BRUCE G. PITTS, M.D.
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To the editor: Berger, Gottschalk, and Zaret (Ann Intern Med 88:145-154, 1978) provide interesting data on the usefulness of combining thallium-201 and technetium-99m stannous pyrophosphate imaging in the evaluation of acute myocardial infarction. Their data show that the method is 100% sensitive. If the patient has had a myocardial infarction, the combined scan will be positive; there are no falsely negative tests using their method. A word of caution is necessary, however, in attempting to apply this method in the clinical setting.
Berger and associates do not offer data on the frequency of false-positive tests using dual radionuclide scanning, and
PITTS BG. Imaging in Myocardial Infarction. Ann Intern Med. ;88:844. doi: 10.7326/0003-4819-88-6-844_1
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Published: Ann Intern Med. 1978;88(6):844.
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