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IMAGE INTERPRETATION · CARDIAC IMAGING

Bull’s-Eye Polar Map: What the Center Shows

Myocardial perfusion SPECT — polar map (bull's-eye plot)
Myocardial perfusion SPECT — polar map (bull's-eye plot)

CC BY 3.0 · Myohan / Wikimedia Commons · source file

Question

On a myocardial perfusion SPECT study, the bull's-eye (polar map) display shows the entire left ventricular myocardium in a single image. The CENTER of the polar map corresponds to which myocardial region?

  1. AThe basal septum
  2. BThe lateral free wall
  3. CThe posterior wall
  4. DThe cardiac apex
Show the answer and explanation

D. The cardiac apex

The bull's-eye (polar map) displays the entire left ventricular myocardium as a flat circular projection: the CENTER represents the APEX, and the outer RING represents the basal segments. Moving outward from center to periphery corresponds to moving from apex to base. The polar map is divided into coronary artery territories: anterior (LAD), inferior (RCA), and lateral (LCX). This display facilitates visual assessment and comparison to normal databases for automated quantification of perfusion defects.

More cardiac imaging images

Myocardial perfusion SPECT — anteroapical fixed perfusion defectAnteroapical Fixed Defect: LAD Infarction on MPI Myocardial perfusion SPECT — lateral wall stress/rest defect comparisonTransient Ischemic Dilation (TID) on Gated SPECT Myocardial perfusion imaging — stress and rest SPECT imagesRb-82 PET Perfusion and the Sr-82/Rb-82 Generator Myocardial perfusion scan — potential attenuation artifact in female patientBreast Attenuation Artifact on Myocardial Perfusion SPECT Cardiac SPECT with and without attenuation correctionCT Attenuation Correction Misregistration in Cardiac SPECT Myocardial perfusion SPECT — fixed anterior defectFDG PET Viability: Hibernating Myocardium
← Reversible Lateral Wall Defect: Circumflex IschemiaAnteroapical Fixed Defect: LAD Infarction on MPI →

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