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Nuclear
Rotations · Nuclear · Clinical Guide
Educational reference, and nothing more. §09 is explicit that the material on this page does not override the supervising attending’s judgement or the current formal guidelines — and that nothing here is a local protocol. No pharmacologic stress dose, no tracer, no activity and no local threshold appears on this page or anywhere in this repository: those are institutional, several of them sit under a radiation licence, and they have to come from the lab and from pharmacy.
Stress testing fundamentals6 areasUnverified
What belongs here
- Exercise physiology and the indications
- Choosing exercise versus pharmacologic stress
- Heart rate and blood pressure response
- Ischemic ECG changes
- Termination criteria
- The pharmacologic agents — regadenoson, adenosine, dipyridamole, dobutamine — and the key safety considerations for each
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
SPECT perfusion interpretation8 areasUnverified
What belongs here
- Normal perfusion patterns
- Reversible versus fixed defects
- Summed scores
- Defect size and severity
- Attenuation and motion artifact
- The limitations of balanced ischemia
- Transient ischemic dilation and lung uptake
- Gated function
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
PET perfusion interpretation6 areasUnverified
What belongs here
- PET perfusion basics
- Perfusion defect interpretation
- LV function
- Myocardial blood flow and flow reserve concepts
- When PET adds value
- Attenuation and the technical pitfalls
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
Artifacts & quality control7 areasUnverified
What belongs here
- Diaphragmatic and breast attenuation
- Patient motion
- Extracardiac activity
- Misregistration
- Gating problems
- Suboptimal stress
- Raw-data review
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
Viability3 areasUnverified
What belongs here
- Viable versus scarred myocardium
- Perfusion and metabolic mismatch
- Where PET or SPECT viability fits clinically
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
Radiation safety6 areasUnverified
What belongs here
- ALARA principles
- Patient selection, and risk against benefit
- Contamination basics
- Staff exposure
- Dose preparation concepts
- Radiation monitoring
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
High-risk nuclear findings7 areasUnverified
What belongs here
- Large ischemic burden
- Multivessel patterns
- Stress-induced LV dysfunction
- Transient ischemic dilation
- A significant drop in EF
- High-risk symptoms, ECG changes and hemodynamics
- Markedly abnormal PET flow reserve patterns
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
Appropriate use & test selection3 areasUnverified
What belongs here
- Deciding between nuclear, stress echo, CTA and cath
- What each modality answers
- The limitations that decide against one
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
Reporting3 areasUnverified
What belongs here
- Structured interpretation, in order
- What belongs in the impression
- Comparison with prior studies
The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.
Still needed from the program
Listed rather than guessed. These are the facts this page cannot answer.
- Report wordingThe lab’s preferred report wording and severity phrasing, where it differs from §05’s published framework. §05 states the structure; the words are CSImport’s and the readers’.
Last updated 2026-09-24 · Program, Nuclear Work Guide specification, 2026-09-24
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