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Comparison of simultaneous and sequential SPECT imaging for discrimination tasks in assessment of cardiac defects

Identifieur interne : 000476 ( Main/Exploration ); précédent : 000475; suivant : 000477

Comparison of simultaneous and sequential SPECT imaging for discrimination tasks in assessment of cardiac defects

Auteurs : C M Trott [États-Unis] ; J. Ouyang [États-Unis] ; G El Fakhri [États-Unis]

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RBID : ISTEX:F6CED38D025BE5D34354DE4E151F6A4ACD3B6655

Abstract

Simultaneous rest perfusion/fatty-acid metabolism studies have the potential to replace sequential rest/stress perfusion studies for the assessment of cardiac function. Simultaneous acquisition has the benefits of increased signal and lack of need for patient stress, but is complicated by cross-talk between the two radionuclide signals. We consider a simultaneous rest 99mTc-sestamibi/123I-BMIPP imaging protocol in place of the commonly used sequential rest/stress 99mTc-sestamibi protocol. The theoretical precision with which the severity of a cardiac defect and the transmural extent of infarct can be measured is computed for simultaneous and sequential SPECT imaging, and their performance is compared for discriminating (1) degrees of defect severity and (2) sub-endocardial from transmural defects. We consider cardiac infarcts for which reduced perfusion and metabolism are observed. From an information perspective, simultaneous imaging is found to yield comparable or improved performance compared with sequential imaging for discriminating both severity of defect and transmural extent of infarct, for three defects of differing location and size.

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