Improved interpretation of exercise Tl-201 myocardial perfusion scintigraphy in women: characterization of breast attenuation artifacts

Journal Article · Sun Nov 01 00:00:00 EST 1987 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.165.2.3659357· OSTI ID:5841564

Goodgold, H M; Rehder, J G; Samuels, L D; Chaitman, B R

Thallium-201 myocardial perfusion scintigraphy is reported to be a less accurate diagnostic test for coronary artery disease in women than in men. We retrospectively analyzed 34 Tl-201 studies obtained in 28 symptomatic women and compared them with those obtained in 32 men during the same interval. Three criteria were tested: criterion 1 was defined as abnormal scans showing any defect; criterion 2, scans showing only transient (reversible) defects; and criterion 3, scans showing either transient or significant (i.e., not due to breast attenuation) fixed defects. The sensitivity in women was 1.00, 0.73, and 0.93, respectively; the specificity, 0.26, 0.84, and 0.85. The best values in men were a sensitivity of 1.00 and a specificity of 0.86. The three criteria were then prospectively tested in 33 scans of 29 additional women. The sensitivity was 0.90, 0.65, and 0.80, respectively, and the specificity, 0.18, 1.00, and 0.92. Defects (usually fixed) due to breast attenuation artifact were seen frequently (30%). Criterion 3 best differentiates such defects from those resulting from coronary artery disease, making Tl-201 myocardial perfusion scintigraphy as accurate in women as in men.

• Research Organization: St. Louis Univ. Medical Center, MO
• OSTI ID: 5841564
• Journal Information: Radiology; (United States), Vol. 165:2
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
CARDIOVASCULAR DISEASES
DIAGNOSIS
MYOCARDIUM
SCINTISCANNING
COMPARATIVE EVALUATIONS
MAMMARY GLANDS
PERFUSED TISSUES
SEX DEPENDENCE
THALLIUM 201
ANIMAL TISSUES
BETA DECAY RADIOISOTOPES
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ISOMERIC TRANSITION ISOTOPES
ISOTOPES
MUSCLES
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIOISOTOPE SCANNING
RADIOISOTOPES
SECONDS LIVING RADIOISOTOPES
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