Mpi
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The document discusses different cardiac imaging modalities for evaluating myocardial perfusion including dobutamine stress echo (DSE), microbubble contrast echo (MCE), gated SPECT studies, cardiac PET, MDCT coronary CTA, cardiac MRI, and EBCT. It provides pros and cons for each modality. Gated SPECT is described as a "one stop shop" that provides evaluation of myocardial viability, ejection fraction, regional wall thickening, and hemodynamic response. Cardiac PET is identified as the gold standard for assessing flow and viability but is costly and requires operator dependence.
Mpi
- 1. Nuclear Medicine week 2006
- 2. MYOCARDIAL PERFUSION IMAGING WHAT TO CHOOSE Dr. V. SivaSubramaniyan Dept . Of Nuclear Medicine SSSIHMS,PSN
- 3. MODALITIES D.S.E- Dobutamine Stress Echo M.C.E- Microbubble Contrast Echo Gated SPECT Studies CARDIAC P.E.T MDCT- Coronary CTA CARDIAC M.R.I EBCT- Electron Beam C.T
- 4. DSE
- 5. DSE Adv. Dis Adv. Cheaper Operator deped. Non-ionising Poor window Better Details High end Mach. Specific Variable observ. Parameters Standardisation Numerous Subjective
- 6. MCE
- 7. MCE Adv DisAdva. Specific Costly Early Detection Availability Parameters Affordability Quantifiable Operator Dependancy
- 8. GATED SPECT ONE STOP SHOP MYOCARDIAL VIABILTY EJECTION FRACTION REGIONAL WALL THICKENING STRATIFICATION HAEMODYNAMIC RESPONSE
- 14. PET
- 15. PET Adv Disadv. Specific Costly Gold Standard Flow & viability Stunning Vs separately Hibernation Operator Fusion Studies Depend. Parametric Radiation Burden