TABLE 1

Technologist Training Considerations for Hybrid Cardiac SPECT/CT and PET/CT

Technical aspects: hands-on training for cardiac CT and MPIEducation: didactic learning
Scan patient from console room and communicate with patient using intercom in scannerCardiovascular anatomy and physiology
Learn acquisition and processing protocols for attenuation correction, coronary artery calcium scoring, and coronary CTABasics of pharmacology
Understand concepts of prospective ECG-triggered axial or helical scans vs. retrospective ECG-gated coronary CTARadiation safety
Learn operation of power injector and remote operation of dual-chamber contrast and saline injector system for coronary CTA studies
Understand interference from metallic objects and CT-based attenuation correction algorithms
Learn to minimize radiation dose from CT scans
Recognize that CTAC for MPI is of low dose without need to increase dose on basis of body mass index
Learn to prepare, position, perform, and reconstruct MPI on hybrid scanners (SPECT/CT and PET/CT)
Learn to register MPI and CTAC images
  • CTA = CT angiogram; MPI = myocardial perfusion imaging; CTAC = CT for attenuation correction.