TY  - JOUR
T1  - Miyokardiyal Canlılık Değerlendirmede Nükleer Görüntülemenin Yeri
TT  - Miyokardiyal Canlılık Değerlendirmede Nükleer Görüntülemenin Yeri
AU  - Aşık, Muhammet
PY  - 2015
DA  - December
JF  - Journal of Human Rhythm
PB  - Ramazan AKDEMİR
WT  - DergiPark
SN  - 2149-455X
SP  - 75
EP  - 78
VL  - 1
IS  - 3
LA  - tr
AB  - Sol ventrikül disfonksiyonu olan koroner arter hastalarında miyokardiyal canlılığın doğru olarak değerlendirilmesi oldukça önemlidir. Çünkü bu hastaların önemli bir kısmında başarılı revaskülarizasyon sonrası sol ventrikül fonksiyonlarında düzelme meydana gelmektedir. Kardiyak nükleer görüntüleme miyokardiyal canlılık değerlendirilmesinde önemli rol oynamaktadır. Özellikle 18F-fl uorodeoxyglucose ile PET görüntüleme doku canlılığı açısından metabolik altın standart olarak kabul ediliyor. Ancak SPECT teknikleri düşük maliyetle daha yaygın olarak kullanılabilir. Bu derlemede miyokardiyal canlılık açısından nükleer tıp yöntemleri tartışılmıştır.
KW  - miyokardiyal canlılık
KW  - SPECT
KW  - PET
N2  - Accurate assessment of myocardial viability is very important in patients with CAD and left ventricular dysfunction. Because after the success of revascularization improvement of left ventricular function occurs in a signifi cant proportion of these patients. Cardiac nuclear imaging play important role in assessment of myocardial viability. In particular, PET imaging using 18F-fl uorodeoxyglucose is accepted as the metabolic gold standard of tissue viability. However viability assessment using SPECT techniques are more widely available at lower cost. This review discusses the nuclear medicine imaging tecniques for myocardial viability.
CR  - Emond M, Mock MB, Davis KB, Fisher LD, et al. Long-term survival of medically
CR  - treated patients in the coronary artery surgery study(CASS) registry. Circulation
CR  - ;90:2645-57.)
CR  - Bonow RO. Identification of viable myocardium. Circulation 1996; 94: 2674–
CR  - Tillisch J, Brunken R, Marshall R, Schwaiger M, et al. Reversibility of cardiac wallmotion
CR  - abnormalities predicted by positron tomography. N Engl J Med 1986;
CR  - : 884–888.
CR  - Dilsizian V, Rocco TP, Freedman NM, Leon MB, et al. Enhanced detection
CR  - of ischemic but viable myocardium by the reinjection of thallium after stressredistribution
CR  - imaging. N Engl J Med 1990; 323: 141–146.
CR  - Tamaki N, Kawamoto M, Tadamura E, Magata Y, et al. Prediction of reversible
CR  - ischemia after revascularization. Perfusion and metabolic studies with positron
CR  - emission tomography. Circulation 1995; 91: 1697– 1705.
CR  - Haas F, Haehnel CJ, Picker W, Nekolla S, et al. Preoperative positron emission
CR  - tomographic viability assessment and perioperative and postoperative risk in
CR  - patients with advanced ischemic heart disease. J Am Coll Cardiol 1997; 30:
CR  - –1700.
CR  - Opie LH. Effects of regional ischemia on metabolism of glucose and fatty acids.
CR  - Relative rates of aerobic and anaerobic energy production during myocardial
CR  - infarction and comparison with effects of anoxia. Circ Res 1976; 38: I52– I74.
CR  - Di Carli MF, Davidson M, Little R, Khanna S, et al. Value of metabolic imaging
CR  - with positron emission tomography for evaluating prognosis in patients with
CR  - coronary artery disease and left ventricular dysfunction. Am J Cardiol 1994; 73:
CR  - –533.
CR  - Opie LH. Metabolism of the heart in health and disease. II. Am Heart J 1969; 77:
CR  - –122 contd.
CR  - Gropler RJ, Geltman EM, Sampathkumaran K, Pérez JE, et al. Comparison of
CR  - carbon-11-acetate with fluorine-18-fluorodeoxyglucose for delineating viable
CR  - myocardium by positron emission tomography. J Am Coll Cardiol 1993; 22:
CR  - –1597.
CR  - Rubin PJ, Lee DS, Davila-Roman VG, Geltman EM, et al. Superiority of C-11
CR  - acetate compared with F-18 fluorodeoxyglucose in predicting myocardial
CR  - functional recovery by positron emission tomography in patients with acute
CR  - myocardial infarction. Am J Cardiol 1996; 78: 1230–1235.
CR  - Kitsiou AN, Bacharach SL, Bartlett ML, Srinivasan G, et al. 13N-ammonia
CR  - myocardial blood flow and uptake: relation to functional outcome of asynergic
CR  - regions after revascularization. J Am Coll Cardiol 1999; 33: 678–686.
CR  - Maurea S, Cuocolo A, Soricelli A, Castelli L, et al. Enhanced Detection of Viable
CR  - Myocardium by Technetium-99m-MIBI Imaging After Nitrate Administration in
CR  - Chronic Coronary Artery Disease. J. Nucl. Med. 1995, 36, 1945–1952.
CR  - Batista J.F, Pereztol O, Valdes J.A, Sanchez E, et al. Improved Detection of
CR  - Myocardial Perfusion Reversibility by Rest-Nitroglycerin Tc-99m-MIBI: Comparison
CR  - with Tl-201 Reinjection. J. Nucl. Cardiol. 1999, 6, 480–486.
CR  - Travin MI, Bergmann SR. Assessment of myocardial viability. Semin Nucl Med
CR  - ; 35:2-16.
CR  - Stollfuss JC, Haas F, Matsunari I, Neverve J, et al. 99mTc-tetrofosmin SPECT for
CR  - prediction of functional recovery defined by MRI in patients with severe left
CR  - ventricular dysfunction: additional value of gated SPECT. J Nucl Med 1999; 40:
CR  - –1831.
CR  - Yoshinaga K, Morita K, Yamada S, Komuro K, et al. Low-dose dobutamine
CR  - electrocardiograph-gated myocardial SPECT for identifying viable myocardium:
CR  - comparison with dobutamine stress echocardiography and PET. J Nucl Med 2001;
CR  - : 838–844.
CR  - Kaynaklar
UR  - https://dergipark.org.tr/tr/pub/johr/article/123735
L1  - https://dergipark.org.tr/tr/download/article-file/105555
ER  -