Artifacts and pitfalls in myocardial perfusion imaging

Steven Burrell1, Anita MacDonald

  • 1Department of Diagnostic Imaging, Queen Elizabeth II Health Sciences Centre, and Dalhousie University, Halifax, Nova Scotia, Canada. sburrell@dal.ca

Insights

Myocardial perfusion imaging (MPI) is crucial for cardiovascular disease management. Understanding and mitigating MPI artifacts improves diagnostic accuracy and patient care.

Area of Science:

  • Cardiovascular Imaging
  • Nuclear Medicine
  • Medical Diagnostics

Background:

  • Myocardial perfusion imaging (MPI) is vital for diagnosing and managing cardiovascular disease.
  • MPI aids in prognosis, therapy assessment, and viability evaluation.
  • Despite its importance, MPI is prone to artifacts and pitfalls.

Purpose of the Study:

  • To familiarize readers with potential artifacts and pitfalls in MPI.
  • To explain the causes and effects of these imaging limitations.
  • To guide readers on limiting, correcting, and interpreting studies influenced by artifacts.

Main Methods:

  • Review of factors contributing to MPI artifacts.
  • Analysis of patient-specific, equipment-related, and technologist-related issues.
  • Discussion of strategies for artifact mitigation and correction.

Main Results:

  • Identification of common causes and effects of MPI artifacts.
  • Outline of practical steps to minimize artifact occurrence.
  • Guidance on adjusting interpretations based on identified artifacts.

Conclusions:

  • Familiarity with MPI artifacts is essential for accurate clinical interpretation.
  • Proactive measures and corrective actions can enhance the utility of MPI.
  • Understanding limitations improves the diagnostic and prognostic value of MPI studies.