دورية أكاديمية

Subdiaphragmatic activity-related artifacts in myocardial perfusion scintigraphy.

التفاصيل البيبلوغرافية
العنوان: Subdiaphragmatic activity-related artifacts in myocardial perfusion scintigraphy.
المؤلفون: Strok A; Division of Nuclear Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia., Salobir BG; Division of Nuclear Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia., Stalc M; Division of Nuclear Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia., Zaletel K; Division of Nuclear Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
المصدر: Radiology and oncology [Radiol Oncol] 2024 Sep 15; Vol. 58 (3), pp. 313-319. Date of Electronic Publication: 2024 Sep 15 (Print Publication: 2024).
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Sciendo Country of Publication: Poland NLM ID: 9317213 Publication Model: eCollection Cited Medium: Internet ISSN: 1581-3207 (Electronic) Linking ISSN: 13182099 NLM ISO Abbreviation: Radiol Oncol Subsets: MEDLINE
أسماء مطبوعة: Publication: [Warsaw, Poland] : Sciendo
Original Publication: Ljubljana : Slovenian Medical Society, Section of Radiology [and] Croatian Medical Association, Croatian Society of Radiology, [1992-
مواضيع طبية MeSH: Myocardial Perfusion Imaging*/methods , Artifacts* , Tomography, Emission-Computed, Single-Photon*/methods, Humans ; Radiopharmaceuticals/administration & dosage ; Diaphragm/diagnostic imaging ; Exercise Test/methods ; Myocardial Ischemia/diagnostic imaging ; Myocardial Ischemia/physiopathology
مستخلص: Background: Myocardial perfusion imaging (MPI) with single photon emission computed tomography is an established non-invasive technique for assessing myocardial ischemia. This method involves the intravenous administration of a radiopharmaceutical that accumulates in the heart muscle proportional to regional blood flow. However, image quality and diagnostic accuracy can be compromised by various technical and patient-related factors, including high non-specific radiopharmaceutical uptake in abdominal organs such as the stomach, intestines, liver, and gall-bladder, leading to subdiaphragmatic artifacts. These artifacts are particularly problematic for evaluating inferior wall perfusion and often necessitate repeated imaging, which decreases gamma camera availability and prolongs imaging times.
Conclusions: Despite numerous investigated techniques to reduce interfering gastrointestinal activity, results have been inconsistent, and current MPI guidelines provide scant information on effective procedures to mitigate this issue. Based on our experience, some possible approaches to reducing artifacts include choosing stress testing with an exercise stress test, when possible, late imaging, fluid intake, and consuming carbonated water immediately before imaging.
(© 2024 Anja Strok et al., published by Sciendo.)
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فهرسة مساهمة: Keywords: artifacts, subdiaphragmatic activity; intervention; myocardial perfusion imaging; single photon emission computed tomography
المشرفين على المادة: 0 (Radiopharmaceuticals)
تواريخ الأحداث: Date Created: 20240917 Date Completed: 20240917 Latest Revision: 20240927
رمز التحديث: 20240927
مُعرف محوري في PubMed: PMC11406902
DOI: 10.2478/raon-2024-0053
PMID: 39287166
قاعدة البيانات: MEDLINE
الوصف
تدمد:1581-3207
DOI:10.2478/raon-2024-0053