Use of asymmetric fan-beam transmission computed tomography for attenuation correction of cardiac SPECT imaging

2000 ◽  
Vol 27 (5) ◽  
pp. 1208-1208 ◽  
Author(s):  
Edward F. Hollinger
Keyword(s):  
Computed Tomography ◽  
Attenuation Correction ◽  
Spect Imaging ◽  
Cardiac Spect ◽  
Transmission Computed Tomography ◽  
Beam Transmission

Attenuation maps for SPECT determined using cone beam transmission computed tomography

1990 ◽  
Vol 37 (2) ◽  
pp. 600-608 ◽  
Author(s):  
S.H. Manglos ◽  
D.A. Bassano ◽  
C.E. Duxbury ◽  
R.B. Capone
Keyword(s):  
Computed Tomography ◽  
Cone Beam ◽  
Transmission Computed Tomography ◽  
Beam Transmission

The effect of truncation reduction in fan beam transmission for attenuation correction of cardiac SPECT

1996 ◽  
Vol 43 (4) ◽  
pp. 2255-2262 ◽  
Author(s):  
R.J. Jaszczak ◽  
D.R. Gilland ◽  
J.W. McConnick ◽  
C. Scarfone ◽  
R.E. Coleman
Keyword(s):  
Attenuation Correction ◽  
Cardiac Spect ◽  
Beam Transmission

Transient Prealbumin- Associated Hyperthyroxinemia in TSH-Producing Pituitary Adenoma

1990 ◽  
Vol 29 (01) ◽  
pp. 40-43 ◽  
Author(s):  
W. Langsteger ◽  
P. Költringer ◽  
P. Wakonig ◽  
B. Eber ◽  
M. Mokry ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pituitary Adenoma ◽  
Thyroid Hormones ◽  
Protein Binding ◽  
Alpha Subunit ◽  
Normal Range ◽  
Thyroxine Binding Globulin ◽  
Free Thyroid Hormones ◽  
Transmission Computed Tomography

This case report describes a 38-year-old male who was hospitalized for further clarification of clinically mild hyperthyroidism. His increased total hormone levels, the elevated free thyroid hormones and the elevated basal TSH with blunted response to TRH strongly suggested a pituitary adenoma with inappropriate TSH incretion. Transmission computed tomography showed an intrasellar expansion, 16 mm in diameter. The neoplastic TSH production was confirmed by an elevated alpha-subunit and a raised molar alpha-sub/ATSH ratio. However, T4 distribution on prealbumin (PA, TTR), albumin (A) and thyroxine binding globulin (TBG) showed a clearly increased binding to PA (39%), indicating additional prealbumin-associated hyperthyroxinemia. The absolute values of PA, A and TBG were within the normal range. After removal of the TSH-producing adenoma, basal TSH, the free thyroid hormones and T4 binding to prealbumin returned to normal. Therefore, the prealbumin-associated hyperthyroxinemia had to be interpreted as a transitory phenomenon related to secondary hyperthyroidism (T4 shift from thyroxine binding globulin to prealbumin) rather than a genetically conditioned anomaly of protein binding.

scholarly journals Quality and utility of [123I]I-metaiodobenzylguanidine cardiac SPECT imaging in nondiabetic postinfarction heart failure patients qualified for implantable cardioverter defibrillator

2021 ◽  
Author(s):  
Anna Teresińska ◽  
Olgierd Woźniak ◽  
Aleksander Maciąg ◽  
Jacek Wnuk ◽  
Jarosław Jezierski ◽  
...  
Keyword(s):  
Heart Failure ◽  
Implantable Cardioverter Defibrillator ◽  
Left Lung ◽  
Spect Imaging ◽  
Cardiac Innervation ◽  
Cardiac Spect ◽  
Cardioverter Defibrillator ◽  
Planar Images ◽  
Spect Images

Abstract Objective Impaired cardiac adrenergic activity has been demonstrated in heart failure (HF) and in diabetes mellitus (DM). [123I]I-metaiodobenzylguanidine (MIBG) enables assessment of the cardiac adrenergic nervous system. Tomographic imaging of the heart is expected to be superior to planar imaging. This study aimed to determine the quality and utility of MIBG SPECT in the assessment of cardiac innervation in postinfarction HF patients without DM, qualified for implantable cardioverter defibrillator (ICD) in primary prevention of sudden cardiac death. Methods Consecutive patients receiving an ICD on the basis of contemporary guidelines were prospectively included. Planar MIBG studies were followed by SPECT. The essential analysis was based on visual assessment of the quality of SPECT images (“high”, “low” or “unacceptable”). The variables used in the further analysis were late summed defect score for SPECT images and heart-to-mediastinum rate for planar images. MIBG images were assessed independently by two experienced readers. Results Fifty postinfarction nondiabetic HF subjects were enrolled. In 13 patients (26%), the assessment of SPECT studies was impossible. In addition, in 13 of 37 patients who underwent semiquantitative SPECT evaluation, the assessment was equivocal. Altogether, in 26/50 patients (52%, 95% confidence interval 38–65%), the quality of SPECT images was unacceptable or low and was limited by low MIBG cardiac uptake and by comparatively high, interfering MIBG uptake in the neighboring structures (primarily, in the lungs). Conclusions The utility of MIBG SPECT imaging, at least with conventional imaging protocols, in the qualification of postinfarction HF patients for ICD, is limited. In approximately half of the postinfarction HF patients, SPECT assessment of cardiac innervation can be impossible or equivocal, even without additional damage from diabetic cardiac neuropathy. The criteria predisposing the patient to good-quality MIBG SPECT are: high values of LVEF from the range characterizing the patients qualified to ICD (i.e., close to 35%) and left lung uptake intensity in planar images comparable to or lower than heart uptake.

An analytical approach for compensation of non-uniform attenuation in cardiac SPECT imaging

1995 ◽  
Vol 40 (10) ◽  
pp. 1677-1693 ◽  
Author(s):  
S J Glick ◽  
M A King ◽  
T -S Pan ◽  
E J Soares
Keyword(s):  
Analytical Approach ◽  
Spect Imaging ◽  
Cardiac Spect
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