Comparative analysis between myocardial perfusion reserve and maximal ischemia score at single photon emission computed tomography with new-generation cadmium-zinc-telluride cameras
Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear. We queried our institutional database for patients undergoing MPR with CZT cameras. The primary goal was appraising the incremental diagnostic yield...
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| Published in | Journal of nuclear cardiology Vol. 28; no. 3; pp. 1072 - 1084 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cham
Elsevier Inc
01.06.2021
Springer International Publishing Springer Nature B.V |
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| Online Access | Get full text |
| ISSN | 1071-3581 1532-6551 1532-6551 |
| DOI | 10.1007/s12350-019-01764-2 |
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| Abstract | Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear.
We queried our institutional database for patients undergoing MPR with CZT cameras. The primary goal was appraising the incremental diagnostic yield of MPR on top or at odds of maximal ischemia score (MIS).
A total of 66 subjects were included. When distinguishing patients according to normal vs abnormal MPR (cut-off 2.1 mL/min/g) and normal vs abnormal MIS, 4 groups could be identified: 12 (18.1%) individuals with normal MPR and MIS, 12 (18.1%) with normal MPR and abnormal MIS, 16 (24.2%) with abnormal MPR and normal MIS, and 26 (39.4%) with abnormal MPR and MIS. MIS was significantly associated with several baseline features, whereas MPR did not. There was no significant association between MPR and MIS, nor with regional perfusion. Clinical outcomes were uncommon and not significantly associated with MPR or MIS, whereas angiographically significant coronary artery disease (CAD) was associated solely with MIS (P < 0.05), and not with MPR.
There is limited agreement between CZT-derived MPR and baseline risk, perfusion and angiography results. Whether such discrepancies may still prove incrementally beneficial for the diagnosis or prognosis of CAD remains unclear. |
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| AbstractList | BackgroundWhether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear.MethodsWe queried our institutional database for patients undergoing MPR with CZT cameras. The primary goal was appraising the incremental diagnostic yield of MPR on top or at odds of maximal ischemia score (MIS).ResultsA total of 66 subjects were included. When distinguishing patients according to normal vs abnormal MPR (cut-off 2.1 mL/min/g) and normal vs abnormal MIS, 4 groups could be identified: 12 (18.1%) individuals with normal MPR and MIS, 12 (18.1%) with normal MPR and abnormal MIS, 16 (24.2%) with abnormal MPR and normal MIS, and 26 (39.4%) with abnormal MPR and MIS. MIS was significantly associated with several baseline features, whereas MPR did not. There was no significant association between MPR and MIS, nor with regional perfusion. Clinical outcomes were uncommon and not significantly associated with MPR or MIS, whereas angiographically significant coronary artery disease (CAD) was associated solely with MIS (P < 0.05), and not with MPR.ConclusionsThere is limited agreement between CZT-derived MPR and baseline risk, perfusion and angiography results. Whether such discrepancies may still prove incrementally beneficial for the diagnosis or prognosis of CAD remains unclear. Background Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear. Methods We queried our institutional database for patients undergoing MPR with CZT cameras. The primary goal was appraising the incremental diagnostic yield of MPR on top or at odds of maximal ischemia score (MIS). Results A total of 66 subjects were included. When distinguishing patients according to normal vs abnormal MPR (cut-off 2.1 mL/min/g) and normal vs abnormal MIS, 4 groups could be identified: 12 (18.1%) individuals with normal MPR and MIS, 12 (18.1%) with normal MPR and abnormal MIS, 16 (24.2%) with abnormal MPR and normal MIS, and 26 (39.4%) with abnormal MPR and MIS. MIS was significantly associated with several baseline features, whereas MPR did not. There was no significant association between MPR and MIS, nor with regional perfusion. Clinical outcomes were uncommon and not significantly associated with MPR or MIS, whereas angiographically significant coronary artery disease (CAD) was associated solely with MIS ( P < 0.05), and not with MPR. Conclusions There is limited agreement between CZT-derived MPR and baseline risk, perfusion and angiography results. Whether such discrepancies may still prove incrementally beneficial for the diagnosis or prognosis of CAD remains unclear. Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear.BACKGROUNDWhether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear.We queried our institutional database for patients undergoing MPR with CZT cameras. The primary goal was appraising the incremental diagnostic yield of MPR on top or at odds of maximal ischemia score (MIS).METHODSWe queried our institutional database for patients undergoing MPR with CZT cameras. The primary goal was appraising the incremental diagnostic yield of MPR on top or at odds of maximal ischemia score (MIS).A total of 66 subjects were included. When distinguishing patients according to normal vs abnormal MPR (cut-off 2.1 mL/min/g) and normal vs abnormal MIS, 4 groups could be identified: 12 (18.1%) individuals with normal MPR and MIS, 12 (18.1%) with normal MPR and abnormal MIS, 16 (24.2%) with abnormal MPR and normal MIS, and 26 (39.4%) with abnormal MPR and MIS. MIS was significantly associated with several baseline features, whereas MPR did not. There was no significant association between MPR and MIS, nor with regional perfusion. Clinical outcomes were uncommon and not significantly associated with MPR or MIS, whereas angiographically significant coronary artery disease (CAD) was associated solely with MIS (P < 0.05), and not with MPR.RESULTSA total of 66 subjects were included. When distinguishing patients according to normal vs abnormal MPR (cut-off 2.1 mL/min/g) and normal vs abnormal MIS, 4 groups could be identified: 12 (18.1%) individuals with normal MPR and MIS, 12 (18.1%) with normal MPR and abnormal MIS, 16 (24.2%) with abnormal MPR and normal MIS, and 26 (39.4%) with abnormal MPR and MIS. MIS was significantly associated with several baseline features, whereas MPR did not. There was no significant association between MPR and MIS, nor with regional perfusion. Clinical outcomes were uncommon and not significantly associated with MPR or MIS, whereas angiographically significant coronary artery disease (CAD) was associated solely with MIS (P < 0.05), and not with MPR.There is limited agreement between CZT-derived MPR and baseline risk, perfusion and angiography results. Whether such discrepancies may still prove incrementally beneficial for the diagnosis or prognosis of CAD remains unclear.CONCLUSIONSThere is limited agreement between CZT-derived MPR and baseline risk, perfusion and angiography results. Whether such discrepancies may still prove incrementally beneficial for the diagnosis or prognosis of CAD remains unclear. Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear. We queried our institutional database for patients undergoing MPR with CZT cameras. The primary goal was appraising the incremental diagnostic yield of MPR on top or at odds of maximal ischemia score (MIS). A total of 66 subjects were included. When distinguishing patients according to normal vs abnormal MPR (cut-off 2.1 mL/min/g) and normal vs abnormal MIS, 4 groups could be identified: 12 (18.1%) individuals with normal MPR and MIS, 12 (18.1%) with normal MPR and abnormal MIS, 16 (24.2%) with abnormal MPR and normal MIS, and 26 (39.4%) with abnormal MPR and MIS. MIS was significantly associated with several baseline features, whereas MPR did not. There was no significant association between MPR and MIS, nor with regional perfusion. Clinical outcomes were uncommon and not significantly associated with MPR or MIS, whereas angiographically significant coronary artery disease (CAD) was associated solely with MIS (P < 0.05), and not with MPR. There is limited agreement between CZT-derived MPR and baseline risk, perfusion and angiography results. Whether such discrepancies may still prove incrementally beneficial for the diagnosis or prognosis of CAD remains unclear. Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear. We queried our institutional database for patients undergoing MPR with CZT cameras. The primary goal was appraising the incremental diagnostic yield of MPR on top or at odds of maximal ischemia score (MIS). A total of 66 subjects were included. When distinguishing patients according to normal vs abnormal MPR (cut-off 2.1 mL/min/g) and normal vs abnormal MIS, 4 groups could be identified: 12 (18.1%) individuals with normal MPR and MIS, 12 (18.1%) with normal MPR and abnormal MIS, 16 (24.2%) with abnormal MPR and normal MIS, and 26 (39.4%) with abnormal MPR and MIS. MIS was significantly associated with several baseline features, whereas MPR did not. There was no significant association between MPR and MIS, nor with regional perfusion. Clinical outcomes were uncommon and not significantly associated with MPR or MIS, whereas angiographically significant coronary artery disease (CAD) was associated solely with MIS (P < 0.05), and not with MPR. There is limited agreement between CZT-derived MPR and baseline risk, perfusion and angiography results. Whether such discrepancies may still prove incrementally beneficial for the diagnosis or prognosis of CAD remains unclear. |
| Author | Biondi-Zoccai, Giuseppe Nudi, Francesco Procaccini, Enrica Nudi, Alessandro Schilllaci, Orazio Neri, Giandomenico |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31152316$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.2967/jnumed.117.191049 10.1253/circj.CJ-14-0932 10.1007/s12350-017-0789-z 10.1007/s12350-014-9877-5 10.1371/journal.pone.0183402 10.1007/s12350-016-0751-5 10.1007/s12350-017-0833-z 10.1007/s00259-018-3958-7 10.1080/14779072.2018.1489236 10.1088/1361-6560/ab04de 10.1016/j.jjcc.2017.07.009 10.2967/jnumed.114.143164 10.2967/jnumed.115.165498 10.1007/s12350-015-0077-8 10.2459/JCM.0000000000000506 10.1007/s11886-018-0977-8 10.1016/j.jcmg.2016.10.023 |
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| Copyright | 2021 American Society of Nuclear Cardiology. Published by ELSEVIER INC. All rights reserved. American Society of Nuclear Cardiology 2019 Journal of Nuclear Cardiology is a copyright of Springer, (2019). All Rights Reserved. American Society of Nuclear Cardiology 2019. |
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| Keywords | coronary artery disease Cadmium-zinc-telluride myocardial perfusion imaging IHD single photon emission computed tomography CAD MPI VRI FS MPR SPECT MBF coronary flow reserve MIS PCI myocardial perfusion reserve myocardial ischemia CABG CZT PET |
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myocardial perfusion reserve using dynamic SPECT images of patients with chronic kidney diseaseJ Cardiol20187117418010.1016/j.jjcc.2017.07.009 – reference: NudiFIskandrianAESchillaciOPeruzziMFratiGBiondi-ZoccaiGDiagnostic accuracy of myocardial perfusion imaging with CZT technology: Systemic review and meta-analysis of comparison with invasive coronary angiographyJACC Cardiovasc Imaging20171078779410.1016/j.jcmg.2016.10.023 – reference: Ben BouallègueFRoubilleFLattucaBCungTTMaciaJCGervasoniRLeclercqFMariano-GoulartDSPECT myocardial perfusion reserve in patients with multivessel coronary disease: Correlation with angiographic findings and invasive fractional flow reserve measurementsJ Nucl Med2015561712171710.2967/jnumed.114.143164 – reference: Biondi-ZoccaiGVersaciFIskandrianAESchillaciONudiAFratiGNudiFUmbrella review and multivariate meta-analysis of diagnostic test accuracy studies on hybrid non-invasive imaging for coronary artery diseaseJ Nucl 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scintigraphic outlook of patients with myocardial ischemiaJ Cardiovasc Med20171840440910.2459/JCM.0000000000000506 – reference: IskandrianAEGarciaEVNuclear cardiac imaging: Principles and applications2008OxfordOxford University Press – reference: NudiFBiondi-ZoccaiGCadmium-zinc-telluride myocardial perfusion imaging: The dream of a single test gets nearerJ Nucl Cardiol20182555055410.1007/s12350-017-0833-z – reference: NudiFDi BelardinoNPintoAProcacciniENeriGSchillaciOTomaiFFratiGBiondi-ZoccaiGAssessment of the fate of myocardial necrosis by serial myocardial perfusion imagingJ Nucl Cardiol20182549650510.1007/s12350-016-0751-5 – reference: NudiFSchillaciONeriGPintoAProcacciniEVetereMFratiGTomaiFBiondi-ZoccaiGPrognostic impact of location and extent of vessel-related ischemia at myocardial perfusion scintigraphy in patients with or at risk for coronary artery diseaseJ Nucl Cardiol20162327428410.1007/s12350-015-0077-8 – reference: WellsRGMarvinBPoirierMRenaudJdeKempRARuddyTDOptimization 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| Snippet | Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains unclear.
We... Background Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains... BackgroundWhether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains... Whether estimates of myocardial perfusion reserve (MPR) stemming from new-generation cadmium-zinc-telluride (CZT) cameras are accurate remains... |
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| SubjectTerms | Aged Aged, 80 and over Cadmium Cadmium-zinc-telluride Cameras Cardiology Cardiovascular disease coronary artery disease coronary flow reserve Female Fractional Flow Reserve, Myocardial - physiology Gamma Cameras Humans Imaging Ischemia Male Medicine Medicine & Public Health Middle Aged myocardial ischemia Myocardial Ischemia - diagnostic imaging Myocardial Ischemia - physiopathology Myocardial Perfusion Imaging myocardial perfusion reserve Nuclear Medicine Original Article Predictive Value of Tests Radiology Retrospective Studies single photon emission computed tomography Tellurium Tomography Tomography, Emission-Computed, Single-Photon Zinc |
| Title | Comparative analysis between myocardial perfusion reserve and maximal ischemia score at single photon emission computed tomography with new-generation cadmium-zinc-telluride cameras |
| URI | https://dx.doi.org/10.1007/s12350-019-01764-2 https://link.springer.com/article/10.1007/s12350-019-01764-2 https://www.ncbi.nlm.nih.gov/pubmed/31152316 https://www.proquest.com/docview/2232985116 https://www.proquest.com/docview/2547574349 https://www.proquest.com/docview/2233848173 |
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