Relationship between Semi-Quantitative Parameters of Thallium-201 Myocardial Perfusion Imaging and Coronary Artery Disease

This study aimed to investigate the diagnostic performance of semi-quantitative parameters of thallium-201 myocardial perfusion imaging (MPI) for coronary artery disease (CAD). From January to December 2017, patients were enrolled who had undergone Tl-201 MPI and received cardiac catheterization for...

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Main Authors: Chin-Chuan Chang, Ming-Hui Yang, Chih-Ting Liu, Hsiu-Lan Chu, Chia-Yang Lin, Wei-Jheng Yen, Chao-Yu Chung, Sheng-Yow Ho, Yu-Chang Tyan
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/10/772
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author Chin-Chuan Chang
Ming-Hui Yang
Chih-Ting Liu
Hsiu-Lan Chu
Chia-Yang Lin
Wei-Jheng Yen
Chao-Yu Chung
Sheng-Yow Ho
Yu-Chang Tyan
author_facet Chin-Chuan Chang
Ming-Hui Yang
Chih-Ting Liu
Hsiu-Lan Chu
Chia-Yang Lin
Wei-Jheng Yen
Chao-Yu Chung
Sheng-Yow Ho
Yu-Chang Tyan
author_sort Chin-Chuan Chang
collection DOAJ
description This study aimed to investigate the diagnostic performance of semi-quantitative parameters of thallium-201 myocardial perfusion imaging (MPI) for coronary artery disease (CAD). From January to December 2017, patients were enrolled who had undergone Tl-201 MPI and received cardiac catheterization for coronary artery disease within three months of MPI. Receiver operating characteristics (ROC) analysis was used to determine the optimal cutoff values of semi-quantitative parameters. A comparison of the sensitivity and specificity of these parameters based on different subgroupings was further performed. A total of 130 patients were enrolled for further analysis. Among the collected parameters, the stress total perfusion deficit (sTPD) had the highest value of the area under curve (0.813) under the optimal cutoff value of 3.5%, with a sensitivity and specificity of 73.5% and 74.5%, respectively (<i>p</i> = 0.0000), for the diagnosis of CAD. With further subgrouping analysis based on history of diabetes or dyslipidemia, the sensitivity and specificity showed similar results. Based on the currently collected data and image acquisition conditions, the sTPD parameter has a clinical role for the diagnosis of CAD with a cutoff value of 3.5%.
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spelling doaj.art-1214e8378221477994c52c8a519ff2c62023-11-20T15:37:47ZengMDPI AGDiagnostics2075-44182020-09-01101077210.3390/diagnostics10100772Relationship between Semi-Quantitative Parameters of Thallium-201 Myocardial Perfusion Imaging and Coronary Artery DiseaseChin-Chuan Chang0Ming-Hui Yang1Chih-Ting Liu2Hsiu-Lan Chu3Chia-Yang Lin4Wei-Jheng Yen5Chao-Yu Chung6Sheng-Yow Ho7Yu-Chang Tyan8Department of Nuclear Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, TaiwanDepartment of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung 81362, TaiwanDepartment of Nuclear Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, TaiwanDepartment of Nuclear Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, TaiwanDepartment of Nuclear Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, TaiwanDepartment of Nuclear Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, TaiwanDepartment of Chemistry, National Sun Yat-sen University, Kaohsiung 80424, TaiwanDepartment of Radiation Oncology, Chi Mei Medical Center, Tainan 71004, TaiwanDepartment of Medical Imaging and Radiological Sciences, Kaohsiung Medical University, Kaohsiung 80708, TaiwanThis study aimed to investigate the diagnostic performance of semi-quantitative parameters of thallium-201 myocardial perfusion imaging (MPI) for coronary artery disease (CAD). From January to December 2017, patients were enrolled who had undergone Tl-201 MPI and received cardiac catheterization for coronary artery disease within three months of MPI. Receiver operating characteristics (ROC) analysis was used to determine the optimal cutoff values of semi-quantitative parameters. A comparison of the sensitivity and specificity of these parameters based on different subgroupings was further performed. A total of 130 patients were enrolled for further analysis. Among the collected parameters, the stress total perfusion deficit (sTPD) had the highest value of the area under curve (0.813) under the optimal cutoff value of 3.5%, with a sensitivity and specificity of 73.5% and 74.5%, respectively (<i>p</i> = 0.0000), for the diagnosis of CAD. With further subgrouping analysis based on history of diabetes or dyslipidemia, the sensitivity and specificity showed similar results. Based on the currently collected data and image acquisition conditions, the sTPD parameter has a clinical role for the diagnosis of CAD with a cutoff value of 3.5%.https://www.mdpi.com/2075-4418/10/10/772stress perfusion deficitsemi-quantitative parametersthallium-201myocardial perfusion imagingcoronary artery disease
spellingShingle Chin-Chuan Chang
Ming-Hui Yang
Chih-Ting Liu
Hsiu-Lan Chu
Chia-Yang Lin
Wei-Jheng Yen
Chao-Yu Chung
Sheng-Yow Ho
Yu-Chang Tyan
Relationship between Semi-Quantitative Parameters of Thallium-201 Myocardial Perfusion Imaging and Coronary Artery Disease
Diagnostics
stress perfusion deficit
semi-quantitative parameters
thallium-201
myocardial perfusion imaging
coronary artery disease
title Relationship between Semi-Quantitative Parameters of Thallium-201 Myocardial Perfusion Imaging and Coronary Artery Disease
title_full Relationship between Semi-Quantitative Parameters of Thallium-201 Myocardial Perfusion Imaging and Coronary Artery Disease
title_fullStr Relationship between Semi-Quantitative Parameters of Thallium-201 Myocardial Perfusion Imaging and Coronary Artery Disease
title_full_unstemmed Relationship between Semi-Quantitative Parameters of Thallium-201 Myocardial Perfusion Imaging and Coronary Artery Disease
title_short Relationship between Semi-Quantitative Parameters of Thallium-201 Myocardial Perfusion Imaging and Coronary Artery Disease
title_sort relationship between semi quantitative parameters of thallium 201 myocardial perfusion imaging and coronary artery disease
topic stress perfusion deficit
semi-quantitative parameters
thallium-201
myocardial perfusion imaging
coronary artery disease
url https://www.mdpi.com/2075-4418/10/10/772
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