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Complementary role of computed tomography angiography with fixed perfusion defects on SPECT myocardial perfusion imaging.
Abazid, Rami M; Sallam, Yasmine T; Romsa, Jonathan G; Warrington, James C; Akincioglu, Cigdem; De, Sabe; Tzemos, Nikolaos; Vezina, William C.
Afiliação
  • Abazid RM; Division of Nuclear Medicine, Section of Cardiac Hybrid Imaging, Victoria Hospital, London Health Sciences Centre, 800 Commissioners Road East, PO Box 5010, London, ON, N6A 5W9, Canada. ramiabazid@yahoo.com.
  • Sallam YT; Division of Medical Imaging, Northern Ontario School of Medicine, Sudbury, ON, Canada.
  • Romsa JG; Division of Nuclear Medicine, Section of Cardiac Hybrid Imaging, Victoria Hospital, London Health Sciences Centre, 800 Commissioners Road East, PO Box 5010, London, ON, N6A 5W9, Canada.
  • Warrington JC; Division of Nuclear Medicine, Section of Cardiac Hybrid Imaging, Victoria Hospital, London Health Sciences Centre, 800 Commissioners Road East, PO Box 5010, London, ON, N6A 5W9, Canada.
  • Akincioglu C; Division of Nuclear Medicine, Section of Cardiac Hybrid Imaging, Victoria Hospital, London Health Sciences Centre, 800 Commissioners Road East, PO Box 5010, London, ON, N6A 5W9, Canada.
  • De S; Division of Cardiology, Department of Medicine, London Health Sciences Centre, London, ON, Canada.
  • Tzemos N; Division of Cardiology, Department of Medicine, London Health Sciences Centre, London, ON, Canada.
  • Vezina WC; Division of Nuclear Medicine, Section of Cardiac Hybrid Imaging, Victoria Hospital, London Health Sciences Centre, 800 Commissioners Road East, PO Box 5010, London, ON, N6A 5W9, Canada.
Eur J Hybrid Imaging ; 6(1): 3, 2022 Feb 01.
Article em En | MEDLINE | ID: mdl-35102472
ABSTRACT

PURPOSE:

We present this case series exploring the complementary role of coronary computed tomography angiography (CCTA) to SPECT myocardial perfusion imaging (MPI) in the detection of myocardial necrosis.

METHODS:

A cardiac hybrid imaging database search identified 144 patients with a previous history of ST-segment elevation myocardial infarction treated with coronary revascularization. CCTA and MPI scans were evaluated to determine whether CCTA had an added value to MPI in detecting myocardial necrosis.

RESULTS:

Five patients with patent stents and/or bypass grafts and both fixed perfusion defects on MPI and sub-endocardial hypo-perfusion on CCTA were identified. The extent and location of the perfusion defects were closely correlated between the CCTA and SPECT MPI images.

CONCLUSION:

In this series, CCTA and SPECT MPI were found to play a complementary role in the assessment of fixed perfusion defect, with CCTA adding specificity to the diagnosis of myocardial necrosis.
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Texto completo: 1 Bases de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: Eur J Hybrid Imaging Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Canadá

Texto completo: 1 Bases de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: Eur J Hybrid Imaging Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Canadá