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Purpose: The aim of this study was to analyze microvas-cularity after reperfused acute myocardial infarction (AMI) using the maximum slope method of contrastenhanced cardiac magnetic resonance imaging (CMR).

Materials And Methods: CMR and resting (201)T1 single photon emission computed tomography (SPECT) images were obtained in 30 consecutive patients after reperfused AMI and 10 controls. After bolus injection of gadolinium diethylenetriamine pentaacetic acid, first-pass CMR images were obtained using the True-FISP sequence.

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Nuclear cardiology including single photon emission computed tomography (SPECT) and positron emission tomography (PET) can play important roles as myocardial viability assessment and perioperative cardiovascular evaluation for noncardiac surgery. Increasing prevalance of coronary artery disease (CAD) is associated with an increasing number of patients with heart failure secondary to CAD. Three main therapies, medical, revascularizations, and heart transplantation, are currently available.

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Background: Previously, perfusion defect in the left ventricle was detected by thallium-201 (201T1) single-photon emission computed tomography (SPECT) in aortic regurgitation (AR). The significance of 201T1 SPECT, however, has not been clarified. Limited information is available regarding the relationship between functional characteristics and scintigraphic findings.

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The distinction between viable and nonviable dysfunctional left ventricular (LV) segments after acute myocardial infarction is very important, because revascularization increases survival only in patients with viable myocardial tissue. Recent studies have highlighted a mismatch between two highly specific investigations for viability assessment: dobutamine echocardiography, which measures inotropic reserve, and myocardial contrast echocardiography (MCE), which measures microvascular perfusion. Viability and functional reserve are not synonymous.

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Purpose: Present study was designed to evaluate the accuracy of the measurement of left ventricular volume by quantitative gated SPECT (QGS) software using 201T1 and the effect of cutoff frequency of Butterworth prereconstruction filter on the calculation of volume.

Methods: The RH-2 type cardiac phantom and 20 patients with ischemic heart disease were studied. Left ventricular end-diastolic volume (EDV), end-systolic volume (ESV) and ejection fraction (EF) were calculated by the QGS software using the various frequency of Butterworth filter.

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