文档介绍:中国医学影像技术 2010 年第 26 卷第 9 期
C hin J M ed Imagin g T echnol, 2010, Vol 26, No 9 & 1759 &
核医学
Diagnosis of viral myocarditis with 201 Tl
myocardial perfusion imaging
YA N G Ming, FEN G Yan
lin* , X I A N Wei
j un, Y U Feng
wen, L I U D e
j un,
Y UA N J ian
w ei, WEN Guang
hua
( Dep artment of N uclear M edicine, the First P eop le
s H osp ital o f Foshan , Foshan 528000, China)
[Abstract]
Objective
T o observ e the diagnostic value of 201T l myocardial perfusio n imag ing ( M PI) in viral my ocarditis
Methods
201 T l M PI w as perfo rmed on 168 patients w ith v iral m yocardit is
Results
Po sitiv e group ( from g rade
to )
co nsisted of 142 patient s
Neg ativ e g roup consisted o f 26 patients w it h normal 201 T l M PI ( grade 0)
Six ty patients
( 42
25% ) w as g rade
, 57 patients ( 40
14% ) w as grade ! and 25 patient s ( 17
61%) was g rade
In the positive
group, the anterio r w all injury was detected in 128 ( 90
14% ) , 117 ( 82
39% ) patients w ith infero po sterio r w all injury , 45
( 31
69% ) patients w ith lateral wall injury and 39 ( 27
46% ) patients w it h septum wall injury
Compared wit h rest 201 T l
Gate
M P I, left ventricular ejection fraction o f 9 patients decreased more o bv io usly than in stress 201 T l G ate
M PI
Conclusion
As a non
invasiv e metho d, 201T l M P I can intuitio nally reveal the locatio