TABLE 1

Radiopharmaceutical Identity, Dose, and Route of Administration

ProtocolSestamibi or tetrofosminImaging time
1-d rest/stress8–12 mCi rest/24–36 mCi stress30–45 or 15–45 min (latter if pharmacologic stress)
1-d stress/rest8–12 mCi stress/24–26 mCi rest15–45 or 30–45 min (latter if pharmacologic stress)
2-d24–36 mCi for rest and stress30–45 or 15–45 min (latter if pharmacologic stress)
Dual-isotope2.5–4 mCi 201Tl rest/24–36 mCi 99mTc-labeled agents10–15 or 15–45 min (latter if pharmacologic stress)
201Tl stress/rest2.5–4 mCi 201Tl stressWithin 10–15 min/3, 4, 24 h
201Tl stress/rest reinjection2.5–4 mCi 201Tl stress/1–2 mCi restWithin 10–15 min/3, 4, 24 h
Viability only3−4 mCi 201Tl restWithin 10–15 min/4, 6, 24 h
  • 1 mCi = 37 MBq.

  • There should always be 1:3 ratio between activity of first dose and activity of second dose (e.g., 8-mCi first dose followed by 24-mCi second dose). In dual-isotope imaging, resting 201Tl study must be performed first.