Technetium99m sestamibi myocardial perfusion imaging predicts clinical outcome in the community outpatient setting

The expanding role of left ventricular functional assessment using gated myocardial perfusion SPECT: the supporting actor is stealing the scene

“…Therefore, the main task of imaging procedures is to help in defining patient prognosis, identifying those subjects at risk for adverse events, mainly cardiac death or nonfatal myocardial infarction. As regards prognostication, several studies have examined the role of gated myocardial perfusion SPECT [85][86][87][88][89][90][91][92][93][94]. In general, the functional parameters improve the predictive models.…”

The prognostic signifi cance of normal technetium-99m MIBI myocardial perfusion spect imaging over a four-year follow-up period

“…(37)(38)(39)(40) Of the 28 patients in our study group who had coronary angiography before the MIBI study, only 5 had signifi cant coronary artery disease, but no revascularisation procedures were performed. We are of the opinion that the small number of patients in this subset, as well as the subset of patients who had revascularisation performed prior to the MIBI study, is too small to allow any defi nitive conclusion to be drawn from the data.…”

“…Recently published reports have also demonstrated a good prognosis over even longer follow-up periods. (37)(38)(39)(40) The present study was performed to investigate the outcome in 209…”

“…(37)(38)(39)(40) Most of these studies reported their experience with all patients referred for myocardial perfusion imaging.…”

Refining risk in diabetes and CAD with SPECT MPI: New insights and future challenges

“…Has it underestimated the robust risk assessment afforded by routine contemporary techniques of nuclear cardiology, including ECG-gated post-stress LVEF and LV volume indices by gender, 28 transient ischemic dilation, 29 quantitative flow reserve by PET [30][31][32] or CZT SPECT now commercially available, I-123-MIBG, and TTR cardiac amyloid assessments with Tc-99 m pyrophosphate 33 in our aging population, and assessment of cardiac dyssynchrony with single injection SPECT MPI? 34 These techniques may provide substantial opportunities for incremental risk assessment in the growing worldwide epidemics of diabetes mellitus, ischemic heart disease, and heart failure.…”