Patient-centric performance and interpretation of positron emission tomography /computed tomography myocardial perfusion imaging: a clinical consensus statement of the European Association of Cardiovascular Imaging of the European Society of Cardiology

European Heart Journal - Imaging Methods and Practice

13 January 2026
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ESC Journals CORONARY ARTERY DISEASE, ACUTE CORONARY SYNDROMES, ACUTE CARDIAC CARE IMAGING Nuclear Imaging

Abstract

Abstract

Positron emission tomography (PET) is the most advanced myocardial perfusion (MPI) technique for the non-invasive assessment of coronary artery disease and its many manifestations, including ischaemia, hibernation, and scar. This comprehensive overview aims to empower clinicians, technicians, and patients with clear, structured knowledge on performing and interpreting PET MPI. This document will describe stress protocols, patient preparation, tracer pharmacodynamics and nuclear properties, camera capabilities, post-acquisition processing, and a comprehensive and clear reporting system for both perfusion and viability imaging.

Contributors

Bryan Abadie
Bryan Abadie

Author

Cleveland Clinic Hospital Cleveland , United States of America

Riccardo Liga
Riccardo Liga

Author

University Hospital of Pisa Pisa , Italy

Ronny R Buechel
Ronny R Buechel

Author

University Hospital Zurich Zurich , Switzerland

María Nazarena Pizzi
María Nazarena Pizzi

Author

University Hospital Vall d'Hebron Barcelona , Spain

Albert Roque
Albert Roque

Author

University Hospital Vall d'Hebron Barcelona , Spain

Antti Saraste
Antti Saraste

Author

Turku University Hospital Turku , Finland