Radiation dose difference between state of the art myocardial perfusion scintigraphy and computed tomography coronary angiography in patients undergoing evaluation for suspected coronary artery disease
Minimisation of radiation exposure with cardiac imaging reduces the potential of secondary side effects. Radiation exposure from myocardial perfusion scintigraphy and computed tomography coronary angiography (CTCA) was compared. Overall doses were low with both modalities. Doses were lower in the CT...
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| Published in: | Internal medicine journal Vol. 46; no. 2; pp. 226 - 229 |
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| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Wiley Publishing Asia Pty Ltd
01-02-2016
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| Abstract | Minimisation of radiation exposure with cardiac imaging reduces the potential of secondary side effects. Radiation exposure from myocardial perfusion scintigraphy and computed tomography coronary angiography (CTCA) was compared. Overall doses were low with both modalities. Doses were lower in the CTCA group, but by only a small difference of 1.1 mSv. Radiation exposure should not be the primary consideration when choosing between these two modalities. |
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| AbstractList | Minimisation of radiation exposure with cardiac imaging reduces the potential of secondary side effects. Radiation exposure from myocardial perfusion scintigraphy and computed tomography coronary angiography (CTCA) was compared. Overall doses were low with both modalities. Doses were lower in the CTCA group, but by only a small difference of 1.1mSv. Radiation exposure should not be the primary consideration when choosing between these two modalities. Minimisation of radiation exposure with cardiac imaging reduces the potential of secondary side effects. Radiation exposure from myocardial perfusion scintigraphy and computed tomography coronary angiography (CTCA) was compared. Overall doses were low with both modalities. Doses were lower in the CTCA group, but by only a small difference of 1.1 mSv. Radiation exposure should not be the primary consideration when choosing between these two modalities. Minimisation of radiation exposure with cardiac imaging reduces the potential of secondary side effects. Radiation exposure from myocardial perfusion scintigraphy and computed tomography coronary angiography ( CTCA ) was compared. Overall doses were low with both modalities. Doses were lower in the CTCA group, but by only a small difference of 1.1 m S v. Radiation exposure should not be the primary consideration when choosing between these two modalities. |
| Author | Hayat, U. Allman, K. Castles, A. V. Rudd, N. Subiakto, I. Tsay, I. M. Asrar ul Haq, M. Barlis, P. van Gaal, W. |
| Author_xml | – sequence: 1 givenname: I. M. surname: Tsay fullname: Tsay, I. M. email: itmeng.tsay@nh.org.au organization: Cardiology Department, The Northern Hospital, Victoria, Melbourne, Australia – sequence: 2 givenname: I. surname: Subiakto fullname: Subiakto, I. organization: Cardiology Department, The Northern Hospital, Victoria, Melbourne, Australia – sequence: 3 givenname: M. surname: Asrar ul Haq fullname: Asrar ul Haq, M. organization: Cardiology Department, The Northern Hospital, Melbourne, Victoria, Australia – sequence: 4 givenname: A. V. surname: Castles fullname: Castles, A. V. organization: Cardiology Department, The Northern Hospital, Victoria, Melbourne, Australia – sequence: 5 givenname: K. surname: Allman fullname: Allman, K. organization: The Royal Prince Alfred Hospital, New South Wales, Sydney, Australia – sequence: 6 givenname: U. surname: Hayat fullname: Hayat, U. organization: Cardiology Department, The Northern Hospital, Melbourne, Victoria, Australia – sequence: 7 givenname: N. surname: Rudd fullname: Rudd, N. organization: Cardiology Department, The Northern Hospital, Melbourne, Victoria, Australia – sequence: 8 givenname: P. surname: Barlis fullname: Barlis, P. organization: Cardiology Department, The Northern Hospital, Melbourne, Victoria, Australia – sequence: 9 givenname: W. surname: van Gaal fullname: van Gaal, W. organization: Cardiology Department, The Northern Hospital, Melbourne, Victoria, Australia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26899890$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1056/NEJMoa1201161 10.1016/j.jcct.2011.06.001 10.1007/s00259-005-1779-y 10.1016/j.jacc.2013.11.009 10.1016/j.jcmg.2011.10.003 10.1161/CIRCULATIONAHA.107.688101 10.1007/s12350-011-9382-z 10.1136/hrt.2009.189100 10.2967/jnumed.110.081323 10.1161/CIR.0b013e31829b5b44 10.5694/mja12.11171 10.1007/s12350-010-9244-0 |
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| References_xml | – volume: 4 start-page: 1305 year: 2011 end-page: 19 article-title: Stress myocardial perfusion imaging for assessing prognosis: an update publication-title: JACC Cardiovasc Imaging – volume: 10 start-page: 1 year: 2010 end-page: 44 article-title: 64‐slice computed tomographic angiography for the diagnosis of intermediate risk coronary artery disease: an evidence‐based analysis publication-title: Ont Health Technol Assess Ser – volume: 52 start-page: 210 year: 2011 end-page: 17 article-title: Cardiac dedicated ultrafast SPECT cameras: new designs and clinical implications publication-title: J Nucl Med – volume: 367 start-page: 299 year: 2012 end-page: 308 article-title: Coronary CT angiography versus standard evaluation in acute chest pain publication-title: N Engl J Med – volume: 128 start-page: 873 year: 2013 end-page: 934 article-title: Exercise standards for testing and training: a scientific statement from the American heart association publication-title: Circulation – volume: 32 start-page: 855 year: 2005 end-page: 97 article-title: EANM/ESC procedural guidelines for myocardial perfusion imaging in nuclear cardiology publication-title: Eur J Nucl Med Mol Imaging – volume: 116 start-page: 1290 year: 2007 end-page: 305 article-title: Radiation dose to patients from cardiac diagnostic imaging publication-title: Circulation – volume: 63 start-page: 380 year: 2014 end-page: 406 article-title: ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons publication-title: J Am Coll Cardiol – volume: 18 start-page: 595 year: 2011 end-page: 604 article-title: Comparison of high efficiency CZT SPECT MPI to coronary angiography publication-title: J Nucl Cardiol – volume: 17 start-page: 709 year: 2010 end-page: 18 article-title: Recommendations for reducing radiation exposure in myocardial perfusion imaging publication-title: J Nucl Cardiol – volume: 199 start-page: 30 year: 2013 end-page: 4 article-title: The approach to patients with possible cardiac chest pain publication-title: Med J Aust – volume: 5 start-page: 198 year: 2011 end-page: 224 article-title: SCCT guidelines on radiation dose and dose‐optimization strategies in cardiovascular CT publication-title: J Cardiovasc Comput Tomogr – volume: 96 start-page: 933 year: 2010 end-page: 8 article-title: Low‐dose, 128‐slice, dual‐source CT coronary angiography: accuracy and radiation dose of the high‐pitch and the step‐and‐shoot mode publication-title: Heart – year: 2014 – volume: 10 start-page: 1 year: 2010 ident: e_1_2_3_5_1 article-title: 64‐slice computed tomographic angiography for the diagnosis of intermediate risk coronary artery disease: an evidence‐based analysis publication-title: Ont Health Technol Assess Ser contributor: fullname: Ontario HQ – ident: e_1_2_3_11_1 doi: 10.1056/NEJMoa1201161 – ident: e_1_2_3_12_1 doi: 10.1016/j.jcct.2011.06.001 – ident: e_1_2_3_6_1 doi: 10.1007/s00259-005-1779-y – ident: e_1_2_3_4_1 doi: 10.1016/j.jacc.2013.11.009 – ident: e_1_2_3_13_1 doi: 10.1016/j.jcmg.2011.10.003 – ident: e_1_2_3_8_1 doi: 10.1161/CIRCULATIONAHA.107.688101 – ident: e_1_2_3_10_1 doi: 10.1007/s12350-011-9382-z – ident: e_1_2_3_14_1 doi: 10.1136/hrt.2009.189100 – ident: e_1_2_3_9_1 doi: 10.2967/jnumed.110.081323 – ident: e_1_2_3_15_1 doi: 10.1161/CIR.0b013e31829b5b44 – ident: e_1_2_3_3_1 doi: 10.5694/mja12.11171 – ident: e_1_2_3_7_1 doi: 10.1007/s12350-010-9244-0 – volume-title: Trends in Coronary Heart Disease Mortality: Age Groups and Populations year: 2014 ident: e_1_2_3_2_1 contributor: fullname: AIHW |
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| SubjectTerms | Adult Aged Aged, 80 and over Coronary Angiography coronary artery disease Coronary Artery Disease - diagnostic imaging Female Humans Male Middle Aged multidetector computed tomography Myocardial Perfusion Imaging Prospective Studies Radiation Dosage Tomography, X-Ray Computed |
| Title | Radiation dose difference between state of the art myocardial perfusion scintigraphy and computed tomography coronary angiography in patients undergoing evaluation for suspected coronary artery disease |
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