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The Journal of Nuclear Medicine Vol. 34 No. 11 1845-1850
© 1993 by Society of Nuclear Medicine
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Effect of Motion on Thallium-201 SPECT Studies: A Simulation and Clinical Study

Florence M. Prigent, Mark Hyun, Daniel S. Berman and Alan Rozanski*

Departments of Medicine (Division of Cardiology) and Nuclear Medicine, Cedars-Sinai Medical Center
Department of Medicine, UCLA School of Medicine, Los Angeles, California

Correspondence: For correspondence or reprints contact: Florence Prigent, MD, 1915 Brickell Ave., #C813, Miami, FL 33129.

ABSTRACT

Although patient motion on 201Tl SPECT studies has been reported as a source of artifacts, systematic studies on motion patterns and resultant artifacts are lacking. Accordingly, we simulated 74 motion patterns upon a normal study. The tomograms were assessed for presence of defects: The "emotion pixel area index" ranged from 1 to 83; 26 of 30 (87%) simulations with an index ≥21 had defects, whereas 38 of 44 (86%) simulations with an index <21 were normal. Defect location was dependent on motion direction; defect intensity was dependent on its magnitude and timing. Review of data acquisition in 164 recent normal patient studies revealed motion in 42 (26%). Motion was generally minimal and caused defects in only seven (4%). Thus, mild motion is unlikely to produce defects. In our laboratory, motion is now an infrequent source of artifacts; severe motion produces recognizable patterns that depend on its direction, magnitude and timing.

FOOTNOTES

* Presently at St. Luke's/Roosevelt Medical Center, New York, NY.




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Copyright © 1993 by the Society of Nuclear Medicine.