J 2019

The prognostic value of ultra low-dose thallium myocardial perfusion protocol using CZT SPECT

BEDNÁROVÁ, Veronika; Vladimír KINCL; Milan KAMÍNEK; Jiří VAŠINA; Roman PANOVSKÝ et. al.

Basic information

Original name

The prognostic value of ultra low-dose thallium myocardial perfusion protocol using CZT SPECT

Authors

BEDNÁROVÁ, Veronika (703 Slovakia, belonging to the institution); Vladimír KINCL (203 Czech Republic, guarantor, belonging to the institution); Milan KAMÍNEK (203 Czech Republic); Jiří VAŠINA (203 Czech Republic); Roman PANOVSKÝ (203 Czech Republic, belonging to the institution) and Jan MÁCHAL (203 Czech Republic, belonging to the institution)

Edition

International Journal of Cardiovascular Imaging, Dordrecht, Springer, 2019, 1569-5794

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

Netherlands

Confidentiality degree

is not subject to a state or trade secret

References:

Impact factor

Impact factor: 1.969

RIV identification code

RIV/00216224:14110/19:00110178

Organization unit

Faculty of Medicine

UT WoS

000469003200022

EID Scopus

2-s2.0-85060573190

Keywords in English

Myocardial perfusion; Thallium; Low-dose; CZT; SPECT; Prognostic value

Tags

International impact, Reviewed
Changed: 9/5/2022 13:19, Mgr. Tereza Miškechová

Abstract

In the original language

The purpose of this study was to assess the prognostic value of ultra-low dose thallium myocardial perfusion imaging. Three hundred and sixty-six patients (245 men) underwent ultra-low dose stress-redistribution imaging on CZT SPECT camera GE Discovery NM 530c. The stress test was performed by bicycle ergometry or regadenoson injection. The activity of 0.5MBq (0.014mCi) Tl-201 chloride per kilogram of body weight was administered. The stress images were acquired immediately and redistribution images were taken after 3h. Patient follow-up was focused on combined end-point (death, myocardial infarction, unstable angina, revascularization and hospitalization for heart failure). Data analysis was performed from hospital database, with a mean period 23 months. Patients with revascularization within 1 month after SPECT was excluded as revascularization for diagnosis. Ischaemia on SPECT was found in 72 patients, 294 patients were without ischaemia. In patients with ischaemia there were 21 (29.2%) subjects with cardiac events, and 23 (7.9%) in patients without ischaemia (HR 4.15, 95% CI 2.30-7.51, p<0.0001). Ultra-low dose thallium perfusion imaging using CZT camera provides very good prognostic results in assessment of myocardial ischaemia.