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. 2020 Feb 5;38(5):411–433. doi: 10.1007/s11604-020-00922-8

Fig. 8.

Fig. 8

Dynamic CTP scans for triple-vessel disease in an 84-year-old woman with chest pain. a Short-axis view of a dynamic CTP (grayscale) shows a subendocardial perfusion defect in the entire circumference of the heart (white arrows). b A CT-MBF color-coded image shows low CT-MBF throughout the heart. SPECT during c stress and d at rest shows a reversible perfusion defect in the lateral wall but no marked perfusion defect in the other regions. Invasive coronary angiography of the e right and f left coronary arteries shows severe triple-vessel disease. In this case, single-photon emission tomography did not accurately detect the presence of triple-vessel disease, known as balanced ischemia. CTP computed tomography perfusion, CT-MBF computed tomography derived-myocardial blood flow, SPECT single-photon emission computed tomography