Abstract
Equilibrium radionuclide ventriculography is often restricted to the left anterior oblique projection. The differential sensitivity of left anterior oblique amplitude and phase images for anterior and inferior infarction was evaluated using quantitative analysis, and the role of left posterior oblique images assessed. Twenty anterior infarcts, 20 inferior infarcts and 20 normal controls were studied. Left anterior oblique amplitude and phase abnormalities were seen in 100% (20) and 85% (17) of anterior infarcts but only 55% (11) and 50% (10) of inferior infarcts. Left posterior oblique amplitude and phase abnormalities were seen in 95% (19) of anterior infarcts and 75% (15) and 85% (17) of inferior infarcts. Left anterior oblique standard deviation of phase differed from normal only for anterior infarction (P < 0.01); both anterior and inferior (P < 0.05) infarction differed from normal in the left posterior oblique projection. Left anterior oblique images are therefore insensitive for inferior infarction. An accurate description of regional ventricular wall motion requires biplane radionuclide ventriculography.
Similar content being viewed by others
References
Freeman MR, Bernan DS, Staniloff HM, et al. Improved assessment of inferior segmental wall motion by the addition of a 70 degree left anterior oblique view in multigated equilibrium radionuclide ventriculography. Am Hear J 1981;101:169–173.
Kelly MJ, Giles RW, Simon TR, et al. Multigated equilibrium radionuclide angiocardiography: improved detection of left ventricular wall motion abnormalities and aneurysms by the addition of the left lateral view. Radiology 1981;139:167–173.
Underwood SR, Walton S, Laming PJ, Emmanuel RW, Swanton RH. Differential sensitivity of radionuclide ventriculography for the detection of anterior and inferior infarction. Br Heart J 1988;60:411–416.
Arrington ER, Hartshorne ME, Eisenberg B, Roldan C, West M, Mettler FA, Shively BK, Pulliam L, Murata GH. The two-view radionuclide ventriculogram. Advantages of the LPO view. Clin Nucl Med 1992;17:371–374.
Akins EW, Brateman LF, Williams CM, Mietling SW, Franco EA. Improved detection of healed myocardial infarction by Fourier phase and amplitude imaging in two projections: validation with MRI. Radiographics 1989;9:323–329.
Schneider RM, Jaszczak RJ, Coleman RE, Cobb FR. Disproportionate effects of regional hypokinesis on radionuclide ejection fraction: compensation using attenuation-corrected ventricular volumes. J Nucl Med 1984;25:747–754.
Reduto LA, Berger HJ, Cohen LS, Gottschalk A, Zaret BL. Sequential radionuclide assessment of left and right ventricular performance after acute myocardial infarction. Ann Intern Med 1978;88:441–447.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Prvulovich, E.M., Syed, G.M.S., Underwood, S.R. et al. Improved assessment of inferior left ventricular wall motion using biplane equilibrium radionuclide ventriculography. Eur J Nucl Med 21, 423–426 (1994). https://doi.org/10.1007/BF00171417
Received:
Revised:
Issue Date:
DOI: https://doi.org/10.1007/BF00171417