| Japanese |
|---|
| Title | 急性心筋梗塞のArea at Risk評価と心筋Viability評価における201Tl/123I-BMIPP心筋SPECTの有用性 - 201Tl/99mTc-PYP dual SPECTとの比較 - |
|---|
| Subtitle | 《原著》 |
|---|
| Authors | 磯部直樹*, 外山卓二*, 星崎洋*, 大島茂*, 谷口興一* |
|---|
| Authors(kana) | |
|---|
| Organization | *群馬県立循環器病センター |
|---|
| Journal | 核医学 |
|---|
| Volume | 34 |
|---|
| Number | 4 |
|---|
| Page | 213-220 |
|---|
| Year/Month | 1997/4 |
|---|
| Article | 原著 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「要旨」急性心筋梗塞(AMI)の梗塞領域でのarea at risk評価および心筋viability評価において, 201Tl/123I-BMIPP心筋SPECTの有用性について201Tl/99mTc-PYP dual SPECT(D-SPECT)と比較検討した. AMI 65例(年齢64±11歳)に対しD-SPECT(第3〜5病日), 123I-BMIPP心筋SPECT(5〜7病日), 4か月目に201Tl/123I-BMIPP心筋SPECT, 左室造影を1か月目と4か月目に施行した. 123I-BMIPP集積低下領域は99mTc-PYP集積領域より広範囲であった. 4か月目の梗塞領域の壁運動はD-SPECTのOverlap(+)所見より201Tl/123I-BMIPP心筋SPECTの解離(+)所見に強く関連した. AMIのarea at risk評価および心筋viability評価において, D-SPECT以上に201Tl/123I-BMIPP心筋SPECTは有用である. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | Acute myocardial infarction, 201Tl/99mTc-PYP dual SPECT, 201Tl/123I-BMIPP myocardial SPECT, Myocardial viability, Area at risk. |
|---|
| English |
|---|
| Title | Usefulness of 201Tl/123I-BMIPP Myocardial SPECT to Evaluate Myocardial Viability and Area at Risk in Acute Myocardial Infarction - Comparison with 201Tl/99mTc-PYP Dual SPECT - |
|---|
| Subtitle | - Original Articles - |
|---|
| Authors | Naoki ISOBE, Takuji TOYAMA, Hiroshi HOSHIZAKI, Shigeru OSHIMA, Koichi TANIGUCHI |
|---|
| Authors(kana) | |
|---|
| Organization | Gunma Prefectural Cardiovascular Center |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 34 |
|---|
| Number | 4 |
|---|
| Page | 213-220 |
|---|
| Year/Month | 1997/4 |
|---|
| Article | Original article |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | To evaluate the area at risk and the myocardial viability of acute myocardial infarction (AMI), we compaired rest 123I-beta-methyl iodophenyl pentadecanoic acid (123I-BMIPP) and 201Tl myocardial SPECT with 201Tl/99mTc-PYP dual SPECT (D-SPECT) in 65 patients (mean age 64+-11 years) with AMI. D-SPECT was performed in 3 to 5 days, 123I-BMIPP myocardial SPECT in 5 to 7 days, and left ventriculography on 1 month after onset of AMI. Furthermore, 201Tl/123I-BMIPP myocardial SPECT and left ventriculography were performed on 4 months after onset of AMI. The area which showed the reduced 123I-BMIPP uptake was larger than that showed the accumulation of 99mTc-PYP. The improvement of regional wall motion on 4 months after onset of AMI tended to be more closely correlated with the existence of discrepancy zone between 201Tl and 123I-BMIPP uptake than that of overlap zone between 201Tl and 99mTc-PYP uptake in acute period. We conclude that 201Tl/123I-BMIPP myocardial SPECT is more useful to evaluate the area at risk and myocardial viability of AMI than D-SPECT. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | Acute myocardial infarction, 201Tl/99mTc-PYP dual SPECT, 201Tl/123I-BMIPP myocardial SPECT, Myocardial viability, Area at risk. |
|---|