EANM procedural guidelines for myocardial perfusion scintigraphy using cardiac-centered gamma cameras

Hyafil, Fabien; Gimelli, Alessia; Slart, Riemer H. J. A.; Georgoulias, Panagiotis; Rischpler, Christoph; Lubberink, Mark; Sciagra, Roberto; Bucerius, Jan; Agostini, Denis; Verberne, Hein J.

doi:10.1186/s41824-019-0058-2

EJNMMI Reports

Table 1 Summary of optimal injected activities radiopharmaceutical and acquisition parameters for each cardiac-centered gamma cameras and acquisition protocol

From: EANM procedural guidelines for myocardial perfusion scintigraphy using cardiac-centered gamma cameras

Gamma cameras	D-SPECT	Alcyone	IQ.SPECT	Conventional Anger camera
^99mTechnetium-labeled tracers (usual protocols)
Selection of estimated total myocardial counts (scout view)	0.7–1.3 million counts	0.7–1.4 million counts	NA	NA
Injected activities
One-day stress/rest	Stress, 2.5–3.5 MBq/kg (total IA, 150–300 MBq) Rest, 7.5–10.5 MBq/kg (total IA, 450–900 MBq)	Stress, 2.5–3.5 MBq/kg (total IA, 150–300 MBq) Rest, 7.5–10.5 MBq/kg (total IA, 450–900 MBq)	Stress, 2.5–3.5 MBq/kg (total IA, 150–300 MBq) Rest, 7.5–10.5 MBq/kg (total IA, 450–900 MBq)	Stress, 4 MBq/kg 250–400 MBq (total IA) Rest, 12 MBq/lg 750–1200 MBq (total IA)
Two-day stress/rest	Stress or rest, 3–5 MBq/kg (total IA, 180–500 MBq)	Stress or rest, 3–5 MBq/kg (total IA, 180–500 MBq)	Stress or rest, 3–5 MBq/kg (total IA, 180–500 MBq)	Stress or rest, 4–7 MBq/kg (total IA, 300–600 MBq)
Viability	3–5 MBq/kg at rest (total IA: 180–500 MBq)	3–5 MBq/kg (total IA: 180–500 MBq)	3–5 MBq/kg (total IA: 180–500 MBq)	Stress or rest, 4–7 MBq/kg (total IA, 300–600 MBq)
^99mTc-labeled tracers (ultra-low dose protocols)
Selection of estimated total myocardial counts (scout view)	0.5–0.8 million counts	0.7–0.9 million counts	NA	NA
Injected activities
One-day stress/rest	Stress, 120 MBq Rest, 360 MBq	Stress, 120 MBq Rest, 360 MBq	Stress, 100 MBq Rest, 300 MBq	NA
²⁰¹Thallium
Estimated total myocardial counts (scout view)	0.5–0.8 million counts	1.0 million counts	NA	NA
Injected activities
Stress/redistribution	Stress, 0.5–1.5 MBq/kg (total IA, 50–90 MBq) (± injection of 37 MBq for redistribution)	Stress, 0.5–1.5 MBq/kg (total IA, 50–90 MBq) (± injection of 37 MBq for redistribution)	Stress, 1.0–1.5 MBq/kg (total IA, 74–111 MBq) (± injection of 37 MBq for redistribution)	Stress, 1.0–1.5 MBq/kg (total IA, 74–111 MBq) (± injection of 37 MBq for redistribution)
Viability	0.5–1.5 MBq/kg at rest (total IA, 50–90 MBq)	0.5–1.5 MBq/kg at rest (total IA, 50–90 MBq)	1.0–1.5 MBq/kg at rest (total IA, 50–90 MBq)	Rest: 1.0–1.5 MBq/kg 74–111 MBq at rest (total IA)

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