Emory University School of Medicine, Atlanta, GA, USA.
Emory University Clinical Cardiovascular Research Institute, 1462 Clifton Rd NE, Room 529, Atlanta, GA, 30324, USA.
J Nucl Cardiol. 2018 Jun;25(3):758-768. doi: 10.1007/s12350-018-1225-8. Epub 2018 Feb 21.
In this review, we highlight the need for innovation and creativity to reinvent the field of nuclear cardiology. Revolutionary ideas brought forth today are needed to create greater value in patient care and highlight the need for more contemporary evidence supporting the use of nuclear cardiology practices. We put forth discussions on the need for disruptive innovation in imaging-guided care that places the imager as a central force in care coordination. Value-based nuclear cardiology is defined as care that is both efficient and effective. Novel testing strategies that defer testing in lower risk patients are examples of the kind of innovation needed in today's healthcare environment. A major focus of current research is the evolution of the importance of ischemia and the prognostic significance of non-obstructive atherosclerotic plaque and coronary microvascular dysfunction. Embracing novel paradigms, such as this, can aid in the development of optimal strategies for coronary disease management. We hope that our article will spurn the field toward greater innovation and focus on transformative imaging leading the way for new generations of novel cardiovascular care.
在这篇综述中，我们强调了需要创新和创造力来重塑核医学领域。今天需要提出革命性的想法，为患者护理创造更大的价值，并强调需要更多支持核医学实践使用的现代证据。我们提出了关于在影像引导护理中需要颠覆性创新的讨论，将影像科医生置于护理协调的核心力量。基于价值的核医学被定义为既有效又高效的护理。在今天的医疗环境中，需要推迟低风险患者检查的新型检测策略就是这种创新的例子。当前研究的一个主要重点是缺血的重要性演变以及非阻塞性动脉粥样硬化斑块和冠状动脉微血管功能障碍的预后意义。接受新的范例，例如这种范例，可以帮助制定最佳的冠心病管理策略。我们希望我们的文章能促使该领域进行更多的创新，并关注变革性的影像学，为新一代新型心血管护理开辟道路。
