title: Myocardial perfusion scintigraphy using rubidium-82 positron emission tomography.
abstract: BACKGROUND
  Myocardial perfusion scintigraphy (MPS) is an established non-invasive technique for the diagnosis and management of patients with suspected or known coronary artery disease. Because of the wealth of prognostic data, MPS single photon emission computed tomography (SPECT) is the most commonly used functional test to detect inducible ischaemia. However, the increasing availability of positron emission tomography (PET) scanners for oncology along with the introduction of the generator-produced PET tracer rubidium-82 (⁸²Rb) has helped the growth of MPS PET.
  
  
  METHODS
  Relevant review articles, primary literature and clinical guidelines identified through medical literature search engines.
  
  
  RESULTS
  PET offers advantages over SPECT, including increased patient throughput because of rapid scanning protocols, reduced radiation exposure to patients and the ability to quantify tracer distribution accurately and hence measure myocardial perfusion in millilitre per gram per minute and hence myocardial perfusion reserve (MPR).
  
  
  RESULTS
  Although PET has advantages over SPECT, there are no large-scale prognostic or cost-effectiveness data to support it use as the primary MPS technique.
  
  
  CONCLUSIONS
  A wider use of absolute measurements of perfusion has the potential to improve diagnostic accuracy and to add prognostic value over relative assessment of myocardial perfusion.
  
  
  CONCLUSIONS
  Assessment of absolute myocardial perfusion may provide insight into the effects of traditional risk factors on perfusion reserve and the impact of risk factor modifications on progression of coronary artery disease.
authors: Nuclear Medicine Centre, Central Manchester NHS Foundation Trust, Manchester, UK. parthiban.arumugam@cmft.nhs.uk
authors: Parthiban
authors: P
authors: Arumugam
authors: Deborah
authors: D
authors: Tout
authors: Christine
authors: C
authors: Tonge
mesh_terms: D002309:Cardiology; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D006801:Humans; D055420:Perfusion Imaging / Q000379:methods; D049268:Positron-Emission Tomography / Q000379:methods*; D012414:Rubidium Radioisotopes; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods*
chemical_list: D012414:Rubidium Radioisotopes
keywords: PET perfusion; myocardial blood flow; myocardial perfusion scintigraphy