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[放射性核素心室造影结果及其与超声心动图和血管造影的相关性]

[Results of radionuclide ventriculography and correlation with echocardiography and angiography].

作者信息

Brousil J, Bĕlohlávek O, Foltýnová V, Bĕlohlávek M, Skrivánek J, Keclík R

机构信息

Ustavy biofyziky a nukleární medicíny a II. interní klinika l. lékarské fakulty Univerzity Karlovy v Praze, Ceská republika.

出版信息

Bratisl Lek Listy. 1993 Jul;94(7):386-91.

PMID:8004484
Abstract

In a group of 24 patients with coronary artery diseases, correlations of left ventricle end-diastolic volume (EDV), end-systolic volume (ESV), systolic volume (SV), and ejection fraction (EF) measurement results were assessed. Compared results were obtained with radiological angiography (RTG), echocardiography (USG), and radionuclide ventriculography (RNVG). In RNVG, the left ventricle volume was calculated using a geometrical method (GEO), a sample method with measurement of left ventricle position depth from a scintigraphic image (VZ1), and a sample method with assessment of left ventricle position depth from body height and body weight (VZ2). Interpersonal variability of RNVG evaluation was assessed simultaneously. Compared with RTG, the best correlation of EDV measurement was attained with GEO (r = 0.83) and VZ2 (r = 0.82). These methods correlate best also in ESV measurement (r = 0.91). The best correlation of EF values was obtained with USG, while r = 0.85 when using GEO and VZ2. A very low correlation was found in SV (r values from 0.39 to 0.50). The studied methods usually overestimate low values and underestimate higher values. To the EF value of 50 per cent corresponds in USG the value 48 per cent, in GEO and VZ2 the value 42 per cent. The values of EDV, ESV, and SV obtained with USG and RNVG correlate well with RTG, while the values of SV are, due to a low correlation, practically useless. Interpersonal variability of RNVG methods evaluation is minimal. (Tab. 6, Ref. 30.)

摘要

在一组24例冠状动脉疾病患者中,评估了左心室舒张末期容积(EDV)、收缩末期容积(ESV)、每搏输出量(SV)和射血分数(EF)测量结果之间的相关性。将测量结果与放射血管造影(RTG)、超声心动图(USG)和放射性核素心室造影(RNVG)的结果进行比较。在RNVG中,左心室容积采用几何方法(GEO)、从闪烁图像测量左心室位置深度的抽样方法(VZ1)以及根据身高和体重评估左心室位置深度的抽样方法(VZ2)来计算。同时评估了RNVG评估的个体间变异性。与RTG相比,EDV测量中与GEO(r = 0.83)和VZ2(r = 0.82)的相关性最佳。这些方法在ESV测量中相关性也最佳(r = 0.91)。EF值与USG的相关性最佳,使用GEO和VZ2时r = 0.85。在SV测量中发现相关性非常低(r值为0.39至0.50)。所研究的方法通常高估低值而低估高值。对于50%的EF值,USG对应的数值为48%,GEO和VZ2对应的数值为42%。USG和RNVG获得的EDV、ESV和SV值与RTG相关性良好,而由于相关性低,SV值实际上没有用处。RNVG方法评估的个体间变异性最小。(表6,参考文献30。)

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