Procedure Guideline for Myocardial Perfusion Imaging 3.3

Strauss, H. William; Miller, D. Douglas; Wittry, Mark D.; Cerqueira, Manuel D.; Garcia, Ernest; Iskandrian, A. S.; Schelbert, Heinrich R.; Wackers, Frans J. Th.; Balon, Helena; Lang, Otto; Macháč, Josef

doi:10.2967/jnmt.108.056465

Cited by 97 publications

(65 citation statements)

References 2 publications

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“…Data acquisition and reconstruction were performed according to the procedure guideline for myocardial perfusion imaging of the Society of Nuclear Medicine. 10 An expert panel of nuclear medicine physicians, blinded to the angiographic data, evaluated the scintigraphic images. The result was considered 'positive' when a reversible defect was allocated to the perfusion territory of the coronary artery of interest, as previously described.…”

Section: Methodsmentioning

confidence: 99%

Long-term prognostic value of CFVR and FFR versus perfusion scintigraphy in patients with multivessel disease

Chamuleau

Eck-Smit²,

Meuwissen³

et al. 2007

NHJL

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Objective. In this multicentre study, we investigated the long-term prognostic value of intracoronary derived haemodynamic parameters compared with the results of myocardial perfusion scintigraphy (MPS). Keywords: coronary artery disease, myocardial perfusion scintigraphy, coronary flow velocity reserve, fractional flow reserve, angioplasty, risk stratification A dequate patient selection for percutaneous transluminal coronary angioplasty (PTCA) is important in view of the potential procedural complications and the incidence of restenosis. Assessment of the functional significance of coronary lesions is mandatory, especially in intermediate coronary narrowings (40 to 70% diameter stenosis). Assessment can be performed noninvasively (using myocardial perfusion scintigraphy; MPS) 1 or invasively during cardiac catheterisation using intracoronary derived haemodynamic indices. 2 Previous validation studies have shown good agreement (80 to 90%) between these parameters and the results of noninvasive stress tests. [3][4][5] Previously, we reported the final results of the ILIAS (Intermediate Lesions: Intracoronary flow Assessment versus 99m Tc-MIBI SPECT) study with one-year clinical follow-up. 6 In this multicentre study, we directly compared the value of intracoronary derived coronary flow velocity reserve (CFVR) with myocardial perfusion scintigraphy in the context of clinical decision-making in patients with an intermediate lesion and multivessel coronary artery disease. We concluded that deferral of PTCA of intermediate lesions in multivessel disease is safe when the CFVR is ≥2.0 (event rate 6%); a threefold increase of cardiac events was observed when PTCA was deferred despite a CFVR <2.0. This selective evaluation of coronary lesion severity during cardiac catheterisation allows more accurate risk stratification than MPS, which is

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Section: Methodsmentioning

confidence: 99%

Long-term prognostic value of CFVR and FFR versus perfusion scintigraphy in patients with multivessel disease

Chamuleau

Eck-Smit²,

Meuwissen³

et al. 2007

NHJL

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“…Stress imaging was performed after at least 4-6 hours of fasting. Treadmill exercise was performed in all patients [16].…”

Section: Methodsmentioning

confidence: 99%

The Effects of Mineral Water Drinking and Extra-abdominal Pressure in Elimination of Attenuation Artifacts on Myocardial Perfusion SPECT

Bati¹,

Kekilli²,

Koksal³

et al. 2015

Med-Science

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“…Abnormal uptake of a radionuclide results in a "cold spot" on the image localizing areas of relatively reduced myocardial blood flow associated with ischemia or scar. The relative regional perfusion distribution can be assessed at rest, during cardiovascular stress, or both (Strauss, 2008). The differentiation of ischemic myocardium is made by comparing images obtained at the peak of maximal exercise or during pharmacological stress with those obtained at rest.…”

Section: Exercise Radionuclide Myocardial Perfusion Imaging (Rmpi)mentioning

confidence: 99%

Stress Testing and Its Role in Coronary Artery Disease

Sugumaran¹,

Poornima²

2012

Coronary Artery Disease - Current Concepts in Epidemiology, Pathophysiology, Diagnostics and Treatment

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Procedure Guideline for Myocardial Perfusion Imaging 3.3

Cited by 97 publications

References 2 publications

Long-term prognostic value of CFVR and FFR versus perfusion scintigraphy in patients with multivessel disease

Long-term prognostic value of CFVR and FFR versus perfusion scintigraphy in patients with multivessel disease

The Effects of Mineral Water Drinking and Extra-abdominal Pressure in Elimination of Attenuation Artifacts on Myocardial Perfusion SPECT

Stress Testing and Its Role in Coronary Artery Disease

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