Evaluation of Biventricular Function by Cadmium-zinc-telluride SPECT Gated Tomographic Radionuclide Angiography: Comparison to Conventional SPECT

Abstract

To compare and analyze the consistency and repeatability of left ventricular (LV) and right ventricular (RV) functions obtained by radionuclide multi-gated acquisition (MUGA) with cadmium-zinc-telluride SPECT (CZT-SPECT) and conventional SPECT(C-SPECT) with sodium iodide (NaI) crystal detectors. Seventy-seven patients who underwent C-SPECT planar MUGA and CZT-SPECT tomographic MUGA on the same day were respectively enrolled and reviewed. Comparing the correlation and difference of LVEF, RVEF, PER, and PFR between the two cameras, The repeatability of the left and right ventricular function parameters obtained by the two cameras was also compared. There was a good correlation (R = 0.831, P < 0.001) of LVEF obtained by the two cameras, the comparison of RVEF (r=0.619, P＜0.001), LVPER (r=0.672, P＜0.001) and LVPFR (r=0.700, P＜0.001) showed a modest correlation and the comparison of RVPER (r=0.463, P＜0.001), LVPFR (r=0.253, P＜0.05) showed a poor correlation. In terms of repeatability, the intraclass correlation coefficient (ICC) of RVPFR(P) was good (0.698, P＜0.001), while the ICC in other groups was excellent (0.823 ~ 0.989, P ＜0.001). The repeatability of LVEF and RVEF measured by CZT-SPECT was better than C-SPECT. The repeatability of LVEF and PER measured by two cameras was better than their respective RVER and PFR. The repeatability of PER and PFR of LV was better than RV for both cameras. CZT-SPECT tomographic MUGA had a good correlation with C-SPECT cardiac planar MUGA in evaluating left and right ventricular systolic function and left ventricular diastolic function, and the repeatability above was even better. The determination of right ventricular diastolic function still needed further study. MUGA with CZT-SPECT will play an important and unique role in the clinical application of accurate evaluation of biventricular function in the future.