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Titolo:
IMAGING TECHNIQUES FOR CORONARY-ARTERY DISEASE - CURRENT STATUS AND FUTURE-DIRECTIONS
Autore:
MERZ CNB; BERMAN DS;
Indirizzi:
CEDARS SINAI MED CTR,DIV CARDIOL,DEPT MED,444 S SAN VICENTE BLVD,SUITE 901 LOS ANGELES CA 90048 CEDARS SINAI MED CTR,CEDARS SINAI RES INST,DEPT NUCL MED LOS ANGELES CA 90048 UNIV CALIF LOS ANGELES,SCH MED,DEPT MED LOS ANGELES CA 90024
Titolo Testata:
Clinical cardiology
fascicolo: 6, volume: 20, anno: 1997,
pagine: 526 - 532
SICI:
0160-9289(1997)20:6<526:ITFCD->2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSITRON EMISSION TOMOGRAPHY; TL-201 MYOCARDIAL SCINTIGRAMS; TC-99M SESTAMIBI; RADIONUCLIDE VENTRICULOGRAPHY; CONTRAST ECHOCARDIOGRAPHY; QUANTITATIVE-ANALYSIS; MULTICENTER TRIAL; GADOLINIUM-DTPA; PERFUSION; SPECT;
Keywords:
CORONARY ARTERY DISEASE; IMAGING; DIAGNOSIS;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
41
Recensione:
Indirizzi per estratti:
Citazione:
C.N.B. Merz e D.S. Berman, "IMAGING TECHNIQUES FOR CORONARY-ARTERY DISEASE - CURRENT STATUS AND FUTURE-DIRECTIONS", Clinical cardiology, 20(6), 1997, pp. 526-532

Abstract

We review the current status and future directions of sestamibi single-photon emission-computed tomography (SPECT), positron emission tomography (PET), magnetic resonance imaging (MRI), and contrast perfusion echocardiography (CPI) for coronary artery disease evaluation. Diagnostic accuracy and adjunctive assessment of ventricular function make sestamibi SPECT the currently favored stress imaging radioisotope technique. Tissue attenuation correction will likely enhance these capabilities of SPECT in the near future. PET potentially offers valuable diagnostic information, as it may be a superior technique where body habitus limits cardiac imaging. We project that it is unlikely to be come routinely used for cardiac imaging because of improvements in routine radionuclide imaging and the lack of evidence that the small resolution gain with PET is of importance, given the much larger cost. Cardiac MRI for assessing cardiac function, perfusion, and coronary angiography is an exciting new modality at an early stage of development. The possible comprehensive nature of MRI for coronary artery disease evaluation, potential cost savings related to utilization of a single, noninvasive test, and availability of scanning equipment in current community settings all project an important role for MRI in the future. Contrastperfusion echocardiography is also a relatively new and untested imaging modality which offers great future promise. The recent developmentof intravenous contrast agents and the current widespread availability of echocardiographic expertise and equip ment throughout the countrysuggest that the speed of development as well as the dispersion of technologic advances will be rapid. We project that these techniques will play important roles in future coronary artery disease testing and will result in improved diagnostic efficacy and possibly cost utility.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 18:38:16