Feasibility of PET for the management of coronary artery disease: Comparison between CFR and FFR

被引:15
作者
Manabe, Osamu [1 ]
Naya, Masanao [2 ]
Tamaki, Nagara [1 ]
机构
[1] Hokkaido Univ, Grad Sch Med, Dept Nucl Med, Sapporo, Hokkaido, Japan
[2] Hokkaido Univ, Grad Sch Med, Dept Cardiovasc Med, Sapporo, Hokkaido, Japan
关键词
Myocardial blood flow; Coronary flow reserve; Positron emission tomography; Fractional flow reserve; Coronary artery disease; POSITRON-EMISSION-TOMOGRAPHY; MYOCARDIAL BLOOD-FLOW; ISCHEMIC-HEART-DISEASE; 5-YEAR FOLLOW-UP; PROGNOSTIC VALUE; MICROVASCULAR DYSFUNCTION; DIAGNOSTIC-ACCURACY; PHYSIOLOGICAL-BASIS; INSULIN-RESISTANCE; VELOCITY RESERVE;
D O I
10.1016/j.jjcc.2017.03.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Myocardial perfusion imaging using positron emission tomography (PET) allows both qualitative and quantitative measurement. The quantitative myocardial blood flow and coronary flow reserve (CFR) are reliable indices for evaluating functional severity, influenced by both epicardial stenosis and microvascular disease. Fractional flow reserve (FFR) also reflects physiological stenosis, which measures the pressure differences across a coronary artery stenosis during maximum hyperemia. Discordance between CFR and FFR has been noticed in estimating the functional significance of coronary stenosis. In this review, we summarize the feasibility of PET for the management of coronary artery disease compared to FFR. (C) 2017 Published by Elsevier Ltd on behalf of Japanese College of Cardiology.
引用
收藏
页码:135 / 140
页数:6
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