Guidelines for Classification of Stress-Only Images
Finding | ||
---|---|---|
Region of heart | Men | Women |
Apex | Small and sharp perfusion defect (<50%) or perfusion defect large enough to be seen in several slices and < 60% | Small and sharp perfusion defect (<50%) or perfusion defect large enough to be seen in several slices and < 60% |
Anterior wall | Perfusion defect < 75% | Perfusion defect < 65% in 12 o'clock position or < 60% in 11 o'clock position |
Lateral-basal wall | Perfusion defect < 65% | Perfusion defect < 65% |
Inferior wall | Perfusion defect < 60% | Perfusion defect < 60% |
Septum | ||
If maximum intensity in left ventricle is in... | ||
Septum | Always | Count levels in other areas are < 65% |
Lateral wall | Perfusion defect < 65% | Perfusion defect < 65% |
Rest study should be performed if 1 or more of criteria in table are met. Count levels in table are expressed as percentage of maximal counts per pixel of left ventricle.