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RadioGraphics, Vol 9, 323-339, Copyright © 1989 by Radiological Society of North America

ARTICLES

Improved detection of healed myocardial infarction by Fourier amplitude and phase imaging in two projections: validation with MRI

EW Akins, LF Brateman, CM Williams, SW Mietling and EA Franco
Department of Radiology, Gainesville.

Biplane Fourier amplitude and phase images from radionuclide ventriculograms were analyzed for the presence of regional wall motion abnormalities in 25 patients who had a total of 33 healed myocardial infarctions (nonviable scar tissue) documented by contrast ventriculography and ECG. This indirect evidence was validated by MRI, which permits direct visualization of healed myocardial infarction. The use of amplitude and phase images in both projections resulted in the detection of more healed myocardial infarctions (91%) than did the use of conventional radionuclide ventriculography with left anterior oblique images alone (67%), because inferior wall infarcts are more readily visualized in the left posterior oblique projection.




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