**New Paradigm in Cardiac Perfusion Evaluation**
Quantitative measures of blood flow from PET have been a huge advance and are driving PET adoption. Until recently, these were generally computed globally or across large regions (e.g. vascular territories).
Our group has now developed and validated a framework for high-resolution regional quantification of blood flow and integrating this with regional perfusion defects called iMFR.
Enables better discrimination of:
* diffusely impaired perfusion - microvascular/vasomotor dysfunction with strong prognostic implication
* focally impaired perfusion - related to epicardial stenoses
This review discusses the approach and summarizes the prognostic and diagnostic data to date.
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🙏 contributions from @j_m_renaud (lead author) @alexispvpr (diagnostic validation) @almallahmo@premsoman123@DekempRob@BeanlandsRob@cmadamanchi & others not on SoMe