Examination of Some Factors Affected Right-to-left Shunt Rate and the Normal Value of Right-to-left Shunt Rate in Lung Perfusion Scintigraphy. 2017

Fumitoshi Nakamura, and Masafumi Okabe, and Takaaki Ono, and Yousuke Sugimura, and Naoko Muromoto, and Ryou Suzuki, and Taketoshi Okawada
Department of Radiological Technology, Hamamatsu Medical Center.

Diagnosis for right-to-left shunt was determined by the assessment of shunt-rate, which was obtained by using 99 mTc-macroaggregated albumin. However, it is difficult to diagnose right-to-left shunt, using the normal level of shunt-rate measured by using conventional methods. To solve this problem, we investigated ourselves the normal level of shunt-rate. We researched 20 patients with pulmonary embolism, and they didn't have right-to-left shunt. We investigated three points for the normal level of shunt-rate. First, we examined the region of interest (ROI) area of the lungs to modify the upper level of gray scale. Second, we confirmed the difference between the whole visual field and body contour of the ROI area. Third, we examined the necessity whether we correct the background of whole body and the lungs. We resulted three points. First, stable right-to-left shunt rate is got to set that the upper level of gray scale is 35%. Second, there is no significant difference between the whole visual field and body contour of the ROI area. Third, correcting background isn't needed to get right-to-left shunt rate. The normal level of the shunt-rate was 12.6±2.8% in the condition. We are able to decide the optimal condition for the normal level of shunt-rate. It is important to evaluate the normal level of the shunt-rate fixed on each factor in each hospital.

UI MeSH Term Description Entries
D007090 Image Interpretation, Computer-Assisted Methods developed to aid in the interpretation of ultrasound, radiographic images, etc., for diagnosis of disease. Image Interpretation, Computer Assisted,Computer-Assisted Image Interpretation,Computer-Assisted Image Interpretations,Image Interpretations, Computer-Assisted,Interpretation, Computer-Assisted Image,Interpretations, Computer-Assisted Image
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D008297 Male Males
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D055420 Perfusion Imaging The creation and display of functional images showing where the blood flow reaches by following the distribution of tracers injected into the blood stream. Perfusion Scintigraphy,Imaging, Perfusion,Perfusion Imagings,Scintigraphy, Perfusion

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