Comparison of contemporaneous left ventricular ejection fraction (LVEF) obtained from planar gated cardiac blood pool scans (GCBPS) and Tl-201 gated myocardial perfusion scans (MPS) using a novel solid state dedicated cardiac camera

There is limited data on the concordance of left ventricular ejection fraction (LVEF) obtained via solid state dedicated cardiac cameras (SSD) and gated cardiac blood pool scans (GCBPS). This study aimed to examine the agreement of LVEF measured during GCBPS and Tl-201 myocardial perfusion scans (MP...

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Veröffentlicht in:Journal of nuclear cardiology 2013-06, Vol.20 (3), p.367-374
Hauptverfasser: Yap, Kenneth S.K., Cherk, Martin, Van Every, Bruce, Bailey, Michael, Kelly, Michael J., Kalff, Victor
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container_issue 3
container_start_page 367
container_title Journal of nuclear cardiology
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creator Yap, Kenneth S.K.
Cherk, Martin
Van Every, Bruce
Bailey, Michael
Kelly, Michael J.
Kalff, Victor
description There is limited data on the concordance of left ventricular ejection fraction (LVEF) obtained via solid state dedicated cardiac cameras (SSD) and gated cardiac blood pool scans (GCBPS). This study aimed to examine the agreement of LVEF measured during GCBPS and Tl-201 myocardial perfusion scans (MPS) using SSD. Seventy six patients were enrolled. Following stress MPS with 0.8 Mbq/kg (0.022 mCi/kg) Tl-201 and 8-frame gated rest studies after additional 15 Mbq (0.41 mCi) Tl-201, LVEFs were obtained using ECToolbox (ECT) and quantitative gated SPECT (QGS) software. Same day 16-frame planar GCBPS were performed. Interobserver variability was compared and LVEF results were compared using paired t tests, Pearson’s correlation and the differences of the LVEF were plotted against GCBPS values. For GCBPS, ECT and QGS, the mean (±SD) LVEF was 52% ± 14%, 61% ± 18% and 48% ± 19%, respectively. When compared to GCBPS, ECT and QGS, LVEFs had similar R values of 0.85 and 0.83, respectively, and mean differences [95% limits of agreement (LA)] of −8.6% (−27.4% to +10.2%, P 
doi_str_mv 10.1007/s12350-013-9693-3
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Nucl. Cardiol</addtitle><addtitle>J Nucl Cardiol</addtitle><description>There is limited data on the concordance of left ventricular ejection fraction (LVEF) obtained via solid state dedicated cardiac cameras (SSD) and gated cardiac blood pool scans (GCBPS). This study aimed to examine the agreement of LVEF measured during GCBPS and Tl-201 myocardial perfusion scans (MPS) using SSD. Seventy six patients were enrolled. Following stress MPS with 0.8 Mbq/kg (0.022 mCi/kg) Tl-201 and 8-frame gated rest studies after additional 15 Mbq (0.41 mCi) Tl-201, LVEFs were obtained using ECToolbox (ECT) and quantitative gated SPECT (QGS) software. Same day 16-frame planar GCBPS were performed. Interobserver variability was compared and LVEF results were compared using paired t tests, Pearson’s correlation and the differences of the LVEF were plotted against GCBPS values. For GCBPS, ECT and QGS, the mean (±SD) LVEF was 52% ± 14%, 61% ± 18% and 48% ± 19%, respectively. 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Nucl. Cardiol</stitle><addtitle>J Nucl Cardiol</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>20</volume><issue>3</issue><spage>367</spage><epage>374</epage><pages>367-374</pages><issn>1071-3581</issn><eissn>1532-6551</eissn><abstract>There is limited data on the concordance of left ventricular ejection fraction (LVEF) obtained via solid state dedicated cardiac cameras (SSD) and gated cardiac blood pool scans (GCBPS). This study aimed to examine the agreement of LVEF measured during GCBPS and Tl-201 myocardial perfusion scans (MPS) using SSD. Seventy six patients were enrolled. Following stress MPS with 0.8 Mbq/kg (0.022 mCi/kg) Tl-201 and 8-frame gated rest studies after additional 15 Mbq (0.41 mCi) Tl-201, LVEFs were obtained using ECToolbox (ECT) and quantitative gated SPECT (QGS) software. Same day 16-frame planar GCBPS were performed. Interobserver variability was compared and LVEF results were compared using paired t tests, Pearson’s correlation and the differences of the LVEF were plotted against GCBPS values. For GCBPS, ECT and QGS, the mean (±SD) LVEF was 52% ± 14%, 61% ± 18% and 48% ± 19%, respectively. When compared to GCBPS, ECT and QGS, LVEFs had similar R values of 0.85 and 0.83, respectively, and mean differences [95% limits of agreement (LA)] of −8.6% (−27.4% to +10.2%, P &lt; .001) and 4.2% (−17.2% to +25.6%, P = .001), respectively. While the LVEF obtained by ECT or QGS demonstrates a statistically significant correlation with GCBPS, they are significantly different and the wide 95% LA suggest that Tl-201 MPS LVEFs derived from either software package are not interchangeable with GCBPS results.</abstract><cop>Boston</cop><pub>Elsevier Inc</pub><pmid>23443841</pmid><doi>10.1007/s12350-013-9693-3</doi><tpages>8</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Cardiology
Female
Gamma Cameras
gated blood pool imaging
Gated Blood-Pool Imaging - methods
Humans
Image Processing, Computer-Assisted
Imaging
left ventricular function
Male
Medicine
Medicine & Public Health
Middle Aged
Myocardial Perfusion Imaging - instrumentation
Myocardial Perfusion Imaging - methods
Nuclear Medicine
Observer Variation
Original Article
Prospective Studies
Radiographic Image Interpretation, Computer-Assisted
Radiology
radionuclide angiography
Reproducibility of Results
SPECT
Thallium Radioisotopes
thallium-201
Tomography, Emission-Computed, Single-Photon - methods
Ventricular Function, Left - physiology
title Comparison of contemporaneous left ventricular ejection fraction (LVEF) obtained from planar gated cardiac blood pool scans (GCBPS) and Tl-201 gated myocardial perfusion scans (MPS) using a novel solid state dedicated cardiac camera
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