Won Kyoung Sook, Song Bong-Il
Department of Nuclear Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Chonnam Med J. 2013 Aug;49(2):55-64. doi: 10.4068/cmj.2013.49.2.55. Epub 2013 Aug 22.
Over the past three decades, radionuclide myocardial perfusion scintigraphy (MPS) has become established as the main functional cardiac imaging technique for ischemic heart disease. It is currently appropriate for all aspects of detecting and managing ischemic heart disease, including diagnosis, risk assessment and stratification, assessment of myocardial viability, and evaluation of left ventricular function. The purpose of this article was to review recent trends in nuclear cardiology practice, excluding positron emission tomography. The past few years have brought several rapid developments that have increased photon sensitivity in nuclear cardiology scanner hardware. Additionally, software applying new methods of single photon emission tomography (SPECT) reconstruction on conventional and dedicated systems has preserved or even improved SPECT image quality with lower count statistics. On the other hand, much interest has been shown in lowering the radiation dose by the stakeholders of MPS.
在过去三十年中,放射性核素心肌灌注显像(MPS)已成为用于缺血性心脏病的主要心脏功能成像技术。目前,它适用于缺血性心脏病检测与管理的各个方面,包括诊断、风险评估与分层、心肌存活评估以及左心室功能评估。本文的目的是回顾核心脏病学实践的近期趋势,但不包括正电子发射断层扫描。过去几年带来了几项快速发展,提高了核心脏病学扫描仪硬件中的光子灵敏度。此外,在传统系统和专用系统上应用单光子发射断层扫描(SPECT)重建新方法的软件,在较低计数统计情况下保持甚至提高了SPECT图像质量。另一方面,MPS的相关利益者对降低辐射剂量表现出了浓厚兴趣。