Functional diagnostic imaging in the assessment of myocardial viability (Part 1 - Overview; Part 2 - Results)

Cowley D, Corabian P, Hailey D
Record ID 31998009922
Authors' objectives: This report covers the current status of several imaging techniques in the assessment of myocardial viability (MV) in patients with chronic heart disease, who are being considered for revascularization. This report has been prepared in view of the continuing interest in positron emission tomography (PET) and other FDI techniques within the Alberta system. Because of the considerable amount of detail in this analysis, the report has been prepared in two parts. Part 1 gives an overview of the assessment findings and some discussion on the place of the assessed FDI techniques in the application under consideration. Part 2 contains the full results of the literature review.
Authors' results and conclusions: These FDI methods have the potential to improve the management of patients with dysfunctional myocardium and to lead to efficiencies through avoidance of inappropriate procedures in patients who would not benefit from revascularisation. However, the literature review suggested that the place of these technologies in routine health care is still uncertain.
Authors' recommendations: The results of this assessment suggest that health professionals and policy makers should approach these techniques for assessment of MV with some caution. Their promise is not yet matched by convincing evidence of benefit to health care, data on comparative performance are limited and technical development continues to be rapid. It is suggested that any use in Alberta of FDI methods in this application should be associated with prospective studies involving long term follow-up of patients.
Authors' methods: Systematic review
Project Status: Completed
Year Published: 1999
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Cardiomyopathies
  • Diagnostic Imaging
  • Magnetic Resonance Imaging
  • Tomography, Emission-Computed
Organisation Name: Institute of Health Economics
Contact Address: 1200, 10405 Jasper Avenue, Edmonton, Alberta, Canada, T5J 3N4. Tel: +1 780 448 4881; Fax: +1 780 448 0018;
Contact Name:
Contact Email:
Copyright: <p>Alberta Heritage Foundation for Medical Research</p>
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.