PMID- 1731457 OWN - NLM STAT- MEDLINE DCOM- 19920214 LR - 20190622 IS - 0002-9149 (Print) IS - 0002-9149 (Linking) VI - 69 IP - 3 DP - 1992 Jan 15 TI - Comparison between thallium-201 and technetium-99m methoxyisobutyl isonitrile defect size in single-photon emission computed tomography at rest, exercise and redistribution in coronary artery disease. PG - 183-7 AB - Defect size on myocardial tomograms was measured in 30 patients who underwent 2 separate studies, 1 with thallium-201 (TI-201), the other with technetium-99m-methoxyisobutyl isonitrile (MIBI). A group of 15 patients with myocardial infarction was studied at rest and received both tracers on the same day. The other 15 patients had documented coronary artery disease. They were were given injections of TI-201 at peak exercise and underwent imaging immediately after exercise and again 4 hours later. They then received a dose of MIBI for imaging at rest. A week later they underwent a second exercise test with the same work load and received a second dose of MIBI. Defect size on single-photon emission computed tomographic images was measured and repeated twice. Results were expressed in percentage of the volume of the whole myocardium. Reproducibility of the defect size measurement was high for TI-201 (r = 0.978; SEE = 1.59) as well as for MIBI (r = 0.981; SEE = 0.80). In patients with coronary artery disease the mean size of the defects was significantly larger with TI-201 than with MIBI at exercise (6.7 +/- 5.2 vs 4.6 +/- 5.2%, respectively, p less than 0.05) and at redistribution (5.1 +/- 4.4 vs 2.8 +/- 3.2%, respectively, p less than 0.05), where no difference was seen in patients with myocardial infarction studied only at rest (11.2 +/- 10.4 vs 12.0 +/- 11.5%, respectively, p = not significant). Smaller MIBI defect sizes, when compared with TI-201, in the exercise and redistribution studies were not due to technical artefacts since there was no difference when they were compared at rest. FAU - Maublant, J C AU - Maublant JC AD - Department of Nuclear Medicine, Centre Jean Perrin, Clermont, France. FAU - Marcaggi, X AU - Marcaggi X FAU - Lusson, J R AU - Lusson JR FAU - Boire, J Y AU - Boire JY FAU - Cauvin, J C AU - Cauvin JC FAU - Jacob, P AU - Jacob P FAU - Veyre, A AU - Veyre A FAU - Cassagnes, J AU - Cassagnes J LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Contrast Media) RN - 0 (Nitriles) RN - 0 (Organotechnetium Compounds) RN - 0 (Thallium Radioisotopes) RN - 971Z4W1S09 (Technetium Tc 99m Sestamibi) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Contrast Media MH - Coronary Disease/*diagnostic imaging MH - Exercise MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nitriles MH - *Organotechnetium Compounds MH - Regression Analysis MH - Reproducibility of Results MH - Rest MH - Technetium Tc 99m Sestamibi MH - *Thallium Radioisotopes MH - *Tomography, Emission-Computed, Single-Photon EDAT- 1992/01/15 00:00 MHDA- 1992/01/15 00:01 CRDT- 1992/01/15 00:00 PHST- 1992/01/15 00:00 [pubmed] PHST- 1992/01/15 00:01 [medline] PHST- 1992/01/15 00:00 [entrez] AID - 0002-9149(92)91302-K [pii] AID - 10.1016/0002-9149(92)91302-k [doi] PST - ppublish SO - Am J Cardiol. 1992 Jan 15;69(3):183-7. doi: 10.1016/0002-9149(92)91302-k.