Myocardial viability in patients with ischemic cardiomyopathy - Evaluation by 3-D integration of myocardial scintigraphic data - And coronary angiographic data

Thomas H. Schindler, Egbert U. Nitzsche, Nobuhisa Magosaki, Michael Mix, Alvaro D. Facta, John O. Prior, Ulrich Solzbach, Heinrich R. Schelbert, Hanjoerg Just

Research output: Contribution to journalArticle

Abstract

Purpose: To determine the prevalence of viable myocardium in patients with ischemic cardiomyopathy and, to evaluate the value of three-dimensional (3-D) fusion imaging of myocardial scintigraphic and angiographic data to assign coronary artery lesions to the corresponding viable and nonviable myocardial territory. Procedures: In 105 patients, the combination of perfusion and metabolic imaging with 201thallium (201TI) single-photon emission computed tomography (SPECT) and 2-deoxy-2-[18F]fluoro-D-glucose (FDG) positron emission tomography (PET) determined viability in dysfunctional myocardium. In addition, the value of 3-D scintigraphic fusion imaging was assessed in these patients. Results: Based on the presence of viable dysfunctional myocardium, 54% of patients with ischemic cardiomyopathy may be considered for coronary revascularization. In 31 of 105 patients, the 3-D fusion imaging was estimated to be helpful in the diagnostic and interpretative process. Conclusion: In patients with end-stage coronary artery disease scintigraphic imaging is most important in the decision-making process. Three-dimensional fusion imaging may add important information in approximately 30% of these patients.

Original languageEnglish (US)
Pages (from-to)160-171
Number of pages12
JournalMolecular Imaging and Biology
Volume6
Issue number3
DOIs
StatePublished - May 1 2004

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Keywords

  • 3-D fusion imaging
  • Angiography
  • Cardiomyopathy
  • Coronary disease
  • Tomography
  • Viability

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

Cite this

Schindler, T. H., Nitzsche, E. U., Magosaki, N., Mix, M., Facta, A. D., Prior, J. O., Solzbach, U., Schelbert, H. R., & Just, H. (2004). Myocardial viability in patients with ischemic cardiomyopathy - Evaluation by 3-D integration of myocardial scintigraphic data - And coronary angiographic data. Molecular Imaging and Biology, 6(3), 160-171. https://doi.org/10.1016/j.mibio.2004.02.002