Validation of Automated Quantification of Myocardial Perfusion Single-Photon Emission Computed Tomography Using Heart Score View in Patients With Known or Suspected Coronary Artery Disease

Toshitaka Iwasaki; Satoshi Kurisu; Nobukazu Abe; Megumi Tamura; Noriaki Watanabe; Hiroki Ikenaga; Takashi Shimonaga; Tadanao Higaki; Ken Ishibashi; Naoya Mitsuba; Yoshihiro Dohi; Yasuki Kihara

doi:10.1536/ihj.13-313

Clinical Studies

Validation of Automated Quantification of Myocardial Perfusion Single-Photon Emission Computed Tomography Using Heart Score View in Patients With Known or Suspected Coronary Artery Disease

Toshitaka Iwasaki, Satoshi Kurisu, Nobukazu Abe, Megumi Tamura, Noriaki Watanabe, Hiroki Ikenaga, Takashi Shimonaga, Tadanao Higaki, Ken Ishibashi, Naoya Mitsuba, Yoshihiro Dohi, Yasuki Kihara

Author information

Toshitaka Iwasaki
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Satoshi Kurisu
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Nobukazu Abe
Department of Clinical Radiology, Hiroshima University Graduate School of Biomedical and Health Sciences
Megumi Tamura
Department of Clinical Radiology, Hiroshima University Graduate School of Biomedical and Health Sciences
Noriaki Watanabe
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Hiroki Ikenaga
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Takashi Shimonaga
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Tadanao Higaki
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Ken Ishibashi
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Naoya Mitsuba
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Yoshihiro Dohi
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
Yasuki Kihara
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences

Keywords: Myocardial ischemia, Scintigraphy

JOURNAL FREE ACCESS

2014 Volume 55 Issue 4 Pages 350-356

DOI https://doi.org/10.1536/ihj.13-313

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Abstract

Heart Score View (HSV) is a free software package for automated quantification of myocardial single photon emission computed tomography (SPECT) imaging using a standard Windows computer. We compared scoring results of myocardial perfusion among visual analysis, Quantitative Perfusion SPECT (QPS), and HSV in patients with known or suspected coronary artery disease.
This study included 75 consecutive patients with known or suspected coronary artery disease who underwent adenosive stress-rest Tl-201 SPECT. Analysis of myocardial perfusion SPECT was performed on a standard 17-segment model visually and using QPS and HSV.
There were 54 male and 21 female patients with a mean age of 70.5 ± 10.7 years. Thirteen patients (17%) had prior myocardial infarction. Summed stress score (SSS) and summed rest score (SRS) in the mid and basal areas were significantly higher on HSV than visual analysis or QPS. There was no significant difference in SDS in the whole area among the 3 methods. Similar results were found even in patients without prior myocardial infarction. Manual setting of the left ventricular cavity improved the correlations of SSS, SRS and SDS between HSV and the other methods.
Our data suggested that HSV was comparable with visual analysis or QPS in scoring myocardial perfusion when manual setting of the left ventricular cavity is applied.

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