What is This Image? 2017: Image 5 Result

Excerpt

A 58-year-old woman with shortness of breath and atypical chest pain was sent to the department of Nuclear Medicine for a myocardial perfusion scintigraphy (MPS) to rule out coronary artery disease. Maximal stress ECG was normal. Patient was injected at the peak of the exercise with 7 Mega-Becquerels/kg of ^99mTechnetium-Sestamibi. Thirty minutes later, tomographic acquisitions were obtained using a cardiac-centered CZT camera (Figure 1A, B). After a scout acquisition for localization of the heart, images were acquired and reconstructed for the evaluation of myocardial perfusion, which showed multiple defects. A second acquisition was performed immediately after the first one after reorientation of the camera and the MPS was then considered as normal (Figure 2A, B). The 2 sets of images are shown together in Figure 3.

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