Japanese
Title急性心筋梗塞における111In抗ミオシン心筋シンチの診断的有用性 - 201Tl心筋シンチ, 99mTcピロリン酸シンチとの比較 -
Subtitle≪原著≫
Authors森田雅人*, 成瀬均*, 山本寿郎*, 板野緑子*, 川本日出雄*, 福武尚重*, 大柳光正*, 岩崎忠昭*, 福地稔**
Authors(kana)
Organization*兵庫医科大学第一内科, **核医学科
Journal核医学
Volume28
Number12
Page1483-1490
Year/Month1991/12
Article原著
Publisher日本核医学会
Abstract「要旨」111In抗ミオシン心筋シンチグラフィ(In-AM)による急性心筋梗塞(AMI)の診断精度, 広がり, および臨床的な特徴について, 安静時201Tl心筋シンチグラフィ(Tl)および99mTcピロリン酸シンチグラフィ(PYP)との相違点を比較検討した. 病変部に骨髄以上の取り込みを持つ陽性例は17例中14例(82%)であった. In-AMによる梗塞部位診断でも全例で心電図による診断部位と一致した. 各法による梗塞巣の広がりをextent scoreにより半定量化して比較したところ, In-AMのplanar像とSPECT像(r=0.72), In-AMのSPECT像とTlのSPECT像(r=0.79), In-AMのplanar像とPYPのplanar像(r=0.92), In-AMのSPECT像とPYPのSPECT像(r=0.76)と, いずれも良い相関が得られた(p<0.01).
Practice臨床医学:一般
Keywords111In-antimyosin Fab myocardial scintigraphy, Acute myocardial infarction, 201TlCl myocardial scintigraphy, 99mTc-pyrophosphate myocardial scintigraphy.
English
TitleDiagnostic Utility of 111In-Antimyosin Fab Scintigraphy in Acute Myocardial Infarction : Comparison with 201Tl and 99mTc- Pyrophosphate Myocardial Scintigraphy
Subtitle- Original Articles -
AuthorsMasato MORITA*, Hitoshi NARUSE*, Juro YAMAMOTO*, Midoriko ITANO*, Hideo KAWAMOTO*, Naoshige FUKUTAKE*, Mitsumasa OHYANAGI*, Tadaaki IWASAKI*, Minoru FUKUCHI**
Authors(kana)
Organization*First Department of Internal Medicine, **Department of Nuclear Medicine, Hyogo College of Medicine
JournalThe Japanese Journal of nuclear medicine
Volume28
Number12
Page1483-1490
Year/Month1991/12
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] To assess the diagnostic accuracy, extent, and characteristics of 111In-antimyosin Fab scintigraphy (In-AM)in acute myocardial infarction (AMI), we studied In-AM in 17 patients with AMI and compared with In-AM, 99mTc-PYP and 201Tl scintigraphy. Intensity of In-AM uptake was classified into 3 grades. Fourteen of 17 patients (82%) showed positive uptake of In-AM. The locations of infarct area diagnosed by In-AM were in accordance with those by electrocardiography. There was a good correlation between the extent score of In-AM planar and that of SPECT (r=0.72), In-AM SPECT and Tl SPECT (r=0.79), In-AM planar and PYP planar (r=0.92), In-AM SPECT and PYP SPECT (r=0.76), respectively (p<0.01). Thus, In-AM is a useful method for diagnosis of AMI.
PracticeClinical medicine
Keywords111In-antimyosin Fab myocardial scintigraphy, Acute myocardial infarction, 201TlCl myocardial scintigraphy, 99mTc-pyrophosphate myocardial scintigraphy.

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