Prognostic value of the cadmium-zinc-telluride camera: A comparison with a conventional (Anger) camera.
J Nucl Cardiol
; 23(6): 1280-1287, 2016 12.
Article
em En
| MEDLINE
| ID: mdl-26122879
ABSTRACT
BACKGROUND:
New multipinhole cadmium-zinc-telluride (CZT) cameras allow for faster imaging and lower radiation doses for single photon emission computed tomography (SPECT) studies, but assessment of prognostic ability is necessary. METHODS ANDRESULTS:
We collected data from all myocardial SPECT perfusion studies performed over 15 months at our institution, using either a CZT or conventional Anger camera. A Cox proportional hazards model was used to assess the relationship between camera type, imaging results, and either death or myocardial infarction (MI). Clinical variables including age, sex, body mass index (BMI), and historical risk factors were used for population description and model adjustments. We had 2,088 patients with a total of 69 deaths and 65 MIs (122 events altogether). A 3% increase in DDB (difference defect burden) represented a 12% increase in the risk of death or MI, whereas a 3% increase in rest defect burden or stress defect burden represented an 8% increase; these risks were the same for both cameras (P > .24, interaction tests).CONCLUSIONS:
The CZT camera has similar prognostic values for death and MI to conventional Anger cameras. This suggests that it may successfully be used to decrease patient dose.Palavras-chave
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Telúrio
/
Zinco
/
Cádmio
/
Câmaras gama
/
Tomografia Computadorizada de Emissão de Fóton Único
/
Imagem de Perfusão do Miocárdio
/
Infarto do Miocárdio
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article