Abstract
Lung thallium fixation was studied during stress effort and redistribution in 39 patients with proven coronary artery disease (CAD) and in 11 control patients. The quantitative indices (Lung Stress Index (LSI), Lung Redistribution Index (LRI), and their ratio (LSI/LRI)) were tested. The last one best correlated with left ventricular end diastolic pressure elevation and positive stress test. Detection of left ventricular failure was possible (sensitivity 80%, specificity 95%) using LSI and LSI/LRI. These indices could detect left ventricular failure in high-risk patients.
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Bingham JB, McKusick KA, Strauss HW, Boucher CA, Pohost GM (1980) Influence of coronary artery disease on pulmonary uptake of thallium 201. Am J Cardiol 46:821–826
Boucher CA, Zir LM, Beller GA, Okada RD, McKusick KA, Strauss HW, Pohost GM (1980) Increased lung uptake of thallium 201 during exercise myocardial imaging: Clinical, hemodynamic and angiographic implications in patients with coronary artery disease. Am J Cardiol 46:189–196
Bruce RA (1971) Exercise testing of patients with coronary artery disease. Ann Clin Res 3:323
Kushner FG, Okada RD, Kirshenbaum HD, Boucher CA, Strauss HW, Pohost GM (1981) Lung thallium 201 uptake after stress testing in patients with coronary artery disease. Circulation 63:341–347
Nygaard TW, Gibson RS, Ryan JM, Gascho JA, Watson DD, Beller GA (1984) Prevalence of high-risk thallium 201 scintigraphic findings in left main coronary artery stenosis: Comparison with patients with multiple and single-vessel coronary artery disease. Am J Cardiol 53:462–469
Slutsky RA, Higgins CB (1984) Thallium scintigraphy in experimental toxic pulmonary edema: Relationship to extravascular pulmonary fluid. J Nucl Med 25:581–591
Wilson RA, Okada RD, Boucher CA, Strauss HW, Pohost GM (1983) Radionuclide-determined changes in pulmonary blood volume and thallium lung uptake in patients with coronary artery disease. Am J Cardiol 51:741–748
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Bureau, J.F., Gaillard, J.F., Granier, R. et al. Diagnostic and prognostic criteria of chronic left ventricular failure obtained during exercise-201Tl imaging. Eur J Nucl Med 12, 613–616 (1987). https://doi.org/10.1007/BF00284537
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DOI: https://doi.org/10.1007/BF00284537