Page last updated: 2024-12-11

technetium tc-99m tetrofosmin

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth

Cross-References

ID SourceID
PubMed CID131704316
MeSH IDM0210851

Synonyms (4)

Synonym
technetium (99mtc) tetrofosmin
technetium tc-99m tetrofosmin
tc-99m tetrofosmin
DB09160

Research Excerpts

Toxicity

ExcerptReferenceRelevance
" No drug related adverse reactions were found."( [Evaluation of the safety and clinical usefulness of a new myocardial imaging agent, 99mTc-PPN1011--multicenter phase II clinical trial report].
Bunko, H; Kubo, A; Nishikawa, J; Nishimura, T; Ohtake, T; Sasaki, Y; Tamaki, N, 1993
)
0.29
" Adverse events during infusion of the adenosine were seen in 42 (64%) patients and included chest discomfort/oppression in 17 (26%) and dyspnea/throat discomfort in 15 (23%)."( [Safety of adenosine stress myocardial perfusion imaging by a one-route infusion protocol].
Kawai, Y; Kishino, K, 2006
)
0.33
" No major adverse effects occurred."( Safety and feasibility of atropine added in patients with sub-maximal heart rate during exercise myocardial perfusion SPECT.
Azzarello, V; Di Pasquale, P; Felice, F; Martino, A; Paterna, S; Sarullo, FM; Taormina, A; Ventimiglia, C, 2007
)
0.34
" The side effect profile of Grp 1 was also compared to a historical cohort who underwent intravenous dipyridamole thallium-201 imaging and adenosine SPECT."( Hemodynamic response, arrhythmic risk, and overall safety of regadenoson as a pharmacologic stress agent for myocardial perfusion imaging in chronic obstructive pulmonary disease and bronchial asthma patients.
Ananthasubramaniam, K; Cabrera, R; Dhanalakota, S; Husain, Z; Jacobsen, G; Karthikeyan, AS; Palani, G; Pathmanathan, S, 2012
)
0.38
" Adverse effects of the anti-gravity treadmill were limited to minor muscle aches in 5 subjects."( Feasibility and safety of exercise stress testing using an anti-gravity treadmill with Tc-99m tetrofosmin single-photon emission computed tomography (SPECT) myocardial perfusion imaging: A pilot non-randomized controlled study.
Daly, P; Dwivedi, AK; Gerson, MC; Harris, D; Kayse, R; O'Donnell, R; Robbins, N; Rudick, S; Scheler, J, 2018
)
0.48
" Our experience confirms that pursuing WHO recommendations and recent indication of ASNC and SNMMI is safe for both health providers and patients."( Safety measures and clinical outcome of Nuclear Cardiology Department during Covid-19 lockdown pandemic: Northern Italy experience.
Bertuccio, G; Canavese, G; D'Amico, M; De Sanctis, P; Scrima, G, 2021
)
0.62

Compound-Compound Interactions

ExcerptReferenceRelevance
" The purpose of this study is to evaluate the usefulness of Tc-99m tetrofosmin dipyridamole stress imaging combined with low level exercise for the detection of coronary artery disease."( Tc-99m tetrofosmin myocardial perfusion SPECT after dipyridamole combined with low-level exercise in the diagnosis of coronary artery disease.
Fukuzawa, S; Inagaki, M; Inoue, T; Morooka, S; Ozawa, S; Sugioka, J, 1996
)
0.29
"The aims of this study were to evaluate the simultaneous assessment of myocardial viability and function for the detection of hibernating myocardium using ECG-gated 99Tcm-tetrofosmin single photon emission tomography (SPET), and to compare the technique with 201Tl SPET in combination with cine magnetic resonance imaging (MRI)."( Simultaneous assessment of myocardial viability and function for the detection of hibernating myocardium using ECG-gated 99Tcm-tetrofosmin emission tomography: a comparison with 201Tl emission tomography combined with cine magnetic resonance imaging.
Anagnostopoulos, C; Davies, G; Fox, KM; Gunning, MG; Knight, CJ; Pennell, DJ; Pepper, J; Underwood, SR, 1999
)
0.3
" The remaining 62 patients underwent exercise 201Tl/rest 99mTc-tetrofosmin dual-isotope SPET combined with gated SPET."( Feasibility of myocardial dual-isotope perfusion imaging combined with gated single photon emission tomography for assessing coronary artery disease.
Eto, T; Fukunaga, T; Fukuoka, S; Maeno, M; Nakagawa, S; Yamada, H, 2002
)
0.31
"PYP-SPECT combined with TF-SPECT shows 100% detectability of the AMI lesions, which is significantly higher than other two methods in both experts and beginners."( [Improvement of 99mTc-pyrophosphate scintigraphy in detection of acute myocardial infarction: combined with 99mTc-tetrofosmin].
Higuchi, T; Kawano, M; Kinuya, S; Miyazaki, Y; Murata, Y; Nakajima, K; Taki, J; Tonami, N, 2001
)
0.31
"PYP-SPECT combined with TF-SPECT is a powerful method for detection of AMI."( [Improvement of 99mTc-pyrophosphate scintigraphy in detection of acute myocardial infarction: combined with 99mTc-tetrofosmin].
Higuchi, T; Kawano, M; Kinuya, S; Miyazaki, Y; Murata, Y; Nakajima, K; Taki, J; Tonami, N, 2001
)
0.31
" Stress myocardial imaging using a Bruce protocol did not exhibit significant myocardial ischemia, but because of her typical angina symptoms, she underwent repeat stress myocardial imaging in combination with exercise of her left arm."( Tc-99m tetrofosmin myocardial SPECT combined with a modified exercise protocol in an unusual case of steal phenomenon.
Demakopoulos, N; Georgoulias, P; Mortzos, G; Xaplanteris, P, 2003
)
0.32
"To evaluate the results of surgical treatment of patients with ischemic heart disease in combination with intraoperative intramyocardial introduction of the human gene VEGF165 (angiostimulin)."( [New approaches to the treatment of ischemic heart disease: therapeutic angiogenesis in combination with surgical revascularization of the myocardium].
Aslanidi, IP; Bokeriia, LA; Eremeeva, MV; Golukhova, EZ; Kiselev, SL; Kliueva, AF; Lukashkin, MA; Poliakova, ES; Vakhromeeva, MN, 2004
)
0.32
" Since the presence of artifacts is remaining challenges, we aimed to define the minimum intensity of low-grade exercise stress levels combined with drug stress to reduce undesired artifacts and their related factors."( Short-duration, submaximal intensity exercise stress combined with adenosine triphosphate decreases artifacts in myocardial perfusion single-photon emission computed tomography.
Fukuoka, H; Hoshida, S; Inoue, S; Inui, H; Minamisaka, T; Mine, K; Shinoda, Y; Tachibana, K; Ueda, K; Ueno, K, 2020
)
0.56

Bioavailability

ExcerptReferenceRelevance
" The aim of the present study was to determine whether this hormone also modulates coronary physiology, and thus whether abnormalities in its bioavailability contribute to excess cardiovascular risk in patients with disorders of mineral metabolism."( 1,25-Dihydroxy vitamin D and coronary microvascular function.
Ameri, P; Bossert, I; Capitanio, S; Garibotto, G; Giusti, M; Marini, C; Massollo, M; Morbelli, S; Murialdo, G; Naseri, M; Repetto, B; Sambuceti, G; Vera, L; Verardi, MT, 2013
)
0.39
" This effect might contribute to the high cardiovascular risk of conditions characterized by chronic reduction in bioavailability of this hormone."( 1,25-Dihydroxy vitamin D and coronary microvascular function.
Ameri, P; Bossert, I; Capitanio, S; Garibotto, G; Giusti, M; Marini, C; Massollo, M; Morbelli, S; Murialdo, G; Naseri, M; Repetto, B; Sambuceti, G; Vera, L; Verardi, MT, 2013
)
0.39

Dosage Studied

ExcerptRelevanceReference
" Modulator dose-response curves were generated for PSC833, cyclosporin A, and verapamil."( Technetium-99m-tetrofosmin as a substrate for P-glycoprotein: in vitro studies in multidrug-resistant breast tumor cells.
Ballinger, JR; Bannerman, J; Boxen, I; Firby, P; Hartman, NG; Moore, MJ, 1996
)
0.29
" Dose-response curves were generated for two modulators of Pgp function, GG918 and PSC833."( In vitro comparison of sestamibi, tetrofosmin, and furifosmin as agents for functional imaging of multidrug resistance in tumors.
Ballinger, JR; Moore, MJ; Muzzammil, T, 2000
)
0.31
"To determine whether chitosan hydrogel nanoparticles loaded with vascular endothelial growth factor (VEGF) peptides (81-91 fragments) capable of targeting the ischemic myocardium enhance angiogenesis and promote therapeutic effects and whether radionuclide image-guided dosage control is feasible."( Peptide-loaded nanoparticles and radionuclide imaging for individualized treatment of myocardial ischemia.
Hwang, H; Jeong, HJ; Jeong, HS; Kwon, J; Lee, CM; Lee, TK; Lim, ST; Na, KS; Oh, PS; Sohn, MH, 2014
)
0.4
" Chitosan radiolabeled with (99m)Tc was administered twice at reperfusion with a 1-hour interval to determine whether image-guided dosage control is feasible."( Peptide-loaded nanoparticles and radionuclide imaging for individualized treatment of myocardial ischemia.
Hwang, H; Jeong, HJ; Jeong, HS; Kwon, J; Lee, CM; Lee, TK; Lim, ST; Na, KS; Oh, PS; Sohn, MH, 2014
)
0.4
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,053)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's293 (27.83)18.2507
2000's540 (51.28)29.6817
2010's190 (18.04)24.3611
2020's30 (2.85)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials216 (17.93%)5.53%
Reviews42 (3.49%)6.00%
Case Studies175 (14.52%)4.05%
Observational0 (0.00%)0.25%
Other772 (64.07%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 3, Open Label, Multicenter Study for the Assessment of Myocardial Perfusion Using Positron Emission Tomography (PET) Imaging of Flurpiridaz F18 Injection in Patients With Suspected or Known Coronary Artery Disease (CAD) [NCT01347710]Phase 3795 participants (Actual)Interventional2011-06-30Completed
Exploratory Phase II Study in Patients After Treatment of High Grade Brain Tumors to Assess the Technical Performance of Tc-99m Tetrofosmin for Differentiation of Recurrence Versus Radiation Necrosis [NCT02971319]Phase 232 participants (Actual)Interventional2016-09-30Completed
Cardiac Autonomic Function in Women With Microvascular Coronary Dysfunction [NCT01568177]105 participants (Actual)Interventional2011-02-28Active, not recruiting
Comparison of Diagnostic Rest/Stress SPECT Results for Patients With Myocardial Ischemia and Infarction Using Myoview in Both Single and Dual Isotope Acquisition Approaches [NCT00381316]Phase 4291 participants (Actual)Interventional2006-07-31Completed
Diagnostic Performances Assessment of Dynamic 99mTc- Tetrofosmin CZT-SPECT Myocardial Perfusion Imaging in Comparison With Invasive Intra-coronary Fractional Flow Reserve Measurement in Patients With Significant Residual Coronary Artery Stenosis After ST- [NCT05940285]60 participants (Anticipated)Interventional2023-10-20Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT01347710 (12) [back to overview]Diagnositic Performance Evaluation of Multivessel Disease (PETvsSPECT).
NCT01347710 (12) [back to overview]Diagnositic Performance Evaluation of Multivessel Disease (PETvsSPECT).
NCT01347710 (12) [back to overview]Diagnostic Certainty in PET MPI and SPECT MPI
NCT01347710 (12) [back to overview]Diagnostic Efficacy of Flurpiridaz F 18 PET Myocardial Perfusion Imaging (MPI) Sensitivity Versus SPECT Myocardial Perfusion Imaging Sensitivity
NCT01347710 (12) [back to overview]Diagnostic Efficacy of Flurpiridaz F18 PET MPI Sensitivity Versus SPECT MPI Sensitivity in Subgroups: Pharmacologic Stress, Females and BMI>/=30.
NCT01347710 (12) [back to overview]Diagnostic Efficacy of Flurpiridaz F18 PET MPI Specificity Versus SPECT Specificity in Subgroups: Pharmacologic Stress, Females and BMI>/=30.
NCT01347710 (12) [back to overview]Diagnostic Efficacy of Flurpiridaz PET MPI Specificity Versus SPECT MPI Specificity
NCT01347710 (12) [back to overview]Diagnostic Performance Evaluation of Localization of CAD for Sensitivity (PETVsSPECT).
NCT01347710 (12) [back to overview]Diagnostic Performance Evaluation of Localization of CAD for Specificity (PETVsSPECT).
NCT01347710 (12) [back to overview]Image Quality of Rest and Stress (PET vs SPECT).
NCT01347710 (12) [back to overview]Overall Summary of Sensitivity of PET MPI vs SPECT MPI; Image Quality Excellent or Good
NCT01347710 (12) [back to overview]Overall Summary of Specificity of PET MPI vs SPECT MPI; Image Quality of Excellent or Good

Diagnositic Performance Evaluation of Multivessel Disease (PETvsSPECT).

Overall summary of sensitivity for identifying multi-vessel disease between flurpiridaz F18 PET MPI and SPECT MPI by majority rule vs. truth standard (angio >/=50% stenosis and confirmed MI). Value reported is the number of true positives, i.e. True Positive: Patients with abnormal MPI and disease positive by the truth standard (NCT01347710)
Timeframe: 60 days

Interventionproportion of true positives (Number)
PET MPI sensitivity; multivessel diseaseSPECT MPI sensitivity; multivessel disease
Flurpiridaz F18 PET MPI.410.275

[back to top]

Diagnositic Performance Evaluation of Multivessel Disease (PETvsSPECT).

Overall summary of specificity for identifying multi-vessel disease between flurpiridaz F18 PET MPI and SPECT MPI by majority rule vs. majority rule (angio >/=50% stenosis and confirmed MI). Value represents the number of true negative, i.e. True Negative: Patients with normal MPI and disease negative by the truth standard (NCT01347710)
Timeframe: 60 days

Interventionproportion of true negatives (Number)
PET MPI specificity; multivessel diseaseSPECT MPI specificity; multivessel disease
Flurpiridaz F18 PET MPI.882.964

[back to top]

Diagnostic Certainty in PET MPI and SPECT MPI

Overall summary of diagnostic certainty in flurpiridaz F18 PET MPI and SPECT MPI by majority rule (NCT01347710)
Timeframe: 60 days

Interventionproportion of patients (Number)
PET definitely normal/abnormalPET probably/equivocalSPECT definitely normal/abnormalSPECT probably/equivocal
Flurpiridaz F 180.8620.1380.7990.201

[back to top]

Diagnostic Efficacy of Flurpiridaz F 18 PET Myocardial Perfusion Imaging (MPI) Sensitivity Versus SPECT Myocardial Perfusion Imaging Sensitivity

Diagnostic efficacy of one day rest and stress flurpiridaz F 18 PET MPI sensitivity versus SPECT MPI sensitivity in the detection of coronary artery disease (CAD) by majority rule using invasive coronary angiography as the truth standard, (NCT01347710)
Timeframe: 60 days

InterventionProportion of true positive cases (Number)
PET MPI sensitivitySPECT MPI Sensitivity
Flurpiridaz F18 PET MPI.719.537

[back to top]

Diagnostic Efficacy of Flurpiridaz F18 PET MPI Sensitivity Versus SPECT MPI Sensitivity in Subgroups: Pharmacologic Stress, Females and BMI>/=30.

"Diagnostic efficacy of flurpiridaz F18 PET MPI sensitivity versus SPECT MPI sensitivity by majority rule in the detection of CAD using invasive coronary angiography as the truth standard, , in subgroups: pharmacologic stress, females and BMI >/=30. Value reported is the number of true positives, i.e. True Positive: Patients with abnormal MPI and disease positive by the truth standard~I" (NCT01347710)
Timeframe: 60 days

Interventionproportion of true postives (Number)
PET sensitivity pharmacologic stressSPECT sensitivity pharmacologic stressPET sensitivity in femalesSPECT sensitivity in femalesPET sensitivity BMI >/=30SPECT sensitivity BMI >/=30
Flurpiridaz F18 PET MPI0.7360.5330.6440.3560.7220.533

[back to top]

Diagnostic Efficacy of Flurpiridaz F18 PET MPI Specificity Versus SPECT Specificity in Subgroups: Pharmacologic Stress, Females and BMI>/=30.

Diagnostic efficacy of flurpiridaz F18 PET MPI specificity versus SPECT specificity by majority rule in the detection of CAD using invasive coronary angiography as the truth standard, in subgroups: pharmacologic stress, females and BMI >/=30. Value represents the number of true negative, i.e. True Negative: Patients with normal MPI and disease negative by the truth standard (NCT01347710)
Timeframe: 60 days

Interventionproportion of true negatives (Number)
PET MPI specificity pharmacological stressSPECT MPI specificity pharmacological stressPET MPI specificity femalesSPECT MPI specificity femalesPET MPI specificity BMI >/=30SPECT MPI specificity BMI >/=30
Flurpiridaz F18 PET MPI.773.875.795.869.777.850

[back to top]

Diagnostic Efficacy of Flurpiridaz PET MPI Specificity Versus SPECT MPI Specificity

Diagnostic efficacy of flurpiridaz PET MPI specificity versus SPECT MPI specificity by majority rule in the detection of CAD using invasive coronary angiography as the truth standard (NCT01347710)
Timeframe: 60 days

InterventionProportion of true negatives (Number)
PET MPI SpecificitySPECT MPI Specificity
Flurpiridaz F18.762.868

[back to top]

Diagnostic Performance Evaluation of Localization of CAD for Sensitivity (PETVsSPECT).

Overall sensitivity of flurpiridaz F18 PET MPI in coronary territories (Qualitative Diagnosis vs. SPECT MPI by majority rule vs. truth standard (angiographic stenosis greater than or equal to 50% stenosis and confirmed MI); left descending coronary artery (LAD), left circumflex artery (LCX), right coronary artery (RCA), and non - LAD. Value reported is the number of true positives, i.e. True Positive: Patients with abnormal MPI and disease positive by the truth standard (NCT01347710)
Timeframe: 60 days

InterventionProportion of true positives (Number)
PET sensitivity LADSPECT sensitivity LADPET sensitivity LCXSPECT sensitivity LCXPET sensitivity RCASPECT sensitivity RCAPET sensitivity Non-LADSPECT sensitivity Non-LAD
Flurpiridaz F 18.495.333.398.251.596.476.627.464

[back to top]

Diagnostic Performance Evaluation of Localization of CAD for Specificity (PETVsSPECT).

Overall specificity of flurpiridaz F18 PET MPI in Coronary Territories (Qualitative Diagnosis) vs. SPECT MPI by majority rule vs. truth standard (angiographic stenosis greater than or equal to 50% stenosis and confirmed MI); left descending coronary artery (LAD), left circumflex artery (LCX), right coronary artery (RCA), and non - LAD. Value represents the number of true negative, i.e. True Negative: Patients with normal MPI and disease negative by the truth standard (NCT01347710)
Timeframe: 60 days

Interventionproportion of true negatives (Number)
PET specificity LADSPECT specificity LADPET specificity LCXSPECT specificity LCXPET specificity RCASPECT specificity RCAPET specificity Non-LADSPECT specificity Non-LAD
Flurpiridaz F 18.867.932.904.970.845.912.814.923

[back to top]

Image Quality of Rest and Stress (PET vs SPECT).

Overall summary of rest and stress image quality for flurpiridaz F18 PET MPI and SPECT MPI by majority rule. Value represents the number of subject images evaluated as excellent/good and fair/poor (NCT01347710)
Timeframe: 60 days

Interventionpercent of images (Number)
Rest imaging quality PET MPI; excellent/goodRest image quality SPECT MPI; excellent/goodStress image quality PET MPI; excellent/goodStress image quality SPECT MPI; excellent/goodRest image quality PET MPI; fair/poorRest image quality SPECT MPI; fair/poorstress image quality PET MPI; fair/poorStress image quality SPECT MPI; fair/poor
Flurpiridaz F18 PET MPI.891.739.976.869.109.261.024.131

[back to top]

Overall Summary of Sensitivity of PET MPI vs SPECT MPI; Image Quality Excellent or Good

Overall summary of sensitivity of flurpiridaz F18 PET MPI (qualitative image quality of excellent or good) vs. SPECT MPI by majority rule vs. truth standard(angio >/=50% stenosis and confirmed MI). Value reported is the number of true positives, i.e. True Positive: Patients with abnormal MPI and disease positive by the truth standard (NCT01347710)
Timeframe: 60 days

Interventionproportion of true positives (Number)
PET MPI sensitivity; image quality excellent/goodSPECT MPI sensitivity image quality excellent/good
Flurpiridaz F18 PET MPI.711.539

[back to top]

Overall Summary of Specificity of PET MPI vs SPECT MPI; Image Quality of Excellent or Good

Overall summary of specificity of flurpiridaz F18 PET MPI (qualitative, image quality excellent or good) vs. SPECT MPI by majority rule vs truth standard (angio >/=50% stenosis and confirmed MI). Value represents the number of true negative, i.e. True Negative: Patients with normal MPI and disease negative by the truth standard (NCT01347710)
Timeframe: 60 days

Interventionproportion of true negatives (Number)
PET MPI specificity; image quality excellent/goodSPECT MPI specificity image quality excellent/good
Flurpiridaz F18 PET MPI.769.880

[back to top]