대한핵의학회지 (1967년~2009년)
Nucl Med Mol Imaging 2008;42(6)478~481
급성 심근경색 후 휴식 / 24시간 지연 201Tl 심근 SPECT상 역재분포를 보인 경색심근에서 관찰된 18F-FDG 섭취 결손
(Defect of 18F-FDG Uptake Observed in Infarcted Myocardium Showing Reverse Redistribution on Rest / 24-Hour Delayed 201Tl Myocardial SPECT after Acute Myocardial Infarction)
Author 이호영1, 팽진철1, 오소원1, 김지영2, 정우영2,
Ho-Young Lee1, Jin Chul Paeng1, So Won Oh1, Ji Yeong Kim2, Woo Young Chung2
Affiliation 서울대학교 의과대학 핵의학교실1, 내과학교실2
Departments of 1Nuclear Medicine and 2Internal Medicine, Seoul national University College of Medicine, Seoul, Korea
Abstract

Reverse redistribution is frequently observed after revascularization in acute myocardial infarction, and usually regarded as a predictor of viable myocardium on stress/rest and 2- to 4-hour redistribution 201Tl SPECT. However, there is not enough report of reverse redistribution in case of 24-hour delayed SPECT, which is commonly used for viability assessment. In this report, a case of reverse redistribution on rest and 24-hour delayed 201Tl SPECT is reported with use of automatic segmental quantitative analysis. The myocardium of reverse redistribution was dysfunctional on gated SPECT, and diagnosed as non-viable on 18F-FDG PET. (Nucl Med Mol Imaging 2008;42(6):478-481)

Keyword Reverse redistribution, 201Tl SPECT, 18F-FDG PET, viability
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