| Autor: |
Kaltoft, A., Bøttcher, M., Rønnow Sand, N. P., Flø, C., Toftegaard, T., Nielsen, T., Rehling, M. |
| Jazyk: |
angličtina |
| Rok vydání: |
2001 |
| Předmět: |
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| Zdroj: |
Kaltoft, A, Bøttcher, M, Rønnow Sand, N P, Flø, C, Toftegaard, T, Nielsen, T & Rehling, M 2001, ' 99m Tc-Sestamibi SPECT is a useful technique for viability detection ', Scandinavian Cardiovascular Journal, vol. 35, no. 4, pp. 245-251 . https://doi.org/10.1080/14017430152581350 |
| Popis: |
Objective - Assessment of myocardial viability by 99mTc-Sestamibi Single Photon Emission Computerized Tomography (SPECT) has been suggested as a more readily available and cheaper alternative to Positron Emission Tomography (PET) with 13N-ammonia (NH3) and 18F-fluoro-deoxy-glucose (FDG). We hypothesized that a semi-quantitative evaluation by SPECT could delineate myocardial viability with an acceptable concordance to PET. Design - Fifty patients (age 57 ± 7 years; ejection fraction 28 ± 8%), with ischemic cardiomyopathy, underwent SPECT and PET imaging in random order. Viability by SPECT was defined as a defect size 2 and FDG score ≤2 (five-point scale, 0 = normal, 4 = absent activity). Results - By segmental comparison to PET, SPECT yielded a sensitivity and specificity of 87% and 82% for detection of viable myocardium. The positive and negative predictive values were 96% and 58%, respectively. Conclusion - In patients with severe ischemic cardiomyopathy 99mTc-Sestamibi SPECT can delineate viable myocardium with an acceptable segmental concordance to NH3/FDG PET. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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