PT - JOURNAL ARTICLE AU - Jin Chul Paeng AU - Dong Soo Lee AU - Gi Jeong Cheon AU - Myoung Mook Lee AU - June-Key Chung AU - Myung Chul Lee TI - Reproducibility of an Automatic Quantitation of Regional Myocardial Wall Motion and Systolic Thickening on Gated <sup>99m</sup>Tc-Sestamibi Myocardial SPECT DP - 2001 May 01 TA - Journal of Nuclear Medicine PG - 695--700 VI - 42 IP - 5 4099 - http://jnm.snmjournals.org/content/42/5/695.short 4100 - http://jnm.snmjournals.org/content/42/5/695.full SO - J Nucl Med2001 May 01; 42 AB - We investigated the reproducibility of an automatic quantitative algorithm for measuring regional myocardial wall motion and systolic thickening. Methods: 99mTc-sestamibi gated myocardial SPECT with dipyridamole stress was performed twice consecutively on 31 patients with known or suspected coronary artery disease, with the patients in the same position for each scan. With AutoQUANT software, segmental wall motion and systolic thickening were quantified automatically and expressed in millimeters and percentage increase, respectively, for 20 segments. Afterward, the correlation and agreement between repeated measurements were investigated, and the influences of wall location, perfusion grade, and partitioning of the myocardium on reproducibility were evaluated by ANOVA and t testing. Results: High correlations (r = 0.95 for wall motion and 0.88 for systolic thickening) and good agreements (weighted κ = 0.81 and 0.71, respectively) were obtained from repeated measurements on consecutive gated SPECT. Changes in wall location and perfusion grade did not cause significant differences between repeated measurements (P &gt; 0.05 in ANOVA and t testing), but a change in partitioning did. On Bland–Altman analysis, 2 SDs for repeated wall motion and for systolic thickening were 2.0 mm and 20%, respectively. Conclusion: The automatic quantitative algorithm for myocardial SPECT provided by AutoQUANT software has good reproducibility under diverse conditions. A change of motion &gt; 2.0 mm or a change of systolic thickening &gt; 20% can be regarded as significant during a follow-up study using this software.