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The effect of heart rate and contractility on the measurement of left ventricular mass by 201Tl SPECT

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Abstract

Left ventricular myocardial mass can be measured by 201Tl SPECT, but the effects of changes in heart rate and contractility have not been determined. We constructed a dynamic computer model simulating the contracting left ventricle. Thirty two summed static views at each of 3 heart rates and 3 ejection fractions were manufactured to simulate a 180° acquisition. Each image set underwent tomographic reconstruction. Left ventricular mass was measured at a fixed percent threshold in each slice. The results show that left ventricular mass varied little with heart rate (4%) and only slightly more (8%) with ejection fraction. Thus, in the normal clinical setting, left ventricular mass measurements by SPECT are minimally affected by the dynamic state of the heart.

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References

  • Braunwald E, Kloner RA (1982) The stunned myocardium: Prolonged, postischemic ventricular dysfunction. Circulation 66:1146–1149

    Google Scholar 

  • Caldwell JH, Williams DL, Harp GD, Stratton JR, Ritchie JL (1984) Quantification of size of relative myocardial perfusion defect by single-photon emission computed tomorgraphy. Circulation 70:1048–1056

    Google Scholar 

  • Clayton PD, Jeppson GM, Klausner SC (1982) Should a fixed external reference system be used to analyze left ventricular wall motion? 65:1518–1521

    Google Scholar 

  • Colan SD, Borow KM, Gamble WJ, Sanders SP (1983) Effects of enhanced afterload (methoxamine) and contractile state (dobutamine) on the left ventricular late-systolic wall stress-dimension relation. 52:1304–1309

    Google Scholar 

  • Coleman RE, Jaszczak RJ, Cobb FR (1982) Comparison of 180° and 360° data collection in thallium-201 imaging using single-photon emission computerized tomorgraphy (SPECT): Concise Communication. J Nucl Med 23:655–660

    Google Scholar 

  • Edwards WD, Tajik AJ, Seward JB (1981) Standardization of nomenclature and anatomical basis for regional tomographic analysis of the heart. Mayo Clin Proc 56:479–497

    Google Scholar 

  • Goldberg LI, Bloodwell RD, Braunwald E, Morrow AG (1960) The direct effects of norepinephrine, epinephrine, and methoxamine on myocardial contractile force in man. Circulation 22:1125–1132

    Google Scholar 

  • Gould KL, Lipscomb K, Hamilton G, Kennedy JW (1974) Relation of left ventricular shape, function and wall stress in man. Am J Cardiol 34:627–634

    Google Scholar 

  • Herman MV, Heinle RA, Klein MD, Gorlin R (1967) Localized disorders in myocardial contraction: Asynergy and its role in congestive heart failure. N Eng J Med 277:222–232

    Google Scholar 

  • Hoffman EJ, Huany SC, Phelps ME (1979) Quantification in positron emission computed tomography 1. Effect of object size. J Comput Assist Tomogr 3:299–308

    Google Scholar 

  • Holman BL, Moore SC, Shulkin PM, Kirsch CM, English RJ, Hill TC (1983) Quantitation of perfused myocardial mass using Tl-201 and emission computed tomography. Invest Radiol 18:322–326

    Google Scholar 

  • Horowitz SF, Miceli K, Blake J, Goldsmith SJ, Gorlin R (1980) Effects of varying wall motion and thickness on detection of non-transmural myocardial perfusion defects evaluated by a gated thallium-201 phantom. Clin Res 28:181A (abstr.)

    Google Scholar 

  • Horowitz SF, Machac J, Levin H, Vaquer R, Matza D (1986) The effect of variable vertical left ventricular angulation on planar myocardial perfusion images. J Nucl Med 27:694–700

    Google Scholar 

  • Hugenholtz PG, Kaplan E, Hull E (1969) Determination of left ventricular wall thickness by angiography. Am Heart J 78:513–522

    Google Scholar 

  • Johnstone DE, Sands MJ, Berger JH, Reduto LA, Lachman AS, Wackers FJ, Cohen LS, Gottschalk A, Zaret BL (1980) Comparison of exercise radionuclide angiocardiography and thallium-201 myocardial perfusion imaging in coronary artery disease. Am J Cardiol 45:1113–1119

    Google Scholar 

  • Keys Jr JW, Brady TJ, Leonard PF, Svetkoff DB, Winter SM, Rogers WL, Rose EA (1981) Calculation of viable and infarcted myocardial mass from thallium-201 tomograms. J Nucl Med 22:339–343

    Google Scholar 

  • Lange K, Carson R (1984) EM reconstruction algorithms for emission and transmission tomography. J Comput Assist Tomogr 8:306–316

    Google Scholar 

  • Links JM, Becker LC, Shindledecker JG, Guzman P, Burow RD, Nickoloff EL, Alderson PO, Wagner HN (1982) Measurement of absolute left ventricular volume from gated blood pool studies. Circulation 61:82–91

    Google Scholar 

  • Machac J, Levin H, Balk E, Horowitz SF (1986a) Computer modeling of planar myocardial perfusion imaging: effect on heart rate and ejection fraction on wall thickness and chamber size. J Nucl Med 27:694–700

    Google Scholar 

  • Machac J, Levin H, Vaquer R, Balk E, Horowitz SF (1986b) Thallium-201 perfusion imaging simulated by a dynamic computer model. In: Ripley K, Ostrow H (eds) 1985 Computers in Cardiology. IEEE Computer Society Press, Silver Spring, MD

    Google Scholar 

  • MacMahon SW, Wilcken DEL, Macdonald GJ (1986c) The effect of weight reduction on left ventricular mass. N Engl J Med 314:334–339

    Google Scholar 

  • Narahara KA, Hamilton GW, Williams DL, Gould KL (1977) Myocardial imaging with thallium-201: An experimental model for analysis of the true myocardial and background image components. J Nucl Med 277:781–786

    Google Scholar 

  • Sanmarco ME, Davila JC (1967) Continuous measurement of left ventricular volume in dogs: Estimation of volume-dependent variables using the ellipsoid model. In: Tanz RA, Kavaler F, Roberts J (eds) Factors influencing myocardial contractility. Academic Press, New York, p 199

    Google Scholar 

  • Suzuki Y, Kadota K, Nohara R, Tamaki S, Kambara H, Yoshida A, Murakami T, Osakada G, Kawai C, Tamaki N, Mukai T, Torizuka K (1984) Recognition of regional hypertrophy in hypertrophic caridomyopathy using thalium-201 emission-computed tomography: comparison with two-dimensional echocardiography. Am J Cardiol 53:1095–1102

    Google Scholar 

  • Tamaki N, Mukai T, Ishii Y, Fujita T, Yamamoto K, Mimato K, Yomekura Y, Tamaki S, Kambara H, Kawai C, Torizuka K (1982) Comparative study of thallium emission myocardial tomography with 180° and 360° data collection. J Nucl Med 23:661–666

    Google Scholar 

  • Tauxe WN, Soussaline F, Todd-Pokropek A, Cao A, Collard P, Richard S, Raynaud C, Itti R (1982) Determination of organ volume by single-photon emission tomography. J Nucl Med 23:984–987

    Google Scholar 

  • Vos PH, Vossepoel AM, Hermans JO, Pauwels EKJ (1982) Detection of lesions in thallium-201 myocardial perfusion scintigraphy. Eur J Nucl Med 7:174–180

    Google Scholar 

  • Wainwright RJ, Brennand-Roper DA, Cueni T, Sowton E, Hilson AJW, Maisy MN (1979) Cold pressor test in detection of coronary heart-disease and cardiomyopathy using technetium-99m gated blood pool imaging. Lancet 2:320–323

    Google Scholar 

  • Weiss RJ, Buda AJ, Pasyk S, O'Neill WW, Keys Jr JW, Pitt B (1983) Noninvasive quantification of jeopardized myocardial mass using 2-dimensional echocardiography and thallium-201 tomography. Am J Cardiol 52:1340–1344

    Google Scholar 

  • Wolfe CL, Corbett JR, Lewis SE, Buja M, Willerson JT (1984) Determination of left ventricular mass by single-photon emission computed tomography with thallium-201. Am J Cardiol 53:1365–1368

    Google Scholar 

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Machac, J., Vaquer, R., Levin, H. et al. The effect of heart rate and contractility on the measurement of left ventricular mass by 201Tl SPECT. Eur J Nucl Med 13, 446–449 (1987). https://doi.org/10.1007/BF00281858

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  • DOI: https://doi.org/10.1007/BF00281858

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