Phase entropy of gated SPECT-MPI for predicting major adverse cardiovascular events: incremental prognostic value beyond perfusion and function - Takeaways - MDSpire

Phase entropy of gated SPECT-MPI for predicting major adverse cardiovascular events: incremental prognostic value beyond perfusion and function

  • By

  • Yuxin Xiao

  • Yuting Zhao

  • Zhifang Wu

  • Xiaoli Zhang

  • Yuetao Wang

  • Minfu Yang

  • Sijin Li

  • July 7, 2026

  • 0 min

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  • 1

    Phase entropy from gated SPECT-MPI quantifies left ventricular mechanical synchrony and aids in cardiovascular risk stratification.

  • 2

    An U-shaped association between phase entropy and major adverse cardiovascular events was identified in a study of 1,674 coronary artery disease patients.

  • 3

    Patients with abnormal phase entropy values exhibited significantly lower survival rates compared to those with normal values.

  • 4

    Phase entropy remained an independent predictor of major adverse cardiovascular events after adjusting for total perfusion deficit and left ventricular ejection fraction.

  • 5

    Phase entropy thresholds ≤31% or >53% correlate with reduced survival and identify high-risk subgroups for intensified clinical monitoring.

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