Abstract
Gated tomography of the cardiac blood pool has been found to be useful for detecting regional wall motion abnormalities of the left ventricle. We have applied this technique to study regional wall motion of the right ventricle.
Twenty normal controls and 38 patients with previous myocardial infarction underwent tomography of the right ventricle following in vivo labelling of the blood pool. Three dimensional images were produced using a transputer based display system. These images were oriented into a right anterior oblique projection, and phase maps of the right ventricle superimposed onto them. The phase maps from the controls showed contraction to begin in the region of the apex and spread laterally and superiorly up the free wall of the right ventricle. Normal right ventricular phase was found to lie in a 200 degree range.
In one of 20 patients with anterior and in 11 of 18 patients with inferior myocardial infarction, there were focal areas of right ventricle with phase angles outside this range. These results suggest that the contraction phase pattern of the right ventricle may be used to detect right ventricular contraction abnormalities after myocardial infarction.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Robertson JH, Bardy GH, German LD, Becker LC, Wagner HN (1985) Comparison of two-dimensional echocardiographic and angiographic findings in arrhythmogenic right ventricular dysplasia. Am J Cardiol 55: 1506–1508
Itti R, Casset D, Philippe L, Fauchier JP, Cosnay P, Huguet R (1988) Characterisation of right or left ventricular contraction heterogeneity using Fourier phase analysis. Eur J Nucl Med; 14: 196–202
Evans NTS, Keyes WI, Smith D, Coleman J, Cumpstey D, Undrill PE, Ettinger KV, Ross K, Norton MY, Bolton MP, Smith FW, Mallard JR (1986) The Aberdeen Mark 2 single photon emission tomographic scanner: specification and some clinical applications. Phys Med Biol 31: 65–78
Norton MY, Walton S, Evans NT (1988) Gated cardiac tomography. Eur J Nucl Med 14: 472–476
MJ Metcalfe, MY Norton, S Walton (1989) Improved sensitivity of tomography in comparison to planar radionuclide ventriculography in myocardial infarction. Nucl Med Commun 10: 206–207
MJ Metcalfe, MY Norton, K Jennings, S Walton (1989) An improved method of detecting inferior wall motion abnormalities by the use of tomographic scintigraphy. Eur Heart Journal 10 (Suppl): 322
Fleiss JL (1981) Statistical methods for rates and proportions, 2nd ed. Wiley, New York, pp 212–236
Graf G, Mester J, Clausen M, Henze E, Bitter F, Heidenreich P, Adam WE (1990) Reconstruction of Fourier coefficients: a fast method to get polar amplitude and phase images of gated SPECT. J Nucl Med 11: 1856–1861
Bahar RH, Abdel Dayem HM, Mohammed M, Simo M, Ziada G, Constantinides C, Suhali AR (1987) “Pulmonary tongue” a right ventricle phase abnormality in MUGA studies in patients with pulmonary hypertension. Eur J Nucl Med 12: 542–545
Bahar RH, Abdel-Dayem HM, Ziada G, Al-Suhali AR, Constantinides C, Nair KM (1987) Phase abnormalities in right heart studies. Demonstration of six different patterns. Clin Nucl Med 12: 185–188
Wackers FJT, Lie KI, Sokole EB, Res J, Van der Schoot JB, Durrer D (1978) Prevalence of right ventricular involvement in inferior wall infarction assessed with myocardial imaging with thallium 201 and technetium 99-m pyrophosphate. Am J Cardiol 42: 358–362
Sharpe DN, Botvinick EH, Shames DM, Nelson BS, Massie BM, Chatterjee K, Parmley WW (1978) The non-invasive diagnosis of right ventricular infarction. Circulation 57: 483–490
Isner JM, Roberts WC (1978) Right ventricular infarction complicating left ventricular infarction secondary to coronary heart disease. Am J Cardiol 42: 885–894
Author information
Authors and Affiliations
Additional information
Offprint requests to: S.J. Cross
Rights and permissions
About this article
Cite this article
Cross, S.J., Lee, H.S., Norton, M.Y. et al. Three-dimensional imaging of the right ventricle using blood pool tomography. Eur. Radiol. 2, 95–98 (1992). https://doi.org/10.1007/BF00171391
Issue Date:
DOI: https://doi.org/10.1007/BF00171391