Perfusion interpretation Flashcards
Normal appearance
- Homogenous distribution
- Normal wall motion
Abnormal appearance
Defects evident on at least 2 slices
Reversible defects
Nonreversible defects
Abnormal gating
fixed defect
Present on stress & rest/delayed imaging
Indicates infarction/scar tissue
xMised defect
Partially reversible defect
Quantitative i.e. 25% reversibility
Reversible defect
Defect on stress, normal rest
Indicates transient ischemia
Reverse defect
Stress: normal or show defect
Rest/delayed: more severe defect
Thrombolytic therapy or percutaneous coronary angioplasty
Significance controversial
How are defects assessed
Size
Severity
Location
Degree of Reversibility
Abnormal increased uptake
Lung Activity
201Tl - lung : heart ratio > .5
RV Activity
Transient ischemic dilatation