BREATH-HOLD CINE-MRI DURING DIPYRIDAMOLE STRESS FOR IDENTIFICATION OF SEVERE CORONARY ARTERY STENOSIS: A PRELIMINARY REPORT
Chinese Medical Sciences JournalVol. 0, Issue 2, Pages: 96-102(1998)
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BREATH-HOLD CINE-MRI DURING DIPYRIDAMOLE STRESS FOR IDENTIFICATION OF SEVERE CORONARY ARTERY STENOSIS: A PRELIMINARY REPORT
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CLC:R445.2
Published:1998
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BREATH-HOLD CINE-MRI DURING DIPYRIDAMOLE STRESS FOR IDENTIFICATION OF SEVERE CORONARY ARTERY STENOSIS: A PRELIMINARY REPORT[J]. Chinese medical sciences journal, 1998, 0(2): 96-102.
DOI:
BREATH-HOLD CINE-MRI DURING DIPYRIDAMOLE STRESS FOR IDENTIFICATION OF SEVERE CORONARY ARTERY STENOSIS: A PRELIMINARY REPORT[J]. Chinese medical sciences journal, 1998, 0(2): 96-102.DOI:
BREATH-HOLD CINE-MRI DURING DIPYRIDAMOLE STRESS FOR IDENTIFICATION OF SEVERE CORONARY ARTERY STENOSIS: A PRELIMINARY REPORT
摘要
Abstract
Breath-hold clue MRI was employed for the identification of severe coronary artery stenoses after 0. 56 mg/kg of dipyridamole was infused. Fourteen patients without myocardial infarction but with ≥70% di- ameter narrowing of 1 or 2 major coronary arteries were studied. Each patient underwent coronary angiog- raphy
MRI at rest and during stress. Segmental wall motion abnormalities were visually assessed in a clue loop
followed by quantitative analysis by calculation of percent systolic wall thickening(%SWth). The re- suits showed that the sensitivities of 70% and 90% were present for the qualitative and quantitative analy- ses
respectively
in respect to the approximate specificities(82 % & 86% ). Further quantitative analysis showed that sensitivities and specificities were 88% and 88% for l-vessel disease versus 92% and 83% for 2-vessel disease; 86 % and 100% for LAD
100% and 70% for LCX
89% and 100% for RCA. We con- cluded that quantitative analysis is significantly superior to qualitative analysis for the identification of se- vere coronary stenosis while d ipyridamole- induced wall motion abnormalities were assessed by breath - hold cine MRI.