Evaluation of myocardial perfusion and function by single photon emission computed tomography

Although planar radionuclide techniques provide accurate, noninvasive measurements of myocardial perfusion and function that are of proven clinical value in the evaluation of the cardiac patient, they are limited by poor object contrast and superimposition of surrounding structures. Due to incomplet...

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Veröffentlicht in:Semin. Nucl. Med.; (United States) 1987-07, Vol.17 (3), p.200-213
Hauptverfasser: Cerqueira, Manuel D., Harp, George D., Ritchie, James L.
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Harp, George D.
Ritchie, James L.
description Although planar radionuclide techniques provide accurate, noninvasive measurements of myocardial perfusion and function that are of proven clinical value in the evaluation of the cardiac patient, they are limited by poor object contrast and superimposition of surrounding structures. Due to incomplete angular sampling and significant longitudinal distortion, limited angle tomography did not solve these problems. Single photon emission computed tomography (SPECT) can acquire scintilation information over very small angles of rotation and, thus, improve both object contrast and delineation of overlying or adjacent structures without distortion. The early SPECT systems were cumbersome, dependent on individual user developed software, and had extremely long acquisition and processing time. Improved camera design, new software algorithms, and the use of array processors have simplified and standardized quality control, decreased processing time, and minimized the number of user interventions. New image display formats and quantitative methods of analysis have made interpretation less cumbersome, more reliable and highly reproducible. Cardiac SPECT has been used with thallium-201 and gated blood pool imaging in both research and clinical applications and shown an improvement over planar methods of acquisition.
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subjects 550601 - Medicine- Unsealed Radionuclides in Diagnostics
ALGORITHMS
BETA DECAY RADIOISOTOPES
Biological and medical sciences
BODY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
COMPUTERIZED TOMOGRAPHY
CONTROL
Coronary Disease - diagnostic imaging
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
DYNAMIC FUNCTION STUDIES
ELECTRON CAPTURE RADIOISOTOPES
EMISSION COMPUTED TOMOGRAPHY
HEART
Heart - diagnostic imaging
HEAVY NUCLEI
Humans
Investigative techniques, diagnostic techniques (general aspects)
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
MATHEMATICAL LOGIC
Medical sciences
MYOCARDIAL INFARCTION
Myocardial Infarction - diagnostic imaging
NUCLEI
ODD-EVEN NUCLEI
ORGANS
QUALITY CONTROL
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIOLOGY AND NUCLEAR MEDICINE
Radionuclide investigations
SCINTISCANNING
SECONDS LIVING RADIOISOTOPES
SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY
Software
Thallium
THALLIUM 201
THALLIUM ISOTOPES
TOMOGRAPHY
Tomography, Emission-Computed - instrumentation
Tomography, Emission-Computed - methods
title Evaluation of myocardial perfusion and function by single photon emission computed tomography
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