Utilization statistics and diagnostic accuracy of a nonhospital-based positron emission tomography center for the detection of coronary artery disease using rubidium-82.

G L Simone, N A Mullani, D A Page, B A Anderson
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Abstract

A retrospective analysis has been carried out to determine utilization and diagnostic accuracy of positron emission tomography of the heart with rubidium-82 at a nonhospital-based center. Utilization statistics were derived for the first 27 months of operation of the center from a total of 1,670 patients scanned. Diagnostic accuracy for detection of coronary artery disease was assessed using three readers, blinded to the clinical information, who read 225 rest and dipyridamole-stress scans of patients that had a coronary angiogram. Utilization statistics show that the center averaged 64 patients per month, 66% were males, 38% of the patients scanned had a coronary angiogram, 25% had a history of myocardial infarction, 12% had coronary artery bypass graft surgery, and 18% had percutaneous transluminal coronary angioplasty. Sensitivity was 82%, 96%, and 100% for myocardial regions perfused with greater than 67%, 84%, and 100% diameter stenosis, respectively. Specificity was 91% for all normal regions of the heart. Accuracy was 89%, 93%, and 93% for regions with greater than 67%, 84%, and 100% diameter stenosis, respectively. These results compare well with published results from major hospital based centers.

非医院正电子发射断层扫描中心使用铷-82检测冠状动脉疾病的利用率统计和诊断准确性
回顾性分析,以确定利用正电子发射断层扫描的心脏与铷-82在非医院为基础的中心诊断的准确性。在该中心运营的前27个月,共扫描了1,670名患者,得出了利用率统计数据。检测冠状动脉疾病的诊断准确性由三名不了解临床信息的读者进行评估,他们阅读了225名接受冠状动脉造影的患者的休息和双吡啶达摩压力扫描。利用统计数据显示,该中心平均每月64例患者,66%为男性,38%的扫描患者有冠状动脉造影,25%有心肌梗死史,12%做过冠状动脉搭桥手术,18%做过经皮腔内冠状动脉成形术。对于直径狭窄大于67%、84%和100%的心肌灌注区,敏感性分别为82%、96%和100%。所有心脏正常区域的特异性为91%。对于直径狭窄大于67%、84%和100%的区域,准确率分别为89%、93%和93%。这些结果与主要医院中心发表的结果相比较。
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