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[心脏病学中的核医学方法]

[Nuclear medical methods in cardiology].

作者信息

Mangschau A, Rootwelt K

机构信息

Medisinsk avdeling Ski sykehus.

出版信息

Tidsskr Nor Laegeforen. 1991 Feb 28;111(6):681-4.

PMID:2008686
Abstract

201-Thallium scintigraphy and radionuclide ventriculography with 99m-Technetium are the two most important nuclear imaging techniques in clinical cardiology. The sensitivity and specificity of tomographic Thallium scintigraphy for detection of coronary heart disease is about 90%. Radionuclide ventriculography may be used to describe systolic and diastolic function of the left and right ventricles with results comparable to those of angiographic studies. Both methods are non-invasive and feasible during exercise. These methods provide important information on myocardial ischaemia and cardiac function which may be difficult to obtain by other methods. In county hospitals with no equipment for invasive studies these methods provide important diagnostic and prognostic information. In the university hospitals, however, the techniques are of a more supportive nature and may help the clinician to select appropriate treatment.

摘要

铊-201心肌闪烁显像和锝-99m放射性核素心室造影是临床心脏病学中两项最重要的核成像技术。断层铊闪烁显像检测冠心病的敏感性和特异性约为90%。放射性核素心室造影可用于描述左、右心室的收缩和舒张功能,其结果与血管造影研究相当。这两种方法均为非侵入性,且在运动期间可行。这些方法提供了关于心肌缺血和心脏功能的重要信息,而这些信息可能难以通过其他方法获得。在没有进行侵入性检查设备的县级医院,这些方法提供了重要的诊断和预后信息。然而,在大学医院,这些技术更多地起到辅助作用,可帮助临床医生选择合适的治疗方法。

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