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Major Upward Creep of the Heart During Exercise Thallium-201 Myocardial SPECT in a Patient with Chronic Obstructive Pulmonary Disease

Department of Nuclear Medicine and Biophysics, Centre Antoine Lacassagne, Nice, France

Correspondence: For reprints contact: Zuo-Xiang He, MD, Service de Médecine Nucléaire et Biophysique, Centre Antoine Lacassagne, 36, Voie Romaine, 06054 Nice Cedex, France.

ABSTRACT

We report on a patient in whom we observed an unusually important upward creep of the heart on postexercise ²⁰¹Tl tomographic acquisition. When uncorrected, this led to reconstruction of grossly abnormal tomograms, which were normal after correction of upward creep of the heart. This phenomenon may be related to the patient's history of chronic obstructive pulmonary disease. Special attention should be given to upward creep artifact in such pulmonary diseases.

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