Juneau Daniel, Erthal Fernanda, Ohira Hiroshi, Mc Ardle Brian, Hessian Renée, deKemp Robert A, Beanlands Rob S B
Division of Cardiology, Department of Medicine, National Cardiac PET Centre, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, Ontario K1Y 4W7, Canada.
Division of Cardiology, Department of Medicine, National Cardiac PET Centre, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, Ontario K1Y 4W7, Canada; First Department of Medicine, Hokkaido University Graduate School of Medicine, Kita 15 Nishi 7, Kita-Ku, Sapporo, Hokkaido 060-8638, Japan.
Cardiol Clin. 2016 Feb;34(1):69-85. doi: 10.1016/j.ccl.2015.07.013. Epub 2015 Oct 20.
Cardiac PET imaging is a powerful tool for the assessment of coronary artery disease. Many tracers with different advantages and disadvantages are available. It has several advantages over single photon emission computed tomography, including superior accuracy and lower radiation exposure. It provides powerful prognostic information, which can help to stratify patients and guide clinicians. The addition of flow quantification enables better detection of multivessel disease while providing incremental prognostic information. Flow quantification provides important physiologic information, which may be useful to individualize patient therapy. This approach is being applied in some centers, but requires standardization before it is more widely applied.
心脏正电子发射断层显像(PET)成像是评估冠状动脉疾病的有力工具。有多种具有不同优缺点的示踪剂可供使用。与单光子发射计算机断层扫描相比,它具有多个优势,包括更高的准确性和更低的辐射暴露。它能提供有力的预后信息,有助于对患者进行分层并指导临床医生。增加血流定量可更好地检测多支血管病变,同时提供更多的预后信息。血流定量提供重要的生理信息,这可能有助于实现患者治疗的个体化。这种方法正在一些中心应用,但在更广泛应用之前需要进行标准化。