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Quantitative evaluation of myocardial perfusion and heart function using a non-invasive double isotope technique

Abstract

This paper describes a non-invasive double nuclide technique for the simultaneous measurement of minimal cardiac transit times (MTT) and regional 'myocardial appearance times' (MAT) using gamma camera and computer. MAT is defined as the time lag between the appearance of an indicator with myocardial affinity in the aortic root and its extraction in the myocardial cells. The extraction can be identified as an increase of the ratio between the count rates of the two nuclides e.g. /sup 201/Tl-chloride and sup(113m)In DTPA. The clinical evaluation of this method allows the following conclusions: 1) MAT, determined over several circumscript myocardial regions permits the qualitative diagnosis of a coronary artery disease with high confidence. 2) Indices of nutritive myocardial blood flow (INF), derived by MAT using several representative areas of myocardium, show a definite correlation to the degree of coronary artery disease. In addition to the localization of infarction and the determination of infarct size, the technique described promises a quantitative evaluation of the regional myocardial perfusion. Simultaneously measured MTT help to assess segmental cardiac performance.
Authors:
Knapp, W H; Doll, J; Georgi, P; [1]  Tillmanns, H [2] 
  1. Deutsches Krebsforschungszentrum, Heidelberg (Germany, F.R.). Inst. fuer Nuklearmedizin
  2. Heidelberg Univ. (Germany, F.R.). Innere Medizin 3
Publication Date:
Nov 01, 1976
Product Type:
Journal Article
Reference Number:
AIX-08-306342; EDB-77-108775
Resource Relation:
Journal Name: Nucl. Act.; (Germany, Federal Republic of); Journal Volume: 7:5; Other Information: 9 figs.; 8 refs
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; INDIUM 113; SCINTISCANNING; MYOCARDIAL INFARCTION; DIAGNOSIS; MYOCARDIUM; THALLIUM 201; BLOOD CIRCULATION; COMPUTERS; DIAGNOSTIC TECHNIQUES; DTPA; GAMMA CAMERAS; ISOMERIC NUCLEI; NUCLEAR MEDICINE; PERFUSED ORGANS; AMINO ACIDS; BETA DECAY RADIOISOTOPES; BODY; CAMERAS; CARBOXYLIC ACIDS; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; CHELATING AGENTS; COUNTING TECHNIQUES; DAYS LIVING RADIOISOTOPES; DISEASES; DRUGS; ELECTRON CAPTURE RADIOISOTOPES; HEART; HEAVY NUCLEI; HOURS LIVING RADIOISOTOPES; INDIUM ISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; MEDICINE; MUSCLES; NUCLEI; ODD-EVEN NUCLEI; ORGANIC ACIDS; ORGANIC COMPOUNDS; ORGANS; RADIOISOTOPE SCANNING; RADIOISOTOPES; RADIOPROTECTIVE SUBSTANCES; RESPONSE MODIFYING FACTORS; SECONDS LIVING RADIOISOTOPES; STABLE ISOTOPES; THALLIUM ISOTOPES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
7106962
Country of Origin:
Germany
Language:
German
Other Identifying Numbers:
Journal ID: CODEN: NULAB
Submitting Site:
INIS
Size:
Pages: 150-154
Announcement Date:
Aug 01, 1977

Citation Formats

Knapp, W H, Doll, J, Georgi, P, and Tillmanns, H. Quantitative evaluation of myocardial perfusion and heart function using a non-invasive double isotope technique. Germany: N. p., 1976. Web.
Knapp, W H, Doll, J, Georgi, P, & Tillmanns, H. Quantitative evaluation of myocardial perfusion and heart function using a non-invasive double isotope technique. Germany.
Knapp, W H, Doll, J, Georgi, P, and Tillmanns, H. 1976. "Quantitative evaluation of myocardial perfusion and heart function using a non-invasive double isotope technique." Germany.
@misc{etde_7106962,
title = {Quantitative evaluation of myocardial perfusion and heart function using a non-invasive double isotope technique}
author = {Knapp, W H, Doll, J, Georgi, P, and Tillmanns, H}
abstractNote = {This paper describes a non-invasive double nuclide technique for the simultaneous measurement of minimal cardiac transit times (MTT) and regional 'myocardial appearance times' (MAT) using gamma camera and computer. MAT is defined as the time lag between the appearance of an indicator with myocardial affinity in the aortic root and its extraction in the myocardial cells. The extraction can be identified as an increase of the ratio between the count rates of the two nuclides e.g. /sup 201/Tl-chloride and sup(113m)In DTPA. The clinical evaluation of this method allows the following conclusions: 1) MAT, determined over several circumscript myocardial regions permits the qualitative diagnosis of a coronary artery disease with high confidence. 2) Indices of nutritive myocardial blood flow (INF), derived by MAT using several representative areas of myocardium, show a definite correlation to the degree of coronary artery disease. In addition to the localization of infarction and the determination of infarct size, the technique described promises a quantitative evaluation of the regional myocardial perfusion. Simultaneously measured MTT help to assess segmental cardiac performance.}
journal = []
volume = {7:5}
journal type = {AC}
place = {Germany}
year = {1976}
month = {Nov}
}