Accuracy of left ventricular ejection fraction determined by gated myocardial perfusion SPECT with Tl-201 and Tc-99m sestamibi: Comparison with first-pass radionuclide angiography

Background. We compared estimates of left ventricular ejection fraction (LVEF) assessed by gated single photon emission computed tomography (SPECT), using both technetium-99m sestamibi and thallium-201, with those obtained by first-pass radionuclide angiography (FPRNA) in patients with a broad spect...

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Veröffentlicht in:Journal of nuclear cardiology 1999-07, Vol.6 (4), p.412-417
Hauptverfasser: Zuo-Xiang, HE, Eduardo, Cwajg, Preslar, Janice S., Mahmarian, John J., Verani, Mario S.
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container_issue 4
container_start_page 412
container_title Journal of nuclear cardiology
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creator Zuo-Xiang, HE
Eduardo, Cwajg
Preslar, Janice S.
Mahmarian, John J.
Verani, Mario S.
description Background. We compared estimates of left ventricular ejection fraction (LVEF) assessed by gated single photon emission computed tomography (SPECT), using both technetium-99m sestamibi and thallium-201, with those obtained by first-pass radionuclide angiography (FPRNA) in patients with a broad spectrum of LVEF and perfusion abnormalities. Methods. Sixty-three patients were randomly selected to undergo a dual isotope gated SPECT study (rest Tl-201 followed by adenosine Tc-99m sestamibi scintigraphy). Studies were processed by use of the Cedars quantitative gated SPECT software. FPRNA was acquired during an intravenous bolus injection of Tc-99m sestamibi and processed with a commercially available software. Results. The estimates of LVEF were similar ( P = NS) with Tl-201 gated SPECT (54% ± 15%), Tc-99m gated SPECT (54% ± 16%), and FPRNA (54% ± 12%). There was an excellent correlation between Tc-99m and Tl-201 gated SPECT (Pearson's r = 0.92, P
doi_str_mv 10.1016/S1071-3581(99)90007-7
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We compared estimates of left ventricular ejection fraction (LVEF) assessed by gated single photon emission computed tomography (SPECT), using both technetium-99m sestamibi and thallium-201, with those obtained by first-pass radionuclide angiography (FPRNA) in patients with a broad spectrum of LVEF and perfusion abnormalities. Methods. Sixty-three patients were randomly selected to undergo a dual isotope gated SPECT study (rest Tl-201 followed by adenosine Tc-99m sestamibi scintigraphy). Studies were processed by use of the Cedars quantitative gated SPECT software. FPRNA was acquired during an intravenous bolus injection of Tc-99m sestamibi and processed with a commercially available software. Results. The estimates of LVEF were similar ( P = NS) with Tl-201 gated SPECT (54% ± 15%), Tc-99m gated SPECT (54% ± 16%), and FPRNA (54% ± 12%). There was an excellent correlation between Tc-99m and Tl-201 gated SPECT (Pearson's r = 0.92, P <.0001). There were also good linear correlations between Tc-99m sestamibi gated SPECT and FPRNA (Pearson's r = 0.85, P <.0001), as well as between Tl-201 gated SPECT and FPRNA (Pearson's r = 0.84, P < .0001). In the 16 patients with LVEF < 50%, Tc-99m sestamibi gated SPECT and FPRNA (Pearson's r = 0.84, P < .0001) and Tl-201 gated SPECT and FPRNA (Pearson's r = 0.92, P < .0001) correlated well. Conclusion. LVEF can be accurately assessed by gated SPECT with either Tc-99m sestamibi or Tl-201 in properly selected patients with normal or depressed left ventricular function.]]></description><identifier>ISSN: 1071-3581</identifier><identifier>EISSN: 1532-6551</identifier><identifier>DOI: 10.1016/S1071-3581(99)90007-7</identifier><identifier>PMID: 10461608</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accuracy ; Adenosine ; Aged ; Female ; first-pass radionuclide angiography ; Gated SPECT ; Heart - diagnostic imaging ; Heart attacks ; Heart failure ; Humans ; LVEF ; Male ; Medical imaging ; Myocardial Ischemia - diagnostic imaging ; Random Allocation ; Stroke Volume - physiology ; Tc-99m sestamibi ; Technetium Tc 99m Sestamibi ; Thallium Radioisotopes ; Tomography, Emission-Computed, Single-Photon ; Ventricular Function, Left - physiology ; Ventriculography, First-Pass</subject><ispartof>Journal of nuclear cardiology, 1999-07, Vol.6 (4), p.412-417</ispartof><rights>1999</rights><rights>American Society of Nuclear Cardiology 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c388t-cf68b998863095680738ecd747486cca4ba7f070966b6377a737f59a8f886d43</citedby><cites>FETCH-LOGICAL-c388t-cf68b998863095680738ecd747486cca4ba7f070966b6377a737f59a8f886d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10461608$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zuo-Xiang, HE</creatorcontrib><creatorcontrib>Eduardo, Cwajg</creatorcontrib><creatorcontrib>Preslar, Janice S.</creatorcontrib><creatorcontrib>Mahmarian, John J.</creatorcontrib><creatorcontrib>Verani, Mario S.</creatorcontrib><title>Accuracy of left ventricular ejection fraction determined by gated myocardial perfusion SPECT with Tl-201 and Tc-99m sestamibi: Comparison with first-pass radionuclide angiography</title><title>Journal of nuclear cardiology</title><addtitle>J Nucl Cardiol</addtitle><description><![CDATA[Background. We compared estimates of left ventricular ejection fraction (LVEF) assessed by gated single photon emission computed tomography (SPECT), using both technetium-99m sestamibi and thallium-201, with those obtained by first-pass radionuclide angiography (FPRNA) in patients with a broad spectrum of LVEF and perfusion abnormalities. Methods. Sixty-three patients were randomly selected to undergo a dual isotope gated SPECT study (rest Tl-201 followed by adenosine Tc-99m sestamibi scintigraphy). Studies were processed by use of the Cedars quantitative gated SPECT software. FPRNA was acquired during an intravenous bolus injection of Tc-99m sestamibi and processed with a commercially available software. Results. The estimates of LVEF were similar ( P = NS) with Tl-201 gated SPECT (54% ± 15%), Tc-99m gated SPECT (54% ± 16%), and FPRNA (54% ± 12%). There was an excellent correlation between Tc-99m and Tl-201 gated SPECT (Pearson's r = 0.92, P <.0001). There were also good linear correlations between Tc-99m sestamibi gated SPECT and FPRNA (Pearson's r = 0.85, P <.0001), as well as between Tl-201 gated SPECT and FPRNA (Pearson's r = 0.84, P < .0001). In the 16 patients with LVEF < 50%, Tc-99m sestamibi gated SPECT and FPRNA (Pearson's r = 0.84, P < .0001) and Tl-201 gated SPECT and FPRNA (Pearson's r = 0.92, P < .0001) correlated well. Conclusion. LVEF can be accurately assessed by gated SPECT with either Tc-99m sestamibi or Tl-201 in properly selected patients with normal or depressed left ventricular function.]]></description><subject>Accuracy</subject><subject>Adenosine</subject><subject>Aged</subject><subject>Female</subject><subject>first-pass radionuclide angiography</subject><subject>Gated SPECT</subject><subject>Heart - diagnostic imaging</subject><subject>Heart attacks</subject><subject>Heart failure</subject><subject>Humans</subject><subject>LVEF</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Myocardial Ischemia - diagnostic imaging</subject><subject>Random Allocation</subject><subject>Stroke Volume - physiology</subject><subject>Tc-99m sestamibi</subject><subject>Technetium Tc 99m Sestamibi</subject><subject>Thallium Radioisotopes</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><subject>Ventricular Function, Left - physiology</subject><subject>Ventriculography, First-Pass</subject><issn>1071-3581</issn><issn>1532-6551</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkctu1DAUhiMEou3AI4AsFqgsAvY4vpxuUDUqF6kSSJ295fgy9SiJg50U5bl4QTwzRUJsWPksvv_30fmq6hXB7wkm_MMdwYLUlElyCfAOMMaiFk-qc8LouuaMkadl_oOcVRc57wsDFOB5dUZwwwnH8rz6dW3MnLRZUPSoc35CD26YUjBzpxNye2emEAfkC3IcrJtc6sPgLGoXtNNTGfolGp1s0B0aXfJzPoB33282W_QzTPdo29VrTJAeLNqaGqBH2eVJ96ENV2gT-1GnkEvkCPuQ8lSPOmeUtC1Ns-mCdSW9C3GX9Hi_vKieed1l9_LxXVXbTzfbzZf69tvnr5vr29pQKafaeC5bACk5xcC4xIJKZ6xoRCO5MbpptfBYYOC85VQILajwDLT0JWIbuqrenmrHFH_MZWPVh2xc1-nBxTkrDgBrxqCAb_4B93FOQ1lNCdowgIYd2tgJMinmnJxXYwq9TosiWB2MqqNRddClANTRaMmvqteP5XPbO_tX6qSwAB9PgCuneAguqWyCG4yzIRV7ysbwny9-Ayj0siU</recordid><startdate>19990701</startdate><enddate>19990701</enddate><creator>Zuo-Xiang, HE</creator><creator>Eduardo, Cwajg</creator><creator>Preslar, Janice S.</creator><creator>Mahmarian, John J.</creator><creator>Verani, Mario S.</creator><general>Elsevier Inc</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>19990701</creationdate><title>Accuracy of left ventricular ejection fraction determined by gated myocardial perfusion SPECT with Tl-201 and Tc-99m sestamibi: Comparison with first-pass radionuclide angiography</title><author>Zuo-Xiang, HE ; 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Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nuclear cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zuo-Xiang, HE</au><au>Eduardo, Cwajg</au><au>Preslar, Janice S.</au><au>Mahmarian, John J.</au><au>Verani, Mario S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of left ventricular ejection fraction determined by gated myocardial perfusion SPECT with Tl-201 and Tc-99m sestamibi: Comparison with first-pass radionuclide angiography</atitle><jtitle>Journal of nuclear cardiology</jtitle><addtitle>J Nucl Cardiol</addtitle><date>1999-07-01</date><risdate>1999</risdate><volume>6</volume><issue>4</issue><spage>412</spage><epage>417</epage><pages>412-417</pages><issn>1071-3581</issn><eissn>1532-6551</eissn><abstract><![CDATA[Background. We compared estimates of left ventricular ejection fraction (LVEF) assessed by gated single photon emission computed tomography (SPECT), using both technetium-99m sestamibi and thallium-201, with those obtained by first-pass radionuclide angiography (FPRNA) in patients with a broad spectrum of LVEF and perfusion abnormalities. Methods. Sixty-three patients were randomly selected to undergo a dual isotope gated SPECT study (rest Tl-201 followed by adenosine Tc-99m sestamibi scintigraphy). Studies were processed by use of the Cedars quantitative gated SPECT software. FPRNA was acquired during an intravenous bolus injection of Tc-99m sestamibi and processed with a commercially available software. Results. The estimates of LVEF were similar ( P = NS) with Tl-201 gated SPECT (54% ± 15%), Tc-99m gated SPECT (54% ± 16%), and FPRNA (54% ± 12%). There was an excellent correlation between Tc-99m and Tl-201 gated SPECT (Pearson's r = 0.92, P <.0001). There were also good linear correlations between Tc-99m sestamibi gated SPECT and FPRNA (Pearson's r = 0.85, P <.0001), as well as between Tl-201 gated SPECT and FPRNA (Pearson's r = 0.84, P < .0001). In the 16 patients with LVEF < 50%, Tc-99m sestamibi gated SPECT and FPRNA (Pearson's r = 0.84, P < .0001) and Tl-201 gated SPECT and FPRNA (Pearson's r = 0.92, P < .0001) correlated well. Conclusion. LVEF can be accurately assessed by gated SPECT with either Tc-99m sestamibi or Tl-201 in properly selected patients with normal or depressed left ventricular function.]]></abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>10461608</pmid><doi>10.1016/S1071-3581(99)90007-7</doi><tpages>6</tpages></addata></record>
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subjects Accuracy
Adenosine
Aged
Female
first-pass radionuclide angiography
Gated SPECT
Heart - diagnostic imaging
Heart attacks
Heart failure
Humans
LVEF
Male
Medical imaging
Myocardial Ischemia - diagnostic imaging
Random Allocation
Stroke Volume - physiology
Tc-99m sestamibi
Technetium Tc 99m Sestamibi
Thallium Radioisotopes
Tomography, Emission-Computed, Single-Photon
Ventricular Function, Left - physiology
Ventriculography, First-Pass
title Accuracy of left ventricular ejection fraction determined by gated myocardial perfusion SPECT with Tl-201 and Tc-99m sestamibi: Comparison with first-pass radionuclide angiography
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