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SPECT quantification of myocardial mass with Thallium-201: Comparison of 180/sup 0/ vs 360/sup 0/ acquisitions

Conference · · J. Nucl. Med.; (United States)
OSTI ID:6843425

It has recently been proposed that, for the heart, tomographic acquisitions over 180/sup 0/ (30/sup 0/ RAO to 60/sup 0/ LPO) might yield more relevant reconstructions than for 360/sup 0/. The authors have compared the effect of both formats using an Iowa heart phantom placed in the appropriate orientation in an Alderson torso phantom. Chamber activity of 2 ..mu..Ci/cc was used to emulate myocardial T1-201 uptake whereas background activity in the chest phantom was varied from 0 to .3 ..mu..Ci/cc; the latter encompasses the measured target-to-background ratios obtained on stress and redistribution Tl-201 scintigrams of twelve patients. Transaxial reconstructions were made with and without attenuation compensation (AC) for both 180/sup 0/ (30/sup 0/ RAO to 60/sup 0/ LPO) and 360/sup 0/. After formatting into oblique data sets holding 19 slices perpendicular to the long axis of the heart phantom, an algorithm estimating volumes above a certain count threshold of maximum was used to estimate myocardial mass. Defects were introduced into the phantom and the tomographic acquisitions repeated. Attenuation compensated 180/sup 0/ acquisitions yielded appropriate estimates of myocardial mass, even when large defects were reoriented from the septal to the lateral wall. The authors conclude that Tl-201 SPECT derived estimates of myocardial mass can be made from 180/sup 0/ acquisitions if (1) attenuation compensation is used, (2) corrections are made for different background activities in the ''lungs''.

Research Organization:
Women's Hospital and Harvard Medical School, Boston, MA
OSTI ID:
6843425
Report Number(s):
CONF-840619-
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 25:5; ISSN JNMEA
Country of Publication:
United States
Language:
English