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)
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Keyword |
Reverse redistribution, 201Tl SPECT, 18F-FDG PET, viability |
Full text Article |
420609.pdf
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