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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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