tellurium and Ventricular-Dysfunction

We compared biventricular ejection fractions (EFs) from gated blood-pool single-photon emission computed tomography (SPECT) using a cadmium-zinc-telluride camera (CZT-SPECT) with planar equilibrium radionuclide angiography (ERNA) using a NaI gamma camera (NaI-planar). We also evaluated whether imaging time can be reduced without compromising image quality using the CZT camera.. Forty-eight patients underwent NaI-planar and CZT-SPECT on the same day. CZT-SPECT datasets were re-projected at an LAO orientation similar to ERNA acquisition, forming CZT-repro planar datasets. The resulting biventricular volumetric measurements and EFs were compared.. LVEF calculated from CZT-SPECT and CZT-repro correlated better with NaI-planar (r = 0.93 and 0.99, respectively) than RVEF (r = 0.76 and 0.82, respectively). Excellent intra-class correlation and low bias in intra-observer comparisons were observed for the biventricular EFs derived from three datasets. A wider limit of agreement in CZT-SPECT-derived LVEFs, lower correlation and significant bias for NaI-planar, and CZT-repro-derived RVEFs was found in the inter-observer analyses. Nonetheless, the imaging time can be reduced to 4 minutes without increasing variability in EFs using the CZT camera (P = NS).. LVEFs calculated from CZT-SPECT and CZT-repro correlated well with NaI-planar. CZT camera may reduce imaging time while preserving image quality in the assessment of biventricular EFs.

Topics: Adolescent; Adult; Aged; Cadmium Compounds; Gated Blood-Pool Imaging; Humans; Image Interpretation, Computer-Assisted; Male; Middle Aged; Radionuclide Imaging; Reproducibility of Results; Sensitivity and Specificity; Stroke Volume; Tellurium; Tomography, Emission-Computed, Single-Photon; Ventricular Dysfunction; Young Adult; Zinc

Estimation of left ventricular ejection fraction (LVEF) with 99MTc-HSA equilibrium radionuclide angiography (RA) is frequently used for assessing cardiac function. The purpose of this study was to investigate the interstudy repeatability of left (LV) and right (RV) ventricular volume and ejection fraction estimations, using a cadmium-zinc-telluride (CZT) SPECT camera.. Forty-six patients were scanned twice, interrupted by repositioning. Each acquisition was analysed twice by two experienced technologists. Interstudy and interobserver variations were calculated as the coefficient of variation (CV) and the 95% confidence interval (CI) for limits of agreement (LOA) between each sequence of analyses for each of the two acquisitions.. The Interstudy variations and 95% CI for LVEF, LV end systolic (LVESV) and end diastolic (LVEDV) volumes were 4.6% (-5.4 to 6.4), 9.3% (-6.90 to 5.20) and 7.0% (-13.9 to 11.1), respectively. For the right ventricle, the corresponding values were 11.9% (-9.40 to 10.8), 9.8% (-14.9 to 10.8) and 8.1% (-20.7 to 16.3).. The CZT detector camera has excellent reproducibility with regard to interstudy variation when assessing LV volumes and EF. Interstudy variation is considerably higher for RV volumes and EF, indicating a lack of consistency in tracing the boarders of the right ventricle.

Topics: Adult; Aged; Aged, 80 and over; Cadmium Compounds; Equipment Design; Equipment Failure Analysis; Female; Gamma Cameras; Gated Blood-Pool Imaging; Humans; Male; Middle Aged; Reproducibility of Results; Sensitivity and Specificity; Stroke Volume; Tellurium; Ultrasonography; Ventricular Dysfunction; Zinc Compounds