CASE STUDY SELECTION REQUIREMENTS AND INSTRUCTIONS:
Nuclear Cardiology
MYOCARDIAL PERFUSION IMAGING (RMPI) CASES:
Laboratories are required to submit five (5) complete RMPI studies In addition to the five cases, laboratories are required to submit two abnormal reports (without any images or clinical data) from each interpreting physician listed in the application. All studies and reports should reflect the highest quality of studies performed in the laboratory.
All cases must be selected from studies performed two months prior to the expected submission of the application. For example, if a laboratory intends to submit the application on January 1, the cases can be chosen from the beginning of November through December 31.
Cases are selected as follows: Only one study may be normal. There must be one study demonstrating myocardial infarction, one study demonstrating ischemia, and one study demonstrating significant regional or global wall motion and one additional abnormal study. At least one of the studies must be an exercise stress study and there must be at least one pharmacologic stress study.
In addition, the cases must have been interpreted by as many different physicians as possible, performed by different technologists and if more than one camera is present in the laboratory, cases must be selected from each camera in use. For instance, if there are five interpreting physicians in the laboratory, then there must be one case from each physician. If there are two physicians interpreting studies for the laboratory, then three case studies must be from one physician and two case studies from the other physician.
MPI CASE STUDIES:
5 studies:
1 study must be normal
1 study must demonstrate ischemia
1 study must demonstrate infarction
1 study must demonstrate significant wall motion abnormality
1 study must be abnormal as listed above
Of the 5 studies:
At least one study must be a pharmacologic stress
At least one study must be an exercise stress
And 2 additional abnormal reports from each interpreting physician listed in the application. (Selected from one year prior to submission date.)
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WHAT TO SUBMIT:
As stated previously, laboratories are instructed to submit all images utilized in the interpretation of a study. Therefore, for cardiac case studies, laboratories should submit:
- Movies of planar projection images, cine data (if available)
- Reconstructed stress-rest slices (gray scale and color)
- Quantitative data, polar maps, etc.
- Movie-gated SPECT slices (if available)
- Gated SPECT slices in end diastole and end systole
- LV volume curve and calculated LVEF
- EKG tracing (rest, each stage of exercise, peak stress, recovery, final recovery)
EQUILIBRIUM RADIONUCLIDE ANGIOGRAPHY (ERNA OR GATED BLOOD POOL):
A total of five (5) case studies are selected up to a year prior to the date of your application submission. Include at least three abnormal studies for a total of five (5) case studies. You must submit images/documentation of the LA045, Anterior, Left Lateral views at a minimum
WHAT TO SUBMIT:
- 5 case studies, 2 may be normal (case studies may be selected from one year prior to submission date)
- Movie (CINE) of the views (if available) or submit screen capture of all three views
- LVEF curve and calculated EF
CARDIAC PET:
A total of five (5) PET case studies are required. Only one (1) case may be normal.
WHAT TO SUBMIT:
Follow RMPI case study selection
Electronic Digital Data Change:
Digital raw data is no longer required or accepted for cardiac case study submission. The preferred method for submitting case study documentation is processed image data in digital image format, supplied on CD or DVD. No optical disks will be accepted.
Laboratories may provide screen captures of static images as JPEG (Joint Photographic Experts Group), TIFF (Tagged Image File Format) or BMP (Bitmap Digital Images) files. Or they may submit equipment-specific images with an embedded, image-specific reader (i.e., DICOM viewer) included. Movies may be submitted as MPEG (Moving Picture Expert
Group), AVI (Audio Video Interleave), QuickTime or Windows
Media Player.
Please remember that images supplied on CD or DVD must be able to be viewed or opened on any computer. It is suggested that laboratories open and test the CDs or DVDs on different computers prior to submission to ensure that the ICANL staff and
reviewers will be capable of viewing the cases using
various systems.
The ICANL understands that some laboratories may not have the equipment necessary to submit images or screen captures on a CD or DVD. If a laboratory is unable to submit digital images due to lack of equipment, they may submit high quality black-and-white and color copies of all processed images on paper.
The ICANL Standards (B6.1.6.5) require that a laboratory must have the ability to transmit current or archived patient studies to an outside, non-affiliated entity in a format that is of interpretable quality. This transmission may take place in either electronic or hard-copy format.
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