Combining flow and reserve measurement during myocardial perfusion imaging: A new era for myocardial perfusion scintigraphy?

被引:6
作者
Bailly, Matthieu [1 ,2 ]
Ribeiro, Maria Joao [2 ,3 ]
Angoulvant, Denis [4 ,5 ]
机构
[1] CHR Orleans, Dept Nucl Med, 14,Ave Hop, F-45100 Orleans, France
[2] Univ Tours, INSERM, IBrain, UMR 1253, F-37000 Tours, France
[3] CHRU Tours, Dept Nucl Med, F-37000 Tours, France
[4] CHRU Tours, Dept Cardiol, F-37000 Tours, France
[5] Tours Univ, EA4245, T2i, F-37000 Tours, France
关键词
Myocardial flow reserve; Blood flow; SPECT; Coronary artery disease; POSITRON-EMISSION-TOMOGRAPHY; CORONARY-ARTERY-DISEASE; BLOOD-FLOW; VASCULAR DYSFUNCTION; FOLLOW-UP; SPECT; RISK; QUANTIFICATION; EXERCISE; EVENTS;
D O I
10.1016/j.acvd.2021.10.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Myocardial flow reserve represents the ratio of myocardial blood flow between stress and rest, giving functional information about both macrocirculation and microcirculation; it has been reported extensively in positron emission tomography, with an increase in diagnostic performance, providing important prognostic information and being a powerful tool to guide therapy. Advances in single photon emission computed tomography, with the widespread availability of "cadmium zinc telluride" single photon emission computed tomography cameras, raise the question of myocardial flow reserve use in daily clinical practice. In this article, we review the pathophysiology of myocardial blood flow and myocardial flow reserve, and the initial data available from single photon emission computed tomography myocardial blood flow and myocardial flow reserve evaluation; we also discuss potential limitations to the wider implementation of flow evaluation in single photon emission computed tomography. (c) 2021 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:818 / 827
页数:10
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