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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1998-2-6
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pubmed:abstractText |
The clinical usefulness of a new myocardial perfusion imaging agent, technetium-99m tetrofosmin, was assessed in 58 patients for a total of 76 times (mean age 9.7 years, 1-15 years) including 20 with and 26 without significant coronary stenotic lesions in Kawasaki disease. Pharmacological (dobutamine or adenosine triphosphate disodium) or exercise stress technetium-99m tetrofosmin single photon emission computed tomography was performed under stress and at rest on the same day. The sensitivity for detection of stress-induced perfusion defects by this method was 90% (18/ 20) and the specificity was 85% (22/26). The dose was 9.3 +/- 2.5 MBq/kg under stress and 18.7 +/- 5.6 MBq/kg at rest. No significant correlation was recognized between the dose and the image quality. Adequate image quality was provided by projection time 20-40 sec per frame. Increased liver accumulation was seen in 24% (18/76), especially in younger and pharmacological stress cases. The acquisition starting time after tetrofosmin injection was 58.4 +/- 18.7 min in the negative increased liver accumulation group and 43.7 +/- 18.3 min in the positive group (p < 0.01). We recommend that the following protocol is used for pediatric imaging. 1) The standard tetrofosmin dose is rougly 10 MBq/kg (upper limit 370 MBq) at stress and the double dose for the rest imaging. 2) SPECT projection time of 20-40 sec per frame. 3) In practice, the patient should be fasting prior to stress injection, and the imaging should be done 1 hour after eating. The rest injection should be done immediately thereafter, and the rest image should be obtained 1 hour later.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Organophosphorus Compounds,
http://linkedlifedata.com/resource/pubmed/chemical/Organotechnetium Compounds,
http://linkedlifedata.com/resource/pubmed/chemical/Radiopharmaceuticals,
http://linkedlifedata.com/resource/pubmed/chemical/technetium Tc 99m...
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0914-5087
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
331-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9436075-Adolescent,
pubmed-meshheading:9436075-Child,
pubmed-meshheading:9436075-Child, Preschool,
pubmed-meshheading:9436075-Coronary Circulation,
pubmed-meshheading:9436075-Coronary Disease,
pubmed-meshheading:9436075-Female,
pubmed-meshheading:9436075-Heart,
pubmed-meshheading:9436075-Humans,
pubmed-meshheading:9436075-Infant,
pubmed-meshheading:9436075-Male,
pubmed-meshheading:9436075-Mucocutaneous Lymph Node Syndrome,
pubmed-meshheading:9436075-Organophosphorus Compounds,
pubmed-meshheading:9436075-Organotechnetium Compounds,
pubmed-meshheading:9436075-Radiopharmaceuticals,
pubmed-meshheading:9436075-Tomography, Emission-Computed, Single-Photon
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pubmed:year |
1997
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pubmed:articleTitle |
[Optimum protocol of technetium-99m tetrofosmin myocardial perfusion imaging for the detection of coronary stenosis lesions in Kawasaki disease].
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pubmed:affiliation |
Department of Pediatrics, Nihon University School of Medicine, Tokyo.
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pubmed:publicationType |
Journal Article,
English Abstract
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