Breast artifact in planar cardiac imaging: a comparison of 201T1 to sestamibi-99mTc.
Breast artifact occurrence during 201T1 myocardial image interpretation is a significant problem. We serially evaluated 3 female patients utilizing exercise treadmill perfusion studies in order to assess the potential role of 99mTc-Sestamibi (MIBI) imaging in the setting of documented 201T1 breast artifact. Both visual and quantitative analyses revealed no superiority of 99mTc-MIBI over 201T1 imaging in reference to avoidance of breast artifact. The variation in artifactual cardiac imaging defects in the 3 patients most probably reflected variations in breast positioning. Finally, the ability to assess ventricular wall motion via gated 99mTc-MIBI imaging may help to confirm an artifactual versus an actual myocardial perfusion abnormality.
Schechter
D
D
Department of Medical Biophysics and Nuclear Medicine, Hadassah University Hospital, Jerusalem, Israel.
Bocher
M
M
Karger
H
H
Gotsman
M S
MS
Chisin
R
R
D000368:Aged; D001940:Breast / Q000000981:diagnostic imaging*; D005080:Exercise Test; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D009200:Myocardial Contraction; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D017256:Technetium Tc 99m Sestamibi; D013794:Thallium Radioisotopes
D013794:Thallium Radioisotopes; D017256:Technetium Tc 99m Sestamibi