Case #15
Clinical History:
A 62 year old man with a past medical history had an exercise myocardial
perfusion scan for evaluation of chest pain. Resting perfusion images
were performed with thallium-201. After the resting images he exercised
for 5.5 minutes on the Bruce protocol stopping exercise for shortness of
breath. Prior to termination of exercise Tc-99m sestamibi was injected
and stress images were performed 20 minutes later.
Raw data
Rest
Thallium-201 |
Exercise
Tc-99m sestamibi |
 |
 |
SPECT reconstruction
Short
axis |
Stress |
 |
| Rest |
Horizontal
long axis |
Stress |
| Rest |
Vertical
long axis |
Stress |
| Rest |
Gated sestamibi
Apical
short axis |
Basilar
short axis |
 |
Vertical
long axis |
Horizontal
long axis |
Evaluate the regional wall motion and regional wall thickening.
Why is there a disparity between wall motion and thickening?
Click here to go to Joint
Program in Nuclear Medicine home page and Copyright notice.
J. Anthony Parker, MD PhD, Tony_Parker@bidmc.harvard.edu