节点文献

门控心肌显像在冠心病诊断及心功能评价中的应用

The evaluation of ventricular function and diagnostic use of ̄(99m)Tc-MIBI gated myocardial imaging in coronary heart disease

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 梁宏石锐林增桃曾世荃李春亿

【Author】 Liang Hong; Shi Rui; Lin Zengtao; Zeng shiquan; Li Chunyi(The First Affiliated Hospital of Sun Yat -Sen University of Medicine Sciences, Guangzhou 510080)

【机构】 中山医科大学第一附属医院

【摘要】 报道了18例正常人、118例冠心病(CHD)患者的(99m)TC-MIBI心肌显像结果,心肌断层靶心图显示诊断CHD的灵敏度达90.7%,门控心肌图像观察结合左室心肌收缩分数(LVCF)分析其诊断灵敏度为83.3%;二者特异性相似.探讨了密度法计算LVCF的方法,并与心血池显像的左室射血分数(LVEF)做了相关分析,结果表明:应用密度法计算LVCF重复性好,与左室LVEF具有良好相关,相关系数为0.86,并能通过回归公式预测。52例受检者门控心肌显像所观察到的左室室壁运动结果与心血池显像有良好的一致.

【Abstract】 or the assessment of the diagnostic efficiency of planar gated myocardial scintigraphy(PGMS) and comparison of value of left ventricltun myocardial contraction fraction(LVCF) with that of the ejection fraction(EF), 18 normal subjects and 118 patients with coronary heart disease(CHD) performed 99mTc-MIBI myocardial imaging, including SPECT, PGMS and radionuclide ventriculography (RNV). All LVCF data were correlated to LVEF by RNV. The results showed that the overall sensitivities of SPECT and PGMS for diagnoSing CHD were 90.7% and 83.3% respectively. Similar specificities were found. The reproducibility of Density Method to calculate LVCF which was based on the end systolic increase in myocedial count density was good. The corresPOnding correlation coefficient(r) and the regression equation were: LVCF=0.54× EF+24.21; r=0.86. Segmental wall motion observed by PGMS well conincided with that of RNV.

  • 【分类号】R541.404
  • 【被引频次】6
  • 【下载频次】19
节点文献中: 

本文链接的文献网络图示:

本文的引文网络