Administered activity | |||||||
MBq | mCi | Estimated dose (mSv) | |||||
Radiopharmaceutical | Effective dose (mSv/MBq) | Full dose | Half dose | Full dose | Half dose | Full-dose study | Half-dose study |
82Rb rest or stress | 0.0017 | 1,480 | 740 | 40 | 20 | 2.52 | 1.26 |
13N-ammonia rest or stress | 0.0027 | 740 | 370 | 20 | 10 | 2.0 | 1.0 |
99mTc-sestamibi rest | 0.0079 | 296 | 148 | 8 | 4 | 2.34 | 1.17 |
99mTc-sestamibi stress | 0.009 | 888 | 444 | 24 | 12 | 8.0 | 4.0 |
99mTc-tetrofosmin rest | 0.0069 | 296 | 148 | 8 | 4 | 2.0 | 1.0 |
99mTc-tetrofosmin stress | 0.0069 | 888 | 444 | 24 | 12 | 6.13 | 3.1 |
201Tl | 0.14 | 148 | 74 | 4 | 2 | 20.72 | 10.36 |
Recommended MPI radiotracer doses for conventional scanners are 8–12 mCi of 99mTc-sestamibi for rest imaging and 24–36 mCi for stress imaging, 40–60 mCi of 82Rb for 2D imaging and 20 mCi for 3D imaging (58), 20 mCi of 13N-ammonia for 2D imaging and 10 mCi for 3D imaging (58), and 2.5–4 mCi for 201Tl imaging (59) (1 mCi = 37 MBq). New estimates of 82Rb dose are significantly lower (0.00126 mSv/MBq) (60). Full-dose PET radiotracer is used for 2D imaging and half-dose for 3D imaging; typically, equal dose of radiotracer is administered for rest and for stress PET MPI. Average activities are listed. Estimated dose is effective dose multiplied by administered activity. Dose is calculated for rest and stress scans separately, and if attenuation correction is used, 0.3–0.7 mSv is added for CT and 0.3 mSv for radionuclide transmission scanning (13).