Assessment of Myocardial Viability Using Nuclear Medicine Imaging in Dextrocardia
Por um escritor misterioso
Last updated 01 junho 2024
Imaging of dextrocardia in humans requires an understanding of the orientation of the heart chambers and walls. There are many types of cardiac malpositioning, such as dextrocardia (with or without situs inversus), mesocardia, and levocardia. Myocardial perfusion scintigraphy of dextrocardia has been explained in case reports and imaging atlases; however, myocardial viability assessment using nuclear medicine imaging techniques is less documented in the literature. Methods: In 2 cases of dextrocardia with situs inversus and 1 case of mesocardia, myocardial viability was assessed using 99mTc-sestamibi rest perfusion scintigraphy and 18F-FDG PET. Cardiac SPECT images of dextrocardia with situs inversus were acquired using the feet-first supine position with a 180° arc from left anterior oblique to right posterior oblique, whereas a right-lateral–to–left-lateral arc was used for mesocardia. The processing and reconstruction were done by entering the dataset for the feet-first supine position and repeating after entering the dataset for the feet-first prone position. The 2 sets of reconstructed images were compared for orientation of walls and cardiac chambers. Results: The first processing, using the feet-first supine position, revealed an interchanged septum and lateral wall in reconstructed images of dextrocardia with situs inversus. This interchange was corrected by changing the position to prone during processing of the rest perfusion and PET raw data. The display of cardiac slices in various axes matched the conventional nomenclature for the septum and lateral wall, leading to easy interpretation. However, this change was not required in the mesocardia, for which the location of the heart chambers was not interchanged. Conclusion: Because the acquisition protocol for SPECT is a semicircular orbit, the various types of dextrocardia require careful selection of the arc, with the patient positioning kept feet-first supine. Processing and reconstruction of data by changing the patient position to prone was found to be most useful method of matching the septum and lateral wall orientation for interpretation of images.
Assessment of Myocardial Viability Using Nuclear Medicine Imaging in Dextrocardia
SPECT myocardial perfusion imaging in patients with Dextrocardia
Society for Cardiovascular Magnetic Resonance/European Society of Cardiovascular Imaging/American Society of Echocardiography/Society for Pediatric Radiology/North American Society for Cardiovascular Imaging Guidelines for the Use of Cardiac Magnetic
Approach to Dextrocardia in Adults: Review
Ischemic Cardiomyopathy: A Clinical Nuclear Cardiology Perspective
Artifacts and Pitfalls in Myocardial Perfusion Imaging
Levocardia disease: Malacards - Research Articles, Drugs, Genes, Clinical Trials
State of the Art: Imaging for Myocardial Viability: A Scientific Statement From the American Heart Association
Nuclear Cardiology acquisition Protocols
Visceroatrial Situs in Congenital Heart Disease
Perfusion Measurements of the Myocardium: Radionuclide Methods and Related Techniques
Pharmaceuticals, Free Full-Text
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