Nuclear Medicine week 2006

MYOCARDIAL PERFUSION IMAGING WHAT TO CHOOSE

Dr. V. SivaSubramaniyanDept . Of Nuclear Medicine

SSSIHMS,PSN

M O D A L I T I E S

• 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

DSE

DSE

• Adv.• Cheaper• Non-ionising• Better Details• Specific• Parameters• Numerous

• Dis Adv.• Operator deped.• Poor window• High end Mach.• Variable observ.• Standardisation• Subjective

M C E

MCE

• Adv

• Specific• Early Detection• Parameters• Quantifiable

• DisAdva.

• Costly• Availability• Affordability• Operator

Dependancy

GATED SPECT

• ONE STOP SHOP• MYOCARDIAL VIABILTY• EJECTION FRACTION• REGIONAL WALL THICKENING• STRATIFICATION• HAEMODYNAMIC RESPONSE

P E T

P E T

• Adv• Specific• Gold Standard• Stunning Vs

Hibernation• Fusion Studies• Parametric

• Disadv.• Costly• Flow & viability

separately• Operator Depend.• Radiation Burden