Download Nuclear Cardiology The Basics How to Set Up and Maintain a by Frans J Th Wackers, Wendy Bruni, Barry Zaret PDF

By Frans J Th Wackers, Wendy Bruni, Barry Zaret

The goal of this ebook is to supply the description for the "nuts and bolts" institution and operation of a nuclear cardiology laboratory. In so doing, the authors have tried to accommodate the suitable concerns laboratory director needs to deal with in both establishing the laboratory or keeping its aggressive facet and medical competence through the years. The authors essentially tried to spot concerns with regards to outpatient imaging amenities. despite the fact that, the place acceptable matters regarding inpatients in hospital-based laboratories also are discussed.

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If the imaging facility has a contract with a pharmaceutical vendor, one may be entitled to discount pricing. In addition, the greater the patient volume, the better the price can be negotiated. This is also true for unit dosing: the more doses one orders, the cheaper each dose will be. If price is a major factor, one should meet with local sales representatives and obtain quotes for the products. Staff availability is also an important consideration. To elute the generator, to perform the QC, and to prepare the kits, a technologist has to come to the laboratory earlier in the morning than the rest of the technical staff.

Long time required to complete rest–stress study (∼3 5 h) Dual Isotope Tl-201 Rest/Tc-99m Stress Advantages • Fast protocol; < 3 h for complete study. • High-count stress study. • Good-quality ECG-gated stress study. Disadvantages • Comparison of myocardial distribution of two different radioisotopes with different physical characteristics which may affect image pattern. • Relatively high radiation exposure compared with Tc-99m agent protocols (Table 2-4). Daily Schedule for Stress Testing and Imaging The time slots that are given in Table 2-3 should be considered when making a daily work schedule.

Charts/Scanner Hard copy charts are still used for archiving purposes of recorded stress test parameters, ECGs, and images. Many laboratories are planning for digital archiving in the near future. A scanner that converts hard copy documents to electronic files is needed for this purpose. LABORATORY STAFF The staff of a nuclear cardiology imaging facility typically consists of a medical director, a technical director, medical staff, technical staff, an RSO, stress testing personnel, and clerical staff.

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