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September 1, 1979CirculationOpen Access

Left ventricular volumes by gated equilibrium radionuclide angiography: a new method.

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Authors

RSRobert A. SlutskyUniversity of San DiegoJKJoel S. KarlinerSchreiner UniversityDRDonald R. RicciInterventional Cardiology

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Implication

Comparative imaging study reveals radionuclide angiography accurately measures left ventricular volumes in cardiac patients, indicating a reliable geometric-independent assessment method.

Key Points

  • To determine whether gated equilibrium radionuclide angiography can accurately calculate left ventricular end-diastolic and end-systolic volumes in comparison with biplane contrast angiography.
  • Assessed 52 patients with equilibrium radionuclide angiography using 99mTc-human serum albumin within 48 hours of biplane contrast angiography.
  • Extracted peak end-diastolic and nadir end-systolic counts from 20–28 frame time-activity curves and normalized counts by dose per body surface area, plasma volume, and plasma radioactivity concentration (counts/ml).
  • Calibrated and verified volume measurements using an experimental cardiac phantom.
  • Normalization by plasma counts/ml achieved the highest accuracy against biplane angiography (r = 0.98; SEE = ±11.5 ml for EDV, ±7.3 ml for ESV; N=17).
  • Normalization by dose per body surface area and plasma volume demonstrated correlations of r > 0.84 (N=35).
  • Phantom experiments demonstrated near-perfect correlation with known volumes (r = 0.99, SEE = ±6.5 ml).

Cite This Study

Slutsky et al. (1979) studied this question.

synapsesocial.com/papers/6a16ff022fcf950e00058767https://doi.org/10.1161/01.cir.60.3.556
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Also Consider

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