Epicardial fat and coronary artery disease: An open debate

stress-only MPI SPECT (≈3 mSv), rest-stress MPI PET Rubidium-82 (≈3 mSv), and rest-stress MPI PET 13N (≈2 mSv) are represented in the recent consensus document (3). In addition, as defined by the authors, novel SPECT camera technology may allow us to reduce radiation doses with SPECT imaging (5). Stress-only MPI use may be encouraged whenever possible to reduce radiation exposure. Finally, in figure 1, the statement of “TM” should be corrected as “ETT” as this was a typographical error. In conclusion, stress MPI SPECT and PET imaging performed with currently available techniques have a high diagnostic accuracy in the assessment of symptomatic women with intermediate and intermediate-high CAD risk. In addition, technological advancements in nuclear cardiology including novel cameras and coronary flow reserve calculation by PET hold promise in reducing the radiation exposure and risk stratification of women with CAD.