[1]李殿富.核素显像识别存活心肌的临床应用进展[J].国际放射医学核医学杂志,2003,27(3):105-106110.
　LI Dian-fu.Clinical advances of nuclear imaging in the assessment of viable myocardium[J].International Journal of Radiation Medicine and Nuclear Medicine,2003,27(3):105-106110.
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
27
期数:
2003年第3期
页码:
105-106110
栏目:
综述
出版日期:
1900-01-01

文章信息/Info

Title:
Clinical advances of nuclear imaging in the assessment of viable myocardium
作者:
李殿富
210029 南京, 南京医科大学第一附属医院心脏科
Author(s):
LI Dian-fu
Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
关键词:
存活心肌; 核素显像; 冠心病
Keywords:
viable myocardium; SPECT; coronary artery disease
分类号:
R817.4
摘要:
存活心肌的判断对冠心病患者治疗方案的选择及预后十分重要。201Tl再注射法、硝酸甘油介入的静息99Tcm-sestamibi法增强了心肌灌注核素体层显像对存活心肌的检测能力,门控SPECT技术能在评估心肌灌注的同时计算LVEF(左心室射血分数)、局部室壁运动和局部室壁增厚率,具有符合线路的SPECT可以进行心肌代谢显像及灌注显像,其对存活心肌的检测能力可能接近于PET,而检查费用可大大降低。
Abstract:
The assessment of myocardial viability is of particular importance in determining the appropriate managements and making accurate prognoses in coronary artery disease patients. The new algorithms such as 201Tl rest/redistribu-tion and nitroglycerin-augmented rest 99Tcm-sesbamibi and the recently performed gated SPECT, which could make a combined assessment of myocardial perfusion and LV function, have greatly enhanced the use of myocardial perfusion SPECT in the assessment of myocardial viability. The coincidence SPECT, which can perform myocardial perfusion and glucose metabolism imaging spontaneously, is nearly as powerful as PET but is less costly in the myocardial viability assessment.

参考文献/References:

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[8] Depuey EG.Major advances in single-photon emission com-puted tomography perfusion imaging[J]. Cardiol Rev, 2000, 8(1):40-48.
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备注/Memo

备注/Memo:
收稿日期:2002-09-05。
作者简介:李殿富(1965-),男,博士研究生,主要从事冠心病影像学研究。
更新日期/Last Update: 1900-01-01