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관상동맥질환 환자에서 방사성동위원소 위상분석에 의한 심근 국소 운동 평가
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  • 관상동맥질환 환자에서 방사성동위원소 위상분석에 의한 심근 국소 운동 평가
  • Evaluation of Regional Wall Motion by Phase Analysis of Radionuclide Cardiac Blood Pool Scintigrams in Coronary Artery Disease Patients
저자명
이강욱,정준기,오병희,박영배,이명철,이영우,고창순,Yi. Gang-Wook,Chung. June-Key,Oh. Byeong-Hui,Park. Young-Bae,Lee. Myung-Chul,Lee. Young-Woo,Koh. Cha
간행물명
大韓核醫學會誌
권/호정보
1987년|21권 2호|pp.167-174 (8 pages)
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대한핵의학회
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정기간행물|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Among noninvasive approaches for the evaluation of left ventricular performance, radionuclide ventriculography (RVG) has been shown to be of particular values. Phase analysis, recently introduced as more objective means for evaluating the temporal sequence of systolic ventricular wall motion than cine image of RVG comprises a pixel by pixel Fourier transformation of the time activity curve of a multiple gated acquisition equilibrium blood pool study. To examine the regional wall motion of ventricles in myocardial infarctions, we evaluated the phase image and histogram constructed for each ventricle by total phase angle range and full width of half maximum (FWHM). This study consisted of 7 normal subjects and 23 subjects with acute myocardial infarction. Contrast ventriculography and coronary angiography was performed in all partients with myocardial infarction. And we compared the result of phase analysis with cine image of RVG and examined the interrelationship between phase analysis and contrast ventriculography with coronary angiography. The results were as follows; 1) The total phase angle range and FWHM of LV phase histogram in myocardial infarction ($86^{circ};and;32^{circ}$, repectively) were wider than those in normal control ($38^{circ};and;18^{circ}$, respectively p<0.01). 2) RV phase angle range and FWHM in patients with right coronary artery (RCA) occlusion ($79^{circ};and;37^{circ}$, respectively) were wider than those in normal control ($39^{circ};and;18^{circ}$, respectively p<0.001) and the patients without RCA occlusion ($52^{circ};and;19^{circ}$, respectively p<0.01). 3) Phase analysis was more sensitive (95%) than cine image of RVG (70%) for the detection of regional wall motion abnormality of LV.