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[通过估计示踪剂的平均通过时间进行放射性心动图解读]

[Radiocardiogram interpretation by estimating the average transit time of a tracer].

作者信息

Gel'fand I N, Sycheva I M, Narkevich B Ia

出版信息

Med Radiol (Mosk). 1983 Dec;28(12):13-9.

PMID:6227783
Abstract

A new method for the interpretation of the radiocardiographic (RCG) data is proposed. As distinct from the widely used method developed by Donato et al. based on the exponential extrapolation of the terminal zones of the RCG peaks and the calculation of the mean time of the indicator general circulation in the body, this one is based on the approximation of both RCG peaks by gamma-image function, measurement of the indicator maximum level in the field of interest of the vena cava superior and calculation of the time indices that characterize the mean-transit time of radioactivity through the right cardiac regions and through the heart and lungs in general. On examination of practically healthy persons and 62 patients with ischemic heart disease 10 different RCG time indices were identified. The correlation matrix of the interrelationships of these indices and the matrix of the coefficients of respective regression equations were calculated. It has been established that the mean time of general circulation results in the distorted evaluation of myocardial pump function whereas time indices determined by the above method give a more adequate evaluation of the central hemodynamics.

摘要

提出了一种解读放射心电图(RCG)数据的新方法。与多纳托等人广泛使用的基于RCG波峰终末区指数外推以及计算体内指示剂总体循环平均时间的方法不同,该方法基于用伽马图像函数逼近两个RCG波峰、测量上腔静脉感兴趣区域内指示剂的最大水平,以及计算表征放射性通过右心区域和整个心脏及肺部平均通过时间的时间指数。在对实际健康人群和62例缺血性心脏病患者进行检查时,确定了10种不同的RCG时间指数。计算了这些指数相互关系的相关矩阵以及相应回归方程的系数矩阵。已证实总体循环平均时间会导致对心肌泵功能的评估失真,而通过上述方法确定的时间指数能更充分地评估中心血流动力学。

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