Underrecognized Utility of I-BMIPP in CAD Diagnosis Outside of Japan.

Ann Nucl Cardiol

Department of Radiology, Sakakibara Heart Institute, Tokyo, Japan.

Published: October 2024

AI Article Synopsis

  • * Reduced uptake of I-BMIPP can indicate issues related to heart conditions, especially in patients with coronary artery disease (CAD).
  • * While I-BMIPP is widely used in Japan due to its practical benefits, such as no need for stress tests, its use is limited elsewhere due to regulatory hurdles and supply issues, highlighting the need for broader adoption internationally.

Article Abstract

I-BMIPP (Iodine-123 labeled beta-methyl-p-iodophenyl-pentadecanoic acid) is a radiotracer that facilitates non-invasive assessment of myocardial fatty acid metabolism through single photon emission computed tomography imaging. Given that fatty acids serve as one of the primary energy sources for cardiac muscle, reduced uptake of I-BMIPP offers valuable insights into the pathophysiology of various cardiac conditions, particularly in coronary artery disease (CAD). Despite its reported efficacy, the use of I-BMIPP remains limited outside Japan, primarily due to regulatory and supply challenges. However, in Japan, I-BMIPP is clinically utilized for CAD patients with various ischemic conditions as the protocol does not require stress tests or contrast iodine and has a relatively short acquisition time. This review highlights the clinical applications of I-BMIPP across various conditions and aims to promote its broader adoption in clinical practice, both in Japan and internationally.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612396PMC
http://dx.doi.org/10.17996/anc.24-00006DOI Listing

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