Myocardial infarct imaging with technetium-99m phosphates

Robert W. Parkey, Frederick J. Bonte, L. Maximilian Buja, Ernest M. Stokely, James T. Willerson

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Technetium-99m-phosphate imaging is particularly valuable in detecting (1) small transmural infarcts (3 g and larger in size); (2) new acute transmural infarcts in or near regions of old infarction; (3) acute subendocardial infarcts (larger than 3 g in size); (4) acute infarction in patients with left bundle branch block; and (5) perioperative myocardial infarction. Localization of inferior and posterior myocardial infarction is improved with imaging. Sizing of acute anterior and lateral infarcts has been accurately done in dogs28,29 and should prove helpful in patients. Extensive evaluation in both experimental animals and in patients has shown 99mTc-phosphate myocardial imaging to be a useful clinical tool, and it may be one of the most sensitive noninvasive ways presently available to identify acute myocardial necrosis. It is important to understand that 99mTc-phosphate imaging has a different pathophysiologic basis from EKGs or serum enzymes. These tests do not compete but instead should complement one another.

Original languageEnglish (US)
Pages (from-to)15-28
Number of pages14
JournalSeminars in Nuclear Medicine
Volume7
Issue number1
DOIs
StatePublished - Jan 1977

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Parkey, R. W., Bonte, F. J., Maximilian Buja, L., Stokely, E. M., & Willerson, J. T. (1977). Myocardial infarct imaging with technetium-99m phosphates. Seminars in Nuclear Medicine, 7(1), 15-28. https://doi.org/10.1016/S0001-2998(77)80004-4