TABLE 1

Key Technical Advances in Nuclear Cardiology

InnovationResult
Clinical cardiac PETImproved speed and accuracy, absolute quantification, list-mode acquisition
Cardiocentric SPECT collimatorsIncreased count sensitivity, improved speed, lower dose
Solid-state detector SPECTIncreased count sensitivity, improved speed, lower dose, list-mode acquisition, multiisotope acquisition
Iterative reconstruction algorithmsResolution improvement, noise reduction
List-mode acquisitionIntegration of ECG and respiratory gating, motion correction, dynamic imaging sequences for kinetic analysis, simultaneous multiisotope SPECT
Motion correctionImproved resolution for analysis of small target regions
Tracer kinetic analysisAbsolute quantification of physiologic and biologic processes (blood flow, metabolic rates)
Hybrid SPECT/CT, PET/CTAttenuation correction, integration with calcium score and CT-based coronary angiography, morphologic coregistration
Integrated PET/MRIIntegration with morphology, function, and tissue characteristics; simultaneous multiparametric imaging
SiPM DPC PET/CTImproved resolution, improved speed, lower dose
  • ECG = electrocardiography; SiPM DPC = solid-state silicon photomultiplier digital photon counting.