Treves S
Semin Nucl Med. 1980 Jan;10(1):16-26. doi: 10.1016/s0001-2998(80)80026-2.
Detection and quantitation of shunts can be done accurately, rapidly, and safely using radionuclide techniques. The most frequent use of radionuclides in the evaluation of shunts is first-pass radionuclide angiography for the detection and quantitation of left-to-right shunts. Thallium-201 myocardial scintigraphy is useful in the evaluation of right ventricular overload secondary to left-to-right shunting. Radionuclide angiography has applications for premature and newborn infants with patent ductus arteriosus and respiratory distress, older children with unexplained heart murmur, and in the postoperative evaluation of patients undergoing cardiovascular surgery.
使用放射性核素技术能够准确、快速且安全地检测和定量分流。放射性核素在分流评估中最常见的用途是首次通过放射性核素血管造影术,用于检测和定量左向右分流。铊-201心肌闪烁显像术有助于评估左向右分流继发的右心室超负荷。放射性核素血管造影术适用于患有动脉导管未闭和呼吸窘迫的早产儿及新生儿、患有不明原因心脏杂音的大龄儿童,以及心血管手术患者的术后评估。