Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes

Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes Publisher Pubmed

Fallahi B¹ ; Beiki D¹ ; Salehi Y¹ ; Emamiardekani A¹ ; Fardesfahani A¹ ; Aghahosseini F¹ ; Haghighatafshar M² ; Eftekhari M¹

Show Affiliations

1. Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, North Kargar Ave., Tehran, 1411713135, Iran
2. Nuclear Medicine and Molecular Imaging Research Center, Namazi Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

Source: Nuclear Medicine Communications Published:2017

Abstract

Objective With respect to the equivocal value of the reverse perfusion pattern (RPP) in technetium-99m (99mTc)-sestamibi myocardial perfusion imaging, a study was carried out to evaluate this pattern in association with the presence or absence of coronary artery disease (CAD) and other underlying factors, mainly the time of acquisition and the presence of intense visceral uptake. Patients and methods We prospectively studied 102 patients with a moderate risk of CAD (41 men and 61 women, mean age: 56.5± 9.2 years) without a previous history of documented CAD, myocardial infarction, or revascularization. Myocardial perfusion imaging was performed using a 2-day dual-phase protocol with the stress and rest images, each obtained 15, 120, and 180 min after an injection of 666-814MBq 99mTc-MIBI. According to the time of image acquisition, the following five protocols were defined, A: 15/15 min, B: 15/180 min, C: 180/180 min, D: 180/15 min, and E: 120/120 min for stress/rest images, respectively. Results The odds of RPP were higher in the cases with more intense infradiaphragmatic visceral uptake on restphase images of the protocols A and D (odds ratios=1.2-7.8 and 1.2-7.5, respectively). Our results showed that RPP is related to incorrect normalization. Also, diabetes, sex, and CAD did not correlate with RPP. Conclusion This study found no relationship between RPP and CAD, diabetes mellitus, and sex; however, an association was found between RPP and incorrect normalization because of the variation of visceral uptake intensity in relation to the time of acquisition at stress and rest phases favoring the artifactual base of this pattern. © 2017 Wolters Kluwer Health, Inc. All rights reserved.

Style	Citing Format
MLA	Fallahi B, et al.. "Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes." Nuclear Medicine Communications, vol. 38, no. 1, 2017, pp. 15-20.
APA	Fallahi B, Beiki D, Salehi Y, Emamiardekani A, Fardesfahani A, Aghahosseini F, Haghighatafshar M, Eftekhari M (2017). Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes. Nuclear Medicine Communications, 38(1), 15-20.
Chicago	Fallahi B, Beiki D, Salehi Y, Emamiardekani A, Fardesfahani A, Aghahosseini F, Haghighatafshar M, Eftekhari M. "Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes." Nuclear Medicine Communications 38, no. 1 (2017): 15-20.
Harvard	Fallahi B et al. (2017) 'Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes', Nuclear Medicine Communications, 38(1), pp. 15-20.
Vancouver	Fallahi B, Beiki D, Salehi Y, Emamiardekani A, Fardesfahani A, Aghahosseini F, et al.. Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes. Nuclear Medicine Communications. 2017;38(1):15-20.
BibTex	@article{ author = {Fallahi B and Beiki D and Salehi Y and Emamiardekani A and Fardesfahani A and Aghahosseini F and Haghighatafshar M and Eftekhari M}, title = {Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes}, journal = {Nuclear Medicine Communications}, volume = {38}, number = {1}, pages = {15-20}, year = {2017} }
RIS	TY - JOUR AU - Fallahi B AU - Beiki D AU - Salehi Y AU - Emamiardekani A AU - Fardesfahani A AU - Aghahosseini F AU - Haghighatafshar M AU - Eftekhari M TI - Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes JO - Nuclear Medicine Communications VL - 38 IS - 1 SP - 15 EP - 20 PY - 2017 ER -

Style

Citing Format

MLA

Fallahi B, et al.. "Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes." Nuclear Medicine Communications, vol. 38, no. 1, 2017, pp. 15-20.

APA

Fallahi B, Beiki D, Salehi Y, Emamiardekani A, Fardesfahani A, Aghahosseini F, Haghighatafshar M, Eftekhari M (2017). Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes. Nuclear Medicine Communications, 38(1), 15-20.

Chicago

Fallahi B, Beiki D, Salehi Y, Emamiardekani A, Fardesfahani A, Aghahosseini F, Haghighatafshar M, Eftekhari M. "Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes." Nuclear Medicine Communications 38, no. 1 (2017): 15-20.

Harvard

Fallahi B et al. (2017) 'Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes', Nuclear Medicine Communications, 38(1), pp. 15-20.

Vancouver

Fallahi B, Beiki D, Salehi Y, Emamiardekani A, Fardesfahani A, Aghahosseini F, et al.. Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes. Nuclear Medicine Communications. 2017;38(1):15-20.

BibTex

@article{ author = {Fallahi B and Beiki D and Salehi Y and Emamiardekani A and Fardesfahani A and Aghahosseini F and Haghighatafshar M and Eftekhari M}, title = {Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes}, journal = {Nuclear Medicine Communications}, volume = {38}, number = {1}, pages = {15-20}, year = {2017} }

RIS

TY - JOUR
AU - Fallahi B
AU - Beiki D
AU - Salehi Y
AU - Emamiardekani A
AU - Fardesfahani A
AU - Aghahosseini F
AU - Haghighatafshar M
AU - Eftekhari M
TI - Reverse Perfusion Pattern in Myocardial Perfusion Imaging Using Technetium-99M-Sestamibi in Patients With Intermediate Risk for Coronary Artery Disease in Relation to the Time of Acquisition and Intensity of Visceral Uptake As Artifactual Causes
JO - Nuclear Medicine Communications
VL - 38
IS - 1
SP - 15
EP - 20
PY - 2017
ER -

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