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Current Cardiovascular Imaging Reports

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01.04.2019 | Cardiac Nuclear Imaging (A Cuocolo and M Petretta, Section Editors)

Choosing the Appropriate Stress Test for Myocardial Perfusion Imaging

verfasst von: Michael Chetrit, Beni R Verma, Bo Xu

Erschienen in: Current Cardiovascular Imaging Reports | Ausgabe 4/2019

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Abstract

Purpose of Review

Choosing the most appropriate test or protocol to ensure patient safety along with accurate and informative results can be challenging. The aim of this article is to review important considerations when choosing a nuclear stress perfusion study.

Recent Findings

Single-photon emission computed tomography (SPECT) has a sensitivity of 70% and a specificity of 78% for the diagnosis of coronary artery disease (CAD), and positron emission tomography (PET) has a sensitivity of 90% and specificity of 88%. The addition of either SPECT or PET to cardiac-gated computed tomography (CCTA) confers an increase in specificity when compared to CCTA alone, at the cost of a lower sensitivity.

Summary

SPECT sets itself aside because of its relative low cost and easy accessibility. PET has a superior diagnostic performance and lower radiation exposure, but is less available and relatively more expensive for most clinicians. When ordering a nuclear stress perfusion test, the type of protocol and radiotracers used should be tailored to achieve the best overall accuracy and prognostic assessment with the lowest radiation dose achievable.

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Titel: Choosing the Appropriate Stress Test for Myocardial Perfusion Imaging
verfasst von: Michael Chetrit
Beni R Verma
Bo Xu
Publikationsdatum: 01.04.2019
Verlag: Springer US
Erschienen in: Current Cardiovascular Imaging Reports / Ausgabe 4/2019
Print ISSN: 1941-9066
Elektronische ISSN: 1941-9074
DOI: https://doi.org/10.1007/s12410-019-9488-2

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Choosing the Appropriate Stress Test for Myocardial Perfusion Imaging

Abstract

Purpose of Review

Recent Findings

Summary

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