The nuclear medical perfusion imaging through coronary SPECT (Single Photone Emission Computer Tomography) displays sensitive stress-dependent perfusion dysfunctions, and in the new EBM, it is also included to be covered by health insurance. It is a mild, convincing and cost-effective examination technique. In the case of diagnosing a relevant perfusion dysfunction, there is a need to further clarify: Stenosis, where an intervention is necessary, or conservative treatment of a circulatory disorder.
The elimination of a haemodynamically relevant coronary stenosis is accomplished with a high solution non-invasive cardiac CT with a sensitivity of 97-99%. This allows for the supplement of an invasive or non-invasive assessment of the cardiac vessels. Accordingly, those patients for whom an invasive treatment is necessary for therapeutic reasons have to be examined with the aid of a cardiac catheter.
By summarizing the evaluation of the heart SPECT and the cardiac CT, a significant diagnosis of the blood circulation of the cardiac muscle and the coronary vessels results.
A cardiac CT is not covered by the national health insurance. The total costs of a cardiac CT is approx. 550 Euros (all material expenses included).

Cardiac SPECT (rest and stress)
Indication: Suspected coronal cardiac disease, ischemia and scar diagnostics, atypical angina pectoris, discrepancy between complaints and ECG results, assessment of treatment course after coronary artery bypass and after PTCA (percutaneous transluminal coronary angioplasty)

Cardiac SPECT/CT
Indication: Follow-up diagnosis on suspicion of CHD (coronary heart disease) or conspicuous cardiac SPECT

Adrenal Medulla Scintigraphy
Indication: Diagnosis of the pheochromocytoma

Adrenocortical Scintigraphy
Indication: hyperaldosteronism, hypercortisolism, hyperandrogenism

RNV (Determination of the left ventricular global and regional ejection fraction)
Indication: Assessment of cardiac output and the ejection fraction as well as the left ventricular wall motion upon suspicion of left heart insufficiency