Author |
이강욱(Gang Wook Yi),정준기(Jun Key Chung),오병희,박영배(Young Bae Park),이명철(Myung Chul Lee),이영우(Young Woo Lee),고창순(Chang Soon Koh), |
Abstract |
Among noninvasive approaches for the evaluation of left
ventricular performance, radionuclide ventriculography
(RVG) has been shown to be of particular values. Phase
analysis, recently introduced as more objective means
for evaluating the temporal sequence of systolic
ventricular wall motion than cine image of RVG
comprises a pixel by pixel Fourier transformation of
the time activity r.urve of a multipie gated
acquisition equilibrium blood pool study, To examine
the regional wall motion of ventricle in myocardial
infarctions, we evaluated the phase image and histogram
constructed for each ventricle by total phase angle
range and fulf width of half rnaximum (FWHM), This
study consisted of 7 normal subjects and 23 subjects
with acute rnyocardial infarction. Contrast
ventriculography and coronary angiography was performed
in all partients with myncardial infarction. And we
compared the result of phase analysis with cine image
of RVG and examined the interrelationship between phase
analysis and contrast ventriculography with coronary
angiography. The results were as follow; 1) The total
phase angle range and FWHM of LVphase histogram in
myocardial infarction (86' and 32, respectively) were
wider than those in normal control (38 and 18,
respectively p<0.01). 2) RV phase angle range and FWHM
in patients with right coronary artery (RCA) occlusion
(79 and 37, respectively) were wider than those in
normal control (39' and 18, respectively p< 0.001) and
the patients without RCA occlusion (,52 and 19,
respectively p<0.01). 3) Phase analysis was more
sensitive (95%) than cine image of RVG (70%) for the
detection of regional wall motion abnormality of LV. |