TABLE 4

Radiation Dose from Low-Dose Protocols for Novel SPECT Scanners

StudyRest dose*Stress dose*No. of patientsPatient sizeRadiotracerProtocol (1 d)Study radiation dose (mSv)
24296–481 (8–13)462.5; 925–1,332 (12.5; 25–36)717<91 kg (200 lb)99mTc-sestamibiLD stress only4.2
HD stress only8.0
Stress–rest11.8
61185 (5)555 (15)131BMI, <3599mTc-sestamibiRest–stress5.8
62640 (17.29)320 (8.65)50BMI, 19–3299mTc-tetrofosminStress–restStress only, 2.21; stress + rest, 6.62
52185–222 (5–6)370–444 (10–12)137BMI, 39 ± 799mTc-tetrofosminStress–rest5.10–6.12
51222 (6)740 (20)285BMI, 29 ± 599mTc-tetrofosminRest–stressRest, 1.4; stress, 4.6
48129.5 (3.5)NA101BMI, 17.1–30.999mTc-sestamibiRest only1.2
  • * Data are megabecquerels followed by millicuries in parentheses (range or mean).

  • LD = low dose; HD = high dose; BMI = body mass index (kg/m2; range, mean ± SD, or upper limit); NA = not applicable.

  • Variable scan times were used for count-based acquisition. The scanner was a Discovery NM/CT 570c (GE Healthcare) (62), D-SPECT (Spectrum Dynamics) (48), or Discovery NM530c (GE Healthcare) (24,51,52,61).