background: we investigated whether the lungheart ratio parameter (lhr) can be used to identify the optimum cut off frequency for butterworth filter in 99mtc myocardial spect imaging. materials and methods: this study involved a cardiac phantom system consisting of cardiac insert in which 1.10 cm cold defect was inserted into its myocardium wall and filled with 4.0 μci/ml (0.148 mbq/ml) 99mtc c...