The Korean Journal of Nuclear Medicine Technology (핵의학기술)
- Volume 16 Issue 1
- /
- Pages.57-61
- /
- 2012
- /
- 1229-9901(pISSN)
- /
- 2982-8406(eISSN)
The Comparison of Quantitative Indices by Changing an Angle of LAO View in Multi-Gated Cardiac Blood Pool Scan
게이트 심장 혈액풀 스캔에서 좌전사위상 각도의 변화에 따른 정량적 지표 비교
- Yoon, Soon-Sang (Department of Nuclear Medicine, Asan Medical Center) ;
- Nam, Ki-Pyo (Department of Nuclear Medicine, Asan Medical Center) ;
- Ryu, Jae-Kwang (Department of Nuclear Medicine, Asan Medical Center) ;
- Kim, Seong-Hwan (Department of Nuclear Medicine, Asan Medical Center)
- Received : 2012.03.08
- Accepted : 2012.04.06
- Published : 2012.04.28
Abstract
Purpose: The multi-gated cardiac blood pool scan is to evaluate the function of left ventricle (LV) and usefully observe a value of ejection fraction (EF) for a patient who is receiving chemotherapy. To calculate LVEF, we should adjust an angle of left anterior oblique (LAO) view to separate both ventricles. And by overlapped ventricles, it is possible to affect LVEF. The purpose of this study is to investigate and compare quantitative indices by changing an angle of LAO view. Materials and methods: We analyzed the 49 patients who were examined by multi-gated cardiac blood pool scan in department of nuclear medicine at Asan Medical Center from June to September 2011. Firstly, we acquired "Best septal" view. And then, we got images by addition and subtraction of angle for LAO view to anterior and lateral. We compared three LAO views for 20 people by 5 degrees and 39 people by 10 degrees. And we analyzed quantitative indices, EF, end diastole and end systole counts, by automated and manual region of interest (ROI) modes. Results: Firstly, we analyzed quantitative indices by automated ROI mode. In case of 5 degrees, the averages of EF are
게이트 심장 혈액풀 스캔(Gated cardiac blood pool scan, MUGA)은 좌심실의 기능을 평가하는 데 유용한 검사로 심근독성 항암제를 투여 받는 환자에서 심박출 계수(Ejection Fraction, EF)를 추적, 감시하는데 이용되어 많은 검사가 시행되고 있다. EF를 산출하기 위해 좌전사위상(Left Anterior Oblique, LAO)에서 좌우 심실이 분리되도록 각도를 조절해야 하는데 이때 LAO 각도의 설정은 정량분석 값에 영향을 미칠 가능성이 있어, 이에 본 연구는 LAO 각도의 변화가 정량분석 값에 영향을 미치는지 살펴보고자 한다. 2011년 06월부터 09월까지 본원에서 MUGA 검사를 시행한 환자 49명(남 8명, 여 41명)을 대상으로 하였다. 먼저 최적 중격상(Best septal view)으로 촬영 후, 전면과 측면 측으로 LAO 각도를 가감하여 총 3회 촬영하였다.