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Cardiol Clin ; 41(2): 117-127, 2023 May.
Article in English | MEDLINE | ID: mdl-37003670

ABSTRACT

The clinical presentation of coronary artery disease (CAD) has changed during the last 20 years with less ischemia on stress testing and more nonobstructive CAD on coronary angiography. Single-photon emission computed tomography (SPECT) myocardial perfusion imaging should include the measurement of myocardial flow reserve and assessment of coronary calcium for the diagnosis of nonobstructive CAD and coronary microvascular disease. SPECT/CT systems provide reliable attenuation correction for better specificity and low-dose CT for coronary calcium evaluation. SPECT MFR measurement is accurate, well validated, and repeatable.


Subject(s)
Coronary Artery Disease , Fractional Flow Reserve, Myocardial , Myocardial Perfusion Imaging , Humans , Calcium , Tomography, X-Ray Computed , Coronary Artery Disease/diagnosis , Tomography, Emission-Computed, Single-Photon/methods , Coronary Angiography/methods , Software , Myocardial Perfusion Imaging/methods
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