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Department of Radiology and Nuclear Medicine, Third Division, Department of Internal Medicine, Department of Cardiovascular Surgery, Kyoto University, School of Medicine, Kyoto, Japan
Correspondence: For reprints contact: Keiji Yamashita MD, Dept. of Radiology and Nuclear Medicine, Kyoto University Medical School, Sakyo-ku, Kyoto, 606, Japan.
ABSTRACT
Regional wall thickening was assessed by electrocardiographically gated positron emission tomography (ECG-gated PET) in 26 patients with coronary artery disease. The standardized percent count increase from end-diastole to end-systole (S-percent CI) was calculated as an index of wall thickening. The S-percent CI was 77.8% ± 28.9% in the segments with normal perfusion at rest, 51.9% ± 29.5% in those with mild hypoperfusion, and 32.8% ± 30.9% in those with severe hypoperfusion (p < 0.001, each). Among the segments with resting hypoperfusion, the S-percent CI was 38.9% ± 31.5% in those without stress-induced ischemia and 48.7% ± 30.9% in those with ischemia (p < 0.05). Furthermore, among resting severe hypoperfusion, the S-percent CI was 23.0% ± 23.9% in the segments without fluorine-18-fluorodeoxyglucose (FDG) uptake and 37.8 ± 32.9% in those with FDG uptake (p < 0.05). These results suggest that stress-induced ischemia and FDG accumulation correlated with wall thickening. Thus, quantitative analysis of regional wall thickening seems to be useful for combined analysis of regional function, perfusion and metabolism in coronary patients.
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