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Equilibrium (Gated) radionuclide ventriculography

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Cardiovascular radiology Aims and scope Submit manuscript

Conclusions

  1. 1.

    Radionuclide ventriculography after homogenous tracer distribution provides a reliable noninvasive method for the global and regional assessment of left ventricular function.

  2. 2.

    The most important global parameter is the left ventricular ejection fraction, which can be measured accurately. Decrease of ejection fraction during exercise is an important feature of coronary artery disease. Maximal relaxation velocity (fast filling phase) measured from the global time-volume curve, seems to be the most sensitive global parameter of left ventricular insufficiency.

  3. 3.

    Regional wall motion abnormalities can be assessed qualitatively from the cineventriculogram (“movie mode”) or in a quantitative manner. During stress, hypokinetic, dyskinetic, and akinetic regions are characteristic features of coronary artery disease.

  4. 4.

    The most extensive quantitative evaluation of regional wall motion is based on the regional time-activity curve of the representative heart cycle, which can be obtained reliably. Checking the set of regional time-activity curves with respect to one parameter results in a parametric scan, which displays the distribution of the respective parameter in the left ventricular region.

  5. 5.

    In our department, six parametric scans including distribution of amplitude and phase of the first Fourier element are obtained. These six scans describe the regional wall motion reliably and in detail. While determination of ejection fraction and qualitative assessment of regional wall motion has been widely applied, the clinical value of the parametric scans cannot be finally assessed at this time.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Medical School, Lublin, Poland

    A. Tarkowska

  2. Section of Cardiology, Ulm University, Ulm, FRG

    M. Stauch

  3. Department of Radiology III (Nuclear Medicine), Ulm University, Steinhövelstraße 9, D-7900, Ulm, Federal Republic of Germany

    W. E. Adam, F. Bitter & H. Geffers

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  1. W. E. Adam
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  2. A. Tarkowska
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  3. F. Bitter
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  4. M. Stauch
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  5. H. Geffers
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Supported by the Bunde sministerium für Forschung und Technologie, Bonn, FRG

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Adam, W.E., Tarkowska, A., Bitter, F. et al. Equilibrium (Gated) radionuclide ventriculography. Cardiovasc Radiol 2, 161–173 (1979). https://doi.org/10.1007/BF02552061

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