EDITORIAL Detection of ischemia with early myocardial perfusion imaging: You see more if you watch before a b Riccardo Liga, MD, and Alessia Gimelli, MD Cardio-thoracic and Vascular Department, University Hospital of Pisa, Pisa, Italy Fondazione Toscana, Gabriele Monasterio, Pisa, Italy Received Mar 7, 2016; accepted Mar 7, 2016 doi:10.1007/s12350-016-0470-y of myocardial perfusion and LV systolic and diastolic See related article, pp. 1149–1156 functional measures may further increase the accuracy of SPECT imaging in detecting CAD, possibly allowing a more accurate risk stratiﬁcation of patients with sus- Current medical guidelines for the management of 11,12 pected or known disease. subjects with stable angina make the evaluation of the However, despite these obvious clinical advantages, presence and extent of inducible myocardial ischemia as MPS is characterized by two major technical drawbacks, a mandatory step in the clinical workﬂow. Moreover, such as the cumulative radiation exposure and the the precise quantiﬁcation of the myocardial ischemic lengthiness of the imaging protocol, that classically burden is widely believed as a necessary action also in limit its diffusion and make the clinician frequently the management of patients with ascertained coronary favor other non-invasive imaging modalities. artery disease (CAD). As a matter of fact, in
Journal of Nuclear Cardiology – Springer Journals
Published: Apr 13, 2016
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