循環器ジャーナル67巻3号

2019年07月発行

特集 循環器疾患の画像診断—現状と進歩 Ⅱ．虚血性心疾患

核医学検査を改めて知る

著者： 宮川正男¹

所属機関： ¹愛媛大学医学部附属病院放射線科

ページ範囲：P.364 - P.370

Point
・虚血性心疾患に対する非侵襲的な診断法のなかで，心筋血流SPECTは欧米では最大の検査数を有する．
・エビデンスに基づいた心筋血流SPECTの虚血評価法を理解することが重要である．
・半導体SPECT装置と自動解析法により検査時間の短縮や被曝の大幅な低減が可能となる．

参考文献

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8) Miyagawa M, Nishiyama Y, Tashiro R, et al:Novel Cardiac SPECT Technology with Semiconductor Detectors:Emerging Trends and Future Perspective. Ann Nucl Cardiol 1:18-26, 2015

9) Miyagawa M, Nishiyama Y, Uetani T, et al:Estimation of myocardial flow reserve utilizing an ultrafast cardiac SPECT:Comparison with coronary angiography, fractional flow reserve, and the SYNTAX score. Int J Cardiol 244:347-353, 2017