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Count-based left ventricular volume determination utilizing a left posterior oblique view for attenuation correction

Journal Article · · Radiology; (United States)
This study aimed to determine the inherent error of the left ventricular volume measurement from the gated equilibrium blood pool scintigram utilizing the count-based technique. The study population consisted of 26 patients who had undergone biplane contrast ventriculography. The patients were imaged with a parallel-hole collimator in the left anterior oblique position showing the septum to best advantage. A reference blood sample was counted and radionuclide volumes calculated without correction for attenuation. Attenuation corrected volumes were derived with the factor 1/e/sup -/+d/, where d = distance from skin marker to center of the left ventricle in the orthogonal left posterior oblique view and ..mu.. = linear attenuation coefficient. A series of ..mu.. values from 0.08 to 0.15 cm/sup -1/ was evaluated. The tightest 95% confidence limits achieved for an end-diastolic 150-ml ventricle were +/- 44ml, and for an end-systolic 75-ml ventricle +/- 32 ml. In view of the magnitude of inherent error, the count-based volume measurement may be more suitable for group analyses and in cases in which an individual patient serves as his own control.
Research Organization:
Univ. of Michigan Medical Center, Ann Arbor
OSTI ID:
6850621
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 150:3; ISSN RADLA
Country of Publication:
United States
Language:
English