Clinical indications: patient w/ metastatic breast cancer who is a candidate for bone marrow transplant - evaluating cardiac status.
Dose: 30mCi Tc-99m-RBC given i.v.
Results: normal size ventricular chambers; w/ exercise there was improvement in wall motion w/ increase in the ejection fraction to 72% in the first exercise stage which remained essentially stable in the second and third exercise stages.
Clinical Indication: 55 year white female w/ leukemia - rest and stress NEF.
Dose: 30 mCi Tc-99m labled RBC given i.v.
Results: normal ejection fraction; no evidence of wall motion abnormality.
Clinical Indications: 53 year white female w/ chest pain - treadmill thallium scintigraphy.
Dose: 4 mCi TI-201 given i.v.
Results: normal distribution of thallium in myocardium.
Clinical Indication: 36 year old white female w/ non-Hodgkins lyphoma - resting NEF.
Dose: 25 mCi Tc-99m RBC given i.v.
Results: heart at upper limits of normal size.
Clinical Indication: 66 year old w/ history of breast carcinoma - resting NEF.
Dose: 25 mCi Tc-99m RBC given i.v.
Results: normal
Clinical Indication: 42 year old white female w/ breast cancer - NEF, radionuclide ventriculogram.
Dose: 25mCi Tc-99m RBC given i.v.
Results: normal.
Clinical Indication: 53 year old white female with chest pain and non-diagnostic thallium treadmill test while on beta blockers.
Dose: 56mg/kg dipyridamole thallium.
Results: hypoperfusion of proximal interventricular septum; thallium images show finding consistent w/ impaired coronary flow reserve of the proximal septum.
Clinical Indication: 52 year old male w/ multiple myeloma - ventilation/perfusion scan.
Dose: 35mCi Tc-99m-RBC given i.v.
Results: no ECG changes to suggest myocardial ischemia; normal ventricular contractions w/ normal left ventricular ejection fraction; normal cardiac reserve capacity.
Clinical Indication: 55 year old female - resting radionuclide ventriculogram.
Dose: 25 mCi Tc-99m RBC given i.v.
Results: hypercontractile left ventricle with LVEF of 83%; consider high-output state as cause of high ejection fraction.
Clinical Indication: male with chronic heart failure - nuclear ejection fraction.
Dose: 25mCi Tc-99m RBC given i.v.
Results: left and right ventricular enlargement; hypokinesis of left ventricle.
Clinical Indication: 67 year old white female w/ history of diabetes mellitus, high blood pressure, coronary artery disease, and CHF now with large cell lyphoma.
Dose: 25 mCi Tc-99m RBC given i.v.
Results: left ventricular enlargement and hypokinesis; halo effect may be consistent with left ventricle hypertrophy, percardial fat, or percardial effusion.