| ^99mTc—MIBI门控心肌舒张末期影像与非门控心肌影像检测老年冠心病人的比较 |
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| 引用本文： | 张英男,郭一玲,梁旭,张桂梅,郑溪园,董少红,辛镇祓,王春艳. ^99mTc—MIBI门控心肌舒张末期影像与非门控心肌影像检测老年冠心病人的比较[J]. 中国老年学杂志, 2001, 21(2): 91-93 |
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| 作者姓名： | 张英男 郭一玲 梁旭 张桂梅 郑溪园 董少红 辛镇祓 王春艳 |
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| 作者单位： | 1. 暨南大学医学院附二院暨深圳市人民医院,广东 深圳 518020
2. 白求恩医科大学第一临床学院干部病房 |
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| 摘 要： | 目的 评价
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| 关 键 词： | 冠心病 ^99mTc－MIBI 门电路控制断层显像 舒张末期影像 老年人 |
| 文章编号： | 1005-9202(2001)02-0091-03 |
| 修稿时间： | 2000-08-10 |
Comparison between theend-diastolic images of gated and the Non-gated images with 99m |
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| ZHANG Ying-nan. Comparison between theend-diastolic images of gated and the Non-gated images with 99m[J]. Chinese Journal of Gerontology, 2001, 21(2): 91-93 |
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| Authors: | ZHANG Ying-nan |
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| Abstract: | Objective To evaluate the clinical value of the end-diastolicimages(EDI)of gated and the non-gated inages(NGI) with 99m Tc-MIBI perfusion in detecting elderly patients with coronary artery dis ease(CAD).Methods Exercises and rest 99m Tc-MIBI gated sin gl e photon emission computed tomography(SPECT) were performed on 58 patients with known or suspected CAD(47 underwent coronary angiography) and the diagnostic eff icency and agreement of detecting coronary artery disease(CAD) were compared bet ween EDI and NGI with 99m Tc-MIBI perfusion study.Results The sensitivity was 84.84%(28/33) and 72.72%(24 /33) for EDI and NGI,respectively.4 of 5 patients with CAD were not detected by NGI but seen with EDI.The specificity was 78.57%(11/14) and 85.71%(12/14) for NGI and EDI,respectively.Of a total of 290 segments,50 ischemic defects were d et ected by NGI and 83 by EDI(P＜0.05).The segmental agreement between the two techniques was 85.17%(247/290 segments).EDI showed more ischemic defects than NGI.Conclusions EDI may be a useful technology to detect elde rly patients with coronary artery disease in such a clinical situation. |
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