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Role of nuclear cardiology for guiding device therapy in patients with heart failure 被引量:1
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作者 Mario Petretta Andrea Petretta +3 位作者 Teresa Pellegrino Carmela Nappi Valeria Cantoni Alberto Cuocolo 《World Journal of Meta-Analysis》 2014年第1期1-16,共16页
Heart failure is a dynamic condition with high morbidity and mortality and its prognosis should be reassessed frequently, particularly in patients for whom critical treatment decisions may depend on the results of pro... Heart failure is a dynamic condition with high morbidity and mortality and its prognosis should be reassessed frequently, particularly in patients for whom critical treatment decisions may depend on the results of prognostication. In patients with heart failure, nuclear cardiology techniques are useful to establish the etiology and the severity of the disease, while fewer studies have explored the potential capability of nuclear cardiology to guide cardiac resynchronization therapy(CRT) and to select patients for implantable cardioverter defibrillators(ICD). Left ventricular synchrony may be assessed by radionuclide angiography or gated singlephoton emission computed tomography myocardial perfusion scintigraphy. These modalities have shown promise as predictors of CRT outcome using phase analysis. Combined assessment of myocardial viability and left ventricular dyssynchrony is feasible using positron emission tomography and could improve conventional response prediction criteria for CRT. Preliminary data also exists on integrated positron emission tomography/computed tomography approach for assessing myocardial viability, identifying the location of biventricular pacemaker leads, and obtaining left ventricular functional data, including contractile phase analysis. Finally, cardiac imaging with autonomic radiotracers may be useful in predicting CRT response and for identifying patients at risk for sudden cardiac death, therefore potentially offering a way to select patients for both CRT and ICD therapy. Prospective trials where imaging is combined with image-test driven therapy are needed to better define the role of nuclear cardiology for guiding device therapy in patients with heart failure. 展开更多
关键词 Heart failure Cardiac resynchronization therapy Implantable cardioverter defibrillators Cardiovascular imaging Single-photon emission-computed tomography Positron emission tomography METAIODOBENZYLGUANIDINE
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Dopamine transporter distribution in patients with Parkinson disease of different stages detected using single-photon emission computed tomography brain imaging
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作者 Jiwu Zhang Lijuan Zhu Jianqiang Du Bo Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2007年第1期18-21,共4页
BACKGROUND: Literatures have reported that the density changes of dopamine transporter is negatively correlated with the severity degree and grading of disease condition of Parkinson disease (PD). However, the dist... BACKGROUND: Literatures have reported that the density changes of dopamine transporter is negatively correlated with the severity degree and grading of disease condition of Parkinson disease (PD). However, the distribution ofdopamine transporter in each nucleus of corpora striatum at each period is still unclear. OBJECTIVE: To observe the radioactive uptake distribution of dopamine transporter in bilateral corpora striata of patients with different stages of PD using single photon emission computed tomography (SPECT), and make a comparison with healthy controls. DESIGN: Case-control analysis. SETTING: Department of Imageology, Second Hospital Affiliated to Guangzhou University of Chinese Medicine. PARTICIPANTS: Thirty patients with PD admitted to Second Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine between January and December 2005 were recruited. The involved patients, 19 male and 11 female, were aged from 36 to 80 years and with disease course of 2.5 months to 10 years. They all met the clinical diagnosis criteria of Britain Parkinson's disease Association Think Tank; Following Hoehn-Yahr grading: grade Ⅰ : unilateral morbidity; grade Ⅱ: bilateral morbidity, but without balance disorder; grade Ⅲ: bilateral morbidity, accompanied with early posture balance disorder; grade Ⅳ: severe morbidity, needs more help; grade V : without help, only in bed or wheelchair. There were 11 patients with mild PD (grade Ⅰ - Ⅱ ), 9 patients with moderate PD (grade Ⅲ) and 10 patients with advanced PD (grade Ⅳ - Ⅴ ). Meanwhile, 6 healthy persons were selected as normal controls. Informed consents were obtained from all the subjects. METHODS: Twenty-four hours after withdrawal of PD drugs, 30 patients with PD and 6 healthy controls took kalium perchloricum 400 mg orally. After lying down for 30 minutes, all the subjects were intravenously injected with 740 MBq 99Tc m-TRODAT-1 (Jiangsu Institute of Atomic Medicine, Batch No. 20040310) at elbow part. Following injection, image was collected using scanner for single photon emission computed tomography (ADAC Company, USA). Matrix was 64 × 64, each detecting head revolved 180 ° , 1 frame/60 s. Sixty-four frames were collected with double detecting heads, 50 K/frame. Faultages with clearest image of corpora striatum were selected. Regions of interest (ROI) of caudate nucleus, anterior and posterior putamen and thalamic region in bilateral corpora striata were radioactively counted, and mean value of radioactive counting of ROI was used as the mean value ofpixel in each region of bilateral corpora striata. MAIN OUTCOME MEASURES: Comparison of radioactive uptake in each region of brain between healthy persons and patients with PD. RESULTS: Thirty patients with PD and six healthy persons who received body examination participated in the final result. Comparison of radioactive uptake in each region between healthy persons and patients with PD: ①In the healthy persons, high-density radioactive uptake was found in bilateral corpora striata; Structures of caudate nucleus, anterior and posterior putamen, and thalamus were clear with eudipleural radioactive distribution, and the background of peripheral brain tissue was very low. ②Radioactive intakes in opposite anterior and posterior putamen of patients with mild PD were significantly inferior to those in homolateral ones(70.45±3.35, 87.64±2.65, t =15.82, P 〈 0.05). Structures of bilateral caudate nucleus and thalamus were clear with eudipleural radioactive distribution (P 〉 0.05). ③Radioactive intakes in anterior and posterior putamen and thalamus of patients with moderate PD were significantly reduced as compared with healthy persons. There were significant differences in mean radioactive counting of ROI between patients with PD and healthy persons (t =5.20, P 〈 0.05: t =3.95, P 〈 0.05); The structure of opposite caudate nucleus was not very clear, radioactive distribution of opposite caudate nucleus was significantly reduced as compared with homolateral one (81.11±4.25, 104.56±3.64, t = 14.65, P 〈 0.05). ④As for patients with advanced PD, the structure of bilateral corpora striata was not clear, radioactive intake was significantly reduced and peripheral background was heightened, even higher than the distribution of the whole corpora striatum. CONCLUSION: SPECT DAT imaging of brain can show the distribution of radioactive uptake in each region of bilateral corpora striata of patients with different stages of PD, which is helpful to diagnose and evaluate the severity of PD. 展开更多
关键词 Parkinson disease DOPAMINE tomography emission-computed single-photon
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Role of18F-FDG SPECT/CT imaging in the diagnosis and initial staging of lymphoma
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作者 Liang-Qian Tong Yan-Fang Sui +3 位作者 Yan-Hai Yin Li-Qing Fu Jia-Ling Zhong Sheng-NanJiang 《Journal of Hainan Medical University》 2020年第17期52-56,共5页
Objective:To investigate the role of18F-FDG SPECT/PET in the diagnosis and initial staging of lymphoma.Methods:A retrospective analysis was carried out on 48 patients in Haikou Hospital from January 2015 to June 2018,... Objective:To investigate the role of18F-FDG SPECT/PET in the diagnosis and initial staging of lymphoma.Methods:A retrospective analysis was carried out on 48 patients in Haikou Hospital from January 2015 to June 2018,who were eventually pathologically diagnosed with lymphoma and had undergone18F-FDG SPECT/PET before definite diagnosis.(1)Patients were divided into Hodgkin's lymphoma group,diffuse large B cell lymphoma group and other non-Hodgkin's lymphoma group according to Pathological classification;and were divided into nodal lymphoma group and extranodal lymphoma group according to the presence of invasion to the tissues beyond lymph node;and were divided into stage I+Ⅱgroup and stageⅢ+IV group according to clinical Ann Arbor staging.The diagnostic consistencies of18F-FDG SPECT/PET and conventional imaging(CI)in each group were calculated,the T/N ratios of the lymphoma lesion were analyzed as well.(2)Clinical Ann Arbor staging,SPECT/PET staging and CI staging were performed in 48 patients,respectively.Then the efficacy of SPECT/PET staging and CI staging was compared,and the consistency of SPECT/PET staging and clinical Ann Arbor staging was compared as well.Results:(1)In this study,the diagnostic consistent rates of18F-FDG SPECT/PET and CI were 45.8%(22/48)and 16.6%(8/48),respectively(χ2=9.503,P=0.002<0.01).(2)The diagnostic consistent rate of18F-FDG SPECT/PET in diffuse large B cell lymphoma group and other non-Hodgkin's lymphoma group was higher than that of CI(P<0.05).There was no statistical significance between the diagnostic consistent rates of18F-FDG SPECT/PET in the Hodgkin's lymphoma group,diffuse large B cell lymphoma group and other non-Hodgkin's lymphoma group(χ2=1.067,P=0.448>0.05).(3)The diagnostic consistent rates of18F-FDG SPECT/PET in nodal group and extranodal group were 100.0%(19/19)and 21.1%(4/19)(χ2=24.783,P=0.000<0.01),respectively.(4)The diagnostic consistent rates of18F-FDG SPECT/PET and CI were 25%(2/8)and 0(0/8)in lymphoma with early stage(stage I+Ⅱgroup)(χ2=2.268,P=0.131>0.05),and 50%(20/40)and 20%(8/40)in lymphoma with late stage(stageⅢ+IV group)(χ2=7.912,P=0.002<0.01),respectively.(5)There was no statistical significance in T/N ratios of lymphoma lesions between different pathological groups,between nodal group and extranodal group,or between the stage I+Ⅱgroup and the stageⅢ+IV group(P>0.05).(6)The total consistent rates of18F-FDG SPECT/PET and CI for initial lymphoma staging were 79.2%(38/45)and 64.4%(31/48)(χ2=18.774,P=0.000<0.01).SPECT/PET staging was well consistent with clinical Ann Arbor staging in initial lymphoma staging(Kappa=0.696,P=0.000<0.01).Conclusion:The research has showed that the consistent rates of18F-FDG SPECT/PET in the diagnosis and initial staging of lymphoma are relatively high,and18F-FDG SPECT/PET plays an important role in the diagnosis and initial staging of lymphoma. 展开更多
关键词 LYMPHOMA STAGING Tomography emission-computed SINGLE-PHOTON FLUORODEOXYGLUCOSE
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A comparative study of ^(67)Ga planar and SPECT images in diagnosis of non-Hodgkin's lymphoma
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作者 汪静 王连刚 《Journal of Medical Colleges of PLA(China)》 CAS 1998年第1期26-28,共3页
To comparatively study the sensitivity and specificity of 67Ga planar and SPECT images in diagnosis of non-Hodgkin’s lymphoma. Methods Simultaneous 67Ga planar and SPECT were conducted by using Sopha DS7 SPECF for 48... To comparatively study the sensitivity and specificity of 67Ga planar and SPECT images in diagnosis of non-Hodgkin’s lymphoma. Methods Simultaneous 67Ga planar and SPECT were conducted by using Sopha DS7 SPECF for 48 intermediate lesions in 30 patients that had been pathologically confirmed, with their healthy counterparts as controls. Results Thesensitivity of planar images in head-neck, chest and abdomen was 60.0%, 72.7% and 72.7% respectively, and that of SPECTwas 93.3%, 90.9% and 81.8% respectively. The planar imaging had a general false-neck rate of 31.3%, 2.5 times higherthan SPECF imaging (12.5%) had. Both of them had the same false-positive rate (6.3%). Conclusion SPECT imaging is superior in sensitivity to planar imaging for head-neck, chest and abdomen in detection of intermediate NHL. 展开更多
关键词 non-Hodgkin’s LYMPHOMA GALLIUM tomography emission-computer SINGLE-PHOTON
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嗅觉功能影像研究 被引量:1
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作者 刘剑锋 倪道凤 《国际耳鼻咽喉头颈外科杂志》 2007年第2期81-83,共3页
本文就正电子发射断层照相术和功能磁共振在嗅觉功能影像的原理特点、试验设计、数据分析、刺激的产生、嗅觉功能活化区定位、影响因素、嗅觉记忆以及临床应用作一综述。
关键词 嗅觉(Smell) 体层摄影术 发射型计算机(Tomography emission-computed)
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Involvement of midgastric transverse band in gastric empting delay of functional dyspepsia 被引量:8
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作者 YAN Xiang LIU Chun +6 位作者 LIU Yong-ming YANG Peng CHEN Da-an CHEN Ming WANG Jing WANG Jin-yang LIU Rong 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第15期1263-1268,共6页
Background Midgastric transverse band (MTB) was first observed over 100 years ago, after that many researchers worked on the subject postulated its physiologic role and the role in gastrointestinal diseases, but its... Background Midgastric transverse band (MTB) was first observed over 100 years ago, after that many researchers worked on the subject postulated its physiologic role and the role in gastrointestinal diseases, but its function remains unclear. With progress of imaging methods, the nature of MTB is unveiling. In this study we investigated the effect of MTB on the gastric empting delay in functional dyspepsia (FD) and explored the mechanism. Methods A total of 60 patients with FD and 65 age- and sex-matched healthy people who served as controls were studied. With ^99mTc-DTPA labeled semi-solid fat-parched flour served as test meal, gastric empting was examined in all subjects by using single photon emission computed tomography. Test meal was designated as general (60 g fat-parched flour) or large (80 g fat-parched flour) meal. Stomach was divided into proximal and distal parts by MTB. Half gastric empting time, areas of different gastric parts, intragastric food distribution and MTB width were tested with in given times. Results Patients with FD showed a delayed gastric empting and increased intragastric residue. Global and regional gastric erupting velocity was decreased. The areas of distal stomach and MTB were significantly greater in the FD patients than in the controls. Throughout the whole test period a distal stomach-dominated food distribution was shown. Those who took a large meal had longer half gastric empting time and greater MTB area than those who took a general meal. Conclusions Gastric empting delay is related to enlarged MTB area. Some dyspeptic symptoms may be induced by abnormal distribution and increased retention of food in distal stomach. MTB, being like atriaventricular valve that controls blood flow in heart, regulates transport, distribution, and empting of food in the stomach. 展开更多
关键词 midgastric transverse band · dyspepsia · gastric erupting ·single-photon emission-computed tomography
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Brain glucose metabolism and neuropsychological test in patients with mild cognitive impairment
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作者 曹秋云 江开达 +4 位作者 张明园 刘永昌 肖世富 左传涛 黄红芳 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第8期1235-1238,共4页
Objective To investigate the features of regional cerebral metabolic rate of glucose (rCMRglc) in patients with mild cognitive impairment(MCI) by positron emission-tomography and its relationship with neuropsychologi... Objective To investigate the features of regional cerebral metabolic rate of glucose (rCMRglc) in patients with mild cognitive impairment(MCI) by positron emission-tomography and its relationship with neuropsychological test.Methods Positron emission tomography,mini-mental state examination and Wechsler memory scale were applied in 10 patients with MCI and 10 healthy volunteers as the control group. Results Scores of mini-mental state examination and Wechsler memory scale in MCI patients were lower than those in the control group ( P <0.01). rCMRglc of the left orbital gyrus,right middle temporal gyrus and right putamen was lower in the MCI group than in the control group ( P <0.05). Correlation analysis in the MCI group indicated that rCMRglc of many brain regions such as the orbital gyrus,putamen,left hippocampus and parahippocampal gyrus,cingulate gyrus,left amygdaloid body,precentral gyrus,postcentral gyrus,and medial occipitotemporal gyrus in MCI patients,were correlated negatively with age; while the rCMRglc of many parts of the brain such as the left putamen,temporal lobe,anterior cingulate gyrus,left insular lobe,amygdaloid body,precentral gyrus,postcentral gyrus and medial occipitotemporal gyrus were correlated positively with mini-mental state examination; and rCMRglc of the left putamen,temporal lobe,left insular lobe,precentral gyrus and postcentral gyrus were correlated positively with Wechsler memory scale. The right putamen,the right inferior temporal gyrus,precentral gyrus,and left postcentral gyrus were correlated positively with the length of education. However,only rCMRglc of the left amygdaloid body were correlated positively with gender. Conclusion The rCMRglc was lower in the orbital gyrus and putamen of MCI patients. Their rCMRglc were correlated with their cognitive impairment severity,age,length of education and sex. 展开更多
关键词 dementia·cognitive disorders·tomography emission-computed·deoxyglucose·neuropsychology
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