Journal of Nuclear Cardiology

, Volume 25, Issue 6, pp 1980–1987 | Cite as

The role of nuclear medicine in assessments of cardiac dyssynchrony

  • Masanao Naya
  • Osamu Manabe
  • Kazuhiro Koyanagawa
  • Nagara Tamaki
Review Article


Radionuclide imaging has an advantage for quantitative analyses of the tracer concentration and its temporal changes. Myocardial perfusion and function have been adapted for synchrony analyses. Extracted parameters have been demonstrated to measure ventricular synchrony and even to predict CRT outcomes. ERNA has the advantages of higher temporal resolution, greater reproducibility, and the volumetric analysis of both ventricles that can be applied for analyses of intraventricular synchrony and interventricular synchrony. Several software packages such as Quantitative Gated SPECT, the Emory Cardiac Toolbox, cardioREPO, and Heart Function View are available to assess the LV dyssynchrony parameters from GSPECT. A count-based method is applied to extract the amplitude and phase from each of the reconstructed GSPECT short-axis datasets throughout the cardiac cycle and then subjected to a Fourier analysis, the results of which are displayed on a polar map and histogram. Some of the parameters such as the bandwidth (expressed as the 95% width of the phase histogram) and the standard deviation of the phase are obtained by the phase histogram to assess the intraventricular synchrony. This review paper focuses on the application of the LV dyssynchrony parameters estimated by cardiac SPECT in patients with a heart disease.


Nuclear medicine radionuclide imaging cardiac dyssynchrony cardiac imaging technology 



Cardiac magnetic resonance


Cardiac resynchronization therapy


Equilibrium radionuclide angiography


Gated perfusion single-photon emission computed tomography


Left ventricular



All authors have no conflicts of interest to disclose.

Supplementary material

12350_2017_1072_MOESM1_ESM.pptx (1.6 mb)
Supplementary material 1 (PPTX 1602 kb)


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Copyright information

© American Society of Nuclear Cardiology 2017

Authors and Affiliations

  • Masanao Naya
    • 1
  • Osamu Manabe
    • 2
  • Kazuhiro Koyanagawa
    • 1
  • Nagara Tamaki
    • 3
  1. 1.Department of Cardiovascular MedicineHokkaido University Graduate School of MedicineSapporoJapan
  2. 2.Department of Nuclear MedicineHokkaido University Graduate School of MedicineSapporoJapan
  3. 3.Department of RadiologyKyoto Prefectural University of MedicineKyotoJapan

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