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September 29, 2011Clinical Physiology and Functional Imaging

Technetium‐99m‐labelled HL91 and technetium‐99m‐labelled MIBI SPECT imaging for the detection of ischaemic viable myocardium: a preliminary study

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Key result

(99m)Tc-HL91 and (99m)Tc-MIBI SPECT imaging detected ischaemic viable myocardium with 90.9% sensitivity, 100% specificity, and 92.3% accuracy.

Why the study?

Does SPECT imaging with (99m)Tc-HL91 and (99m)Tc-MIBI accurately detect ischaemic viable myocardium in patients with coronary artery disease?

Population

41 patients with coronary artery disease

Comparison

SPECT imaging byTc-HL91 andTc-MIBI before… vs RestingTc-MIBI myocardial perfusion imaging 3-18…

Design

Cohort

Follow-up

3-18 months

Authors

MLMin LiuZMZhanhong MaXGXiaojuan Guo

Discussion

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Overview

Supports dual-tracer SPECT for viability assessment in CAD; leaves open need for randomized validation before practice change.

Study Design

Type

Observational (n=41)

Structured PICO

Does SPECT imaging with (99m)Tc-HL91 and (99m)Tc-MIBI accurately detect ischaemic viable myocardium in patients with coronary artery disease?

P
Population
41 patients with coronary artery disease evaluated with SPECT imaging before coronary revascularization, with follow-up resting MIBI imaging 3-18 months post-revascularization.
E
Exposure
SPECT imaging by (99m)Tc-HL91 and (99m)Tc-MIBI before coronary revascularization
C
Comparator
Resting (99m)Tc-MIBI myocardial perfusion imaging 3-18 months after revascularization (standard methodology)
O
Outcome
Detection of ischaemic viable myocardiumsurrogate

SPECT imaging with (99m)Tc-HL91 and (99m)Tc-MIBI demonstrates high sensitivity and specificity for detecting ischaemic viable myocardium in patients with coronary artery disease.

Cite This Study

Liu et al. (2011) conducted an observational in coronary artery disease (n=41). (99m)Tc-HL91 and (99m)Tc-MIBI SPECT imaging vs. Resting (99m)Tc-MIBI myocardial perfusion imaging after revascularization was evaluated on Detection of ischaemic viable myocardium. (99m)Tc-HL91 and (99m)Tc-MIBI SPECT imaging detected ischaemic viable myocardium with 90.9% sensitivity, 100% specificity, and 92.3% accuracy.

synapsesocial.com/papers/6a2224b71b095894fc4ed00fhttps://doi.org/10.1111/j.1475-097x.2011.01050.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Are technetium‐99m‐labeled myocardial perfusion agents adequate for detection of myocardial viability?1998 · 23 citations
  2. 299mTc-HL91 is inferior to 201Tl in scintigraphic detection of chronic myocardial ischaemia2005 · 3 citations
  3. 3Detection of the viable myocardium. A perfusion scintigraphic study, before and after coronary bypass surgery in myocardial infarction patients1999 · 4 citations
  4. 4Comparison of sestamibi single-photon emission computed tomography with positron emission tomography for estimating left ventricular myocarclial viability1995 · 106 citations
  5. 5Pulsed Doppler tissue imaging for the assessment of myocardial viability: comparison with 99mTc sestamibi perfusion imaging2002 · 4 citations