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OtherPROCEDURE GUIDELINES

Procedure Guideline for Myocardial Perfusion Imaging 3.3

H. William Strauss, D. Douglas Miller, Mark D. Wittry, Manuel D. Cerqueira, Ernest V. Garcia, Abdulmassi S. Iskandrian, Heinrich R. Schelbert, Frans J. Wackers, Helena R. Balon, Otto Lang and Josef Machac
Journal of Nuclear Medicine Technology September 2008, 36 (3) 155-161; DOI: https://doi.org/10.2967/jnmt.108.056465
H. William Strauss
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D. Douglas Miller
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Mark D. Wittry
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Manuel D. Cerqueira
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Ernest V. Garcia
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Abdulmassi S. Iskandrian
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Heinrich R. Schelbert
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Frans J. Wackers
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Helena R. Balon
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Otto Lang
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Josef Machac
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  • FIGURE 1. 
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    FIGURE 1. 

    Orientation for display of tomographic myocardial perfusion data.

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    TABLE 1

    Modalities for Stress Testing

    Type of stressModality
    ExerciseSubmaximal
    Symptom limited
    Maximal
    PharmacologicVasodilators
     Adenosine
     Dipyridamole
    Inotropic
     Dobutamine
     Dobutamine plus atropine*
    • ↵* Review history for atropine contraindications.

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    TABLE 2

    Radiation Dosimetry for Adults*

    RadiopharmaceuticalIntravenously administered activityOrgan receiving the largest radiation doseEffective dose
    201Tl-chloride†74–148 MBq (2–4 mCi)Kidneys, 0.46 mGy/MBq (1.7 rad/mCi)0.23 mSv/MBq (0.85 rem/mCi)
    99mTc-sestamibi‡740–1,480 MBq (20–40 mCi)Gallbladder, 0.039 mGy/MBq (0.14 rad/mCi)0.0085 mSv/MBq (0.031 rem/mCi)
    99mTc-tetrofosmin740–1,480 MBq (20–40 mCi)Gallbladder, 0.031 mGy/MBq (0.11 rad/mCi)0.0067 mSv/MBq (0.025 rem/mCi)
    82Rb§1,100–1,850 MBq (30–50 mCi)Kidneys, 0.018 mGy/MBq (0.067 rad/mCi)0.0048 mSv/MBq (0.018 rem/mCi)
    13N-ammonia370–740 MBq (10–20 mCi)Urinary bladder, 0.0069 mGy/MBq (0.026 rad/mCi)0.0022 mSv/MBq (0.0081 rem/mCi)
    • ↵* See package insert for full prescribing information and complete radiation dosimetry.

    • ↵† ICRP 53, page 373.

    • ↵‡ ICRP 62, page 23.

    • ↵§ ICRP 53, page 162.

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Journal of Nuclear Medicine Technology: 36 (3)
Journal of Nuclear Medicine Technology
Vol. 36, Issue 3
September 2008
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Procedure Guideline for Myocardial Perfusion Imaging 3.3
H. William Strauss, D. Douglas Miller, Mark D. Wittry, Manuel D. Cerqueira, Ernest V. Garcia, Abdulmassi S. Iskandrian, Heinrich R. Schelbert, Frans J. Wackers, Helena R. Balon, Otto Lang, Josef Machac
Journal of Nuclear Medicine Technology Sep 2008, 36 (3) 155-161; DOI: 10.2967/jnmt.108.056465

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Procedure Guideline for Myocardial Perfusion Imaging 3.3
H. William Strauss, D. Douglas Miller, Mark D. Wittry, Manuel D. Cerqueira, Ernest V. Garcia, Abdulmassi S. Iskandrian, Heinrich R. Schelbert, Frans J. Wackers, Helena R. Balon, Otto Lang, Josef Machac
Journal of Nuclear Medicine Technology Sep 2008, 36 (3) 155-161; DOI: 10.2967/jnmt.108.056465
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  • Article
    • I. PURPOSE
    • II. BACKGROUND INFORMATION AND DEFINITIONS
    • III. PROCEDURES
    • IV. ISSUES REQUIRING FURTHER CLARIFICATION
    • V. CONCISE BIBLIOGRAPHY
    • VI. DISCLAIMER
    • VII. APPROVAL
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