Document Detail


Technically suboptimal first-pass radionuclide angiographic studies.
MedLine Citation:
PMID:  2307168     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
First-pass radionuclide angiography (FPRNA) has proven to correctly assess left ventricular function, however, technical difficulties do occur. One hundred and thirty one patients had contrast angiography and resting radionuclide angiography within 24 h. Of the 131 patients, 86 (66%) had adequate studies and 45 (34%) were technically suboptimal studies. In the latter group, low counts affected the quality of the images but did not change the left ventricular ejection fraction (LVEF) or regional wall motion (RWM) scores. Patients with high background activity showed overestimation of LVEF, however, by using a formula that was derived from the linear regression the LVEF could be calculated accurately in most cases. Multiple technical problems were noted in 14 patients in whom the best correlation was between contrast LVEF and background uncorrected LVEF from FPRNA (r = 0.87). In the latter group, FPRNA showed overestimation of RWM in 8 patients (57%), mainly in the inferior wall. We conclude that for most technically compromised first-pass radionuclide angiographic data, accurate LVEF values can be achieved but errors in regional wall motion interpretation will occur, especially when multiple technical problems exist.
Authors:
R Gal; R P Grenier; D H Schmidt; S C Port
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of nuclear medicine     Volume:  16     ISSN:  0340-6997     ISO Abbreviation:  Eur J Nucl Med     Publication Date:  1990  
Date Detail:
Created Date:  1990-04-12     Completed Date:  1990-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7606882     Medline TA:  Eur J Nucl Med     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  11-6     Citation Subset:  IM    
Affiliation:
Nuclear Cardiology Laboratory, University of Wisconsin Medical School, Sinai Samaritan Medical Center, Milwaukee 53233.
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MeSH Terms
Descriptor/Qualifier:
Female
Heart / physiopathology,  radionuclide imaging*
Humans
Male
Middle Aged
Myocardial Contraction
Stroke Volume
Ventriculography, First-Pass*

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