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ACR–SPR–STR Practice Parameter for the Performance of Cardiac Positron Emission Tomography - Computed Tomography (PET/CT) Imaging

Subramaniam, Rathan M. MD, PhD, MPH*; Janowitz, Warren R. MD, JD, FACR; Johnson, Geoffrey B. MD, PhD; Lodge, Martin A. PhD§; Parisi, Marguerite T. MD, MS§; Ferguson, Mark R. MD; Hellinger, Jeffrey C. MD, MBA; Gladish, Gregory W. MD**; Gupta, Narainder K. MB, BS††

doi: 10.1097/RLU.0000000000001827
Original Articles

This clinical practice parameter has been developed collaboratively by the American College of Radiology (ACR), the Society for Pediatric Radiology (SPR), and the Society of Thoracic Radiology (STR). This document is intended to act as a guide for physicians performing and interpreting positron emission tomography–computed tomography (PET/CT) of cardiac diseases in adults and children. The primary value of cardiac PET/CT imaging include evaluation of perfusion, function, viability, inflammation, anatomy, and risk stratification for cardiac-related events such as myocardial infarction and death. Optimum utility of cardiac PET/CT is achieved when images are interpreted in conjunction with clinical information and laboratory data. Measurement of myocardial blood flow, coronary flow reserve and detection of balanced ischemia are significant advantages of cardiac PET perfusion studies. Increasingly cardiac PET/CT is used in diagnosis and treatment response assessment for cardiac sarcoidosis.

From the *UT Southwestern Medical Center, Dallas, TX; †Baptist Hospital of Miami, Miami, FL; ‡Mayo Clinic, Rochester, MN; §University of Washington, Seattle, WA; ∥Lenox Hill Radiology, New York, NY; ¶MD Anderson, Houston, TX; **University of Pennsylvania; and ††Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA.

Received for publication July 19, 2017; revision accepted July 20, 2017.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Rathan M Subramaniam, MD, PhD, MPH, Department of Radiology UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, Tx 75390–8896. E-mail:

Practice parameters and technical standards are published annually with an effective date of October 1 in the year in which amended, revised or approved by the ACR Council. For practice parameters and technical standards published before 1999, the effective date was January 1 following the year in which the practice parameter or technical standard was amended, revised, or approved by the ACR Council.

Development Chronology for this Practice Parameter: Adopted 2017 (Resolution 26).

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