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Myocardial Perfusion Imaging Protocols: Is There an Ideal Protocol?^*

Department of Nuclear Medicine/PET, VA Western New York Healthcare System, Buffalo, New York

View larger version (54K): [in this window] [in a new window]   FIGURE 1.  (a) Images obtained with 2-d 99mTc-sestamibi protocol. Findings are normal. (b) Images obtained with 1-d 99mTc-sestamibi protocol. Findings are normal.

View larger version (10K): [in this window] [in a new window]   FIGURE 2.  Dual-isotope imaging. Reprinted from Crawford ES, Husain SS. Nuclear Cardiac Imaging: Terminology and Technical Aspects. Reston, VA: Society of Nuclear Medicine; 2003;33.

View larger version (129K): [in this window] [in a new window]   FIGURE 3.  Images obtained with 99mTc-sestamibi (top row of each pair of rows) and 201Tl (bottom row of each pair) in dual-isotope protocol. Findings are normal.

View larger version (64K): [in this window] [in a new window]   FIGURE 4.  Normal cavity size difference between images obtained with 99mTc-sestamibi (top row of each pair of rows) and those obtained with 201Tl (bottom row of each pair) in dual-isotope protocol.