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Practice recommendation for measuring washout rates in 123 I-BMIPP fatty acid images.

Kenichi NakajimaHideyuki MiyauchiKen-Ichi HiranoShinichiro FujimotoMichitomo KawahitoTakashi IimoriTakashi Kudo
Published in: Annals of nuclear medicine (2023)
The purpose of this practice recommendation is to specifically identify the critical steps involved in performing and interpreting 123 I-β-methyl-iodophenyl-pentadecanoic acid (BMIPP) single-photon emission computed tomography (SPECT) and measurement of washout rate (WR) from the heart. This document will cover backgrounds, patient preparation, testing procedure, visual image interpretation, quantitation methods using planar and SPECT studies, and reporting of WR. The pitfall and some tips for the calculation of 123 I-BMIPP WR are also included. The targets of global and regional WR calculation include ischemic heart disease, cardiomyopathy, heart failure, and triglyceride deposit cardiomyovasculopathy, an emerging rare heart disease.
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