Luther M, Langer F, Schneider A, Henselmann L, Kiefhaber F
MMW Munch Med Wochenschr. 1977 Jan 7;119(1):15-22.
In a total of 51 patients (26 with coronary heart diseases, 25 with primary myocardial diseases), the myocardial scintigrams after intracoronary particle injection (perfusion scintigraphy) and after intravenous nuclide injection with accumulation in the myocardium (thallium scintigraphy) were compared with each other and set against the coronary angiographic and levocardiographic findings. It was shown that extensive myocardial failures (aneurysms) can be represented by both nuclear medical procedures, but that perfusion scintigraphy is more sensitive and correlates more closely to the levocardiogram findings. Smaller abnormalities of contraction of the left ventricle (hypokinetic and akinetic areas) were always shown in the perfusion scintigram, more seldom in the thallium scintigram. The outstanding advantage of thallium scintigraphy is that it is non-invasive, it can be repeated as often as desired and is easily performed during ergometric stress.
在总共51例患者（26例患有冠心病，25例患有原发性心肌病）中，对冠状动脉内注射微粒后的心肌闪烁图（灌注闪烁扫描）和静脉注射核素并在心肌中蓄积后的心肌闪烁图（铊闪烁扫描）进行了相互比较，并与冠状动脉造影和左心室造影结果相对照。结果显示，两种核医学检查方法均可显示广泛的心肌功能衰竭（室壁瘤），但灌注闪烁扫描更敏感，且与左心室造影结果的相关性更紧密。左心室收缩的较小异常（运动减弱和运动不能区域）在灌注闪烁图中总是能够显示出来，而在铊闪烁图中则较少显示。铊闪烁扫描的突出优点是它是非侵入性的，可以根据需要多次重复，并且在运动负荷试验期间易于进行。
