MCQ : Nuclear-17
61 year old male, dyspnoea on effort
Previous revascularization by PCI on LAD and RCA.
What is the best interpretation of these PET images?
A) Ischemia on LAD
B) Ischemia on LCX
C) Ischemia on RCA
D) Ischemia on MVD
Right answer is: D) Ischemia on MVD
The Bull’s eye showed a big area of hypoperfusion after stress (involved LAD, LCX and RCA territories; SSS 37) and a normal perfusion at rest (SRS 1). The last polar plot indicated the huge ischemic area (reversibility) with the involvement of multi-vessel territory.