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Day 2⃣ Hybrid Imaging Workshop ASNC Society Exploring mediastinal findings 🔎 Key considerations: ✅ Size ✅ Location ✅ Appearance ✅ Density (HU) – helpful for further assessment! #CVNuc Attila Feher, MD, PhD Tim Bateman Andrew Crean Mouaz Al-Mallah, M.D MSc

Day 2⃣ Hybrid Imaging Workshop ASNC Society 🔎Discussing incidental abdominal findings on PET/CT 👉Hepatic steatosis ▶️ Liver attenuation < 40 HU ▶️Liver density lower than spleen 👉Gallstone 👉Hiatal Hernia 👉Bochdalek Hernia Ayaz Aghayev Mouaz Al-Mallah, M.D MSc #CVNuc

Day 3️⃣ Hybrid Imaging Virtual Workshop ASNC Society Mouaz Al-Mallah, M.D MSc 3rd session: Identifying Unknown Cases 2 Edward Hulten Andrew Crean #CVNuc #CardioTwitter #Radiology #HybridImaging

Day 3⃣ Wrapping up the Hybrid Imaging Workshop! ASNC Society 🔎 The right window makes all the difference for detecting incidental findings! 👉 Bone session: Symmetry is key! ▶️ Posterior left rib fracture ▶️ Vertebral compression fracture #CVNuc Mouaz Al-Mallah, M.D MSc Andrew Crean

Presenting a case highlighting the importance of checking for incidental findings in nuclear #Hybrid_Imaging. At ASNC Society FIT Show-a-case Grateful to Mouaz Al-Mallah, M.D MSc for his invaluable mentorship. #CVNuc

If you are in Chicago at #ACC25 stop by these presentations from our team. Maria Alwan Ahmad El Yaman ahmed ibrahim ahmed Ahmed Sayed Asim Shaikh WilliamZoghbi Houston Methodist

The Growth of Multimodality Cardiac Imagers in the US, 2013-2022 - a simultaneous publication with #ACC25 ahajournals.org/doi/10.1161/CI… #AHAJournals Kaz Negishi@Cardiologist/ Heart Mafia Ahmed Sayed Mouaz Al-Mallah, M.D MSc WilliamZoghbi

Wrapped up an incredible #ACC2025! Honored to present two posters about CMR and CCT readers. Grateful for Mouaz Al-Mallah, M.D MSc mentorship and support! Glad to share this experience with an amazing team! Maria Alwan Ahmed Sayed Asim Shaikh American College of Cardiology Houston Methodist CV

Wrapping up #ACC25 with posters on: 1️⃣ Women’s underrepresentation in cardiac imaging 2️⃣ Role of AC & prone imaging in SPECT MPI Grateful for the unwavering support of Dr. Mouaz Al-Mallah, M.D MSc Huge shoutout to the amazing team Asim Shaikh Ahmed Sayed Ahmad El Yaman Houston Methodist CV

What a wonderful time presenting at #ACC25. -No difference in outcomes btw Stress Only Spect Imaging V Stress/Rest Imaging if first scan is normal. Thankful to my mentor Mouaz Al-Mallah, M.D MSc for the constant support and guidance, and my team alwan maria Ahmad El Yaman Ahmed Sayed

PET-derived global MFR is inversely associated with subsequent cardiovascular outcomes in all BMI categories Mouaz Al-Mallah, M.D MSc Houston Methodist MD Houston Methodist CV Read now👉bit.ly/4lBHcFq #cvnuc

1/ 🧵Normal F-18 Flurpiridaz PET: Key Features 🟢 Thinner, well-defined LV myocardium 🟢 Homogeneous count distribution ± subtle defects 🟢 Papillary muscles often visible (rest > stress) 🟢 Anatomical apical thinning common 🟢 RV uptake often present #CVNuc ASNC Society

For ASNC Society PET Workshop: James Chase & Mouaz Al-Mallah (Mouaz Al-Mallah, M.D MSc) compared Rb-82 & Flurpiridaz for myocardial perfusion. Flurpiridaz shines with ~94% extraction fraction & better image resolution, promising enhanced cardiac PET imaging. #CvNuc #ThinkPET #Flurpiridaz

💡Flurpiridaz PET From ASNC Society PET Workshop: Start the scanner before injecting the 2nd dose to capture residual activity. ✅Enables residual subtraction → accurate MBF Left: No subtraction = overestimated MBF Right: With subtraction = true MBF Mouaz Al-Mallah, M.D MSc Edward Miller, MD PhD

💡True apical defect or apical thinning? Check reversibility: • Reversible➡️ischemia • Fixed➡️check gated images – Preserved apical contraction→ thinning – Defect resolves with myocardial thickening in ES→ thinning ⬅️Thinning |True defect➡️ ASNC Society Mouaz Al-Mallah, M.D MSc Edward Miller, MD PhD

From ASNC Society PET workshop: Always check defect zones 👀 LCX global flow looks normal — no ischemia at first glance But regional perfusion & iMFR show a focal defect in LCX 👉 Global flow can miss focal ischemia Parthiban Arumugam Dennis Calnon Mouaz Al-Mallah, M.D MSc Edward Miller, MD PhD

From ASNC Society PET Workshop: 🧪 Flurpiridaz PET ✅ Always check registration for accurate interpretation! Mouaz Al-Mallah, M.D MSc Edward Miller, MD PhD #CV_nuc