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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2001-5-31
pubmed:abstractText
We have developed new software which can evaluate left ventricular (LV) diastolic functional parameters from a quantitative gated SPET (QGS) program. To examine its accuracy, we compared these findings with the LV diastolic functional indices obtained from gated radionuclide ventriculography (RNV). Twenty-four patients were selected for this study. Gated SPET with technetium-99m tetrofosmin was performed and the QGS program was used with a temporal resolution of 32 frames per R-R interval. The LV volume of each frame was calculated and four harmonics of Fourier series were retained for the analysis of the LV volume curve. From this fitted curve and its first derivative curve, we derived LV systolic functional indices, e.g. ejection fraction (EF), peak ejection rate (PER) and time to PER (TPER), as well as LV diastolic functional variables, e.g. 1/3 filling fraction (1/3 FF), peak filling rate (PFR) and time to PFR (TPFR). Within 5+/-2 days, gated RNV was performed and diastolic functional parameters were determined by the same method. No significant difference was observed between the variables calculated by gated SPET and by gated RNV. There was a good correlation between EF, PER, TPER, 1/3 FF, PFR and TPFR determined by these two methods (EF: r=0.95, P<0.0001; PER: r=0.87, P<0.0001; TPER: r=0.84, P<0.0001; 1/3 FF: r=0.87, P<0.0001; PFR: r=0.92, P<0.0001; TPFR: r=0.89, P<0.0001). Bland-Altman plots did not reveal any significant degree of directional measurement bias in any of the comparisons of gated SPET data and RNV data. It is concluded that, in addition to the conventional LV systolic functional indices, our program accurately provides LV diastolic functional parameters from gated SPET. Also, this program will be useful for detecting LV diastolic dysfunction in various cardiac diseases before LV systolic dysfunction becomes evident.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0340-6997
pubmed:author
pubmed:issnType
Print
pubmed:volume
28
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
593-601
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11383864-Diastole, pubmed-meshheading:11383864-Electrocardiography, pubmed-meshheading:11383864-Female, pubmed-meshheading:11383864-Gated Blood-Pool Imaging, pubmed-meshheading:11383864-Heart Diseases, pubmed-meshheading:11383864-Humans, pubmed-meshheading:11383864-Male, pubmed-meshheading:11383864-Middle Aged, pubmed-meshheading:11383864-Observer Variation, pubmed-meshheading:11383864-Organophosphorus Compounds, pubmed-meshheading:11383864-Organotechnetium Compounds, pubmed-meshheading:11383864-Radiopharmaceuticals, pubmed-meshheading:11383864-Reproducibility of Results, pubmed-meshheading:11383864-Software, pubmed-meshheading:11383864-Stroke Volume, pubmed-meshheading:11383864-Tomography, Emission-Computed, Single-Photon, pubmed-meshheading:11383864-Ventricular Function, Left
pubmed:year
2001
pubmed:articleTitle
Assessment of left ventricular diastolic function from quantitative electrocardiographic-gated 99mTc-tetrofosmin myocardial SPET.
pubmed:affiliation
Department of Radiology, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Japan.
pubmed:publicationType
Journal Article