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Artifacts in myocardial perfusion scintigraphy, 2nd part


Authors: Ivana Kuníková 1;  Otto Lang 1,2
Authors place of work: Klinika nukleární medicíny, 3. LF UK a FNKV Praha 1;  Oddělení nukleární medicíny, Oblastní nemocnice Příbram a. s. 2
Published in the journal: NuklMed 2016;5:72-80
Category: Review Article

Pokračování z minulého čísla.

Summary

Myocardial perfusion scintigraphy is one of the most frequent and, at the same time, the most technically complete nuclear medicine examination. Different types of artefacts can arise at any phase of examination and can cause erroneous interpretation. Artefacts are mostly divided into those related to patients (motion, attenuation, extracardiac radioactivity, gating and patient features), related to procedure (radiopharmaceutical injection, position during acquisition, gamma camera filed of view), related to processing (filtering, myocardial axis rotation, region of interest, quantification, endocardium, color scale, image registration) and related to gamma camera (homogenity, center of rotation). This text is a review of the most frequent artefacts. It explains briefly their causes, patterns and methods for their elimination or minimalization.

It is neccessary for physicians and technologists to be aware of possible sources of artefacts, to employ all available ways to prevent them and to choose appropriate tools for their repair and to enclose their infulence into the study interpretation despite they appear.

Artefact elimination increases specificity and sensitivity of the procedure and maintains its significant role in the examination of patients with cardiovascular diseases.

Key Words:
myocardial perfusion scintigraphy, artefacts, source, recognition, prevention


Zdroje

1. Činnost společných vyšetřovacích a léčebných složek 2012 [online]. 2012. [cit. 2016-01-14]. Dostupné na: http://www.uzis.cz/category/tematicke-rady/zdravotnicka-statistika/nuklearni-medicina

2. Wheat JM, Currie GM. Incidence and Characterization of Patient Motion in Myocardial Perfusion SPECT: Part 1. J Nucl Med Technol 2004;32:60–65

3. Germano G. Technical Aspects of Myocardial SPECT Imaging. J Nucl Med 2001; 42:1499–1507

4. Friedman J, Berman DS, Van Train K, et al. Patient motion in thallium-201 myocardial SPECT imaging. An easily identified frequent source of artifactual defect. Clin Nucl Med. 1988;13:321-324

5. Botvinick EH, Zhu YY, O‘Connell WJ, et al. A Quantitative Assessment of Patient Motion and Its Effect on Myocardial Perfusion SPECT Images. J NucI Med 1993;34:303-310

6. Cooper JA, Neumann PH, McCandless BK. Effect of Patient Motion on Tomographic Myocardial Perfusion Imaging. J NucI Med 1992;33:1566-1571

7. Nakajima K, Taki J, Michigishi T, et al. Superiority of triple-detector single-photon emission tomography over single- and dual-detector systems in the minimization of motion artefacts. Eur J Nucl Med 1998;25:1545–1551

8. Burrell S, MacDonald A. Artifacts and Pitfalls in Myocardial Perfusion Imaging. J Nucl Med Technol 2006; 34:193–211

9. Case JA, Bateman TM. Taking the perfect nuclear image: Quality control, acquisition, and processing techniques for cardiac SPECT, PET, and hybrid imaging. J Nucl Cardiol. 2013;20:891–907

10. Lang O, Kamínek M, Trojanová H. Nukleární kardiologie. Praha, Galén, 2008, 130 p

11. DePuey EG, Garcia EV, Berman DS. Cardiac SPECT Imaging – second edition. Philadelphia, Lippincott Williams & Wilkins, 2001, 354 p

12. Wheat J, Currie G. Recognising and dealing with artifact in myocardial perfusion SPECT. The Internet Journal of Cardiovascular Research 2006;4(1)

13. Ryder H, Testanera G, Veloso Jerónimo V, Vidovič B (eds.) Myocardial perfusion imaging, A Technologist´s Guide – revised edition. Vienna, EANM, 2014, 126 p

14. Zoghbi GJ, Heo J, Iskandrian AE. Hiatal hernia detected by Tc-99m tetrofosmin SPECT. J Nucl Cardiol 2003;10:712-713

15. Heller GV, Hendel RC. Nuclear Cardiology: Practical Applications – second edition. Columbus, McGraw-Hill, 2011, 402 p

16. Thomas GS, Prill NV, Majmundar H et al. Treadmill exercise during adenosine infusion is safe, results in fewer adverse reactions, and improves myocardial perfusion image quality. J Nucl Cardiol. 2000;7:439-446

17. Vitola JV, Brambatti JC, Caligaris F et al. Exercise supplementation to dipyridamole prevents hypotension, improves electrocardiogram sensitivity, and increases heart-to-liver activity ratio on Tc-99m sestamibi imaging. J Nucl Cardiol. 2001;8:652-659

18. Van Dongen AJ, Van Rijk PP. Minimizing Liver, Bowel, and Gastric Activity in Myocardial Perfusion SPECT. J Nucl Med 2000; 41:1315-1317

19. Píchová R, Lang O, Kleisner I, et al. Vliv podání cholekinetika a časové prodlevy po aplikaci na kvalitu obrazu u zátěžové perfuzní scintigrafie myokardu. In Abstrakta XXXVI. DNM. Ostrava, Dům techniky Ostrava, 1999, 92 p

20. Nichols K, Yao SS, Kamran M et al. Clinical impact of arrhythmias on gated SPECT cardiac myocardial perfusion and function assessment. J Nucl Cardiol. 2001;8:19-30

21. Nichols K, Dorbala S, DePuey EG et al. Influence of Arrhythmias on Gated SPECT Myocardial Perfusion and Function Quantification. J Nucl Med 1999;40:924-934

22. AstroNuklFyzika[online]. [cit. 2016-01-14]. Dostupné na: http://astronuklfyzika.cz/

23. Hatton RL, Hutton BF, Angelides S, et al. Improved tolerance to missing data in myocardial perfusion SPET using OSEM reconstruction. Eur J Nucl Med Mol Imaging 2004;31:857–861

24. Asit KP, Hani AN. Gated Myocardial Perfusion SPECT: Basic Principles, Technical Aspects, and Clinical Applications. J Nucl Med Technol 2004;32:179–187

25. Lang O, Trojanova H, Balon HR, et al. Pulse wave as an alternate signal for data synchronization during gated myocardial perfusion SPECT imaging. Clin Nucl Med. 2011;36:762-766

26. Lebtahi NE, Stauffer JC, Delaloye AB. Left bundle branch block and coronary artery disease: accuracy of dipyridamole thallium-201 single-photon emission computed tomography in patients with exercise anteroseptal perfusion defects. J Nucl Cardiol 1997;4:266–273

27. Velký lékařský slovník [online]. 2016. [cit. 2016-01-14]. Dostupné na: http://lekarske.slovniky.cz/

28. DePuey EG, Garcia EV. Optimal Specificity of Thallium-201 SPECT Through Recognition of Imaging Artifacts. J Nucl Med 1989;30:441-449

29. Al-faham Z, Jolepalem P, Wong CY. The Appearance of Congenitally Corrected Transposition of the Great Arteries on Myocardial Perfusion Imaging. J Nucl Med Technol 2015;43:68-69

30. Verberne HJ, Acampa W, Anagnostopoulos C, et al. EANM procedural guidelines for radionuclide myocardial perfusion imaging with SPECT and SPECT/CT. Eur J Nucl Med Mol Imaging 2015;42:1929-1940

31. Národní radiologické standardy: diagnostické a léčebné metody nukleární medicíny [online]. 2011. [cit. 2015-12-12]. Dostupné na: http://www.mzcr.cz/dokumenty/nuklearni-medicina_8773_3050_3.html

32. Verger A, Djaballah W, Fourquet N, et al. Comparison between stress myocardial perfusion SPECT recorded with cadmium-zinc-telluride and Anger cameras in various study protocols. Eur J Nucl Med Mol Imaging 2013;40:331–340

33. Lang O, Komorousová I. Snímání perfuzní scintigrafie myokardu vsedě – srovnání se záznamem vleže. In Abstrakta XLV. Dny nukleární medicíny. Havlíčkův Brod, Hotel Slunce HB s.r.o. v koedici s Českou společností nukleární medicíny ČLS JEP, 2008, 126 p

34. Matsumoto N, Suzuki Y, Yoda S, et al. The truncation artefact in patients with a high body mass index on myocardial perfusion SPECT. BMJ Case Rep. 2014;2014:bcr2014205407

35. Wosnitzer B, Gadiraju R, DePuey G. The truncation artifact. J Nucl Cardiol 2011;18:187–191

36. Apostolopoulos DJ, Gąsowska M, Savvopoulos CA, et al. The impact of transmission-emission misregistration on the interpretation of SPET/CT myocardial perfusion studies and the value of misregistration correction. Hell J Nucl Med 2015;18:114-121

37. Płachcińska A, Włodarczyk M, Drożdż J, et al. Effect of CT misalignment on attenuation — corrected myocardial perfusion SPECT. Nuclear Med Rev 2015;18:78–83

38. Bybel B, Brunken RC, DiFilippo FP, et al. SPECT/CT Imaging: Clinical Utility of an Emerging Technology. RadioGraphics 2008;28:1097–1113

39. Zaret BL, Beller GA. Clinical nuclear kardiology – 3rd edition. Philadelphia, Elsevier Mosby, 2005, 750 p

40. Baron JM, Chouraqui P. Myocardial single-photon emission computed tomographic quality assurance. J Nucl Cardiol. 1996;3:157-166

41. Mommennezhad M, Zakavi SR, Sadeghi R, et al. Review of the Linogram and Sinogram: An Easy Way to Detect Off-Peak Artifacts in Myocardial Perfusion SPECT. J Nucl Med Technol 2009;37:188–190

Štítky
Nuclear medicine Radiodiagnostics Radiotherapy
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