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08.10.2018 | Original Article

Agreement between left ventricular ejection fraction assessed in patients with gated IQ-SPECT and conventional imaging

Journal of Nuclear Cardiology
MD Lucia Leva, PhD Roberta Matheoud, MD Gianmauro Sacchetti, MD Alessandro Carriero, PhD Marco Brambilla
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The online version of this article (https://​doi.​org/​10.​1007/​s12350-018-1457-7) contains supplementary material, which is available to authorized users.
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The aim of the study was to assess the agreement between the left ventricular ejection fraction (LVEF) values obtained with IQ-SPECT and those obtained with a conventional gamma camera equipped with low-energy high-resolution (LEHR), considered as the method of reference.


Gated-stress MPI using 99mTc-tetrofosmin was performed in 55 consecutive patients. The patients underwent two sequential acquisitions (Method A and B) performed on Symbia-IQ SPECT with different acquisition times and one (Method C) on a Ecam SPECT equipped with LEHR collimators. The values of the different datasets were compared using the Bland-Altman analysis method: the bias and the limits of agreement (LA) were estimated in a head-to-head comparison of the three protocols.


In the (Method A-Method C) comparison for LVEF, the bias was 3.8% and the LAs ranged from − 9.3% to 16.8%. The agreement was still lower between Method B and C, whilst only slightly improved when Methods A and B were compared.


The wide amplitude in LA intervals of about 30% indicates that IQ and LEHR GSPECT are not interchangeable. The values obtained with IQ-SPECT should only be used with caution when evaluating the functional state of the heart.

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