RESUMO
Factor analysis, a new method of functional imaging, has been applied to cardiovascular nuclear medicine. Because of the difficulty of its interpretation, it has not been popular as a method for detecting abnormal wall motion. The purpose of this study was to evaluate the usefulness of factor analysis in exercise gated blood-pool study in patients with ischemic heart disease. In our factor analysis, left ventricular region of interest (LVROI) was extracted to exclude the surrounding radioactivities. The new method was compared with 1) the conventional factor analysis using whole region (whole ROI method), and with 2) the other functional images, i.e. stroke volume, ejection fraction and phase images. At first we tried 3-factor analysis of the LVROI method, which resulted in many uninterpretable factors. Whereas in 2-factor analysis no uninterpretable factors were extracted. In comparison with cine-mode display, the LVROI method with 2-factor analysis showed the best sensitivity (85%) and specificity (100%). In exercise gated blood-pool study, it became easier to detect abnormal wall motion by comparing the factor image at exercise with resting image. In conclusion, the 2-factor analysis using the LVROI method greatly improved the limitation of conventional factor analysis, and will be useful in detecting wall motion abnormality in patients with ischemic heart disease.
Assuntos
Doença das Coronárias/diagnóstico por imagem , Imagem do Acúmulo Cardíaco de Comporta/estatística & dados numéricos , Adulto , Idoso , Doença das Coronárias/fisiopatologia , Teste de Esforço , Análise Fatorial , Feminino , Ventrículos do Coração/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Contração Miocárdica , Função Ventricular EsquerdaRESUMO
To utilize 111In leukocytes in a routine work, simplified procedure for sterile leukocytes preparation and labeling with water soluble oxine sulfate was performed. Viability and chemotaxis of leukocytes were maintained during separation and labeling. Chelated rate of 111In with oxine sulfate was 93.5%. Labeling efficiency of 111In leukocytes was 93.8%. Obvious blood pool images due to remained erythrocytes were not observed. 111In labeled leukocytes showed good migration into inflammatory focci.
Assuntos
Hidroxiquinolinas , Radioisótopos de Índio , Marcação por Isótopo/métodos , Leucócitos , Compostos Organometálicos , Oxiquinolina , Humanos , Leucaférese/métodos , Abscesso Hepático/diagnóstico por imagem , Oxiquinolina/análogos & derivados , CintilografiaAssuntos
Doença das Coronárias/fisiopatologia , Doenças das Valvas Cardíacas/fisiopatologia , Coração/diagnóstico por imagem , Volume Sistólico , Tomografia Computadorizada de Emissão/métodos , Doença das Coronárias/diagnóstico por imagem , Doenças das Valvas Cardíacas/diagnóstico por imagem , HumanosRESUMO
Length-based Fourier analysis (LFA) was applied to tomographic gated blood-pool study, and phase and percent-shortening diagrams were generated. In 22 patients with pre-excitation syndrome and ten control subjects, the most basal short-axis section was used for tomographic analysis. When the initial abnormal phase was considered as the location of accessory conduction pathway (ACP), correct diagnosis for the localization of ACP was given in 19 of 22 patients. In ten control subjects, no specific segments of initial phase were noted, although six patients had initial phase in the septal or paraseptal segments. The tomographic LFA was more effective for pinpointing the segment of the earliest phase than tomographic count-based phase analysis. The LFA provided objective three-dimensional information for contraction sequence. Because movements of ventricular edges are essential in tomography, the LFA was considered to be a reasonable approach for the analysis of tomographic gated blood-pool study.
