Published in:
Open Access
01-08-2012 | Original Article
Parametric imaging of myocardial viability using 15O-labelled water and PET/CT: comparison with late gadolinium-enhanced CMR
Authors:
Stefan de Haan, Hendrik J. Harms, Mark Lubberink, Cornelis P. Allaart, Ibrahim Danad, Weena J. Y. Chen, Michaela Diamant, Albert C. van Rossum, Hidehiro Iida, Adriaan A. Lammertsma, Paul Knaapen
Published in:
European Journal of Nuclear Medicine and Molecular Imaging
|
Issue 8/2012
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Abstract
Purpose
The perfusable tissue index (PTI) is a marker of myocardial viability. Recent technological advances have made it possible to generate parametric PTI images from a single [15O]H2O PET/CT scan. The purpose of this study was to validate these parametric PTI images.
Methods
The study population comprised 46 patients with documented or suspected coronary artery disease who were studied with [15O]H2O PET and late gadolinium-enhanced (LGE) cardiac magnetic resonance imaging (CMR).
Results
Of the 736 myocardial segments included, 364 showed some degree of LGE. PTI and perfusable tissue fraction (PTF) diminished with increasing LGE. The areas under the curve of the PTI and PTF, used to predict (near) transmural LGE on CMR, were 0.86 and 0.87, respectively. Optimal sensitivity and specificity were 91 % and 73 % for PTI and 69 % and 87 % for PTF, respectively.
Conclusion
PTI and PTF assessed with a single [15O]H2O scan can be utilized as markers of myocardial viability in patients with coronary artery disease.