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心脏轮廓内有钙化患者的锝-99m焦磷酸亚锡闪烁扫描术

Technetium-99m stannous pyrophosphate scintigraphy in patients with calcification within the cardiac silhouette.

作者信息

Wald R W, Sternberg L, Huckell V F, Staniloff H M, Feiglin D H, Morch J E

出版信息

Br Heart J. 1978 May;40(5):547-51. doi: 10.1136/hrt.40.5.547.

DOI:10.1136/hrt.40.5.547
PMID:207292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC483443/
Abstract

Technetium-99m stannous pyrophosphate scintiscanning was performed in 22 patients with radiographically detected calcification within the cardiac silhouette. All but one of these scintigrams showed a localised area of increased activity similar to that ordinarily seen in acute myocardial infarction. Scintiscans in 3 patients after removal of the calcified aortic valve reverted to negative. It was concluded that this technique for acute infarct detection may yield false positive results in the presence of cardiac calcification.

摘要

对22例在X线片上发现心脏轮廓内有钙化的患者进行了锝-99m焦磷酸亚锡闪烁扫描。除1例闪烁扫描图外,所有这些扫描图均显示出一个局部活性增加区域,类似于急性心肌梗死时通常所见的情况。3例患者在切除钙化主动脉瓣后闪烁扫描结果转为阴性。得出的结论是,这种用于急性梗死检测的技术在存在心脏钙化时可能会产生假阳性结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a00/483443/99a07609986b/brheartj00219-0085-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a00/483443/2c30afbc05e5/brheartj00219-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a00/483443/8434910ceb75/brheartj00219-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a00/483443/99a07609986b/brheartj00219-0085-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a00/483443/2c30afbc05e5/brheartj00219-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a00/483443/8434910ceb75/brheartj00219-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a00/483443/99a07609986b/brheartj00219-0085-b.jpg

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Technetium-99m stannous pyrophosphate scintigraphy in patients with calcification within the cardiac silhouette.心脏轮廓内有钙化患者的锝-99m焦磷酸亚锡闪烁扫描术
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引用本文的文献

1
Pyrophosphate heart scan in patients with progressive systemic sclerosis.进行性系统性硬化症患者的焦磷酸盐心脏扫描
Br Heart J. 1982 Jan;47(1):90-3. doi: 10.1136/hrt.47.1.90.

本文引用的文献

1
Mitochondrial mineralization in human myocardium.人类心肌中的线粒体矿化
Am J Clin Pathol. 1970 Jun;53(6):820-4. doi: 10.1093/ajcp/53.6.820.
2
Myocardial calcium and magnesium in acute ischemic injury.急性缺血性损伤中的心肌钙和镁
Am J Pathol. 1972 Jun;67(3):417-40.
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A new method for radionuclide imaging of acute myocardial infarction in humans.
Circulation. 1974 Sep;50(3):540-6. doi: 10.1161/01.cir.50.3.540.
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A new method for radionuclide imaging of myocardial infarcts.
Radiology. 1974 Feb;110(2):473-4. doi: 10.1148/110.2.473.
5
The binding of pyrophosphate and two diphosphonates by hydroxyapatite crystals.
Calcif Tissue Res. 1973 Mar 30;11(4):269-80. doi: 10.1007/BF02547227.
6
Detection of unstable angina by 99m technetium pyrophosphate myocardial scintigraphy.用99m锝焦磷酸盐心肌闪烁显像术检测不稳定型心绞痛
Chest. 1976 Feb;69(2):168-73. doi: 10.1378/chest.69.2.168.
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Aging changes in the human aortic valve in relation to dystrophic calcification.人类主动脉瓣与营养不良性钙化相关的衰老变化。
Hum Pathol. 1976 Jan;7(1):47-60. doi: 10.1016/s0046-8177(76)80005-6.
8
Detection of acute myocardial infarction by technetium-99m polyphosphate.用锝-99m多聚磷酸盐检测急性心肌梗死
Am J Cardiol. 1975 Mar;35(3):390-6. doi: 10.1016/0002-9149(75)90032-6.
9
Uptake of infarct-imaging agents in reversibly and irreversibly injured myocardium in cultured fetal mouse heart.梗死显像剂在培养的胎鼠心脏中可逆性和不可逆性损伤心肌中的摄取情况。
Circ Res. 1976 Dec;39(6):860-8. doi: 10.1161/01.res.39.6.860.
10
Limited clinical diagnostic specificity of technetium-99m stannous pyrophosphate myocardial imaging in acute myocardial infarction.锝-99m焦磷酸亚锡心肌显像在急性心肌梗死中的临床诊断特异性有限。
Am J Cardiol. 1977 Jan;39(1):50-4. doi: 10.1016/s0002-9149(77)80010-6.