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Comparative methods for quantifying total left ventricular infarct size in-vivo by single photon emission computerized tomography (SPECT)

Conference · · J. Nucl. Med.; (United States)
OSTI ID:6794775
To assess the validity of SPECT for measuring the total left ventricular (LV) infarct size (IS), the authors compared 4 different methods (Mth) in 10 dogs with acute 8-hr closed chest coronary occlusion (LAD in 7 and LCX in 3). Ten min after 2 mCi of IV Tl-201, 30 30-sec projections were obtained over 180/sup 0/. After sacrifice, hearts were sliced and pathologic LV IS was determined by TTC staining. On each tomogram, SPECT IS was defined as % of the maximum count circumferential profile (CP) falling below normal (nl) limits which were derived from 6 nl dogs. SPECT LV IS was determined by adding % IS on each slice before (Mth number1) and after (Mth 2- 4) correction to account for differing myocardial slice masses. Correction was accomplished by multiplying slice IS by a weighting factor derived from an observed relationship between slice depth and its actual weight (Mth number2), its SPECT surface area (Mth number3), or its diameter x maximal count (Mth number4), a method independent of slice edge detection.
Research Organization:
Cedars-Sinai Medical Center, Los Angeles, CA
OSTI ID:
6794775
Report Number(s):
CONF-850611-
Conference Information:
Journal Name: J. Nucl. Med.; (United States) Journal Volume: 26:5
Country of Publication:
United States
Language:
English