Nuklearmedizin - NuclearMedicine, Inhaltsverzeichnis Nuklearmedizin 1977; 16(03): 96-99DOI: 10.1055/s-0037-1620615 Originalarbeiten – Original Articles Schattauer GmbH Assessment of Cardiac Blood Pools in Radiocardiography by Various Indicator Dilution Models Authors Institutsangaben H. Olkkonen 1 From the University Central Hospital, Kuopio, Finland I. M. Penttilä 1 From the University Central Hospital, Kuopio, Finland Artikel empfehlen Abstract Artikel einzeln kaufen(opens in new window) Summary Heart blood pools were evaluated by different indicator dilution models from single detector 113mIn radiocardiographic measurements on healthy subjects. It appeared that generally accepted mathematical expressions based on the nth moments of the radiocardiographic dilution curve overestimate the heart volumes by 30–40%. The study suggests that the indicator dispersion within the heart chambers is an dilution process, which ought to be included in the radiocardiographic models. Dispersion models based on the random walk equation, probability density function and the gamma variate model produced consistent heart volumes. The suitability of the dispersion models for clinical routine use is discussed briefly. Volltext Referenzen References 1 Alderson P O, Jost R G, Strauss A W, Boonvisut S, Markham J. Radionuclide angiocardiography. Improved diagnosis and quantitation of left-to-right shunts using area ratio techniques in children. Circulation 1975; 51: 1136 2 Askenazi J, Ahnberg D S, Korngold E, LaFarge C G, Maltz D, Treves S. Quantitative radionuclide angiocardiography: Detection and quantitation of left-to-right shunts. Amer. J. Cardiol 1976; 37: 382 3 Bassingthwaighte J B. Plasma indicator dispersion in arteries of human leg. Circulat. Res 1966; 19: 332 4 Berman D S, Salei A F, NeNardo G L, Bogren H G, Mason D T. Clinical assessment of left ventricular regional concentration patterns and ejection fraction by high-resolution gated scintigraphy. J. nucl. Med 1975; 16: 865 5 Caro C G. The dispersion of indicator flowing through simplified models of the circulation and its relevance to velocity profile in blood vessels. J. Physiol (Lond.) 1966; 185: 501 6 Donato L, Giuntini C, Lewis M L, Durand J, Rochester D F, Harvey R M, Cournand A. Quantitative Radiocardiography I. Theoretical considerations. Circulation 1962; 26: 174 7 Giuntini C, Lewis M L, Luis A S, Harvey R M. A study of the pulmonary blood volume in man by quantitative radiocardiography. J. clin. Invest 1963; 42: 1589 8 Greenfield L D, Bennett L R. Comparison of heart chamber and pulmonary dilution curves for the diagnosis of cardiac shunts. Radiology 1974; 111: 359 9 Heiskanen T. Analogue model for the analysis of radiocar-diograms. Cardiovasc. Res 1971; 5: 268 10 Ishii Y, Maclntyre W J. Analytical approach to dynamic radioisotope recording. J. nucl. Med 1971; 12: 792 11 Kuikka J, Lehtovirta P, Kuikka E, Rekonen A. Application of the modified gamma function to the calculation of cardiopulmonary blood pools in radiocardiography. Phys. in Med. Biol 1974; 19: 692 12 Lane D A, Patel I C, Sirs J A. The variation of indicator dilution curves with velocity profile. Phys. in Med. Biol 1975; 20: 613 13 Lane D A, Sirs J A. Indicator dilution measurement of mean transit time and flow in a straight tube. J. Phys. E: Sci. Inst 1974; 7: 51 14 Lewis M L, Giuntini C, Donato L, Harvey R M, Gournand A. Quantitative radiocardiography III. Results and validation of theory and method. Circulation 1962; 26: 189 15 Maseri A, Mancini P, Pesola A, Abbate A L, Bedini R, Pisani P, Michelassi C, Contini C, Marzilli M, De Nes D M. Method for the study of regional myocardial perfusion in patients with atherosclerotic coronary artery disease. Nucl.-Med 1976; XV: 1 16 Norwich K H, Zelin S. The dispersion of indicator in the cardio-pulmonary system: Bull. Math. Biophys 1970; 32: 25 17 Olkkonen H, Suonio S, Helin M. Numerical analysis of cardiopulmonary blood volumes in 113mIn radiocardiography. Phys. in Med. Biol 1976; 21: 804 18 Rosenthall L. Nucleographc screening of patients for left-to-right cardiac shunts. Radiology 1971; 99: 601 19 Sheppard C W, Jones M P, Couch B L. Effect of indicator-dilution curves. Circulat. Res 1959; 1: 895 20 Starmer C F, Clark D O. Computer computations of cardiac output using the gamma function. J. appl. Physiol 1970; 28: 219 21 Suonio S, Ryynänen M, Olkkonen H, Castren O. Ritodrine hydrochloride induced cardiopulmonary and placental hemodynamic changes in normal and hypertensive late pregnancy. Int. J. Gynaecol Obstet 1976; 14: 268 22 Taylor G. The dispersion of matter in turbulent flow through a pipe. Proc. roy. Soc. A 1954; 223: 446 23 Thompson H K, Starmer C F, Whalen R E, Mcintosh H D. Indicator transit time considered as a gamma varíate. Circulat. Res 1964; 14: 502 24 Wise M E. Tracer dilution curves in cardiology and random walk and lognormal distributions. Acta physiol. pharmacol. neerl 1966; 14: 175