Abstract
To compare the possibility of using multiple-gated acquisition (MUGA) scan and Tc-99m MIBI gated SPECT for evaluation and forecast of anthracycline–induced cardiotoxicity. For the treatment of these patients we used doxorubicin in combination with various drugs. All patients were examined by MUGA or Gated SPECT before starting chemotherapy, at 1 hour after the first administration of doxorubicin and after the 4th course. The MUGA and Gated SPECT can be applied with equal efficiency for evaluation of acute and chronicanthracycline–induced cardiotoxicity in patients with malignant tumors. The decrease in LVEF (10% or more) in response to the first dose of doxorubicin can predict the development of chronic cardiotoxicity.
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