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Myocardial perfusion scintigraphy: image interpretation 

Myocardial perfusion scintigraphy: image interpretation
Myocardial perfusion scintigraphy: image interpretation

Nikant Sabharwal

, Parthiban Arumugam

, and Andrew Kelion

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date: 02 July 2022

This chapter focuses on image interpretation in myocardial perfusion scintigraphy. It covers planar acquisitions, the general approach to reporting single photon emission computed tomography (SPECT) images, and both qualitative and quantitative evaluation of tomographic slices. Detail is also provided on gated SPECT and attenuation correction, as well as a range of artefacts including image, instrumentation-related, and patient-related artefacts. Information is provided on abnormal appearances in coronary artery disease, perfusion defects, and indirect markers of severe coronary artery disease. The chapter also covers interpretation in left ventricular dysfunction and appearances in non-coronary cardiac disease, and includes a section on writing a useful report.

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