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PET is the preferred test over SPECT

Cardiac PET MPI is a first-line preferred test for patients:

  • Unable to complete a diagnostic-level exercise stress imaging study
  • With known or suspected CAD
  • Who meet appropriate criteria for stress-imaging test

There are no clinical scenarios where PET should not be considered a preferred test for patients who meet appropriate criteria for a stress imaging test and who require pharmacologic stress.

PET is the recommended test over SPECT

Cardiac PET is recommended for patients with suspected active CAD who meet appropriate criteria for stress-imaging test and who also meet one or more of the following criteria:

  • Poor quality prior MPI study
  • Young patients with known CAD
  • Body characteristics that cause attenuation and commonly affect image quality
  • High-risk patients
  • Patients in whom myocardial blood flow quantification is needed