Table 1

Classification of Nuclear Cardiology Procedures and Skills

A. Procedures in which competency should be achieved during Level II training
  • 1. Myocardial perfusion imaging

    • a. SPECT, with or without attenuation correction

    • b. ECG-gated perfusion images

    • c. Stress protocols (exercise and pharmacologic)

    • d. Viability assessment using SPECT and/or PET

  • 2. Radionuclide angiography

  • 3. Use of methods for acquisition, reconstruction, and quantitative analysis of images

  • 4. Appropriate radiation safety and quality improvement programs

  • 5. Use of radiation monitoring instruments

B. Procedures in which medical knowledge should be demonstrated and achievement of competency may be accomplished during or after fellowship
  • 1. PET myocardial perfusion imaging

  • 2. Myocardial blood flow quantification

  • 3. Cardiac planar imaging

  • 4. Hybrid PET/CT and SPECT/CT

  • 5. Myocardial innervation

  • 6. Myocardial metabolism

CT = computed tomography; ECG = electrocardiogram; PET = positron emission tomography; SPECT = single-photon computed tomography.