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以患者为中心的单光子发射计算机断层扫描(SPECT)和SPECT/CT心肌灌注成像的性能与解读:欧洲心脏病学会(ESC)心血管影像学会的临床共识声明

Patient centric performance and interpretation of SPECT and SPECT/CT myocardial perfusion imaging: a clinical consensus statement of the European Association of Cardiovascular Imaging of the ESC.

作者信息

Abadie Bryan, Liga Riccardo, Buechel Ronny, Giannopoulos Andreas A, Pizzi María Nazarena, Roque Albert, Geronazzo Ricardo, Hyafil Fabien, Knuuti Juhani, Saraste Antti, Slart Riemer, Cremer Paul, Weinberg Richard, Ferreira Maria João Vidigal, Gimelli Alessia, Jaber Wael

机构信息

Heart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Mail Code J1-5, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Cardiothoracic and Vascular Department, University Hospital of Pisa, Via Paradisa 2, 56100 Pisa, Italy.

出版信息

Eur Heart J Imaging Methods Pract. 2025 Apr 17;3(1):qyaf043. doi: 10.1093/ehjimp/qyaf043. eCollection 2025 Jan.

Abstract

The non-invasive assessment of ischaemic heart disease with myocardial perfusion imaging remains an integral part of modern cardiology. This modality has been used for decades, but improving technology has maintained its relevance today. This document describes the fundamentals of single-photon emission computed tomography, including stress protocols, tracer pharmacodynamics, camera settings and capabilities, post-acquisition processing, and clinical translation in an easy to read and highly pictorial manner to be applicable to not only healthcare providers of all levels, but patients as well.

摘要

利用心肌灌注成像对缺血性心脏病进行无创评估仍然是现代心脏病学的一个重要组成部分。这种方法已经使用了几十年,但技术的不断进步使其在今天仍然具有重要意义。本文以易于阅读且极具图示性的方式描述了单光子发射计算机断层扫描的基本原理,包括负荷方案、示踪剂药效学、相机设置与功能、采集后处理以及临床应用,不仅适用于各级医疗服务提供者,也适用于患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9027/12096082/741799f9c0b7/qyaf043f1.jpg

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