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Comparison of Tc-99m tetrofosmin myocardial perfusion scintigraphy and exercise F18-FDG imaging in detection of myocardial ischemia in patients with coronary artery disease

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Journal of Nuclear Cardiology Aims and scope

Abstract

Background

Direct ischemia imaging with F18-FDG can potentially overcome many limitations of SPECT-MPS inherent to “cold imaging”. We compared SPECT-MPS with exercise F18-FDG PET in detection of ischemia in patients with suspected CAD.

Methods

45 patients with clinical suspicion of CAD without the history of myocardial infarction were prospectively included. All patients underwent Tc-99m tetrofosmin SPECT-MPS and exercise F18-FDG PET imaging within 7 days of SPECT-MPS, and both modalities were compared with coronary angiography for detecting ischemia.

Results

27 patients had an abnormal coronary angiography (at least one coronary artery with stenosis >50%). Exercise F18-FDG performed better than SPECT-MPS in LAD and LCX territory with comparably good performance in RCA territory. Exercise F18-FDG performed better in single-vessel disease and equally good in multi-vessel disease compared to SPECT-MPS. Performance of exercise 18F-FDG study was significantly better than SPECT-MPS (P = .0014) in the analysis of the 81 vascular territories in the 27 patients with abnormal coronary angiography. Performance of exercise F18-FDG was significantly better than SPECT-MPS in detecting ischemia in suspected CAD patients.

Conclusion

Exercise F18-FDG imaging is a potentially useful ischemia imaging modality which offers the advantages of direct ischemia imaging in CAD patients.

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The authors have indicated that they have no financial conflict of interest.

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Authors and Affiliations

  1. Department of Nuclear Medicine & PET, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India

    Sasikumar Arun MBBS, MD, Bhagwant Rai Mittal MD, DNB & Anish Bhattacharya MBBS, DNB

  2. Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India

    Manoj Kumar Rohit MD, DM

Authors
  1. Sasikumar Arun MBBS, MD
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  2. Bhagwant Rai Mittal MD, DNB
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  3. Anish Bhattacharya MBBS, DNB
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  4. Manoj Kumar Rohit MD, DM
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Corresponding author

Correspondence to Bhagwant Rai Mittal MD, DNB.

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Arun, S., Mittal, B.R., Bhattacharya, A. et al. Comparison of Tc-99m tetrofosmin myocardial perfusion scintigraphy and exercise F18-FDG imaging in detection of myocardial ischemia in patients with coronary artery disease. J. Nucl. Cardiol. 22, 98–110 (2015). https://doi.org/10.1007/s12350-014-9954-9

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  • DOI: https://doi.org/10.1007/s12350-014-9954-9

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