1. High-Speed Myocardial Perfusion Imaging
- Author
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Vitali Prochorov, Shlomo Ben-Haim, Dalia Dickman, Simona Ben-Haim, Konstantine Merzon, Daniel S. Berman, and Tali Sharir
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Image quality ,SSS ,Myocardial perfusion imaging ,Radiology Nuclear Medicine and imaging ,Spect imaging ,medicine ,Radiology, Nuclear Medicine and imaging ,Tomography ,Radiology ,Technetium Tc 99m Sestamibi ,Cardiology and Cardiovascular Medicine ,Nuclear medicine ,business ,Perfusion ,Emission computed tomography - Abstract
Objectives The purpose of this study was to compare myocardial perfusion imaging (MPI) with high-speed single-photon emission computed tomography (SPECT) with conventional SPECT imaging for the evaluation of myocardial perfusion in patients with known or suspected coronary artery disease. Background A novel technology has been developed for high-speed SPECT MPI by employing a bank of independently controlled detector columns with large-hole tungsten collimators and multiple cadmium zinc telluride crystal arrays. Methods A total of 44 patients (39 men) underwent same-day Tc-99m sestamibi stress/rest MPI. High-speed SPECT images were performed within 30 min after conventional SPECT. Stress and rest acquisition times were 16 and 12 min for conventional imaging and 4 and 2 min for high-speed SPECT, respectively. Myocardial counts/min (cpm) were calculated for both conventional SPECT and high-speed SPECT. Images were visually analyzed, and the summed stress score (SSS) and summed rest score (SRS) were calculated. Image quality and diagnostic confidence were qualitatively assessed. Results High-speed SPECT SSS and SRS correlated linearly with conventional SPECT respective scores (r = 0.93, p Conclusions High-speed SPECT provides fast MPI with high image quality and up to 8 times increased system sensitivity. The amount of perfusion abnormality visualized by high-speed SPECT is highly correlated to conventional SPECT, with an equivalent level of diagnostic confidence.
- Published
- 2008
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