Rotations
Nuclear
Rotations · Nuclear · Overview
Reader of the day
Nuclear Reader
Dr. David A. Perkel
Also reads from LaFollette
PET Reader
Dr. David A. Perkel
Also reads from LaFollette
* This reader also holds clinics away from the main campus, so they may be reading from a satellite today. The fellow stays at the main Nuclear workspace either way, and coordinates the readout and feedback remotely as needed.
Report / Workspace
Nuclear Testing Lab
2nd floor, HLVI building. The F1 morning stress testing happens here.
Attire
Scrubs
Scrubs are acceptable on this rotation.
Typical end time
Around 4–5 PM
Depends on the study volume and the reading workflow — not a fixed departure time.
Daily flow
Handoff to handoff.
- 1MorningStress testing, or pre-reading. Which one depends on your year — see the panel below.
- 2MiddayConference, and image processing with the technologist where that is your morning.
- 3AfternoonRead with the Nuclear or PET reader of the day. Take the feedback, and keep pre-reading as studies arrive.
- 4OngoingPreliminary ECG interpretation, abnormal results telephoned to the ordering clinician, and questions from the testing lab — across all three.
Your day, by training year
F1
- Morning
- Perform and supervise treadmill exercise stress tests in the Nuclear Testing Lab with the clinical nurse and tech team — indication, safety, baseline ECG, exercise response and recovery. Assist with image processing alongside the technologist.
- Afternoon
- Meet the Nuclear or PET reader of the day and read studies with them.
F2
- Morning
- Pre-read Nuclear and PET studies as they arrive through the day.
- Afternoon
- Read side by side with the attending, or keep pre-reading while taking iterative feedback as studies are finalized. Complete the technologist exposure week as well — radiopharmaceutical handling and dose preparation, camera QC, and image acquisition and processing.
F3
- Morning
- Higher-volume, more independent pre-reading through the day.
- Afternoon
- Attending feedback and finalization. Build efficiency in perfusion interpretation, artifact recognition, risk assessment, PET concepts, and integration with the clinical data.
Key responsibilities
- Document the reason for the stress test, and review enough history and physical to be sure the study can be done safely and appropriately.
- F1: be physically present for the morning stress tests with the nuclear cardiology clinical nurse.
- Give a preliminary interpretation of the resting and stress ECGs, and of the nuclear imaging, where that applies.
- Communicate abnormal results to the requesting or ordering physician.
- Track studies interpreted, exercise tests performed or supervised, and PET volume, as you go.
If the reader is off-site
- All fellows stay based at the main hospital and the HLVI Nuclear workspace for the whole rotation, unless they are explicitly scheduled elsewhere.
- A * after a reader’s name means they also hold clinics away from the main campus, so they may be reading from a satellite today.
- Carry on from the Nuclear workspace either way, and coordinate the readout and the feedback remotely as needed.
- the Directory carries each attending’s clinic locations, which is how to tell which of them are off the main campus.
Software shortcuts
- CSImport, on Citrix — the Nuclear and PET processing and reporting system.
- Fuji PACS Web — image and PACS access.
- PET ECGs live on PACS, under UR Cardiac PET ECGS. Add it to your favorites, and allow pop-ups if it does not open.
The actual click paths: how CSImport is reached on Citrix, how a study moves from acquisition into it, and how a report is started and signed. Named systems are facts; a sequence inside them is not, and none is written here.
Answered by: Program
Escalate immediately
- A large ischemic burden
- A multivessel pattern
- Stress-induced LV dysfunction
- Transient ischemic dilation
- A significant drop in EF
- High-risk symptoms, ECG changes or hemodynamics during the test
- A markedly abnormal PET flow reserve pattern
- Any abnormal result — it goes to the requesting or ordering physician, by telephone
Still needed from the program
Listed rather than guessed. These are the facts this page cannot answer.
- The weekHow a Nuclear week actually runs: the report time, which weekdays differ, whether there is weekend coverage, and whether the rotation holds any call. §02 states a shape of a day and an end time it deliberately leaves approximate, so no coverage chart is drawn.
- The testing lab teamWho the nuclear cardiology clinical nurse and the nuclear technologist are, and how they are reached. §02 and §03 put an F1 beside both of them every morning and no source UTKardio holds names either post, so the rail does not.
Last updated 2026-09-24 · Program, Nuclear Work Guide specification, 2026-09-24
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