Conclusions
The use of the rotating projection data is strongly encouraged. It is recommended that the planar image cine of all SPECT perfusion studies be reviewed on two occasions—once by the nuclear technologist immediately after the image acquisition for issues related to technical quality (ie, patient motion or excessive subdiaphragmatic activity) and again by the physician during the interpretive session1. Use of rotating projection data should increase recognition of potential artifacts and thus optimize test specificity. Therefore the number of falsepositive SPECT study results will be minimized, potentially reducing hospital costs and patient morbidity. Additionally, important noncardiac processes can be identified, providing further diagnostic information.
References
Garcia EV, editor. Imaging guidelines for nuclear cardiology procedures, Part 1. J Nucl Cardiol 1996;3:GG3–45.
Cooper JA, Neumann PH, McCandless BK. Effect of patient motion on tomographic myocardial perfusion imaging. J Nucl Med 1992;33:1566–71.
DePuey E. How to detect and avoid myocardial perfusion SPECT artifacts. J Nucl Med 1994;35:699–702.
DePuey EG, Garcia EV. Optimal specificity of thallium-201 SPECT through recognition of imaging artifacts. J Nucl Med 1989;30:441–9.
Botvinick EH, Zhu YY, O'Connell WJ, Dae MW. A quantitative assessment of patient motion and its effect on myocardial perfusion SPECT images. J Nucl Med 1993;34:303–10.
Prigent FM, Hyun M, Berman DS, Rozanski A. Effect of motion on thallium-201 SPECT studies: a simulation and clinical study. J Nucl Med 1993; 34:1845–50.
Friedman J, Van Train K, Maddahi J, Rozanski A, Prigent F, Bietendorf J et al. “Upward creep” of the heart: a frequent source of false-positive reversible defects during thallium-201 stress-redistribution SPECT. J Nucl Med 1989;30:1718–22.
Mester J, Weller R, Clausen M, et al. Upward creep of the heart in exercise thallium-201 single photon emission computed tomography: clinical relevance and a simple correction method. Eur J Nucl Med 1991;18:184–90.
Sorrell V, Figueroa B, Hansen CL. The “hurricane sign”: evidence of patient motion artifact on cardiac single-photon emission computed tomography. J Nucl Cardiol 1996;3:86–8.
Maniawski PJ, Morgan HT, Wackers FJTh. Orbit-related variation in spatial resolution as a source of artifactural defects in thallium-201 SPECT. J Nucl Med 1991;32:871–5.
Taillefer R, Roidoux A, Lambert R, et al. Technetium-99m sestamibi prone scintimammography to detect primary breast cancer and axillary lymph node involvement. J Nucl Med 1995;36:1758–65.
O'Connor M, Kelly B. Evaluation of techniques for the elimination of “hot” bladder artifacts in SPECT of the pelvis. J Nucl Med 1990;31:1872–5.
Germano G, Chua T, Kiat H, Areeda JS, Berman DS. A quantitative phantom analysis of artifacts due to hepatic activity in technetium-99m myocardial perfusion SPECT studies. J Nucl Med 1994;35:356–9.
Lakkis NM, He ZX, Verani MS. Diagnosis of coronary artery disease by exercise thallium-201 tomography in patients with a right ventricular pacemaker. J Am Coll Cardiol 1997;29:1221–5.
Akolun C, Bayhan H, Kir M. Clinical experience with Tc-99m-MIBI imaging in patients with malignant tumor preliminary results and comparison with Tl-201. Clin Nucl Med 1992;17:171–6.
Maffioli L, Steens J, Pauwels E, Bombardieri E. Applications of Tc-99m sestamibi in oncology. Tumori 1996;82:12–21.
Lind P, Gallowitsch HJ, Langsteger W, Kresnik E, Mikosch, Gomex I. Technetium-99m-tetrofosmin whole-body scintigraphy in the follow-up of differentiated thyroid carcinoma. J Nucl Med 1997;38:348–52.
DePuey EG, Rozanski A. Using gated technetium-99m-sestamibi SPECT to characterize fixed myocardial defects as infarct or artifact. J Nucl Med 1995;36:952–5.
Holly TA, Hendel RC. The prevalence of non-uniform soft tissue attenuation in myocardial SPECT perfusion imaging and the impact of gated SPECT [Abstract]. J Nucl Cardiol 1997;4:S103.
Manglos S, Thomas F, Gagne G, Hellwig B. Phantom study of breast tissue attenuation in myocardial imaging. J Nucl Med 1993;34:992–6.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hendel, R.C., Gibbons, R.J. & Bateman, T.M. Use of rotating (cine) planar projection images in the interpretation of a tomographic myocardial perfusion study. J Nucl Cardiol 6, 234–240 (1999). https://doi.org/10.1016/S1071-3581(99)90084-3
Issue Date:
DOI: https://doi.org/10.1016/S1071-3581(99)90084-3