UNLABELLED Cadmium zinc telluride (CZT) detectors with linear counting rate response enable count subtraction in sequential scanning. We evaluated whether count subtraction eliminated the need for higher activity doses in the second part of the 1-d stress-rest myocardial perfusion imaging (MPI) protocol. METHODS For 50 patients (mean age ± SD, 66 ± 12 y) with visually abnormal (n = 42) or equ...

Introduction: The main purpose of this study was to compare transient ischemic dilation (TID) ratios in SPECT-low dose CT and SPECT Myocardial Perfusion Imaging (MPI) by application of different quantitative programs and quantify the possible shift in the upper normal limits of TID ratio in the SPECT-CT MPI. Methods: 149 Patients with low pre-test probability for coronary artery disease (CAD),...

OBJECTIVES This study sought to describe a protocol for myocardial perfusion imaging using dipyridamole stress, with 128-slice dual-source computed tomography (CT), and to assess the ability of CT myocardial perfusion imaging (MPI) to detect abnormal flow reserve and infarction in comparison with nuclear MPI (NMPI). BACKGROUND CT MPI has not been previously described with the 128-slice dual-s...

BACKGROUND Myocardial perfusion imaging (MPI) has been used in the assessment of chagasic heart disease. OBJECTIVE To investigate the value of gated-single photon emission computed tomography (gated-SPECT) MPI to detect early cardiac involvement in chagasic patients in the indeterminate phase, who present segmental motion abnormalities detected by tissue Doppler imaging (TDI)-derived strain. ...

OBJECTIVES This investigation sought to study the incremental value of gated rubidium (Rb)-82 positron emission tomography (PET) myocardial perfusion imaging (MPI) over clinical variables for predicting survival and future cardiac events. BACKGROUND The prognostic value of Rb-82 PET-MPI and left ventricular ejection fraction (LVEF) reserve (stress minus rest LVEF) is not well defined. METHO...

A discrete MIBI avid lung lesion was found in cinematic views of myocardial perfusion imaging (MPI) of a 59 year-old woman. Interestingly, the abnormal uptake in the lung was detectable only in the rest phase images and not in the images acquired in the stress phase. MPI was performed for pre-operation cardiac risk assessment before correction surgery for spinal canal stenosis.  She had no...

AIM Using Coronary arteriogram as the gold standard, stress ECG (Treadmill Test - TMT) has a sensitivity of 68% and specificity (77%) for the detection of coronary artery disease (CAD). Stress myocardial perfusion imaging (MPI) with Tc-99m Sestamibi gated SPECT has a sensitivity of 85% and specificity of 90%. The aim of the study was to ascertain if the combined use of the two physiologic tests...

Introduction: Peripheral Vascular Disease (PVD) is a major cause of morbidity and is associated with Coronary Artery Disease (CAD). We aimed to perform Lower Limb Perfusion Scan (LLPS) in patients referred for Myocardial Perfusion Imaging (MPI) and estimate prevalence of PVD in subgroups with normal and abnormal MPI results. We also compared quantitative indices of LLPS in patients with and wit...

Phase analysis has been validated to measure left ventricular (LV) dyssynchrony from resting gated SPECT myocardial perfusion imaging (MPI). In 1-day rest/stress protocols, often only post-stress gated data are acquired. The purpose of this study was to determine whether LV dyssynchrony parameters measured at post-stress significantly differ from those measured at rest. Sixty normal subjects, 4...

We present a case of incidentally discovered congenitally corrected transposition of the great arteries (ccTGA), initially seen on stress-rest myocardial perfusion imaging (MPI). ccTGA has a characteristic appearance on MPI, which reflects the functional alterations associated with this condition.