Assessment of Myocardial Viability Using Nuclear Medicine Imaging in Dextrocardia
Por um escritor misterioso
Last updated 28 março 2025

Imaging of dextrocardia in humans requires an understanding of the orientation of the heart chambers and walls. There are many types of cardiac malpositioning, such as dextrocardia (with or without situs inversus), mesocardia, and levocardia. Myocardial perfusion scintigraphy of dextrocardia has been explained in case reports and imaging atlases; however, myocardial viability assessment using nuclear medicine imaging techniques is less documented in the literature. Methods: In 2 cases of dextrocardia with situs inversus and 1 case of mesocardia, myocardial viability was assessed using 99mTc-sestamibi rest perfusion scintigraphy and 18F-FDG PET. Cardiac SPECT images of dextrocardia with situs inversus were acquired using the feet-first supine position with a 180° arc from left anterior oblique to right posterior oblique, whereas a right-lateral–to–left-lateral arc was used for mesocardia. The processing and reconstruction were done by entering the dataset for the feet-first supine position and repeating after entering the dataset for the feet-first prone position. The 2 sets of reconstructed images were compared for orientation of walls and cardiac chambers. Results: The first processing, using the feet-first supine position, revealed an interchanged septum and lateral wall in reconstructed images of dextrocardia with situs inversus. This interchange was corrected by changing the position to prone during processing of the rest perfusion and PET raw data. The display of cardiac slices in various axes matched the conventional nomenclature for the septum and lateral wall, leading to easy interpretation. However, this change was not required in the mesocardia, for which the location of the heart chambers was not interchanged. Conclusion: Because the acquisition protocol for SPECT is a semicircular orbit, the various types of dextrocardia require careful selection of the arc, with the patient positioning kept feet-first supine. Processing and reconstruction of data by changing the patient position to prone was found to be most useful method of matching the septum and lateral wall orientation for interpretation of images.

Society for Cardiovascular Magnetic Resonance/European Society of Cardiovascular Imaging/American Society of Echocardiography/Society for Pediatric Radiology/North American Society for Cardiovascular Imaging Guidelines for the Use of Cardiac Magnetic

Non-Invasive Assessment of Myocardial Viability - American College of Cardiology

Incidental Findings on Myocardial Perfusion SPECT Images

SPECT myocardial perfusion imaging in patients with Dextrocardia

PDF) Myocardial viability assessment using nuclear imaging

Assessment of Myocardial Viability in Patients with Heart Failure

PDF) Myocardial viability assessment using nuclear imaging

Assessment of myocardial viability. Indeterminate (or partial

State of the Art: Imaging for Myocardial Viability: A Scientific Statement From the American Heart Association

PDF) Poster:Artifact & Pitfalls in Myocardial Perfusion Imaging(presented in 10th Nuclear Medicine International Congress)

Nuclear and MultiModality Imaging: Myocardial Viability - CardioNerds

Pharmaceuticals, Free Full-Text

PDF] Myocardial Perfusion SPECT Imaging in Dextrocardia with Situs Inversus: A Case Report
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