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ARTICLE |

Radioisotope Techniques in Clinical Cardiology FREE

Stewart M. Spies, MD
[+] Author Affiliations

Reprint requests to Department of Radiology, Northwestern University, Chicago, IL 60611 (Dr (Spies).

Edited by Z. Danilevicius, MD, Senior Editor.


JAMA. 1978;239(16):1651-1653. doi:10.1001/jama.1978.03280430067021
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NOTEWORTHY recent advances in both nuclear imaging instrumentation and radiopharmaceutical sciences have been largely responsible for the current revolution in nuclear cardiovascular procedures. The majority of these newer techniques do not require exotic equipment or investigational compounds and can be performed efficiently and accurately in most community hospitals with nuclear medicine facilities. This report describes the current state of the art in nuclear cardiology, with special emphasis given to those techniques that at least preliminarily have shown themselves to be useful in the day-to-day care of cardiac patients. A brief discussion of some exciting new techniques that are currently under investigation will follow. It is thus hoped that the reader will have a feeling for both the current status and the direction of cardiovascular nuclear medicine.

Detection of Acute Myocardial Infarction  The great prevalence of coronary artery atherosclerosis in our society and the rapid advances being made in the area

REFERENCES

Bonte FJ, Parkey RW, Graham KD, et al:  A new method for radionuclide imaging of myocardial infarcts . Radiology 110:473-474, 1974;.
D'Agostino AN, Chiga GM:  Mitochondrial mineralization in human myocardium . Am J Clin Pathol 53:820-824, 1970;.
Willerson JT, Parkey RW, Bonte FJ, et al:  Technetium stannous pyrophosphate myocardial scintigrams in patients with chest pain of varying etiology . Circulation 51:1046-1051, 1975;.
Wackers FJT, Sokole EB, Samson G, et al:  Value and limitations of thallium-201 in the acute phase of myocardial infarction . N Engl J Med 295:1-5, 1976;.
Hamilton GW, Ritchie JL, Allen D, et al:  Myocardial perfusion with 99mTc or 113mIn macroaggregated albumin: Correlation of the perfusion image with clinical, angiographic, surgical and histologic findings . Am Heart J 89:708-715, 1975;.
Cannon PJ, Weiss MB, Casarella WJ:  Studies of regional myocardial blood flow: Results in patients with left anterior descending coronary artery disease . Semin Nucl Med 6:279-303, 1976;.
Spies WM, Barresi V, Meyers SN, et al:  Usefulness of 201Tl in evaluating regional myocardial perfusion . Clin Nucl Med 1:219-222, 1976;.
Bailey IK, Griffith LSC, Rouleau J, et al:  Thallium-201 myocardial perfusion imaging at rest and during exercise: Comparative sensitivity to electrocardiography in coronary artery disease . Circulation 55:79-87, 1977;.
Berman DS, Salel AF, DeNardo GL, et al:  Clinical assessment of left ventricular regional contraction patterns and ejection fractions of high-resolution gated scintigraphy . J Nucl Med 16:865-874, 1975;.
Borer JS, Bacharach SL, Green MV, et al:  Real-time radionuclide cineangiography: The noninvasive evaluation of global and regional left ventricular function at rest and during exercise in patients with coronary artery disease . N Engl J Med 296:839-844, 1977;.
Pierson RN, Aam S, Kemp HG, et al:  Radiocardiography in clinical cardiology . Semin Nucl Med 7:85-100, 1977;.

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Bonte FJ, Parkey RW, Graham KD, et al:  A new method for radionuclide imaging of myocardial infarcts . Radiology 110:473-474, 1974;.
D'Agostino AN, Chiga GM:  Mitochondrial mineralization in human myocardium . Am J Clin Pathol 53:820-824, 1970;.
Willerson JT, Parkey RW, Bonte FJ, et al:  Technetium stannous pyrophosphate myocardial scintigrams in patients with chest pain of varying etiology . Circulation 51:1046-1051, 1975;.
Wackers FJT, Sokole EB, Samson G, et al:  Value and limitations of thallium-201 in the acute phase of myocardial infarction . N Engl J Med 295:1-5, 1976;.
Hamilton GW, Ritchie JL, Allen D, et al:  Myocardial perfusion with 99mTc or 113mIn macroaggregated albumin: Correlation of the perfusion image with clinical, angiographic, surgical and histologic findings . Am Heart J 89:708-715, 1975;.
Cannon PJ, Weiss MB, Casarella WJ:  Studies of regional myocardial blood flow: Results in patients with left anterior descending coronary artery disease . Semin Nucl Med 6:279-303, 1976;.
Spies WM, Barresi V, Meyers SN, et al:  Usefulness of 201Tl in evaluating regional myocardial perfusion . Clin Nucl Med 1:219-222, 1976;.
Bailey IK, Griffith LSC, Rouleau J, et al:  Thallium-201 myocardial perfusion imaging at rest and during exercise: Comparative sensitivity to electrocardiography in coronary artery disease . Circulation 55:79-87, 1977;.
Berman DS, Salel AF, DeNardo GL, et al:  Clinical assessment of left ventricular regional contraction patterns and ejection fractions of high-resolution gated scintigraphy . J Nucl Med 16:865-874, 1975;.
Borer JS, Bacharach SL, Green MV, et al:  Real-time radionuclide cineangiography: The noninvasive evaluation of global and regional left ventricular function at rest and during exercise in patients with coronary artery disease . N Engl J Med 296:839-844, 1977;.
Pierson RN, Aam S, Kemp HG, et al:  Radiocardiography in clinical cardiology . Semin Nucl Med 7:85-100, 1977;.
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