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  1. Article ; Online: ASNC SPECT-MPI quality metrics: a race to the top.

    Doukky, Rami

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2023  Volume 30, Issue 3, Page(s) 911–914

    MeSH term(s) Humans ; Benchmarking ; Tomography, Emission-Computed, Single-Photon ; Coronary Artery Disease ; Myocardial Perfusion Imaging
    Language English
    Publishing date 2023-05-16
    Publishing country United States
    Document type Editorial
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-023-03284-6
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    Zs.A 4121: Show issues Location:
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  2. Article ; Online: Is dyspnea the new angina? The ever-changing profile of patients referred for CAD evaluation.

    Doukky, Rami / Henzlova, Milena

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2023  Volume 30, Issue 4, Page(s) 1321–1323

    MeSH term(s) Humans ; Angina Pectoris/diagnostic imaging ; Coronary Artery Disease/diagnostic imaging ; Dyspnea ; Coronary Angiography
    Language English
    Publishing date 2023-07-10
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-023-03327-y
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  3. Article ; Online: PAMA implementation: The road ahead.

    Doukky, Rami

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2019  Volume 26, Issue 6, Page(s) 1789–1791

    MeSH term(s) Decision Support Systems, Clinical ; Diagnostic Imaging/economics ; Diagnostic Imaging/standards ; Hospitals ; Humans ; Medicare/economics ; Medicare/legislation & jurisprudence ; Medicare/organization & administration ; Nuclear Medicine/economics ; Nuclear Medicine/organization & administration ; Nuclear Medicine/standards ; Outpatients ; Prior Authorization ; Prospective Payment System/organization & administration ; United States
    Language English
    Publishing date 2019-11-04
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-019-01942-2
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  4. Article: Myocardial ischemia in patients with large prior infarction: Clinical decision making and review of literature.

    Asif, Talal / Doukky, Rami

    Radiology case reports

    2022  Volume 18, Issue 2, Page(s) 538–544

    Abstract: Myocardial perfusion imaging (MPI) with single photon emission computed tomography (SPECT) or positron emission tomography (PET) is a widely used technique for the evaluation of coronary artery disease (CAD). Interpreting physicians rely on regional ... ...

    Abstract Myocardial perfusion imaging (MPI) with single photon emission computed tomography (SPECT) or positron emission tomography (PET) is a widely used technique for the evaluation of coronary artery disease (CAD). Interpreting physicians rely on regional variations in myocardial radiotracer uptake between rest and stress images to identify hemodynamically significant epicardial coronary artery stenosis. However, interpretation of MPI is very difficult in patients with large infarcts where there is no scintigraphically normal reference myocardium for comparison. In these patients, the stress and rest images appear similar due to balanced ischemia in the non-infarct territory. There are no clear guidelines on how to approach these cases. We present a case of MPI with a large right coronary artery territory (RCA) infarct where the left main (LM) coronary artery territory has no relative comparator and the images looked the same on stress and rest. However, the patient had multiple high-risk ancillary findings including electrocardiographic (ECG) changes with regadenoson, transient ischemic dilatation (TID), large severe inferior infarct, low myocardial blood flow (MBF) and myocardial flow reserve (MFR), but most notably increased right ventricular (RV) uptake on the stress images that was a subtle clue that we were dealing with LM equivalent in non-infarct zone. The coronary angiogram confirmed our findings. Through our case, we provide a comprehensive approach and review of literature on how to approach such challenging encounters.
    Language English
    Publishing date 2022-11-25
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2022.11.006
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  5. Article ; Online: Impact of change of ischemic burden on the outcomes of ESRD patients awaiting kidney transplantation.

    Tottleben, Jonathan / Torres, Andrea / Doukky, Rami

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2023  Volume 30, Issue 5, Page(s) 1897–1903

    Abstract: Background: In asymptomatic patients with end-stage renal disease (ESRD) wait-listed for kidney transplantation (KT), it is unclear whether a change in ischemic burden on serial surveillance SPECT myocardial perfusion imaging (MPI) impacts outcome.: ... ...

    Abstract Background: In asymptomatic patients with end-stage renal disease (ESRD) wait-listed for kidney transplantation (KT), it is unclear whether a change in ischemic burden on serial surveillance SPECT myocardial perfusion imaging (MPI) impacts outcome.
    Methods and results: In a retrospective cohort of 700 asymptomatic KT candidates with ≥ 2 sequential SPECT-MPI studies, we defined a significant change in ischemic burden between MPIs as ΔSDS of ≥ 2 points. Patients were followed for mean 19 ± 12 months after MPI
    Conclusion: Among KT candidates who underwent serial MPI for CAD surveillance, new ischemia was associated with increased MACE risk. Improvement in ischemic burden was associated with lower MACE risk irrespective of coronary revascularization status.
    MeSH term(s) Humans ; Retrospective Studies ; Kidney Transplantation ; Prognosis ; Myocardial Infarction ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/surgery ; Myocardial Perfusion Imaging/methods ; Tomography, Emission-Computed, Single-Photon/methods ; Coronary Artery Disease/diagnostic imaging ; Coronary Artery Disease/surgery
    Language English
    Publishing date 2023-05-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-023-03287-3
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  6. Article ; Online: The Prognostic Value of MPI in CKD: Can we do better?

    Vij, Aviral / Doukky, Rami

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2021  Volume 29, Issue 1, Page(s) 155–157

    MeSH term(s) Female ; Humans ; Male ; Myocardial Perfusion Imaging ; Predictive Value of Tests ; Prognosis ; Renal Insufficiency, Chronic/diagnostic imaging ; Risk Factors
    Language English
    Publishing date 2021-02-19
    Publishing country United States
    Document type Editorial
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-021-02545-6
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  7. Article ; Online: Perioperative cardiac risk assessment in kidney transplantation: It's time to search for a new gold standard.

    Golzar, Yasmeen / Doukky, Rami

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2021  Volume 29, Issue 6, Page(s) 3416–3418

    MeSH term(s) Humans ; Kidney Transplantation/adverse effects ; Heart
    Language English
    Publishing date 2021-05-25
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-021-02673-z
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  8. Article ; Online: Coronary artery calcium or epicardial fat: Different markers for different people.

    Pyslar, Nataliya / Doukky, Rami

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2021  Volume 29, Issue 4, Page(s) 1593–1595

    MeSH term(s) Adipose Tissue/diagnostic imaging ; Biomarkers ; Calcium ; Coronary Artery Disease/diagnostic imaging ; Coronary Vessels/diagnostic imaging ; Humans ; Pericardium/diagnostic imaging
    Chemical Substances Biomarkers ; Calcium (SY7Q814VUP)
    Language English
    Publishing date 2021-04-13
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-021-02609-7
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  9. Article ; Online: Stress myocardial perfusion imaging vs. stress echocardiography for risk stratification of kidney transplant candidates: Does it even matter?

    Vij, Aviral / Doukky, Rami

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2021  Volume 29, Issue 6, Page(s) 3000–3002

    MeSH term(s) Humans ; Echocardiography, Stress ; Myocardial Perfusion Imaging ; Kidney Transplantation ; Coronary Artery Disease/diagnostic imaging ; Risk Assessment/methods
    Language English
    Publishing date 2021-12-27
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-021-02883-5
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  10. Article ; Online: Deciding wisely: A case for an effective use of myocardial perfusion imaging.

    Doukky, Rami

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2017  Volume 25, Issue 1, Page(s) 53–61

    Abstract: There is a vast body of literature supporting the use of stress myocardial perfusion imaging (MPI) in patients with known or suspected coronary artery disease. When applied in the appropriate clinical setting, MPI can aid, not only in diagnosis and risk ... ...

    Abstract There is a vast body of literature supporting the use of stress myocardial perfusion imaging (MPI) in patients with known or suspected coronary artery disease. When applied in the appropriate clinical setting, MPI can aid, not only in diagnosis and risk stratification, but also in decision-making. In a case of a 58-year-old man with suspected coronary artery disease, we highlight how the appropriate use of stress MPI can leverage the diagnostic and prognostic utility of MPI in an effective, evidence-based decision-making aimed to achieve the best patient outcome.
    MeSH term(s) Angina, Stable/diagnostic imaging ; Chest Pain ; Decision Making ; Electrocardiography ; Humans ; Male ; Middle Aged ; Multimodal Imaging ; Myocardial Ischemia/diagnostic imaging ; Myocardial Perfusion Imaging ; Myocardial Revascularization ; Prognosis ; Risk Assessment ; Tomography, Emission-Computed, Single-Photon
    Language English
    Publishing date 2017-11-29
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-017-1136-0
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