TABLE 2.

List of Potential Uses for Quantitative SPECT

Radiopharmaceutical/imaging testApplication
Planning/treatment (e.g.,111In,123I, and 177Lu)Theranostics using quantitative SPECT for targeting and dosimetry planning in monoclonal antibody, peptide, receptor, or other radionuclide therapy (e.g., tositumomab, ibritumomab tiuxetan, and 177Lu-octreotate ) (31,50,51)
99mTc myocardial perfusion imagingRegional myocardial blood flow in mL⋅100 g−1⋅min−1 (52) or myocardial SUV for detection of left main artery or balanced triple-vessel disease; measurement of coronary flow reserve
99mTc functional lung scanning (ventilation or perfusion)Preoperative assessment of lobar function before surgical resection (53)
99mTc-macroaggregated albuminTreatment planning and measuring lung uptake (54) plus estimation radiation dosimetry (55) in selective internal radionuclide therapy for liver cancer before radioembolization
99mTc bone scanningQuantitative measurement of uptake in metabolic bone disease (56)
123I-iodoamphetamine for regional cerebral blood flowBaseline/acetazolomide challenge in regional cerebral blood flow (34)
123I-labeled neuroreceptor tracersNeurotransmitter brain imaging of receptor density and occupancy (57,58)
123I-iodide thyroid uptakeDetermination of individualized doses for subsequent radioiodine (131I) therapy and monitoring uptake in follow-up
131I in thyroid cancerSUV in metastatic thyroid cancer and monitoring response to treatment
201Tl myocardial perfusion imagingDynamic analysis of myocardial perfusion to derive kinetic parameters K1 and distribution volume (36)
General imagingUse of quantitative SPECT to monitor serial scans to assess disease progression or response to treatment (e.g., 67Ga in infection)
Measuring radionuclide biodistribution and dosimetryMore accurate assessment of 3-dimensional biodistribution and radiation dosimetry from new radiopharmaceuticals (31)