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Quantifying Transient Ischemic Dilation Using Gated SPECT

Thomas F. Heston, MD; and Daniel M. Sigg, MD, PhD

Northwest Molecular, Kellogg, Idaho



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FIGURE 1. Relationship between ESV weighing factor Z, myocardial ischemia, and SDS as determined by their correlation coefficient after correcting for type of cardiac stress performed. When Z = 5, correlation is greater than either stress-to-rest EDV ratio (Z = 0) or stress-to-rest ESV ratio (Z = {infty}).

 


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FIGURE 2. After correcting for type of cardiac stress performed, correlation coefficient between myocardial ischemia and ESV weighing factor Z reaches its peak when Z value is between 4.6 and 5.

 


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FIGURE 3. Representative midventricular tomograms from end-diastole (left), end-systole (middle), and summed planar tomogram (right). There is an increased count density at end-systole compared with end-diastole, creating a much greater contribution to summed planar tomogram from which the TID ratio is derived.

 





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