Document Detail


Complementary roles of low-dose SPECT-CT and high-resolution volume CT for detection of coronary artery disease.
MedLine Citation:
PMID:  18356672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 70-year-old woman with a high pretest likelihood of coronary artery disease (CAD) underwent a Tc-99m MIBI SPECT-CT study for myocardial perfusion imaging (MPI), which was complemented by a high-resolution volume CT (VCT) study. After attenuation correction, an MPI pattern of ischemia was detected in the lateral wall of the myocardium. The CT calcium score (CTCS) was above the 75th percentile. The CT angiography (CTA) demonstrated a 70% stenosis at the ostial part of the circumflex artery, and incidentally revealed a saccular aneurysm. In today's nuclear cardiology, low-dose SPECT-CT plus high-resolution VCT allows anatofunctional assessment of suspected CAD.
Authors:
Cigdem Akincioglu; Tarik Belhocine; Sanjay Gambhir; Jonathan Romsa; Ghita Chouraiki; Stewart Kribs; James A Elliot; William Vezina; Jean-Luc Urbain
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  33     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-21     Completed Date:  2008-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  285-7     Citation Subset:  IM    
Affiliation:
Department of Nuclear Medicine, London Health Sciences Centre, London, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Angiography / methods*
Coronary Artery Disease / diagnosis*
Female
Humans
Image Enhancement / methods*
Imaging, Three-Dimensional / methods*
Radiation Dosage
Radiopharmaceuticals / diagnostic use
Technetium Tc 99m Sestamibi / diagnostic use*
Tomography, Emission-Computed, Single-Photon / methods*
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 109581-73-9/Technetium Tc 99m Sestamibi

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