Clinical utility of attenuation correction with x-rays in myocardial perfusion SPECT studies
Autor: | J. Mora, Josep Martin-Comin, A. Rodríguez-Gasén, M.E. Quintana, A. Domènech, M.T. Bajén, Y. Ricart, R. Puchal, A. Benítez, A. Ruiz-Mayoral, C. Pallarés |
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Rok vydání: | 2007 |
Předmět: |
Microbiology (medical)
business.industry medicine.medical_treatment Immunology medicine.disease Coronary arteries Coronary artery disease medicine.anatomical_structure McNemar's test Immunology and Allergy Medicine Circumflex business Nuclear medicine Correction for attenuation Perfusion Scatter correction Cardiac catheterization |
Zdroj: | Revista Española de Medicina Nuclear (English Edition). 26:359-366 |
ISSN: | 1578-200X |
DOI: | 10.1016/s1578-200x(07)70067-0 |
Popis: | Objective We have compared the uncorrected images of SPECT myocardial perfusion plus gated data with corrected images with X-rays in the management of coronary artery disease. Methods In 60 patients (p) a stress/rest-gated myocardial perfusion SPECT was performed with attenuation correction with a hybrid gammacamera. All patients underwent cardiac catheterization. 3 types of images were qualitatively evaluated: uncorrected stress/rest (NC), uncorrected stress/rest plus gated (NCG) and stress/rest corrected for attenuation with scatter correction (AC). McNemar's test was used to analyze the statistical differences in assessing the diagnostic accuracy of each type of images; p Results Fourteen p did not have significant lesions in the coronary arteries (NSL), 46 p showed lesions in coronary arteries: 29 in anterior descending, 26 in right coronary and 18 in circumflex. In right coronary territory, diagnostic accuracy as significantly higher on AC than on NC images (p Conclusions Attenuation correction with X-rays significantly improves diagnostic accuracy of uncorrected images and uncorrected images plus gated. |
Databáze: | OpenAIRE |
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