Document Detail

Evaluation of intravenous radionuclide angiography in detection of occlusive disease of the iliac arteries.
MedLine Citation:
PMID:  6088237     Owner:  NLM     Status:  MEDLINE    
Radionuclide angiography (angioscintigraphy) of the iliac arteries was performed in 173 patients consecutively referred for arterial insufficiency of the legs. In 83 of the patients femoral angiography was also performed. The interobserver variation was evaluated by the agreement indices, kappa (K) and weighted kappa (Kw). For angiography the interobserver agreement was high (K and Kw 0.65 and 0.77 respectively). For angioscintigraphy the agreement between observers was fair (K = 0.52, Kw = 0.68), and equal to the intraobserver agreement (K = 0.55, Kw = 0.65). The comparison between angioscintigraphy and angiography gave K-values of 0.22-0.31 and Kw-values of 0.37-0.48. The nosographic sensitivity of angioscintigraphy was 61%, the nosographic specificity was 93%, and the predictive value for both a positive and a negative test was 83%. The prevalence of occlusion or severe stenosis was 34%. Inguinal pulse palpation detected 48% of iliac occlusions. It is concluded that the reliability of angioscintigraphy in the diagnosis of iliac arterial occlusive disease is acceptable for a non-invasive, rapid, inexpensive and widely available screening procedure. Although anatomical details are not visualized the information obtained is useful for the detailed planning and choice of subsequent diagnostic and therapeutic procedures. The method is well suited for repeat studies and may be modified to include the femoral arteries.
O J Hartling; P F Høilund-Carlsen; B Hesse; H Dige-Petersen; M A Rosenørn; E Hein; V Hegedüs
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of radiology     Volume:  4     ISSN:  0720-048X     ISO Abbreviation:  Eur J Radiol     Publication Date:  1984 Aug 
Date Detail:
Created Date:  1984-10-25     Completed Date:  1984-10-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  205-9     Citation Subset:  IM    
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MeSH Terms
Arterial Occlusive Diseases / radionuclide imaging*
Evaluation Studies as Topic
Iliac Artery / radionuclide imaging*
Injections, Intravenous
Middle Aged
Sodium Pertechnetate Tc 99m
Technetium / administration & dosage
Reg. No./Substance:
23288-60-0/Sodium Pertechnetate Tc 99m; 7440-26-8/Technetium

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