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Biomedical subjects

M A Douglas

Publications and source records attributed to M A Douglas.

7 recordsLinked to original sources

A comparison of simultaneous measurements of systolic function in the baboon by electromagnetic flowmeter and high frame rate ECG-gated blood pool scintigraphy.

Left ventricular (LV) systolic timing and relative volume variations were simultaneously measured by electromagnetic flowmeter (EMF) and high frame rate ECG-gated blood pool scintigraphy in five baboons. No significant differences (p greater than 0.1, paired t test) were observed in the time (from R wave) to peak aortic flow (maximum LV ejection rate), time to cessation of aortic flow (end-systole) or in the duration of aortic flow (LV ejection time). A small (approximately 15 msec) but significant systematic difference (p less than 0.02) was noted in the time to onset of aortic flow. The shape of each scintigraphic time-activity curve during systole was compared to an equivalent curve synthesized from 10 EMF flow profiles obtained in the same baboon. Comparison of these paired curves over systolic ejection yielded an average correlation or r = 0.95 (range 0.90--0.99). The ratio of peak flow to stroke volume determined from these data did not differ significantly (p greater than 0.05). In the baboon, quantitative high temporal resolution ECG-gated scintigraphy appears to reflect closely the detailed timing and relative magnitude variation of LV volume during the entire period of systolic ejection. We conclude that the assumptions underlying the scintigraphic method are valid in the baboon during the ejection interval.

Animals

Ejection fraction by count rate from gated images.

Left-ventricular (LV) ejection fraction (EF) was determined from ECG-gated images of the cardiac blood pool, by computing the relative change in net LV counts occurring in these images during systole. EFs obtained with this method gave satisfactory interobserver agreement in 20 studies reviewed by three independent observers (average r = 0.95) and also compared favorably with EFs obtained by contrast ventriculography in 39 patients (r = 0.92). The technique appears suitable for use in the evaluation of systolic function in patients with heart disease.

Coronary Circulation

A real-time system for multi-image gated cardiac studies.

A minicomputer-based system is described that allows real-time construction and simultaneous display, in flicker-free movie format, of a cardiac-cycle-spanning sequence of ECG-gated scintigraphic images. In as little as 2 min, the endless-loop flicker-free movier clearly displays cardiac anatomy, time-dependent volume variations of cardiac chambers, and abnormalities of cardiac wall motion that would be difficult or impossible to detect from static gated images. Simultaneously, a time-activity curve with high temporal resolution can be generated from a previously defined region of interest, thereby quantifying additional parameters of cardiac function. Because the movie and time-activity curve are displayed in real time and require only a short data-collection interval to achieve statistical reliability, the physician can use the system interactively, modifying the form, intensity, or duration of diagnostic and therapeutic interventions based on the observed response. This system is well suited for intervention studies, for continuous cardiac monitoring, and for the rapid screening of patients with suspected cardiac disease.

Computers