Diagnostic value of 18F-FDG PET in the assessment of myocardial viability in coronary artery disease: A comparative study with 99mTc SPECT and echocardiography

Objectives: To investigate the diagnostic value of 18F-FDG PET in the assessment of myocardial viability in patients with known coronary artery disease (CAD) when compared to 99mTc SPECT and echocardiography, with invasive coronary angiography as the gold standard.Methods: Thirty patients with diagn...

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Main Authors: Al Moudi, M., Sun, Zhonghua
Format: Journal Article
Published: Chinese P L A General Hospital * Institute of Geriatric Cardiology 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/35299
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author Al Moudi, M.
Sun, Zhonghua
author_facet Al Moudi, M.
Sun, Zhonghua
author_sort Al Moudi, M.
building Curtin Institutional Repository
collection Online Access
description Objectives: To investigate the diagnostic value of 18F-FDG PET in the assessment of myocardial viability in patients with known coronary artery disease (CAD) when compared to 99mTc SPECT and echocardiography, with invasive coronary angiography as the gold standard.Methods: Thirty patients with diagnosed CAD met the selection criteria, with 10 of them (9 men; mean age 59.5 ± 10.5 years) undergoing all of these imaging procedures consisting of SPECT and PET, echocardiography and invasive angiography. Diagnostic sensitivity of these less invasive modalities for detection of myocardial viability was compared to invasive coronary angiography. Inter- and intra-observer agreement was assessed for diagnostic performance of SPECT and PET.Results: Of all patients with proven CAD, 50% had triple vessel disease. Diagnostic sensitivity of SPECT, PET and echocardiography was 90%, 100% and 80% at patient-based assessment, respectively. Excellent agreement was achieved between inter-observer and intra-observer agreement of the diagnostic value of SPECT and PET in myocardial viability (k=0.9).Conclusions: 18F-FDG PET has high diagnostic value in the assessment of myocardial viability in patients with known CAD when compared to SPECT and echocardiography. Further studies based on a large cohort with incorporation of 18F-FDG PET into patient management are warranted.
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spelling curtin-20.500.11937-352992017-09-13T15:19:08Z Diagnostic value of 18F-FDG PET in the assessment of myocardial viability in coronary artery disease: A comparative study with 99mTc SPECT and echocardiography Al Moudi, M. Sun, Zhonghua single photon emission computed tomography coronary artery disease viability positron emission tomography diagnostic value Objectives: To investigate the diagnostic value of 18F-FDG PET in the assessment of myocardial viability in patients with known coronary artery disease (CAD) when compared to 99mTc SPECT and echocardiography, with invasive coronary angiography as the gold standard.Methods: Thirty patients with diagnosed CAD met the selection criteria, with 10 of them (9 men; mean age 59.5 ± 10.5 years) undergoing all of these imaging procedures consisting of SPECT and PET, echocardiography and invasive angiography. Diagnostic sensitivity of these less invasive modalities for detection of myocardial viability was compared to invasive coronary angiography. Inter- and intra-observer agreement was assessed for diagnostic performance of SPECT and PET.Results: Of all patients with proven CAD, 50% had triple vessel disease. Diagnostic sensitivity of SPECT, PET and echocardiography was 90%, 100% and 80% at patient-based assessment, respectively. Excellent agreement was achieved between inter-observer and intra-observer agreement of the diagnostic value of SPECT and PET in myocardial viability (k=0.9).Conclusions: 18F-FDG PET has high diagnostic value in the assessment of myocardial viability in patients with known CAD when compared to SPECT and echocardiography. Further studies based on a large cohort with incorporation of 18F-FDG PET into patient management are warranted. 2014 Journal Article http://hdl.handle.net/20.500.11937/35299 10.11909/j.issn.1671-5411.2014.03.008 Chinese P L A General Hospital * Institute of Geriatric Cardiology fulltext
spellingShingle single photon emission computed tomography
coronary artery disease
viability
positron emission tomography
diagnostic value
Al Moudi, M.
Sun, Zhonghua
Diagnostic value of 18F-FDG PET in the assessment of myocardial viability in coronary artery disease: A comparative study with 99mTc SPECT and echocardiography
title Diagnostic value of 18F-FDG PET in the assessment of myocardial viability in coronary artery disease: A comparative study with 99mTc SPECT and echocardiography
title_full Diagnostic value of 18F-FDG PET in the assessment of myocardial viability in coronary artery disease: A comparative study with 99mTc SPECT and echocardiography
title_fullStr Diagnostic value of 18F-FDG PET in the assessment of myocardial viability in coronary artery disease: A comparative study with 99mTc SPECT and echocardiography
title_full_unstemmed Diagnostic value of 18F-FDG PET in the assessment of myocardial viability in coronary artery disease: A comparative study with 99mTc SPECT and echocardiography
title_short Diagnostic value of 18F-FDG PET in the assessment of myocardial viability in coronary artery disease: A comparative study with 99mTc SPECT and echocardiography
title_sort diagnostic value of 18f-fdg pet in the assessment of myocardial viability in coronary artery disease: a comparative study with 99mtc spect and echocardiography
topic single photon emission computed tomography
coronary artery disease
viability
positron emission tomography
diagnostic value
url http://hdl.handle.net/20.500.11937/35299