サカイ　アキコ   Sakai Akiko   坂井　晶子    所属   医学部 医学科    職種   講師
言語種別	日本語
発表タイトル	TWMU Cardiovascular Imaging Team Collaborating with Cardiologists and Radiologists: Current Situation and Problem
会議名	第83回日本循環器学会学術集会
主催者	日本循環器学会
学会区分	全国規模の学会
発表形式	口頭
発表者・共同発表者	◎渡邉絵里, 坂井晶子, 中尾梨沙子, 安藤聖恵, 百瀬満, 長尾充展, 萩原誠久
発表年月日	2019/03/30
開催地 （都市, 国名）	横浜市
概要	＊Round Table Discussion4 循環器疾患における画像診断、放射線科との連携 Currently, advances in cardiovascular imaging are impressive. Multimodality imaging including CT, MRI, SPECT, and PET has an important role to diagnose various heart diseases and to evaluate the disease severity to determine the treatment strategy. The number of these examinations has been increasing year by year. The number of SPECT last year is over 1000 in Tokyo Women´s Medical University(TWMU). The number of cardiac CT and MRI is about 600. The number of ammonia(NH3) and FDG PET is about 200. To perform these examinations, cardiovascular imaging team composed of cardiologists and radiologists was formed in our institute. In order to obtain the information that the clinician needs, the examination protocol by each disease is considered by the team. For example, there are two different protocols for cardiomyopathy and congenital heart disease in cardiac MRI, which can minimize the scan time. All examination findings are double checked by cardiologists and radiologists. Mostly, cardiologists write a first report after that radiologists check and write the second report. Functional analysis and image reconstruction of MRI and CT are performed by a member of cardiologist or radiologist. Recently, the necessity of SPECT and NH3-PET to detect functional myocardial ischemia has been increasing. We are one of the few NH3-PET institutes in Japan. Time schedule of the administration of ammonia at rest and stress is very tight because ammonia has a short half-time. Therefore, two or more physicians should correspond to NH3-PET. Collaboration of cardiologists and radiologists is indispensable. In this session, the current situation and problem in TWMU cardiovascular imaging team will be presented.