Nuclear Cardiology Self-Assessment Program (NCKSAP)

The Nuclear Cardiology Knowledge Self-Assessment Program (NCKSAP) is designed for practitioners who are performing nuclear imaging studies and want to increase their competence for certification, recertification, or general practice improvement. 
Each module has a total of 30 multiple-choice questions and includes an answer rationale and references designed to help you assess your knowledge in nuclear cardiology and is available OnDemand for you to access at your convenience.

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How Can I Access the Modules?
These modules are available in the ASNC Education All-Access learning platform for purchase. 

NCKSAP: Ventricular Function, 3rd edition 
MOCOffers 10 CME/MOC Credits
Expires September 17, 2026

Learning Objectives:

  • Understand the role and practical aspects of equilibrium radionuclide ventriculography in assessing left ventricular function
  • Understand the role of gated SPECT and PET in coronary artery disease and non-ischemic cardiomyopathies
  • Identify the implications of left ventricular function testing for clinical management
  • Understand how arrhythmias can affect ECG gating

NCKSAP: Cardiac Amyloidosis, 1st Edition MOC
Offers 10 CME/MOC Credits
Expires February 28, 2026

Learning Objectives
  • Describe cardiac amyloidosis subtypes and identify symptoms, associated clinical conditions, and typical non-nuclear imaging features.
  • Identify appropriate clinical scenarios for the use of Tc99m-PYP/DPD/HMDP imaging in cardiac amyloidosis.
  • Apply appropriate Tc99m-PYP/DPD/HMDP, I123-MIBG, and SPECT/PET amyloid binding tracer standardized imaging techniques to optimize assessment of cardiac amyloidosis.
  • Interpret and communicate diagnostic and prognostic findings on Tc99m-PYP/DPD/HMDP, I123-MIBG, and SPECT/PET amyloid binding tracers in the assessment of cardiac amyloidosis.

NCKSAP: Radiation Safety, 3rd Edition 
Offers 10 CME/MOC Credits
Expires October 25, 2025

Learning Objectives
  • Recognize the NRC requirements for radiation safety
  • Describe how to maintain radiation measuring equipment 
  • Review radiation exposure levels for patients and occupational workers
  • Discuss radiation emergency scenarios and appropriate response

NCKSAP: PET MPI, 1st Edition 
Offers 10 CME/MOC Credits
Expires August 11, 2025

Learning Objectives
  • Understand the basic physics of myocardial perfusion imaging with Positron Emission Tomography
  • Understand the clinical applications of PET myocardial perfusion imaging patients with known and suspected coronary artery disease
  • Understand the prognostic value of PET myocardial perfusion imaging 
  • Understand the diagnostic and prognostic value of hybrid PET-CT imaging 
  • Identify clinical scenarios in which PET imaging is preferred over SPECT imaging
  • Understand the clinical applications of myocardial blood flow and myocardial flow reserve

NCKSAP: Risk Stratification, 3rd Edition MOC
Offers 10 CME/MOC Credits
Expires May 15, 2025

Learning Objectives
  • Identify imaging variables that predict prognosis (perfusion defect size; ischemic defect size; LVEF and volumes; etc.)
  • Identify stress test variables (Duke treadmill score, exercise time, symptoms, heart rate recovery, degree of ST depression, etc.)
  • Define the extent of ischemia and the benefit of revascularization
  • Discuss the implications of low risk with normal stress study (<1%)
  • Explain high-risk parameters (depressed LV function, TID, postā€stress stunning, large perfusion defects, etc.)
Offers 10 CME/MOC Credits
Expires Dec 31, 2024

Learning Objectives
  • Explain the role of viability assessment in risk stratification and selection of appropriate patients for revascularization and apply this understanding to the selection of appropriate patients for viability assessment
  • Recognize the strengths and weaknesses of FDG PET, thallium SPECT and technetium 99m tracer SPECT for viability assessment
  • Identify the appropriate preparation of patients' nuclear viability assessment
  • Discuss the relationships between nuclear imaging-based assessments of viability and other modalities such as echocardiography and MRI

NCKSAP: General Cardiology as it Relates to Image Interpretation, 3rd Edition
Offers 10 CME/MOC Credits
Expires Dec 31, 2024

Learning Objectives
  • Discuss the role of myocardial perfusion imaging in patients with stable ischemic heart disease
  • Recognize clinical scenarios in which nuclear cardiac imaging is useful in the pre-operative evaluation for non-cardiac surgery
  • Explain the value and limitations of myocardial perfusion imaging in patients presenting with acute chest pain  
  • Appreciate high-risk features on stress testing with myocardial perfusion imaging
  • Recognize artifacts and incidental findings on myocardial perfusion imaging
  • Identify appropriate management strategies in patients who undergo myocardial perfusion imaging
  • Appreciate the role of nuclear cardiac imaging in patients with heart failure

NCKSAP: Nuclear Cardiology Tests and Procedures/Protocols, 3rd Edition
Offers 10 CME/MOC Credits
Expires Dec 31, 2024

Learning Objectives
  • Discuss patient preparation for cardiac nuclear imaging
  • Recognize the contraindications of cardiac stress testing
  • Select optimal imaging protocols 
  • Apply the appropriate use criteria to select patients for stress testing
  • Differentiate attenuation artifacts from true perfusion defects

NCKSAP: Radiopharmaceuticals, 3rd Edition
Offers 10 CME/MOC Credits
Expires Dec 31, 2024

Learning Objectives
  • Discuss pharmacokinetics and pharmacodynamics of different radioactive tracers
  • Identify key components in the production, preparation of radioactive tracers, detection and management of impurities and contamination
  • Recognize benefits and limitations of individual radiopharmaceuticals

NCKSAP: Sarcoid, 1st Edition 
Offers 10 CME/MOC Credits
Expires Dec 31, 2024

Learning Objectives
  • Understand the relationship between cardiac FDG PET imaging patterns and the likelihood of cardiac sarcoidosis
  • Describe the optimal patient preparation for cardiac FDG PET imaging for cardiac sarcoidosis
  • Demonstrate an understanding of the complementary use of cardiac FDG PET and cardiac MRI imaging in the diagnosis and risk assessment of cardiac sarcoidosis
  • Formulate treatment plans for patients with suspected cardiac sarcoidosis informed by the results of cardiac imaging.