Identification of ischemic myocardium with rest reinjection of thallium201 following dipyridamole stress-redistribution imaging

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Stress-Redistribution-Reinjection and Rest-Redistribution Thallium Imaging for Assessing Viable Myocardium Comparison With Metabolic Activity by Positron Emission Tomography

Background. Stress thallium scintigraphy provides important diagnostic and prognostic information in patients with coronary artery disease by demonstrating regional myocardial ischemia. However, if the clinical question being addressed is whether a region is viable and not whether there is inducible ischemia, then it may be more reasonable to perform rest-redistribution imaging rather than stre...

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Thallium reinjection after stress-redistribution imaging. Does 24-hour delayed imaging after reinjection enhance detection of viable myocardium?

BACKGROUND Thallium reinjection immediately after conventional stress-redistribution imaging improves the detection of viable myocardium, as many myocardial regions with apparently "irreversible" thallium defects on standard 3-4-hour redistribution images manifest enhanced thallium uptake after reinjection. Because the 10-minute period between reinjection and imaging may be too short, the prese...

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Thallium reinjection demonstrates viable myocardium in regions with reverse redistribution.

BACKGROUND The clinical significance and pathophysiological mechanisms of reverse redistribution on stress-redistribution thallium-201 myocardial scintigraphy in patients with chronic coronary artery disease are unclear. Recent studies have shown that thallium-201 reinjection is a useful technique for the detection of myocardial viability in chronic coronary artery disease. In this investigatio...

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Thallium-201 for assessment of myocardial viability: quantitative comparison of 24-hour redistribution imaging with imaging after reinjection at rest.

Redistribution thallium-201 imaging 2 to 4 h after exercise may be incomplete and therefore may be inadequate to fully assess myocardial variability. Late redistribution imaging 24 h after exercise has been proposed to overcome this limitation of thallium stress imaging. However, because of poor count density the image quality on these studies is often suboptimal. In the present study the diagn...

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Differential Uptake and Apparent 20TI Washout After Thallium Reinjection Options Regarding Early Redistribution Imaging Before Reinjection or Late Redistribution Imaging After Reinjection

Background. Because thallium reinjection enhances the identification of viable myocardium, many laboratories have adopted the routine practice of performing reinjection imaging instead of 3-4-hour redistribution imaging. This approach assumes that the stress-reinjection protocol provides the necessary information regarding both exercise-induced ischemia and myocardial viability. Because apparen...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1991

ISSN: 0735-1097

DOI: 10.1016/0735-1097(91)91081-o