SUPINE AND PRONE SPECT TC-99M MIBI MYOCARDIAL PERFUSION IMAGING FOR DIPYRIDAMOLE STUDIES

Citation
R. Lisbona et al., SUPINE AND PRONE SPECT TC-99M MIBI MYOCARDIAL PERFUSION IMAGING FOR DIPYRIDAMOLE STUDIES, Clinical nuclear medicine, 20(8), 1995, pp. 674-677
Citations number
9
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging
Journal title
ISSN journal
03639762
Volume
20
Issue
8
Year of publication
1995
Pages
674 - 677
Database
ISI
SICI code
0363-9762(1995)20:8<674:SAPSTM>2.0.ZU;2-Z
Abstract
Aartifactual inferior wall defects of perfusion are a source of freque nt concern during Tl-201 exercise stress redistribution SPECT imaging in the supine position. These artifactual changes also affect Tc-99m s estamibi dipyridamole myocardial perfusion studies with supine SPECT y ielding a specificity of only 58% for right coronary artery (RCA) dise ase. Complementary SPECT prone imaging will enhance this specificity f or inferior wall abnormalities to 79% (P < 0.05) and is recommended fo r more accurate assessment of RCA stenosis, whether the patient challe nge is pharmacological or by exercise.