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新型心肌灌注显像剂^99mTc—tetrofosmin诊断冠心病的价值
引用本文:唐志宏,黄兰君,彭武和,王国英,曾建华,刘伊丽.新型心肌灌注显像剂^99mTc—tetrofosmin诊断冠心病的价值[J].中国临床医学影像杂志,2001,12(1):20-21.
作者姓名:唐志宏  黄兰君  彭武和  王国英  曾建华  刘伊丽
作者单位:第一军医大学南方医院,广东 广州 510515
基金项目:本论文为广东省医药卫生科研基金资助(A1998354)
摘    要:目的:探讨新型心肌灌注显像剂^99mTc-tetrofosmin诊断冠心病的临床价值。材料与方法:对59例确诊或疑诊并已行冠状动脉造影的患者进行运动。静息心肌灌注断层显像,分别在运动高峰及静息状态静脉注射^99mTc-tetrofosmin740MBq后30-60min按常规方法做SPECT断层采集。结果:在注射^99mTc-tetrofosmin的后无任何不适反应,并获得良好心肌断层图像,以冠状动脉造影结果为金标准,^99mTc-tetrofosmin诊断冠心病的灵敏度、特异性及准确度分别为89.1%,84.6%及88.1%。结论:^99mTc-tetrofosmin具有标记简便,给药后无需脂餐促排、显像时间短、图像质量清晰及诊断准确度较高等特点,有着良好的临床应用前景。

关 键 词:放射性核素显像  冠状动脉疾病  诊断
文章编号:1008-1062(2001)01-0020-02
修稿时间:2000年5月9日

The preliminary clinical study of 99mTc-tetrofosmin for detecting CAD
TANG Zhi-hong.The preliminary clinical study of 99mTc-tetrofosmin for detecting CAD[J].Journal of China Clinic Medical Imaging,2001,12(1):20-21.
Authors:TANG Zhi-hong
Abstract:Objective: To assess the clinical value of 99mTc -tetrofosmin inthe diagnosis of coronary artery disease(CAD). Materials and Methods: Fifty-nine patients who had coronary angiography had myocardial perfusion imaging at 30~60 minutes after intravenous injection of 99mTc-tetrofosmin. The findings of stress and rest myocardial tomography were compared with coronary angiography. Results:No side effects had been discovered. Excellent myocardial images with high contrast were obtained.The sensitivity,specificity and accuracy of 99mTc-tetrofosmin in detecting CAD were 89.1%, 84.6% and 88.1%, respectively. Conclusions:99mTc-tetrofosmin perfusion tomography is a feasible and valuable means for identification of patient with CAD.
Keywords:radionuclide imaging  coronary disease
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