PT  - JOURNAL ARTICLE
AU  - Farrell, Mary Beth
TI  - Combined Supine–Prone Myocardial Perfusion Imaging: Enhancing Diagnostic Accuracy
AID  - 10.2967/jnmt.124.268017
DP  - 2024 Aug 13
TA  - Journal of Nuclear Medicine Technology
PG  - jnmt.124.268017
4099  - http://tech.snmjournals.org/content/early/2024/08/13/jnmt.124.268017.short
4100  - http://tech.snmjournals.org/content/early/2024/08/13/jnmt.124.268017.full
AB  - The combined supine–prone imaging protocol for SPECT myocardial perfusion imaging offers significant advantages over supine imaging alone. By comparing supine and prone images, one can distinguish attenuation artifacts in the inferior and anterior walls from true perfusion defects, thus improving specificity and diagnostic accuracy. The recommended protocol is to perform prone imaging after supine stress imaging when perfusion defects are noted. The additional prone imaging time is 20%–40% less than the standard supine imaging time. Implementing prone imaging can optimize patient care and provide substantial benefits for nuclear cardiology labs, especially those without attenuation correction.