The secret to creativity is knowing how to hide your sources - Albert Einstein
Random Case Study
False Negative DIMP
Wide Beam Reconstruction Links
Left-Click for Interesting Findings With WBR
Left-Click for Comparison of Cardiac Catheterization Findings from WBR Processed Images
Left-Click for DICOM Downloadable WBR (UltraSPECT) Studies
Left-Click for Viewable WBR (UltraSPECT) Case Studies
Left-Click for Case Study of Spontaneous Left Circumflex Dissection (SCAD) - Very Rare
Polite Welcome:
Hello there! My name is Ryan Paul and I am elated you have taken the time to peruse this digital concoction of mine. I have been employed in the field of Nuclear Medicine for roughly 10 years and created this as a reference tool for other professionals that specialize in Nuclear Cardiology .
How I Am, Where I Am:
I was raised in Clarksville, TN which is roughly fifty minutes northwest of Nashville. I attended Austin Peay State University which offers a joint program in Nuclear Medicine Technology with Vanderbilt University in Nashville, TN. After fulfilling my undergraduate requirements with APSU I was accepted into the program and spent an entire year there with some of the most well known contributors and educators to the field of Nuclear Medicine. Upon finishing the program I had the honor of receiving my first job with Emory Healthcare. After four years of managing a general nuclear department I yearned for a faster paced environment. I gladly accepted the role for a chief technologist position at a newly established outpatient cardiac facility in Tucker, GA., which is located right outside of Atlanta. As of today I am happily employed with Atlanta Heart Specialists, LLC and advocate any technologist to look into the perks of becoming an expert in the field of Nuclear Cardiology.
Camera Experience
- Elscint/GE - SP4
- Elscint/GE - SP6
- Elscint/GE - Cardial
- Elscint/GE - Helix Dual-Head
- GE - PET Advance Nxi
- GE - Millenium MG
- GE - Millenium MPR
- GE - Myosight
- GE - VG Millenium (First Generation)
- GE - VG Hawkeye (Prototype)
- GE - Infinia Hawkeye
- GE - Ventri
- Adac - Genesys
- SMV/GE- FX40 (Belonged in a museum)
Credentials
- Bachelor of Science in Radiologic Technology - 2002
- Certified Nuclear Medicine Technologist - 2002
- Nuclear Cardiac Technologist - 2006
Memberships
- American Society of Nuclear Cardiology
- Society of Nuclear Medicine
Research
- ASPECT Trial: Apadenoson - 2011-2012
Current Interests Within Nuclear Medicine
- UltraSPECT
- GE 530c
- Nuclear Cardiology Protocol Enhancements
- OSEM/MLEM Filtering Techniques
- A2A Receptor Agonists
- Non-ubiquitous Cardiac Perfusion Agents
- PET-MRI
Hobbies
- Computer Hardware (Toms Hardware, HardOCP)
- Eclectic Music (e.g. Ambient, Folk/Rock, Underground Hip-Hop, Trip-Hop, Trance)
- Drumming (Zeldas Dead; The Thallium Stallions; The Jack Straws; Hyperspace)
- Audiophile/Videophile (http://avsforum.com)
- The Thallium Stallions - Southeastern Conference in Atlanta Fall 2007
Mentors
- James Patton Ph.D.
- William Martin, M.D.
- Dominique Delbeke, M.D., Ph.D.
- Jeff Clanton, M.S., DPh, BCNP
- Martin Sandler, M.D.
- Rita L. Warren, MPA, CNMT
- Dawn Shone, CNMT
- Allen Smith, Ph.D
Essential Links
- American Society of Nuclear Cardiology
- Nuclear Medicine Technology Certification Board
- Society Of Nuclear Medicine
- SNM South Eastern Chapter
- Georgia Rules And Regulations for Radioactive Materials
- ICANL
- Aunt MInnie
- GE Healthcare Nuclear Products
- Siemens Nuclear Products
- Phillips Nuclear Products
- CardiArc
- D-SPECT
- DISA Multi-Pinhole Tomography
- Mid-Atlantic Imaging
- Digirad
- Ultra-SPECT
- SPARC
- SynterMed
Educational Links
- ASNC Job Postings
- Harvards's PET/CT Atlas
- SNM Journal Search Engine
- ECG Learning Center
- MET Calculator
- Online Medical Encyclopedia
- ASNC's Nuclear Cardiac Procedure/Protocol Standards
- Let's Play PET
- Radiopharmaceutical List
- Library of Radiopharmaceutical Images
- Radioisotopes & Apllications
- Diagnostic Test & Procedures
- Clinical Surgical Folios (Vesalius)
- Pioneers of Nuclear Medicine
- How a Nuclear Reactor Works
- MIR Case Study Teaching Files
- Current Health Physics Topics
- MyPacs.net
- DOTmed Nuclear Equipment
Files
- ECToolbox Processing Tips
- Perfusion Territories Map
- WideBeam Reconstruction-Practicality - A presentation highlighting the many perks of UltraSPECT's WBR. Best viewed with Office 2007.
- 2008 AHS UltraSPECT Case Study - Presented at the 08' ASNC meeting in Boston
-
Atlanta Heart Specialist's WBR DGP Protocol & Stress Hierarchy
WBR Dual Gated MPI
" The LVEF at rest is one of the most important prognostic factors in chronic CAD and is inversely associated with mortality. The LVEF with exercise similarly provides strong prognostic information. A drop in LVEF with stress is associated with severe CAD and predicts poor outcome at 2 to 5 years.......The presence of regional wall motion abnormalities has been associated with high-grade stenosis and worse outcome. Thus, there is benefit to performing gated SPECT imaging for both rest and stress studies." - Nuclear Cardiology: Practical Applications - Gary V. Heller, Robert C. Hendel
Abnormal study which was performed with a Dual Gated Protocol w/UltraSPECT
on a ECToolbox licensed Xeleris workstation
Wide Beam Reconstruction
" In conclusion, as a result of incorporation of resolution recovery with OSEM and the additional implementation of noise reduction with WBR, these new methods afford gated myocardial perfusion SPECT functional image quality with half-time acquisitions equivalent to, or possibly superior to, that achieved with full-time acquisitions processed with FBP. Image quality with WBR is superior, facilitating recognition of wall motion abnormalities in patients with SPECT perfusion defects. " - Journal of Nuclear Cardiology: Volume 15 #4- Dr.Gordon DePuey
*Conventional Imaging
Rest Emission = 23 seconds/frame = 14 minutes 38 seconds
Stress Emission= 20 seconds/frame = 12 minutes 50 seconds
Total Imaging Time = 27 minutes 28 seconds
*Xpress 'Half-Time' UltraSPECT
Rest Emission = 15 seconds/frame = 9 minutes 50 seconds
Stress Emission= 10 seconds/frame = 6 minutes 50 seconds
Total Imaging Time = 16 minutes 40 seconds
*Xpress3 'Quarter Time' UltraSPECT
Rest Emission = 6 seconds/frame = 4 minutes 26 seconds
Stress Emission= 4 seconds/frame = 3 minutes 14 seconds
Total Imaging Time = 7 minutes 40 seconds
*Imaging Times Displayed are for Dual-Headed Gamma Cameras
Recommended Nomenclature
- E. Gordon DePuey (Author), Ernest V Garcia (Author), Daniel S Berman (Author)
- Frans J. T. Wackers (Author), Wendy Bruni (Author), Barry L. Zaret (Author)
- Elias H. Botvinick (Author)
- Vasken Dilsizian (Editor), Jagat Narula (Editor)
- Vasken Dilsizian (Editor), Jagat Narula (Editor)
- Elpida S. Crawford (Author), Syed Husain (Author)
- John A. Brose (Author), John C. Auseon (Author), Daniel Waksman (Author), Michael J. Jarosick (Author)
- Tomas B. Garcia
-
Joel Fuhrman
- T. Colin Campbell (Author)