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Letters |1 June 1995

Incremental Value of Thallium-201 Imaging

Timothy F. Christian; Raymond J. Gibbons

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Author, Article, and Disclosure Information
  • Victoria Hospital, London, Ontario N6A 4G5, Canada. Veterans Administration Medical Center, Decatur, GA 30033. Long Island Jewish Medical Center, New Hyde Park, NY 11042. Mayo Clinic, Rochester, MN 55905.
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Dr. Hurwitz would like the scope of our study to be broader. Our study was designed to address a specific issue—the identification of three-vessel or left-main disease in patients with a normal resting electrocardiogram who had exercise testing. This particular scenario in exercise electrocardiography can be expected to be at its best (yielding interpretable ST segments in the setting of severe disease), whereas thallium-201 scintigraphy is not (a relative perfusion technique where abnormalities in all three territories occur in less than one third of patients with three-vessel disease) [1]. We agree that there are many other useful applications of perfusion imaging in which Bayesian principles are used. However, we feel that it is important to determine in which cases such technology is effective and in which cases similar performance can be provided at less expense.
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Christian TF, Gibbons RJ. Incremental Value of Thallium-201 Imaging. Ann Intern Med. 1995;122:881–883. doi: 10.7326/0003-4819-122-11-199506010-00023

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Published: Ann Intern Med. 1995;122(11):881-883.

DOI: 10.7326/0003-4819-122-11-199506010-00023

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