[Quantitative evaluation of thallium-201 exercise myocardial scintigraphy and its display on the two-dimensional view of the left ventricular wall as the functional image].

: We developed a new method for the quantitative evaluation of 201T1 exercise myocardial scintigraphy. Final diagnostic images obtained by this method were displayed on the two-dimensional views of the left ventricular wall. Five projection images obtained 10 min and 3 hrs after exercise were recorded respectively in the magnetic disk. Each image was divided into seven fan-shaped segments utilizing the apical image as the reference which was placed in the middle. The corrected uptake indices were examined in 20 normal controls and served as the normal data. Each segment was then judged to be intact or ischemic or infarcted by matching the segmental uptakes of the images given 10 min and 3 hrs after exercise. The results were displayed on the computer-assisted color monitor as the two-dimensional view of the left ventricular wall. In order to evaluate its diagnostic usefulness in coronary artery disease, comparative coronary angiography was performed in 25 patients. The present technique proved to have high sensitivity and specificity both in left anterior descending artery and right coronary artery diseases (88 and 78%, respectively in the former and 83 and 89%, respectively in the latter).