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Gated SPECT in assessment of regional and global left ventricular function: Major tool of modern nuclear imaging

  • Major Achievements in Nuclear Cardiology XIV
  • Published:
Journal of Nuclear Cardiology Aims and scope

Conclusion

We have reviewed the development of assessments of ventricular function by use of gated MPS and the ways in which these measurements have contributed to the emergence of gated SPECT with regard to its important role as a major tool of modern cardiac imaging. We conclude that gated MPS imaging has shown a unique capability to provide precise, reproducible, and operator-independent quantitative data regarding myocardial perfusion, global and regional systolic and diastolic function, stress-induced RWMAs, ancillary markers of severe and extensive disease, LV geometry and mass, and finally, the presence of scars and viability. Adding functional data to perfusion provides highly effective means of increasing both diagnostic accuracy and reader confidence in the interpretation of the results of perfusion scans. Assessment of global and regional LV function has improved the prognostic power of the MPS study, which has been shown to play a central role in guiding patient management decisions, particularly regarding the need for revascularization, even without function variables.

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References

  1. Berman DS, Hachamovitch R, Shaw L, Hayes SW, Germano G. Nuclear cardiology. In: Fuster V, Alexander RW, O’Rourke RA, Roberts R, King SB, Prystowsky EN, et al, editors. Hurst’s the heart. 11th ed. New York: McGraw-Hill; 2004.

    Google Scholar 

  2. Klocke FJ, Band MG, Lorell BH, Bateman TM, Messer JV, Berman DS, et al. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging—executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging). J Am Coll Cardiol 2003;42:1318–33.

    PubMed  Google Scholar 

  3. Williams KA. A historical perspective on measurement of ventricular function with scintigraphic techniques: part II—ventricular function with gated techniques for blood pool and perfusion imaging. J Nucl Cardiol 2005;12:208–15.

    PubMed  Google Scholar 

  4. Strauss HW, Zaret BL, Hurley PJ, Natarajan TK, Pitt B. A scintiphotographic method for measuring left ventricular ejection fraction in man without cardiac catheterization. Am J Cardiol 1971;28:575–80.

    PubMed  CAS  Google Scholar 

  5. Berman DS, Mason DT. Clinical nuclear cardiology. New York: Grune & Stratton; 1980.

    Google Scholar 

  6. Elkayam U, Weinstein M, Berman D, Maddahi J, Staniloff H, Freeman M, et al. Stress thallium-201 myocardial scintigraphy and exercise technetium ventriculography in the detection and location of chronic coronary artery disease: comparison of sensitivity and specificity of these noninvasive tests alone and in combination. Am Heart J 1981;101:657–66.

    PubMed  CAS  Google Scholar 

  7. Keyes JW Jr, Brady TJ, Leonard PF, Svetkoff DB, Winter SM, Rogers WL, et al. Calculation of viable and infarcted myocardial mass from thallium-201 tomograms. J Nucl Med 1981;22:339–43.

    PubMed  CAS  Google Scholar 

  8. Faber TL, Akers MS, Peshock RM, Corbett JR. Three-dimensional motion and perfusion quantification in gated single-photon emission computed tomograms. J Nucl Med 1991;32:2311–7.

    PubMed  CAS  Google Scholar 

  9. Germano G, Berman D. Clinical gated cardiac SPECT. Armonk (NY): Futura Publishing; 1999.

    Google Scholar 

  10. Germano G, Kiat H, Kavanagh PB, Moriel M, Mazzanti M, Su HT, et al. Automatic quantification of ejection fraction from gated myocardial perfusion SPECT. J Nucl Med 1995;36:2138–47.

    PubMed  CAS  Google Scholar 

  11. Germano G, Erel J, Lewin H, Kavanagh PB, Berman DS. Automatic quantitation of regional myocardial wall motion and thickening from gated technetium-99m sestamibi myocardial perfusion single-photon emission computed tomography. J Am Coll Cardiol 1997;30:1360–7.

    PubMed  CAS  Google Scholar 

  12. Faber TL, Stokely EM, Peshock RM, Corbett JR. A model-based four-dimensional left ventricular surface detector. IEEE Trans Med Imaging 1991;10:321–9.

    PubMed  CAS  Google Scholar 

  13. Ficaro EP, Quaife RA, Kritzman JN, Corbett JR. Accuracy of reproducibility of 3D-MSPECT for estimating left ventricular ejection fraction in patients with severe perfusion abnormalities [abstract]. Circulation 1999;100:I26.

    Google Scholar 

  14. Chugh A, Ficaro EP, Moscucci M, Kritzman JN, Corbett JR. Quantification of left ventricular function by gated perfusion tomography: testing of a new fully automatic algorithm [abstract]. J Am Coll Cardiol 2001;37:394A.

    Google Scholar 

  15. Cooke CD, Garcia EV, Cullom SJ, Faber TL, Pettigrew RI. Determining the accuracy of calculating systolic wall thickening using a fast Fourier transform approximation: a simulation study based on canine and patient data. J Nucl Med 1994;35:1185–92.

    PubMed  CAS  Google Scholar 

  16. Faber TL, Cooke CD, Folks RD, Vansant JP, Nichols KJ, DePuey EG, et al. Left ventricular function and perfusion from gated SPECT perfusion images: an integrated method. J Nucl Med 1999;40:650–9.

    PubMed  CAS  Google Scholar 

  17. Goris ML, Thompson C, Malone LJ, Franken PR. Modelling the integration of myocardial regional perfusion and function. Nucl Med Commun 1994;15:9–20.

    PubMed  CAS  Google Scholar 

  18. Everaert H, Franken PR, Flamen P, Goris M, Momen A, Bossuyt A. Left ventricular ejection fraction from gated SPET myocardial perfusion studies: a method based on the radial distribution of count rate density across the myocardial wall. Eur J Nucl Med 1996;23:1628–33.

    PubMed  CAS  Google Scholar 

  19. Liu YH, Sinusas AJ, Khaimov D, Gebuza BI, Wackers FJ. New hybrid count- and geometry-based method for quantification of left ventricular volumes and ejection fraction from ECG-gated SPECT: methodology and validation. J Nucl Cardiol 2005;12:55–655.

    PubMed  CAS  Google Scholar 

  20. Abidov A, Rozanski A, Hachamovitch R, Hayes SW, Aboul-Enein F, Cohen I, et al. Prognostic significance of dyspnea in patients referred for cardiac stress testing. N Engl J Med 2005; 353:1889–98.

    PubMed  CAS  Google Scholar 

  21. Taillefer R, DePuey EG, Udelson JE, Beller GA, Latour Y, Reeves F. Comparative diagnostic accuracy of Tl-201 and Tc-99m sestamibi SPECT imaging (perfusion and ECG-gated SPECT) in detecting coronary artery disease in women. J Am Coll Cardiol 1997;29:69–77.

    PubMed  CAS  Google Scholar 

  22. Smanio PE, Watson DD, Segalla DL, Vinson EL, Smith WH, Beller GA. Value of gating of technetium-99m sestamibi singlephoton emission computed tomographic imaging. J Am Coll Cardiol 1997;30:1687–92.

    PubMed  CAS  Google Scholar 

  23. Abidov A, Hachamovitch R, Hayes SW, Friedman JD, Cohen I, Thomson L, et al. Are shades of gray prognostically useful in reporting myocardial perfusion SPECT? [abstract]. Circulation 2003;108:IV-455.

    Google Scholar 

  24. Johnson LL, Verdesca SA, Aude WY, Xavier RC, Nott LT, Campanella MW, et al. Postischemic stunning can affect left ventricular ejection fraction and regional wall motion on poststress gated sestamibi tomograms. J Am Coll Cardiol 1997;30:1641–88.

    PubMed  CAS  Google Scholar 

  25. Shark T, Bacher-Stier C, Dhar S, Lewin HC, Mkanda R, Friedman JD, et al. Identification of severe and extensive coronary artery disease by postexercise regional wall motion abnormalities in Tc-99m sestamibi gated single-photon emission computed tomography. Am J Cardiol 2000;86:l 171–5.

    Google Scholar 

  26. Hachamovitch R, Berman DS. The use of nuclear cardiology in clinical decision making. Semin Nucl Med 2005;35:62–72.

    PubMed  Google Scholar 

  27. Travin MI, Heller GV, Johnson LL, Katten D, Ahlberg AW, Isasi CR, et al. The prognostic value of ECG-gated SPECT imaging in patients undergoing stress Tc-99m sestamibi myocardial perfusion imaging. J Nucl Cardiol 2004; 11:253–62.

    PubMed  Google Scholar 

  28. Cherry SR, Sorensen J, Phelps M. Physics in nuclear medicine. 3rd ed. Philadelphia: Saunders; 2003.

    Google Scholar 

  29. Germano G, Berman D. Digital techniques for the acquisition, processing, and analysis of nuclear cardiology images. In: Sandier M, Coleman R, Patton J, editors. Diagnostic nuclear medicine. Philadelphia: Lippincott Williams & Wilkins; 2003. p. 207–22.

    Google Scholar 

  30. Taillefer R, Lambert R, Bisson G, Benjamin C, Phaneuf DC. Myocardial technetium 99m-labeled sestambi single-photon emission computed tomographic imaging in the detection of coronary artery disease: comparison between early (15 minutes) and delayed (60 minutes) imaging. J Nucl Cardiol 1994;l:441–8.

    Google Scholar 

  31. Matsumoto N, Berman DS, Kavanagh PB, Gerlach J, Hayes SW, Lewin HC, et al. Quantitative assessment of motion artifacts and validation of a new motion-correction program for myocardial perfusion SPECT. J Nucl Med 2001;42:687–94.

    PubMed  CAS  Google Scholar 

  32. Toba M, Kumita S, Cho K, Ibuki C, Kumazaki T, Takano T. Usefulness of gated myocardial perfusion SPECT imaging soon after exercise to identify postexercise stunning in patients with single-vessel coronary artery disease. J Nucl Cardiol 2004;11:697–7033.

    PubMed  Google Scholar 

  33. Marcassa C, Marzullo P, Parodi O, Sambuceti G, L’Abbate A. A new method for noninvasive quantitation of segmental myocardial wall thickening using technetium-99m 2-methoxy-isobutyl-isonitrile scintigraphy—results in normal subjects. J Nucl Med 1990;31:173–7.

    PubMed  CAS  Google Scholar 

  34. Smith WH, Kastner RJ, Calnon DA, Segaila D, Beller GA, Watson DD. Quantitative gated single photon emission computed tomography imaging: a counts-based method for display and measurement of regional and global ventricular systolic function. J Nucl Cardiol 1997;4:451–63.

    PubMed  CAS  Google Scholar 

  35. Mochizuki T. Clinical evaluation of Tl-201 ECG-gated myocardial SPECT—measurement of the wall systolic thickening rate [in Japanese]. Nippon Igaku Hoshasen Gakkai Zasshi 1990;50:172–99.

    PubMed  CAS  Google Scholar 

  36. Buvat I, Bartlett ML, Kitsiou AN, Dilsizian V, Bacharach SL. A “hybrid” method for measuring myocardial wall thickening from gated PET/SPECT images. J Nucl Med 1997;38:324–9.

    PubMed  CAS  Google Scholar 

  37. Nichols K, DePuey EG, Rozanski A. Automation of gated tomographic left ventricular ejection fraction. J Nucl Cardiol 1996;3:475–82.

    PubMed  CAS  Google Scholar 

  38. DePuey EG, Nichols K, Dobrinsky C. Left ventricular ejection fraction assessed from gated technetium-99m-sestamibi SPECT. J Nucl Med 1993;34:1871–6.

    PubMed  CAS  Google Scholar 

  39. Nakata T, Katagiri Y, Odawara Y, Eguchi M, Kuroda M, Tsuchihashi K, et al. Two- and three-dimensional assessments of myocardial perfusion and function by using technetium-99m sestamibi gated SPECT with a combination of count- and image-based techniques. J Nucl Cardiol 2000;7:623–32.

    PubMed  CAS  Google Scholar 

  40. Stegger L, Biedenstein S, Schafers KP, Schober O, Schafers MA. Elastic surface contour detection for the measurement of ejection fraction in myocardial perfusion SPET. Eur J Nucl Med 2001; 28:48–55.

    PubMed  CAS  Google Scholar 

  41. Williams KA, Taillon LA. Left ventricular function in patients with coronary artery disease assessed by gated tomographic myocardial perfusion images. Comparison with assessment by contrast ventriculography and first-pass radionuclide angiogra- phy. J Am Coll Cardiol 1996;27:173–81.

    PubMed  CAS  Google Scholar 

  42. Inubushi M, Tadamura E, Kudoh T, Hattori N, Kubo S, Koshiji T, et al. Simultaneous assessment of myocardial free fatty acid utilization and left ventricular function using 1231-BMIPP-gated SPECT. J Nucl Med 1999;40:1840–7.

    PubMed  CAS  Google Scholar 

  43. He ZX, Cwajg E, Preslar JS, Mahmarian JJ, Verani MS. Accu- racy of left ventricular ejection fraction determined by gated myocardial perfusion SPECT with Tl-201 and Tc-99m sestamibi: comparison with first-pass radionuclide angiography. J Nucl Cardiol 1999;6:412–7.

    PubMed  CAS  Google Scholar 

  44. Vallejo E, Dione DP, Sinusas AJ, Wackers FJ. Assessment of left ventricular ejection fraction with quantitative gated SPECT: accuracy and correlation with first-pass radionuclide angiogra- phy. J Nucl Cardiol 2000;7:461–70.

    PubMed  CAS  Google Scholar 

  45. Lam PT, Wackers FJT, Liu YH. Validation of a new method for quantification of left ventricular function from ECG-gated SPECT [abstract]. J Nucl Med 2001;42:93P-94P.

    Google Scholar 

  46. Model M, Germano G, Kiat H, Friedman J, Hyun M, Tinker T, et al. Automatic measurement of left ventricular ejection fraction by gated SPECT Tc-99m sestamibi: a comparison with radionu- clide ventriculography [abstract]. Circulation 1993;88:I-486.

    Google Scholar 

  47. Bateman T, Case J, Saunders M, O’Keefe J, Williams M, Sherwani K, et al. Gated SPECT LVEF measurements using a dual-detector camera and a weight-adjusted dosage of thallium- 201 [abstract]. J Am Coll Cardiol 1997;29:263A.

    Google Scholar 

  48. Everaert H, Bossuyt A, Franken PR. Left ventricular ejection fraction and volumes from gated single photon emission tomo- graphic myocardial perfusion images: comparison between two algorithms working in three-dimensional space. J Nucl Cardiol 1997;4:472–6.

    PubMed  CAS  Google Scholar 

  49. Carpentier P, Benticha H, Gautier P, Sulman C. Thallium 201 gated SPECT for simultaneous assessment of myocardial perfu- sion, left ventricular ejection fraction and qualitative regional function [abstract]. J Nucl Cardiol 1999;6:S39.

    Google Scholar 

  50. Daou D, Helal B, Colin P, Fourme T, Dinanian S, Pointurier I, et al. Are LV ejection fraction (EF), end diastolic (EDV) and end systolic volumes (ESV) measured with rest Tl-201 gated SPECT accurate? [abstract]. J Nucl Cardiol 1999;6:S31.

    Google Scholar 

  51. Yoshioka J, Hasegawa S, Yamaguchi H, Tokita N, Paul AK, Xiuli M, et al. Left ventricular volumes and ejection fraction calculated from quantitative electrocardiographic-gated 99mTc- tetrofosmin myocardial SPECT. J Nucl Med 1999;40:1693–8.

    PubMed  CAS  Google Scholar 

  52. Manrique A, Koning R, Cribier A, Vera P. Effect of temporal sampling on evaluation of left ventricular ejection fraction by means of thallium-201 gated SPET: comparison of 16- and 8-interval gating, with reference to equilibrium radionuclide angiography. Eur J Nucl Med 2000;27:694–9.

    PubMed  CAS  Google Scholar 

  53. Chua T, Yin LC, Thiang TH, Choo TB, Ping DZ, Leng LY. Accuracy of the automated assessment of left ventricular function with gated perfusion SPECT in the presence of perfusion defects and left ventricular dysfunction: correlation with equilibrium radionuclide ventriculography and echocardiography. J Nucl Cardiol 2000;7:301-ll.

    PubMed  CAS  Google Scholar 

  54. Higuchi T, Nakajima K, Taki J, Yoneyama T, Tonami N. Accuracy and reproducibility of four softwares for the left- ventricular function with ECG-gated myocardial perfusion SPECT [abstract]. J Nucl Cardiol 2001;8:S64.

    Google Scholar 

  55. Kikkawa M, Nakamura T, Sakamoto K, Sugihara H, Azuma A, Sawada T, et al. Assessment of left ventricular diastolic function from quantitative electrocardiographic-gated 99mTc-tetrofosmin myocardial SPET. Eur J Nucl Med 2001;28:593–601.

    PubMed  CAS  Google Scholar 

  56. Kumita S, Cho K, Nakajo H, Toba M, Uwamori M, Mizumura S, et al. Assessment of left ventricular diastolic function with electrocardiography-gated myocardial perfusion SPECT: com- parison with multigated equilibrium radionuclide angiography. J Nucl Cardiol 2001;8:568–74.

    PubMed  CAS  Google Scholar 

  57. Nakajima K, Higuchi T, Taki J, Kawano M, Tonami N. Accuracy of ventricular volume and ejection fraction measured by gated myocardial SPECT: comparison of 4 software programs. J Nucl Med 2001;42:1571–8.

    PubMed  CAS  Google Scholar 

  58. Higuchi T, Nakajima K, Taki J, Kinuya S, Bunko H, Tonami N. Assessment of left ventricular systolic and diastolic function based on the edge detection method with myocardial ECG-gated SPET. Eur J Nucl Med 2001;28:1512–6.

    PubMed  CAS  Google Scholar 

  59. Nanasato M, Ando A, Isobe S, Nonokawa M, Hirayama H, Tsuboi N, et al. Evaluation of left ventricular function using electrocardiographically gated myocardial SPECT with (123)1- labeled fatty acid analog. J Nucl Med 2001 ;42:1747–56.

    CAS  Google Scholar 

  60. Paul A, Hasegawa S, Yoshioka J, Yamaguchi H, Tsujimura E, Tokita N, et al. Left ventricular volume and ejection fraction from quantitative gated SPECT: comparison with gated pool SPECT and contrast ventriculography [abstract]. J Nucl Med 1999;40:178P.

    Google Scholar 

  61. Higuchi T, Nakajima K, Taki J, Yoneyama T, Tonami N. The accuracy of left-ventricular time volume curve derived from ECG-gated myocardial perfusion SPECT [abstract]. J Nucl Car-diol 2001;8:S18.

    Google Scholar 

  62. He Z, Vick G, Vaduganathan P, Verani M. Comparison of left ventricular volumes and ejection fraction measured by gated SPECT and by cine magnetic resonance imaging [abstract]. J Am Coll Cardiol 1998;31:44A.

    Google Scholar 

  63. Atsma D, Kayser H, Croon C, Dibbets-Schneider P, de Roos A, Pauwels EK, et al. Good correlation between left ventricular ejection fraction, endsystolic and enddiastolic volume measured by gated SPECT as compared to magnetic resonance imaging [abstract]. J Am Coll Cardiol 1999;33:436A.

    Google Scholar 

  64. Vaduganathan P, He ZX, Vick GW III, Mahmarian JJ, Verani MS. Evaluation of left ventricular wall motion, volumes, and ejection fraction by gated myocardial tomography with techne- tium 99m-labeled tetrofosmin: a comparison with cine magnetic resonance imaging. J Nucl Cardiol 1999;6:3–10.

    PubMed  CAS  Google Scholar 

  65. Tadamura E, Kudoh T, Motooka M, Inubushi M, Shirakawa S, Hattori N, et al. Assessment of regional and global left ventricular function by reinjection T1-201 and rest Tc-99m sestamibi ECG-gated SPECT: comparison with three-dimensional magnetic resonance imaging. J Am Coll Cardiol 1999;33:991–7.

    PubMed  CAS  Google Scholar 

  66. Vansant J, Pettigrew R, Faber T, Galt J, Bilkay U, Biais M, et al. Comparison and accuracy of two gated-SPECT techniques for assessing left ventricular function defined by cardiac MRI [abstract]. J Nucl Med 1999;40:166P.

    Google Scholar 

  67. Tadamura E, Kudoh T, Motooka M, Inubushi M, Okada T, Kubo S, et al. Use of technetium-99m sestamibi ECG-gated single- photon emission tomography for the evaluation of left ventricular function following coronary artery bypass graft: comparison with three-dimensional magnetic resonance imaging. Eur J Nucl Med 1999;26:705–12.

    PubMed  CAS  Google Scholar 

  68. Bax JJ, Lamb H, Dibbets P, Pelikan H, Boersma E, Viergever EP, et al. Comparison of gated single-photon emission computed tomography with magnetic resonance imaging for evaluation of left ventricular function in ischémie cardiomyopathy. Am J Cardiol 2000;86:1299–305.

    PubMed  CAS  Google Scholar 

  69. Bavelaar-Croon CD, Kayser HW, van der Wall EE, de Roos A, Dibbets-Schneider P, Pauwels EK, et al. Left ventricular function: correlation of quantitative gated SPECT and MR imaging over a wide range of values. Radiology 2000;217:572–5.

    PubMed  CAS  Google Scholar 

  70. Faber TL, Vansant JP, Pettigrew RI, Gait JR, Biais M, Chatzimavroudis G, et al. Evaluation of left ventricular endocardial volumes and ejection fractions computed from gated perfusion SPECT with magnetic resonance imaging: comparison of two methods. J Nucl Cardiol 2001;8:645–51.

    PubMed  CAS  Google Scholar 

  71. Roelants V, Gerber B, Vanoverschelde J. Comparison between 16- and 8-interval gating for the evaluation of LV function with G-SPECT in patients with history of myocardial infarction and severe ischémie cardiomyopathy: a comparison to MRI [abstract]. J Nucl Cardiol 2003;10:S6.

    Google Scholar 

  72. Thorley PJ, Plein S, Bloomer TN, Ridgway JP, Sivananthan UM. Comparison of 99mTc tetrofosmin gated SPECT measurements of left ventricular volumes and ejection fraction with MRI over a wide range of values. Nucl Med Commun 2003;24:763–9.

    PubMed  CAS  Google Scholar 

  73. Lipke CS, Kühl HP, Nowak B, Kaiser HJ, Reinartz P, Koch KC, et al. Validation of 4D-MSPECT and QGS for quantification of left ventricular volumes and ejection fraction from gated 99mTc- MIBI SPET: comparison with cardiac magnetic resonance imag- ing. Eur J Nucl Med Mol Imaging 2004;31:482–90.

    PubMed  Google Scholar 

  74. Schaefer W, Lipke C, Kuehl H, Koch K, Nowak B, Buell U. Validation of 4D-MSPECT and QGS for quantification of left ventricular volumes and ejection fraction from gated Tc-99m MIBI SPECT: comparison with cardiac magnetic resonance imaging [abstract]. J Nucl Med 2004;45:177P.

    Google Scholar 

  75. Zanger D, Bhatnagar A, Hausner E, Botello M, Nuquist C, Weissman N, et al. Automated calculation of ejection fraction from gated Tc-99m sestamibi images-comparison to quantita- tive echocardiography [abstract]. J Nucl Cardiol 1997;4:S78.

    Google Scholar 

  76. Di Leo C, Bestetti A, Tagliabue L, Castini D, Facchini M, Fiorentini C, et al. 99mTc-tetrofosmin gated-SPECT LVEF: correlation with echocardiography and contrastographic ventricu- lography [abstract]. J Nucl Cardiol 1997;4:S56.

    Google Scholar 

  77. Bateman T, Magalski A, Bamhart C, O’Keefe J, Jones P. Global left ventricular function assessment using gated SPECT-201: comparison with echocardiography [abstract]. J Am Coll Cardiol 1998;31:441A.

    Google Scholar 

  78. Mathew D, Zabrodina Y, Mannting F. Volumetric and functional analysis of left ventricle by gated SPECT: a comparison with echocardiographic measurements [abstract]. J Am Coll Cardiol 1998;31:44A.

    Google Scholar 

  79. Cwajg E, Cwajg J, He ZX, Hwang WS, Keng F, Nagueh SF, et al. Gated myocardial perfusion tomography for the assessment of left ventricular function and volumes: comparison with echocar- diography. J Nucl Med 1999;40:1857–65.

    PubMed  CAS  Google Scholar 

  80. Bacher-Stier C, Muller S, Pachinger O, Strolz S, Erler H, Moncayo R, et al. Thallium-201 gated single-photon emission tomography for the assessment of left ventricular ejection fraction and regional wall motion abnormalities in comparison with two-dimensional echocardiography. Eur J Nucl Med 1999;26:1533–400.

    PubMed  CAS  Google Scholar 

  81. Nichols K, Lefkowitz D, Faber T, Folks R, Cooke D, Garcia EV, et al. Echocardiographic validation of gated SPECT ventricular function measurements. J Nucl Med 2000;41:1308–14.

    PubMed  CAS  Google Scholar 

  82. Gayed IW, Cid E, Boccalandro F. Correlation of left ventricular ejection fraction using Gated SPECT automated programs with echocardiography [abstract]. J Nucl Med 2001;42:177P-178P.

    Google Scholar 

  83. Vourvouri EC, Poldermans D, Bax JJ, Sianos G, Sozzi FB, Schinkel AF, et al. Evaluation of left ventricular function and volumes in patients with ischaemic cardiomyopathy: gated single- photonemission computed tomography versus two-dimensional echocardiography. Eur J Nucl Med 2001;28:1610–5.

    PubMed  CAS  Google Scholar 

  84. Akinboboye O, El-Khoury, Coffin L, Sciacca R, Bergmann S, Blood D, et al. Accuracy of gated SPECT thallium left ventricular volumes and ejection fractions: comparison with three-dimensional echocardiography [abstract]. J Am Coll Cardiol 1998;31:85A.

    Google Scholar 

  85. Abe M, Kazatani Y, Fukuda H, Tatsuno H, Habara H, Shinbata H. Left ventricular volumes, ejection fraction, and regional wall motion calculated with gated technetium-99m tetrofosmin SPECT in reperfused acute myocardial infarction at super-acute phase: comparison with left ventriculography. J Nucl Cardiol 2000;7:569–74.

    PubMed  CAS  Google Scholar 

  86. Atsma DE, Bavelaar-Croon CD, Germano G, Dibbets-Schneider P, van Eck-Smit BL, Pauwels EK, et al. Good correlation between gated single photon emission computed myocardial tomography and contrast ventriculography in the assessment of global and regional left ventricular function. Int J Card Imaging 2000; 16: 4:763–9.

    Google Scholar 

  87. Toba M, Ishida Y, Fukuchi K, Fukushima K, Takamiya M. Application of ECG-gated Tc-99m sestamibi cardiac imaging to patients with arrhythmogenic right ventricular dysplasia (ARVD) [abstract]. J Nucl Cardiol 1999;6:S41.

    Google Scholar 

  88. Germano G, VanDecker W, Mintz R, Ogilby D, Wolf N, Berman D, et al. Validation of left ventricular volumes automatically measured with gated myocardial perfusion SPECT [abstract]. J Am Coll Cardiol 1998;31:43A.

    Google Scholar 

  89. Cahill J, Chen M, Corbett J, Quaife R. Validation of three-dimensional analysis method for calculation of the LV mass and ejection fraction using Tc-99m sestamibi gated-SPECT perfusion imaging: comparison between 4D-MSPECT and magnetic resonance imaging [abstract]. J Nucl Med 2003;44:197P.

    Google Scholar 

  90. Cahill J, Chen M, Ficaro E, Corbett J, Quaife R. Validation of 4D-MSPECT analysis method for Tc-99m gated blood pool tomography: comparison of LV ejection fractions and volumes to magnetic resonance imaging [abstract]. J Nucl Cardiol 2003;10:S20.

    Google Scholar 

  91. Ficaro E, Quaife R, Kritzman J, Corbett J. Accuracy and reproducibility of 3D-MSPECT for estimating left ventricular ejection fraction in patients with severe perfusion abnormalities [abstract]. Circulation 1999;100:I-26.

    Google Scholar 

  92. Schwartz R, Thompson C, Mixon L, Eckdahl J, Bums G. Gated SPECT analysis with 3-D wall parametrization method: accurate and reproducible evaluation of left ventricular volumes and ejection fraction [abstract]. Circulation 1995;92:I-449.

    Google Scholar 

  93. Vera P, Manrique A, Pontvianne V, Hitzel A, Koning R, Cribier A. Thallium-gated SPECT in patients with major myocardial infarction: effect of filtering and zooming in comparison with equilibrium radionuclide imaging and left ventriculography. J Nucl Med 1999;40:513–21.

    PubMed  CAS  Google Scholar 

  94. Schwartz RG, Eckdahl JM, Thompson C. 3-D wall parametriza- tion method for quantitative LVEF of gated SPECT sestamibi with LV dysfunction and severe perfusion defects [abstract]. J Nucl Cardiol 1995;2:S114.

    Google Scholar 

  95. Navare SM, Wackers FJ, Liu YH. Comparison of 16-frame and 8-frame gated SPET imaging for determination of left ventricular volumes and ejection fraction. Eur J Nucl Med Mol Imaging 2003;30:1330–7.

    PubMed  Google Scholar 

  96. Calnon DA, Kastner RJ, Smith WH, Segalla D, Beller GA, Watson DD. Validation of a new counts-based gated single photon emission computed tomography method for quantifying left ventricular systolic function: comparison with equilibrium radionuclide angiography. J Nucl Cardiol 1997;4:464–71.

    PubMed  CAS  Google Scholar 

  97. Stollfuss JC, Haas F, Matsunari I, Neverve J, Nekolla S, Schneider-Eicke J, et al. Regional myocardial wall thickening and global ejection fraction in patients with low angiographic left ventricular ejection fraction assessed by visual and quantitative resting ECG-gated 99mTc-tetrofosmin single-photon emission tomography and magnetic resonance imaging. Eur J Nucl Med 1998;25:522–300.

    PubMed  CAS  Google Scholar 

  98. Stollfuss JC, Haas F, Matsunari I, Neverve J, Nekolla S, Ziegler S, et al. 99mTc-tetrofosmin SPECT for prediction of functional recovery defined by MRI in patients with severe left ventricular dysfunction: additional value of gated SPECT. J Nucl Med 1999;40:1824–31.

    PubMed  CAS  Google Scholar 

  99. Adiseshan P, Corbett J. Quantification of left ventricular function from gated tomographic perfusion imaging: development and testing of a new algorithm [abstract]. Circulation 1994;90:I-365.

    Google Scholar 

  100. Nichols K, Tamis J, DePuey EG, Mieres J, Malhotra S, Rozanski A. Relationship of gated SPECT ventricular function parameters to angiographic measurements. J Nucl Cardiol 1998;5:295–303.

    PubMed  CAS  Google Scholar 

  101. Nakajima K, Higuchi T, Taki J, Kawano M, Sakazume S, et al. Quantitative gated SPECT with myocardial perfusion and blood- pool studies to determine ventricular volumes and stroke volume ratio in congenital heart diseases [abstract]. J Nucl Cardiol 2003;10:Sll.

    Google Scholar 

  102. Zuber E, Rosfors S. Effect of reversible hypoperfusion on left ventricular volumes measured with gated SPECT at rest and after adenosine infusion. J Nucl Cardiol 2000;7:655–60.

    PubMed  CAS  Google Scholar 

  103. Cittanti C, Mele D, Colamussi P, Giganti M, Dafermou A, Ciprian A, et al. Determination of left ventricular volume and ejection fraction by g-SPECT myocardial perfusion scintigraphy. A comparison with quantitative 3-D echocardiography [abstract]. J Nucl Cardiol 1999;6:S34.

    Google Scholar 

  104. Fukuchi K, Uehara T, Morozumi T, Tsujimura E, Hasegawa S, Yutani K, et al. Quantification of systolic count increase in technetium-99m-MIBI gated myocardial SPECT. J Nucl Med 1997;38:1067–73.

    PubMed  CAS  Google Scholar 

  105. Nakajima K, Taki J, Kawano M, Higuchi T, Sato S, Nishijima C, et al. Diastolic dysfunction in patients with systemic sclerosis detected by gated myocardial perfusion SPECT: an early sign of cardiac involvement. J Nucl Med 2001;42:183–8.

    PubMed  CAS  Google Scholar 

  106. Sakamoto K, Nakamura T, Zen K, Hikosaka T, Yamano T, Sawada T, et al. Identification of exercise-induced left ventricular systolic and diastolic dysfunction using gated SPECT in patients with coronary artery disease. J Nucl Cardiol 2004;ll:152–8.

    Google Scholar 

  107. Akincioglu C, Berman DS, Nishina H, Kavanagh PB, Slomka PJ, Abidov A, et al. Assessment of diastolic function using 16-frame 99mTc-sestamibi gated myocardial perfusion SPECT: normal values. J Nucl Med 2005;46:1102–8.

    PubMed  Google Scholar 

  108. Alexanderson E, Espinola N, Meavel A, Victoria D. Assessment of ventricular perfusion and function with nuclear scan and echocardiography in patients with corrected transposition of great arteries [abstract]. J Nucl Cardiol 2003;10:S66.

    Google Scholar 

  109. Berman DS, Kiat H, Friedman JD, Wang FP, van Train K, Matzer L, et al. Separate acquisition rest thallium-201/stress technetium-99m sestamibi dual-isotope myocardial perfusion single-photon emission computed tomography: a clinical validation study. J Am Coll Cardiol 1993;22:1455–64.

    PubMed  CAS  Google Scholar 

  110. Hyun I, Kim D, Seo J, Kwan J, Park K, Choe W, et al. Normal parameters of left ventricular volume and ejection fraction mea- sured by gated myocardial perfusion SPECT: comparison of Tc99m MIBI and TI-201 [abstract]. Eur J Nucl Med 2002;29:S2055.

    Google Scholar 

  111. Germano G, Erel J, Kiat H, Kavanagh PB, Berman DS. Quanti- tative LVEF and qualitative regional function from gated thallium- 201 perfusion SPECT. J Nucl Med 1997;38:749–54.

    PubMed  CAS  Google Scholar 

  112. Lee DS, Ahn JY, Kim SK, Oh BH, Seo JD, Chung JK, et al. Limited performance of quantitative assessment of myocardial function by thallium-201 gated myocardial single-photon emis- sion tomography. Eur J Nucl Med 2000;27:185–91.

    PubMed  CAS  Google Scholar 

  113. Hyun I, Kwan J, Park K, Lee W. Reproducibility of gated perfusion SPECT for the assessment of myocardial function: comparison with 201T1 and 99mTc MIBI [abstract]. J Nucl Med 2000;41:125P.

    Google Scholar 

  114. He Z, Mahmarian J, Preslar J, Verani M. Correlations of left ventricular ejection fractions determined by gated SPECT with thallium and sestamibi and by first-pass radionuclide angiography [abstract]. J Nucl Med 1997;38:27P.

    Google Scholar 

  115. Case A, Bateman T, Cullom S, Moutray K, O’Keefe J, McGhie A. Validation of Tl-201 LVEF measurements using simultaneous acquired Tc-99m-sestamibi/Tl-201 ECG-gated SPECT perfusion scintigraphy [abstract]. J Nucl Med 1999;40:159P.

    Google Scholar 

  116. Mazzanti M, Germano G, Kiat H, Kavanagh PB, Alexanderson E, Friedman JD, et al. Identification of severe and extensive coro- nary artery disease by automatic measurement of transient isch- emic dilation of the left ventricle in dual-isotope myocardial perfusion SPECT. J Am Coll Cardiol 1996;27:1612–20.

    PubMed  CAS  Google Scholar 

  117. Iskandrian AE, Germano G, VanDecker W, Ogilby JD, Wolf N, Mintz R, et al. Validation of left ventricular volume measure- ments by gated SPECT 99mTc-labeled sestamibi imaging. J Nucl Cardiol 1998;5:574–8.

    PubMed  CAS  Google Scholar 

  118. Kim RJ, Fieno DS, Parrish TB, Harris K, Chen EL, Simonetti O, et al. Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age, and contractile function. Circulation 1999;100:1992–2002.

    PubMed  CAS  Google Scholar 

  119. Everaert H, Vanhove C, Franken PR. Gated SPET myocardial perfusion acquisition within 5 minutes using focussing collimators and a three-head gamma camera. Eur J Nucl Med 1998;25:587–93.

    PubMed  CAS  Google Scholar 

  120. Shen R, Liu X, Shi R, Tian Y, Wei H, Guo F, et al. Evaluation of LVEF by F-18-FDG gated SPECT using dual isotope simultaneous acquisition: comparison between patients with perfusion-metabolism mismatch and match [abstract]. J Nucl Med 2003;44:59P.

    Google Scholar 

  121. Berman D, Germano G, Lewin H, Kang X, Kavanagh PB, Tapnio P, et al. Comparison of post-stress ejection fraction and relative left ventricular volumes by automatic analysis of gated myocardial perfusion single-photon emission computed tomography acquired in the supine and prone positions. J Nucl Cardiol 1998;5:40–7.

    PubMed  CAS  Google Scholar 

  122. Germano G, Kavanagh PB, Kavanagh JT, Wishner SH, Berman DS, Kavanagh GJ. Repeatability of automatic left ventricular cavity volume measurements from myocardial perfusion SPECT. J Nucl Cardiol 1998;5:477–83.

    PubMed  CAS  Google Scholar 

  123. Paeng JC, Lee DS, Cheon GJ, Lee MM, Chung JK, Lee MC. Reproducibility of an automatic quantitation of regional myocardial wall motion and systolic thickening on gated 99mTc-sestamibi myocardial SPECT. J Nucl Med 2001;42:695–700.

    PubMed  CAS  Google Scholar 

  124. Hyun IY, Kwan J, Park KS, Lee WH. Reproducibility of Tl-201 and Tc-99m sestamibi gated myocardial perfusion SPECT measurement of myocardial function. J Nucl Cardiol 2001;8:182–7.

    PubMed  CAS  Google Scholar 

  125. Vanhove C, Franken PR, Defrise M, Bossuyt A. Comparison of 180 degrees and 360 degrees data acquisition for determination of left ventricular function from gated myocardial perfusion tomography and gated blood pool tomography. Eur J Nucl Med Mol Imaging 2003;30:1498–504.

    PubMed  Google Scholar 

  126. Kumita S, Kumazaki T, Cho K, Mizumura S, Kijima T, Ishihara M, et al. Rapid data acquisition protocol in ECG-gated myocardial perfusion SPECT with Tc-99m-tetrofosmin. Ann Nucl Med 1998;12:71–5.

    Article  PubMed  CAS  Google Scholar 

  127. Lewin H, Berman D, Hayes S, Friedman J, Germano G. Clinical reproducibility of post-stress gated myocardial perfusion SPECT imaging [abstract]. J Nucl Med 2000;41:160P.

    Google Scholar 

  128. Rubio A, Garcia-Burillo A, Gonzalez-Gonzalez J, Oller G, Canela T, Richart J, et al. Interstudy repeatability of gated-spect quantitative parameters [abstract]. Eur J Nucl Med 2002;29:S208.

    Google Scholar 

  129. Hoffmann R, Lethen H, Marwick T, Amese M, Fioretti P, Pingitore A, et al. Analysis of interinstitutional observer agreement in interpretation of dobutamine stress echocardiograms. J Am Coll Cardiol 1996;27:330–6.

    PubMed  CAS  Google Scholar 

  130. Taki J, Higuchi T, Nakajima K, Matsunari I, Hwang EH, Bunko H, et al. Electrocardiographic gated (99m)Tc-MIBI SPECT for functional assessment of patients after coronary artery bypass surgery: comparison of wall thickening and wall motion analysis. J Nucl Med 2002;43:589–95.

    PubMed  Google Scholar 

  131. Bestetti A, Triulzi A, Di Leo C, Tagliabue L, Del Sole A, Lomuscio A, et al. Myocardial scintigraphy by the gated SPECT method in coronary disease patients with postischemic stunning [in Italian]. G Ital Cardiol 1999;29:143–8.

    PubMed  CAS  Google Scholar 

  132. Paul AK, Hasegawa S, Yoshioka J, Tsujimura E, Yamaguchi H, Tokita N, et al. Exercise-induced stunning continues for at least one hour: evaluation with quantitative gated single-photon emission tomography. Eur J Nucl Med 1999;26:410–5.

    PubMed  CAS  Google Scholar 

  133. Hashimoto J, Kubo A, Iwasaki R, Iwanaga S, Mitamura H, Ogawa S, et al. Gated single-photon emission tomography imag ing protocol to evaluate myocardial stunning after exercise. Eur J Nucl Med 1999;26:1541–6.

    PubMed  CAS  Google Scholar 

  134. Bestetti A, Di Leo C, Alessi A, Triulzi A, Tagliabue L, Tarolo GL. Post-stress end-systolic left ventricular dilation: a marker of endocardial post-ischemic stunning. Nucl Med Commun 2001; 22:685–93.

    PubMed  CAS  Google Scholar 

  135. Otto AC, van Staden J, van Aardt A, van Aswegen E, Joubert G, Englebrecht H. Evaluation of exercise-induced stunning using myocardial perfusion imaging. Cardiovasc J S Afr 2001;12:259–62.

    PubMed  CAS  Google Scholar 

  136. Paul AK, Hasegawa S, Yoshioka J, Mu X, Maruyama K, Kusuoka H, et al. Characteristics of regional myocardial stunning after exercise in gated myocardial SPECT. J Nucl Cardiol 2002;9:388–94.

    PubMed  Google Scholar 

  137. Heiba SI, Santiago J, Mirzaitehrane M, Jana S, Dede F, Abdel-Dayem HM. Transient postischemic stunning evaluation by stress gated Tl-201 SPECT myocardial imaging: effect on systolic left ventricular function. J Nucl Cardiol 2002;9:482–90.

    PubMed  Google Scholar 

  138. Lee DS, Yeo JS, Chung JK, Lee MM, Lee MC. Transient prolonged stunning induced by dipyridamole and shown on 1-and 24-hour poststress 99mTc-MIBI gated SPECT. J Nucl Med 2000;41:27–35.

    PubMed  CAS  Google Scholar 

  139. Dakik HA, Alam S. Myocardial stunning induced and detected by adenosine stress perfusion imaging. J Nucl Cardiol 2001;8:711–2.

    PubMed  CAS  Google Scholar 

  140. Paeng JC, Lee DS, Yeo JS, Noh CI, Kim YK, Chung JK, et al. Septal stunning by dipyridamole stress shown on quantitative gated perfusion SPECT in a child with hypertrophic cardiomyopathy. Clin Nucl Med 2002;27:96–100.

    PubMed  Google Scholar 

  141. Jain D. Prolonged myocardial stunning with adenosine infusion on gated SPECT imaging. J Nucl Cardiol 2004;l 1:522–3.

    Google Scholar 

  142. Druz RS, Akinboboye OA, Grimson R, Nichols KJ, Reichek N. Postischemic stunning after adenosine vasodilator stress. J Nucl Cardiol 2004; 11:534–41.

    PubMed  Google Scholar 

  143. Hung GU, Chen CP, Yang KT. Incremental value of ischemic stunning on the detection of severe and extensive coronary artery disease in dipyridamole Tl-201 gated myocardial perfusion imaging. Int J Cardiol 2005;105:108–10.

    PubMed  Google Scholar 

  144. Tanaka H, Chikamori T, Hida S, Usui Y, Harafuji K, Igarashi Y, et al. Comparison of post-exercise and post-vasodilator stress myocardial stunning as assessed by electrocardiogram-gated single-photon emission computed tomography. Circ J 2005;69:1338–455.

    PubMed  Google Scholar 

  145. Bonow RO. Gated myocardial perfusion imaging for measuring left ventricular function. J Am Coll Cardiol 1997;30:1649–50.

    PubMed  CAS  Google Scholar 

  146. Abidov A, Berman DS. Transient ischemic dilation associated with poststress myocardial stunning of the left ventricle in vasodilator stress myocardial perfusion SPECT: true marker of severe ischemia? J Nucl Cardiol 2005;12:258–60.

    PubMed  Google Scholar 

  147. Alexanderson E, Lorenzo A, Unzek S, Rubinstein J, Bialostozky DI. Influence of myocardial ischemia over ventricular function evaluated with gated SPECT [abstract]. J Nucl Med 2001;42:170PP.

    Google Scholar 

  148. Toba M, Kumita S, Cho K, Mizumura S, Nakajo H, Fukushima Y, et al. Temporal changes of cardiac function after exercise stress assessed by gated myocardial perfusion SPECT [abstract]. J Nucl Cardiol 2003;10:S19.

    Google Scholar 

  149. Garcia-Burillo A, Canela T, Cordero JA, Richart JA, Palleres C, Roca I. Measurement of left ventricular ejection fraction (EF) by means of exercise and rest gated-SPET 99mTc-tetrofosmin [abstract]. Eur J Nucl Med 1999;26:1066.

    Google Scholar 

  150. Emmett L, Iwanochko RM, Freeman MR, Barolet A, Lee DS, Husain M. Reversible regional wall motion abnormalities on exercise technetium-99m-gated cardiac single photon emission computed tomography predict high-grade angiographic stenoses. J Am Coll Cardiol 2002;39:991–8.

    PubMed  Google Scholar 

  151. Petix NR, Sestini S, Marcucci G, Coppola A, Arena A, Nassi F, et al. Can the reversible regional wall motion abnormalities on stress gated Tc-99m sestamibi SPECT predict a future cardiac event? J Nucl Cardiol 2005; 12:20–31.

    PubMed  Google Scholar 

  152. Mazzanti M, Cianci G, Carini G, Marini M, Gabrielli G, Silenzi C, et al. Post exercise regional and global myocardial stunning after gated SPECT in asymptomatic subjects with increased absolute cardiovascular risk (NIDOT Project) [abstract]. J Nucl Cardiol 2003;10:S12.

    Google Scholar 

  153. Sharir T. Role of regional myocardial dysfunction by gated myocardial perfusion SPECT in the prognostic evaluation of patients with coronary artery disease. J Nucl Cardiol 2005;12:5–8.

    PubMed  Google Scholar 

  154. Kawasaki T, Sakatani T, Mani H, Kamitani T, Kawasaki S, Sugihara H. Systolic and diastolic stunning 30 min after exercise in patients with angina pectoris: evaluation with gated Tc-99m-tetrofosmin SPECT [abstract]. Eur J Nucl Med 2001;28:PS361.

    Google Scholar 

  155. Homans DC, Sublett E, Dai XZ, Bache RJ. Persistence of regional left ventricular dysfunction after exercise-induced myocardial ischemia. J Clin Invest 1986;77:66–73.

    PubMed  CAS  Google Scholar 

  156. Ambrosio G, Betocchi S, Pace L, Losi MA, Perrone-Filardi P, Soricelli A, et al. Prolonged impairment of regional contractile function after resolution of exercise-induced angina. Evidence of myocardial stunning in patients with coronary artery disease. Circulation 1996;94:2455–64.

    PubMed  CAS  Google Scholar 

  157. Kloner RA, Jennings RB. Consequences of brief ischemia: stunning, preconditioning, and their clinical implications: part 2. Circulation 2001;104:3158–67.

    PubMed  CAS  Google Scholar 

  158. Kloner RA, Jennings RB. Consequences of brief ischemia: stunning, preconditioning, and their clinical implications: part 1. Circulation 2001;104:2981–9.

    PubMed  CAS  Google Scholar 

  159. Imai K, Nakajima T, Azuma Y, Iwano K, Yamazaki S, Hayafune N, et al. Presence of stunning after stress test, evaluated by myocardial perfusion imaging with quantitative gated SPECT (QGS) [abstract]. J Nucl Cardiol 1999;6:S38.

    Google Scholar 

  160. Arai Y, Mizuno S, Ohsato K, Murakami T, Moriuchi I, Nio Y, et al. Dypiridamole induced stunning continues for at least one hour in patients with coronary artery disease: evaluation with quantitative gated SPECT [abstract]. J Nucl Cardiol 1999;6:S477.

    Google Scholar 

  161. Taillefer R, Cohade C, Gagnon A, Lajeunesse S, Benjamin C. Is the left ventricle post-stress stunning a frequent finding on gated SPECT (GS) myocardial perfusion imaging? [abstract]. J Nucl Med 2000;41:6P.

    Google Scholar 

  162. De Winter O, De Sutter JH, Van de Wiele C, De Bondt P, De Winter F, Dierckx RA. How frequent is a decrease of left ventricular ejection fraction post bicycle stress measured by gated SPET: results from a European single-centre prospective database [abstract]. J Nucl Med 2001;42:176P-177P.

    Google Scholar 

  163. Weiss AT, Berman DS, Lew AS, Nielsen J, Potkin B, Swan HJ, et al. Transient ischemic dilation of the left ventricle on stress thallium-201 scintigraphy: a marker of severe and extensive coronary artery disease. J Am Coll Cardiol 1987;9:752–9.

    PubMed  CAS  Google Scholar 

  164. Abidov A, Bax JJ, Hayes SW, Cohen I, Nishina H, Yoda S, et al. Integration of automatically measured transient ischemie dilation ratio into interpretation of adenosine stress myocardial perfusion SPECT for detection of severe and extensive CAD. J Nucl Med 2004;45:1999–2007.

    PubMed  CAS  Google Scholar 

  165. Hansen CL, Sangrigoli R, Nkadi E, Kramer M. Comparison of pulmonary uptake with transient cavity dilation after exercise thallium-201 perfusion imaging. J Am Coll Cardiol 1999;33:1323–77.

    PubMed  CAS  Google Scholar 

  166. Daou D, Coaguila C, Delahaye N, Houzet F, Lebtahi R, Le Guludec D. Discordance between exercise SPECT lung Tl-201 uptake and left ventricular transient ischemic dilation in patients with CAD. J Nucl Cardiol 2004; 11:53–61.

    PubMed  Google Scholar 

  167. Madison S, Dalipaj M, Ruddy T. Effects of gender and stress on transient ischemic dilation ratios in normals [abstract]. J Nucl Cardiol 2003;10:S85.

    Google Scholar 

  168. Kritzman JN, Ficaro EP, Corbett JR. Post-stress LV dilation: the effect of imaging protocol, gender and attenuation correction [abstract]. J Nucl Med 2001;42:50P.

    Google Scholar 

  169. Bestetti A, Di Leo C, Alessi A, Tegliabue L, Tarolo GL. Transient left ventricular dilation during myocardial perfusion gated-SPECT in hypertensive patients [abstract]. Eur J Nucl Med 2001;28:OS239.

    Google Scholar 

  170. Abidov A, Slomka P, Hayes S, Aboul-Enein F, Kang X, Yoda S, et al. Left ventricular shape index assessed by gated myocardial perfusion SPECT: a new scintigraphic marker of congestive heart failure [abstract]. J Nucl Med 2004;45:176P.

    Google Scholar 

  171. Diamond GA, Staniloff HM, Forrester JS, Pollock BH, Swan HJ. Computer-assisted diagnosis in the noninvasive evaluation of patients with suspected coronary artery disease. J Am Coll Cardiol 1983;l:444–55.

    Article  Google Scholar 

  172. Diamond GA, Forrester JS. Computer interpretation of electrocardiograms [letter]. N Engl J Med 1992;326:1634, author reply 1634–5.

    Google Scholar 

  173. Staniloff HM, Diamond GA, Freeman MR, Berman DS, Forrester JS. Simplified application of Bayesian analysis to multiple cardiologie tests. Clin Cardiol 1982;5:630–6.

    PubMed  CAS  Google Scholar 

  174. Berman DS, Hachamovitch R, Shaw LJ, Friedman JD, Hayes SW, Thomson LE, et al. Roles of nuclear cardiology, cardiac computed tomography, and cardiac magnetic resonance: assessment of patients with suspected coronary artery disease. J Nucl Med 2006;47:74–82.

    PubMed  Google Scholar 

  175. Lima RS, Watson DD, Goode AR, Siadaty MS, Ragosta M, Belier GA, et al. Incremental value of combined perfusion and function over perfusion alone by gated SPECT myocardial perfusion imaging for detection of severe three-vessel coronary artery disease. J Am Coll Cardiol 2003;42:64–70.

    PubMed  Google Scholar 

  176. Shahir T, Kang X, Germano G, Bax JJ, Shaw LJ, Gransar H, et al. Prognostic value of post-stress left ventricular volume and ejection fraction by gated myocardial perfusion single photon emission computed tomography in women: gender related differences in normal limits and outcome. J Nucl Cardiol (in press).

  177. Sharir T, Germano G, Kang X, Lewin HC, Miranda R, Cohen I, et al. Prediction of myocardial infarction versus cardiac death by gated myocardial perfusion SPECT: risk stratification by the amount of stress-induced ischemia and the poststress ejection fraction. J Nucl Med 2001;42:831–7.

    PubMed  CAS  Google Scholar 

  178. Sharir T, Germano G, Lewin H, et al. Prognostic value of myocardial perfusion and function by gated SPECT in the prediction of non-fatal myocardial infarction and cardiac death [abstract]. Circulation 1999;Suppl.

  179. Hachamovitch R, Hayes SW, Friedman JD, Cohen I, Kang X, Germano G, et al. Is there a referral bias against catheterization of patients with reduced left ventricular ejection fraction? Influence of ejection fraction and inducible ischemia on post-single-photon emission computed tomography management of patients without a history of coronary artery disease. J Am Coll Cardiol 2003; 42:1286–94.

    PubMed  Google Scholar 

  180. Sharir T, Germano G, Kavanagh PB, Lai S, Cohen I, Lewin HC, et al. Incremental prognostic value of post-stress left ventricular ejection fraction and volume by gated myocardial perfusion single photon emission computed tomography. Circulation 1999; 100:1035–42.

    PubMed  CAS  Google Scholar 

  181. Thomas GS, Miyamoto MI, Morello AP III, Majmundar H, Thomas JJ, Sampson CH, et al. Technetium 99m sestamibi myocardial perfusion imaging predicts clinical outcome in the community outpatient setting. The Nuclear Utility in the Community (NUC) Study. J Am Coll Cardiol 2004;43:213–23.

    PubMed  Google Scholar 

  182. Hachamovitch R, Hayes SW, Friedman JD, Cohen I, Berman DS. Comparison of the short-term survival benefit associated with revascularization compared with medical therapy in patients with no prior coronary artery disease undergoing stress myocardial perfusion single photon emission computed tomography. Circulation 2003;107:2900–7.

    PubMed  Google Scholar 

  183. Hachamovitch R, Hayes S, Friedman J, Cohen I, Germano G, Berman D. Inducible ischemia is superior to EF for identification of short-term survival benefit with revascularization vs. medical therapy [abstract]. Circulation 2002; 106:11–523.

    Google Scholar 

  184. Yusuf S, Zucker D, Peduzzi P, Fisher LD, Takaro T, Kennedy JW, et al. Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet 1994;344:563–70.

    PubMed  CAS  Google Scholar 

  185. Mochizuki T, Murase K, Fujiwara Y, Tanada S, Hamamoto K, Tauxe WN. Assessment of systolic thickening with thallium-201 ECG-gated single-photon emission computed tomography: a parameter for local left ventricular function. J Nucl Med 1991; 32:1496–500.

    PubMed  CAS  Google Scholar 

  186. Hwang WS, Fernando GP, Natale D, Meoli D, Bourke B, Dione D, et al. Comparison and validation of 3 gated SPECT programs for volume determination using ventricular casts of excised canine hearts [abstract]. J Nucl Med 2001;42:46P-47P.

    Google Scholar 

  187. Nichols K, Lefkovitz D, Faber T, Folks R, Cooke D, Garcia E, et al. Ventricular volumes compared among three gated SPECT methods and echocardiography [abstract]. J Am Coll Cardiol 1999;33:409A.

    Google Scholar 

  188. Yang KT, Chen HD. Evaluation of global and regional left ventricular function using technetium-99m sestamibi ECG-gated single-photon emission tomography. Eur J Nucl Med 1998;25:515–21.

    PubMed  CAS  Google Scholar 

  189. Nichols K, DePuey EG, Krasnow N, Lefkowitz D, Rozanski A. Reliability of enhanced gated SPECT in assessing wall motion of severely hypoperfused myocardium: echocardiographic validation. J Nucl Cardiol 1998;5:387–94.

    PubMed  CAS  Google Scholar 

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Abidov, A., Germano, G., Hachamovitch, R. et al. Gated SPECT in assessment of regional and global left ventricular function: Major tool of modern nuclear imaging. J Nucl Cardiol 13, 261–279 (2006). https://doi.org/10.1007/BF02971251

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