 

Below we answer common questions about sequestration. 

Cardiac Amyloid Imaging with Tc-99m PYP - Challenges and Potential Solutions

Guest Bloggers: Vivek Singh, DO and Renee P. Bullock-Palmer, MD, FACC, FAHA, FASNC, FASE, FSCCT, Deborah Heart and Lung Center, Browns Mills, NJ *****
Cardiac Amyloidosis (CA) refers to abnormal deposition of misfolded proteins that occur specifically in the heart. This is a progressive disorder which can lead to nearly irreversible damage in the heart, typically in the form of cardiomyopathy and/or arrhythmias. There are two major types of Cardiac Amyloidosis: Light-Chain (AL) Amyloidosis and Transthyretin (ATTR) Amyloidosis, of which ATTR Amyloidosis can be further subdivided into Wild-Type and Mutant ATTR. It is important to distinguish each subtype of CA as early as possible due to the implications each may have involving possible therapies and familial genetic testing.