cardiovascular radionucleotide imaging

Last reviewed 01/2018

Cardiovascular radionucleotide imaging involves the intravenous administration of a gamma-emitting radionucleotide, followed by gamma-camera-monitoring of the subsequent distribution of the label.

There are two classes of cardiac radionucleotide tests:

  • intravascular radiolabel provides angiographic images:
    • radionucleotide angiography of the heart
    • pulmonary perfusion studies

  • radiolabel which is taken up by myocardium may be used to assess coronary blood supply and myocardial viability:
    • myocardial perfusion scintigraphy
    • hot-spot scintigraphy

Ventilation perfusion scans are radionucleotide studies which are most commonly used in the diagnosis of suspected pulmonary embolism.