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Research ArticleImaging

Comparison Between Prone and Upright Imaging of the Inferior Wall Using 201TlCl Myocardial Perfusion SPECT

Koji Nakaya, Masahisa Onoguchi, Yoshihiro Nishimura, Keisuke Kiso, Hideki Otsuka, Yoshifumi Nouno, Takayuki Shibutani and Eisuke Yasuda
Journal of Nuclear Medicine Technology December 2017, 45 (4) 304-308; DOI: https://doi.org/10.2967/jnmt.117.197632
Koji Nakaya
1Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Ishikawa, Japan
2Department of Radiological Technology, Faculty of Health Science, Suzuka University of Medical Science, Mie, Japan
3Department of Radiology and Nuclear Medicine, National Cerebral and Cardiovascular Center Hospital, Osaka, Japan; and
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Masahisa Onoguchi
1Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Ishikawa, Japan
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Yoshihiro Nishimura
3Department of Radiology and Nuclear Medicine, National Cerebral and Cardiovascular Center Hospital, Osaka, Japan; and
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Keisuke Kiso
3Department of Radiology and Nuclear Medicine, National Cerebral and Cardiovascular Center Hospital, Osaka, Japan; and
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Hideki Otsuka
4Department of Medical Imaging/Nuclear Medicine, Tokushima University Graduate School, Tokushima, Japan
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Yoshifumi Nouno
3Department of Radiology and Nuclear Medicine, National Cerebral and Cardiovascular Center Hospital, Osaka, Japan; and
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Takayuki Shibutani
1Department of Quantum Medical Technology, Graduate School of Medical Sciences, Kanazawa University, Ishikawa, Japan
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Eisuke Yasuda
2Department of Radiological Technology, Faculty of Health Science, Suzuka University of Medical Science, Mie, Japan
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  • FIGURE 1.
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    FIGURE 1.

    17-segment classification of polar map.

  • FIGURE 2.
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    FIGURE 2.

    Apical artifact appearing with upright D-SPECT imaging.

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    FIGURE 3.

    Percentage uptake ratios for prone and upright images. Mann–Whitney U test was used to show significant differences between imaging methods. (A) Segment 3/2. (B) Segment 4/1. (C) Segment 5/6. (D) Segment 9/8. (E) Segment 10/7. (F) Segment 11/12. (G) Segment 15/13.

  • FIGURE 4.
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    FIGURE 4.

    Supine (A), prone (B), and upright (C) SPECT images in same patient. Top row of each set is stress image, and bottom row is resting image.

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    TABLE 1

    Clinical Characteristics of Patients in Prone and Upright Imaging Groups

    CharacteristicProne group (n = 23)Upright group (n = 22)
    Age (y)69 ± 1074 ± 4
    Male (n)23 (100%)22 (100%)
    Height (m)1.67 ± 0.051.66 ± 0.06
    Body weight (kg)64.5 ± 6.0264.5 ± 9.19
    Body mass index23.2 ± 1.7923.3 ± 2.37
    Coronary risk factors
     Smoking14 (60.8%)18 (78.2%)
     Hypertension18 (78.3%)18 (78.2%)
     Hyperlipidemia16 (69.6%)18 (78.2%)
     Diabetes mellitus10 (43.5%)7 (30.4%)
     Familial hypercholesterolemia4 (17.4%)8 (34.7%)
     Impaired glucose tolerance0 (0%)1 (4.3%)
    Other factors
     Blood glucose128.7 ± 63.2120.3 ± 36.2
     Hemoglobin A1c6.30 ± 0.876.57 ± 0.72
     High-density-lipoprotein cholesterol54.6 ± 11.649.9 ± 14.4
     Low-density-lipoprotein cholesterol90.9 ± 24.487.9 ± 19.4
    Study protocol
     Exercise time8 min 9 s7 min 26 s
     Maximum stress (watt [%])121.7 ± 24.8110.2 ± 24.6
     (Target heart rate/maximum heart rate) × 100 (%)91.7 ± 11.487.9 ± 19.4
     Patients reaching target heart rate (n)8 (34.7%)7 (30.4%)
     Maximum blood pressure (mm Hg)205.8 ± 25.8196.7 ± 28.5
     Patients in whom ST changed on electrocardiography (n)3 (13.0%)2 (8.70%)
    • There were no significant differences between the prone and upright groups.

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Journal of Nuclear Medicine Technology: 45 (4)
Journal of Nuclear Medicine Technology
Vol. 45, Issue 4
December 1, 2017
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Comparison Between Prone and Upright Imaging of the Inferior Wall Using 201TlCl Myocardial Perfusion SPECT
Koji Nakaya, Masahisa Onoguchi, Yoshihiro Nishimura, Keisuke Kiso, Hideki Otsuka, Yoshifumi Nouno, Takayuki Shibutani, Eisuke Yasuda
Journal of Nuclear Medicine Technology Dec 2017, 45 (4) 304-308; DOI: 10.2967/jnmt.117.197632

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Comparison Between Prone and Upright Imaging of the Inferior Wall Using 201TlCl Myocardial Perfusion SPECT
Koji Nakaya, Masahisa Onoguchi, Yoshihiro Nishimura, Keisuke Kiso, Hideki Otsuka, Yoshifumi Nouno, Takayuki Shibutani, Eisuke Yasuda
Journal of Nuclear Medicine Technology Dec 2017, 45 (4) 304-308; DOI: 10.2967/jnmt.117.197632
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Keywords

  • inferior wall
  • prone imaging
  • upright imaging
  • myocardial perfusion SPECT
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