| 心肌灌注显像及其半定量分析在冠状动脉成形术的应用评价 |
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| 引用本文： | 鲜于志群,赵明,胡正清,周健,吴华,汪道文. 心肌灌注显像及其半定量分析在冠状动脉成形术的应用评价[J]. 华中科技大学学报(医学版), 2001, 30(6): 595-598 |
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| 作者姓名： | 鲜于志群 赵明 胡正清 周健 吴华 汪道文 |
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| 作者单位： | 1. 华中科技大学同济医学院附属同济医院核医学科,武汉,430030
2. 华中科技大学同济医学院附属同济医院心内科,武汉,430030 |
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| 基金项目： | 国家自然科学基金资助项目(No.39870307) |
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| 摘 要： | 评价心肌灌注SPECT对于经皮冠状动脉腔内成形术(PTCA)的应用意义.对18例冠心病患者(分为心肌梗死组和非心肌梗死组)在PTCA前后进行运动-静息99mTC-MIBI SPET显像动态观察,并对图像进行半定量分析,如缺血面积、梗死灶边缘带摄取比值(border zone uptake,BZU)等.结果发现运动-静息99mTc-MIBI心肌灌注SPECT结合定量分析对于PTCA术前病例选择和疗效预测;"罪犯"血管的确定;术后近期疗效的客观评价以及远期随访可提供一个可靠的无创方法.
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| 关 键 词： | 腔内成形术,经皮冠状动脉 断层摄影术,发射型计算机 99mTc-MIBI |
| 修稿时间： | 2001-01-16 |
Tc-99m-MIBI Myocardial SPET and Semi-quantitative Analysisi in Evaluation of Percutaneous Transluminal Coronary Angioplasty |
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| Xianyu Zhiqun ,Zhao Ming ,Hu Zhengqing et al. Tc-99m-MIBI Myocardial SPET and Semi-quantitative Analysisi in Evaluation of Percutaneous Transluminal Coronary Angioplasty[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2001, 30(6): 595-598 |
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| Authors: | Xianyu Zhiqun Zhao Ming Hu Zhengqing et al |
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| Affiliation: | Xianyu Zhiqun 1,Zhao Ming 1,Hu Zhengqing 2 et al 1 Department of Nuclear Medicine,2 Department of Cardiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030 |
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| Abstract: | The role of cardiac single photon emission computed tomography (SPET) in the assessment of percutaneous transluminal coronary angioplasty (PTCA) was evaluated. The 18 patients with coronary heart disease were divided into myocardial infarction group ( n =12) and non myocardial infarction group ( n =6). All patients underwent repeated stress/rest Tc 99m MIBI SPET before and one month after PTCA. The third scan were performed six months after PTCA on three cases. Semi quantitative indexes included area of ischemia, border zone uptake value (BZU) of infarction and so on. The results indecated that stress/rest Tc 99m MIBI SPET, combining with semi quantitative analysis, might be a reliable non invasive method for evaluation of the effects and monitoring of restenosis after PTCA. It might be also helpful in selecting the patients who may benefit from coronary revascularization. For those with multivessel lesions, SPET may help to define the"culprit"vessels on whom revascularitation is indicated. |
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| Keywords: | percutaneous transluminal coronary angioplasty single photon emission computed tomography Tc 99m MIBI |
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