Table 9 Comparison of MPI practice against other published MPI studies in terms of Tc-99 m administered activities in first and second injection.

From: Diagnostic reference level, achievable dose, and effective dose estimation in adult hybrid SPECT myocardial perfusion imaging in Institut Jantung Negara

Protocol

Injection

Administered Activities, MBq (mCi)

2024

2023

2023

2021

2020

2019

2016

2015

2013

IJN^

ARPANSA 23

Alkhybari 22

Hirschfeld^ 24

K. Abe 25

Song 26

Becker^ 14

Willegaignon 27

MOH, Malaysia* 28

50th

75th

50th

75th

50th

75th

50th

75th

50th

75th

50th

75th

50th

75th

50th

75th

50th

75th

One – day Tc-99 m Tetrofosmin

1st

240.50

(6.50)

263.63 (7.13)

452.85S (12.23)

555.00S

740.00S

388.00 (10.50)

425.00 (11.50)

2nd

691.90

(18.70)

777.93 (21.03)

1155.97R (31.24)

  

925.00R

1111.00R

1147.00 (31.00)

1221.00 (33.00)

Two – day Tc-99 m Tetrofosmin

1st

1106.30

(29.90)

1239.50

(33.50)

1221.00S (33.00)

1077.20

1200.00

1084.00 (29.30)

1214.00 (32.80)

699.00R

850.00S

2nd

1073.00

(29.00)

1221.00 (33.00)

1184.00R (32.00)

1110.00

(30.00)

1199.00

(32.40)

One – day Tc-99 m Sestamibi

1st

455.10S

(12.30)

  

388.00

(10.50)

11.50

(425.00)

370.00R

444.00R

2nd

1147.00R

(31.00)

  

1169.00

(31.60)

1251.00

(33.80)

1110.00S

1110.00S

Two – day Tc-99 m Sestamibi

1st

1165.50S

(31.50)

1076.40

1229.00

1089.00

(29.40)

1165.00

(31.50)

740.00R

870.00S

814.00R

925.00S

638.00R

830.00S

2nd

1184.00R

(32.00)

1110.00

(30.00)

1184.00

(32.00)

One – day Tetrofosmin + Sestamibi (Combine)

1st

350.00R

414.10 (11.20)

 

2nd

1150.00S

1184 (32.00)

Two – day Tetrofosmin + Sestamibi (Combine)

1st

600.00

851.00 (23.00)

2nd

600.00

888.00

(24.00)

  1. S – Stress phase.
  2. R – Rest phase.
  3. ^ – Stress/rest or rest/stress.
  4. ∞ – Rest/stress.