PERFUSION TOMOGRAPHIC METHODS OF MYOCARDIAL IMAGING: CLINICAL

APPLICATION IN DIAGNOSTICS OF CORONARY HEART DISEASE

 

Aslanidi I.P., Surkova N.A., Shurupova I.V.

 

A.N. Bakulev National Medical Research Center for Cardiovascular Surgery. Moscow, Russia.

T

he literature review is devoted to the analysis of the capabilities of modern non-invasive methods for assessing perfusion and quantitative blood flow indices. Radionuclide diagnostic methods, as well as computed tomography (CT) and magnetic resonance (MR) tomography, combine the principle of tomographic data collection and obtaining the most detailed image of the heart to date. The article presents the main approaches to the use of stress-tests in the context of visualization techniques, analyzes the results of their diagnostic effectiveness and highlights the possibilities of quantitative blood flow assessment.

The presented data show that MR and CT are the most methodologically developing types of examinations. In contrast, radionuclide methods can be characterized as the most validated, widely used in clinical practice, having great potential in the diagnosis of not only epicardial coronary heart disease, but also microvascular dysfunction.

 

Keywords: myocardial perfusion imaging, SPECT, PET, CT perfusion, MRI perfusion studies, hemodynamic significance of stenosis.

 

Corresponding author: Shurupova I.V., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Aslanidi I.P., Surkova N.A., Shurupova I.V. Perfusion tomographic methods of myocardial imaging: clinical application in diagnostics of coronary heart disease. REJR 2025; 15(3):37-51. DOI: 10.21569/2222-7415-2025-15-3-37-51.

Received:        17.07.25                 Accepted:       27.10.25