Pathophysiologic considerations and clinicopathological correlates of technetium-99m stannous pyrophosphate myocardial scintigraphy

James T. Willerson, Robert W. Parkey, Frederick J. Bonte, Samuel E. Lewis, James Corbett, L. Maximilian Buja

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

99mTc-PYP myocardial scintigrams represent a means to detect and localize acute myocardial necrosis. These scintigrams are expected to be abnormal with acute myocardial infarcts of at least 3 grams in weight if serial imaging is utilized and proper attention to technique is provided. Any etiology of myocardial necrosis may produce abnormal 99mTc-PYP scintigrams if the damage is relatively localized and includes at least 3 grams of tissue. It is possible to accurately size acute anterior and anterolateral transmural myocardial infarcts using area or 2 dimensional measurements. Further development in imaging cameras and computer techniques allowing three dimensional reconstruction of myocardial infarcts with this and similar imaging techniques may allow relatively precise quantitation of other types of myocardial infarcts. The "doughnut" and "persistently abnormal" 99mTc-PYP scintigrams appear to have anatomic and prognostic significance at least in subsets of patients studied, but larger numbers of individuals need to be evaluated before final conclusions regarding their ultimate prognostic significance can be reached.

Original languageEnglish (US)
Pages (from-to)54-69
Number of pages16
JournalSeminars in Nuclear Medicine
Volume10
Issue number1
DOIs
StatePublished - Jan 1980

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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