Abstract |
The purpose of this study is to investigate
significance of new method for quantification of left
to right cardiac shunts using deconvoution analysis as
an adjunct to gamma variate analysis in patients with
bad bolus injection. In the present study, quantitative
radionuclide angiocardiography (QRAC) was performed
with and without deconvolution analysis (DA) in 37
patients with left to right shunt and 103 control
patients without shunt. The results obtained were as
follows; 1) The mean value of Qp/Qs in 103 control
patients was 1.10¡¾0.12 without DA, and was
1.01¡¾0.03 with DA. 2) Correlation(r) between
oximetry and QRAC with DA was 0.87 ana correlation(r)
between oximetry and QRAG without DA was 0.61. 3) The
13 patients with left to right shunt, whose Qr/Qs was
greater than 3.0 by QRAC without DA, was studied by DA.
Then the Qp/Qs values were measurable in these 13
patients by DA and they showed significant correlation
with oximetry. (r=0.68) The results indicate that
deconvolution analysis technique for quantification of
a left to right shunt provides more reliable and
accurate shunt quantification, and reduces the
influences of poor bolus injection. |