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Optimal 99mTc activity ratio in the single-day stress-rest myocardial perfusion imaging protocol: A multi-SPECT phantom study.


ABSTRACT:

Background

This investigation used image data generated by an anthropomorphic phantom to determine the minimal 99mTc rest-stress activity concentration ratio (R) able to minimize the ghosting effect in the single-day stress-first myocardial perfusion imaging, using different positions of the perfusion defect (PD), scanners and reconstruction protocols.

Methods

A cardiac phantom with a simulated PD was imaged under different R using different gamma cameras and reconstruction algorithms. The residual activity from precedent stress administration was simulated by modeling effective half-times in each compartment of the phantom and assuming a delay of 3 hours between the stress and rest studies. The net contrast (NC) of the PD in the rest study was assessed for different R, PD positions and scanner/software combinations. The optimal R will be the one that minimize the NC in the rest images RESULTS: The activity concentration ratio R, the position of the PD and the scanner/software combinations were all main effects with a statistically significant impact on the NC, in decreasing order of relevance. The NC diminished significantly only for R values up to 2. No further improvement was observed for NC for R values above 2 and up to 3. NC was significantly higher in anteroseptal than in posterolateral positions of the PD and higher for solid-state cameras.

Conclusions

A rest-stress activity concentration ratio R of 2 in single-day stress-first myocardial perfusion imaging is enough to achieve the maximum net contrast in the PD. This ratio should be used to optimize patient's radiation exposure.

SUBMITTER: Zoccarato O 

PROVIDER: S-EPMC7384561 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Publications

Optimal <sup>99m</sup>Tc activity ratio in the single-day stress-rest myocardial perfusion imaging protocol: A multi-SPECT phantom study.

Zoccarato Orazio O   Matheoud Roberta R   Lecchi Michela M   Scabbio Camilla C   Claudio Marcassa M   Brambilla Marco M  

Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology 20200727 1


<h4>Background</h4>This investigation used image data generated by an anthropomorphic phantom to determine the minimal <sup>99m</sup>Tc rest-stress activity concentration ratio (R) able to minimize the ghosting effect in the single-day stress-first myocardial perfusion imaging, using different positions of the perfusion defect (PD), scanners and reconstruction protocols.<h4>Methods</h4>A cardiac phantom with a simulated PD was imaged under different R using different gamma cameras and reconstruc  ...[more]

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