T14S2 Nuclear Medicine Flashcards
What is myocardial perfusion used to detect?
Reversible ischaemia
Infarction
Viable myocardium
Nuclear medicine is used for the evaluation of 4 things
Myocardial perfusion
Ventricular function
Shunts
Vascular disorders/flow studies
Myocardial perfusion scintigraphy is used to detect what?
Reversible ischaemia
Indications for myocardial perfusion scintigraphy
Diagnosis of IHD
Haemodynamic significance of coronary artery lesion
Determining success of treatment
Determining prognosis
4 signs to diagnose IHD
Atypical chest pain
Females with chest pain
LBBB
Typical chest pain with normal ECG
Where does Tc-99m MIBI concentrate?
In the mitochondria
Technique to elicit ischaemia
Maximal exercise with IV Tc-99m MIBI/TI-201. Take measurements after exercise and while resting afterward