Behind Traditional Semi-quantitative Scores of Myocardial Perfusion Imaging: An Eye on Niche Parameters
The evaluation of stress-induced myocardial perfusion defects by non-invasive myocardial perfusion imaging (MPI) modalities has a leading role in the identification of coronary artery disease, and has excellent diagnostic and prognostic value. Non-invasive MPI can be performed using conventional and...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2019-01-01
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| Series: | European Cardiology Review |
| Online Access: | https://www.ecrjournal.com/articles/behind-traditional-semi-quantitative-scores-myocardial-perfusion-imaging-eye-niche |
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| author | Carmela Nappi Valeria Gaudieri Alberto Cuocolo |
| author_facet | Carmela Nappi Valeria Gaudieri Alberto Cuocolo |
| author_sort | Carmela Nappi |
| collection | DOAJ |
| description | The evaluation of stress-induced myocardial perfusion defects by non-invasive myocardial perfusion imaging (MPI) modalities has a leading role in the identification of coronary artery disease, and has excellent diagnostic and prognostic value. Non-invasive MPI can be performed using conventional and novel gamma cameras or by PET/CT. New software has allowed novel parameters that may have a role in the identification of early marks of cardiac impairment to be evaluated. We aim to give an overview of niche parameters obtainable by single photon emission CT (SPECT) and PET/CT MPI that may help practitioners to detect initial signs of cardiac damage and identify new therapy targets. In particular, we summarise the role of left ventricular geometry indices for remodelling, phase analysis parameters to evaluate mechanical dyssynchrony, the concept of relative flow reserve in the evaluation of flow-limiting epicardial stenosis, vascular age and epicardial adipose tissue as early markers of atherosclerotic burden, and emerging parameters for the evaluation of myocardial innervation, such as the total defect score. |
| format | Article |
| id | doaj-art-75e2da3728ef4139b4139d9b4c5336cc |
| institution | OA Journals |
| issn | 1758-3756 1758-3764 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | European Cardiology Review |
| spelling | doaj-art-75e2da3728ef4139b4139d9b4c5336cc2025-08-20T02:37:50ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642019-01-01141131710.15420/ecr.2019.5.1Behind Traditional Semi-quantitative Scores of Myocardial Perfusion Imaging: An Eye on Niche ParametersCarmela Nappi0Valeria Gaudieri1Alberto Cuocolo2Department of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyThe evaluation of stress-induced myocardial perfusion defects by non-invasive myocardial perfusion imaging (MPI) modalities has a leading role in the identification of coronary artery disease, and has excellent diagnostic and prognostic value. Non-invasive MPI can be performed using conventional and novel gamma cameras or by PET/CT. New software has allowed novel parameters that may have a role in the identification of early marks of cardiac impairment to be evaluated. We aim to give an overview of niche parameters obtainable by single photon emission CT (SPECT) and PET/CT MPI that may help practitioners to detect initial signs of cardiac damage and identify new therapy targets. In particular, we summarise the role of left ventricular geometry indices for remodelling, phase analysis parameters to evaluate mechanical dyssynchrony, the concept of relative flow reserve in the evaluation of flow-limiting epicardial stenosis, vascular age and epicardial adipose tissue as early markers of atherosclerotic burden, and emerging parameters for the evaluation of myocardial innervation, such as the total defect score.https://www.ecrjournal.com/articles/behind-traditional-semi-quantitative-scores-myocardial-perfusion-imaging-eye-niche |
| spellingShingle | Carmela Nappi Valeria Gaudieri Alberto Cuocolo Behind Traditional Semi-quantitative Scores of Myocardial Perfusion Imaging: An Eye on Niche Parameters European Cardiology Review |
| title | Behind Traditional Semi-quantitative Scores of Myocardial Perfusion Imaging: An Eye on Niche Parameters |
| title_full | Behind Traditional Semi-quantitative Scores of Myocardial Perfusion Imaging: An Eye on Niche Parameters |
| title_fullStr | Behind Traditional Semi-quantitative Scores of Myocardial Perfusion Imaging: An Eye on Niche Parameters |
| title_full_unstemmed | Behind Traditional Semi-quantitative Scores of Myocardial Perfusion Imaging: An Eye on Niche Parameters |
| title_short | Behind Traditional Semi-quantitative Scores of Myocardial Perfusion Imaging: An Eye on Niche Parameters |
| title_sort | behind traditional semi quantitative scores of myocardial perfusion imaging an eye on niche parameters |
| url | https://www.ecrjournal.com/articles/behind-traditional-semi-quantitative-scores-myocardial-perfusion-imaging-eye-niche |
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