Nuclear Cardiology

Rotation ObjectivesNUC image


  • Understand the principles of myocardial perfusion and blood flow, factors
    determining flow, coronary flow regulation, vasoreactivity, coronary flow
    reserve, regional flow differences, and flow variability.
  • Understand the principles of radioactivity, radioactive decay, radionuclide
    production, radionuclide generators, photon interactions with matter, and spectrum
    radiating detectors
  • Have a basic understanding of the instrumentation,
    techniques, and principles involved in nuclear imaging, including collimation, resolution, contrast, localization, noise, ECT, SPECT, PET, image   reconstitution methods, and attenuation and scatter correction
  • Know the various methods of stress testing   (treadmill, upright and reclining bicycle,   (pharmacologic), including indications, exclusions,
    safety, and technique
  • Understand the difference between a direct and   indirect test of coronary flow reserve
  • Understand the advantages, disadvantages, and differences between various
    protocols for image acquisition.
  • Know the differences between the various radioisotopes used in nuclear cardiology,
    including their energy, half lives, and organs of elimination.
  • Know the value of perfusion imaging in the diagnosis, prognosis, and management
    of patients with coronary artery disease.


  • The trainee should be able to independently interpret the results of a stress or
    viability myocardial perfusion study.
  • The trainee should be able to interpret the results of a blood pool imaging study.
  • The trainee should be able to recognize potential attenuation artifacts.
    Teaching Methods
  • Interactive reading sessions with the attending physician.
  • Participation in monthly Nuclear Cardiology Tutorial.
  • Independent review of on-line teaching material in the Cardiac Imaging Curriculum

Methods of Evaluation:

  • Direct interaction with the attending physician during the supervision and
    interpretation of nuclear myocardial imaging studies
  • Review of any additional extracurricular projects, papers or presentations