REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL

Background: Introduction: Planar Equilibrium Radionuclide Angiocardiography (ERNA) is a non-invasive, reproducible and non-operator dependent Nuclear Medicine gamma camera-based technique of assessing cardiac function. Aim: To determine the common indications and findings from ERNA in a tertiary hos...

Full description

Bibliographic Details
Main Authors: Yunusa GH, More SS
Format: Article
Language:English
Published: Ntec Specialist 2019-01-01
Series:Kanem Journal of Medical Sciences
Subjects:
Online Access:https://kjmsmedicaljournal.com/wp-content/uploads/2020/02/4.-KJMS-Vol.-13-No.-2.pdf
_version_ 1798034800576036864
author Yunusa GH
More SS
author_facet Yunusa GH
More SS
author_sort Yunusa GH
collection DOAJ
description Background: Introduction: Planar Equilibrium Radionuclide Angiocardiography (ERNA) is a non-invasive, reproducible and non-operator dependent Nuclear Medicine gamma camera-based technique of assessing cardiac function. Aim: To determine the common indications and findings from ERNA in a tertiary hospital in Cape Town, South Africa. Methods: The use of this database was approved by the Human Research Ethics Committee of the faculty of Health Sciences, University of Cape Town. All ERNAs conducted within a six-month period (January to June 2014), processed and reported by the authors were reviewed. The ERNAs were performed on an e.Cam dual head gamma camera (Siemens Medical Solutions, Erlangen, Germany) fitted with Low Energy High Resolution (LEHR) collimators 99m after intravenous administration of stannous pyrophosphate and Tc-pertechnetate. ECG-gated cardiac blood pool images were acquired. Images were reviewed and processed on a Siemens workstation. Cardiac morphology, size, contraction pattern, left ventricular wall motion and ejection fraction were assessed. Results: Of the 351 ERNAs of patients reviewed, 283 (80.6%) were females while 68 (19.4%) were males with a mean age of 48.3 ± 12.6 years and age range of 29 to 71 years. Indications for ERNA requests were chemotherapy 303 (86.3%), pre-operative evaluation 37 (10.5%) and ischaemic heart disease 9 (2.6%). LV size was dilated in 24 (6.8%) of the patients. Normal LV wall motion was recorded in 303 (86.3%) patients, while hypokinesia, akinesia and dyskinesia were recorded in 12.8%, 0.3% and 0.6% of the LVs respectively. Normal LVEF was recorded in 301 (85.8%) of the patients while mild, moderate and severe LV dysfunction were recorded in 12.8%, 0.8% and 0.6% of the patients respectively. Conclusion: ERNA is a frequently requested nuclear medicine examination for assessment of cardiac function in patients undergoing cardiotoxic chemotherapy
first_indexed 2024-04-11T20:48:38Z
format Article
id doaj.art-c0d7a6851f0c441995597cbdb9015e91
institution Directory Open Access Journal
issn 2006-4772
2714-2426
language English
last_indexed 2024-04-11T20:48:38Z
publishDate 2019-01-01
publisher Ntec Specialist
record_format Article
series Kanem Journal of Medical Sciences
spelling doaj.art-c0d7a6851f0c441995597cbdb9015e912022-12-22T04:03:55ZengNtec SpecialistKanem Journal of Medical Sciences2006-47722714-24262019-01-01132717610.36020/kjms.2019.1302.01220192REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITALYunusa GH0More SS1Department of Radiology, Faculty of Clinical Sciences, College of Health Sciences Usmanu Danfodiyo University Sokoto, NigeriaNuclear Medicine Division, Department of Radiation Medicine, Faculty of Health Sciences University of Cape Town, Anzio Road Observatory, Cape town, South AfricaBackground: Introduction: Planar Equilibrium Radionuclide Angiocardiography (ERNA) is a non-invasive, reproducible and non-operator dependent Nuclear Medicine gamma camera-based technique of assessing cardiac function. Aim: To determine the common indications and findings from ERNA in a tertiary hospital in Cape Town, South Africa. Methods: The use of this database was approved by the Human Research Ethics Committee of the faculty of Health Sciences, University of Cape Town. All ERNAs conducted within a six-month period (January to June 2014), processed and reported by the authors were reviewed. The ERNAs were performed on an e.Cam dual head gamma camera (Siemens Medical Solutions, Erlangen, Germany) fitted with Low Energy High Resolution (LEHR) collimators 99m after intravenous administration of stannous pyrophosphate and Tc-pertechnetate. ECG-gated cardiac blood pool images were acquired. Images were reviewed and processed on a Siemens workstation. Cardiac morphology, size, contraction pattern, left ventricular wall motion and ejection fraction were assessed. Results: Of the 351 ERNAs of patients reviewed, 283 (80.6%) were females while 68 (19.4%) were males with a mean age of 48.3 ± 12.6 years and age range of 29 to 71 years. Indications for ERNA requests were chemotherapy 303 (86.3%), pre-operative evaluation 37 (10.5%) and ischaemic heart disease 9 (2.6%). LV size was dilated in 24 (6.8%) of the patients. Normal LV wall motion was recorded in 303 (86.3%) patients, while hypokinesia, akinesia and dyskinesia were recorded in 12.8%, 0.3% and 0.6% of the LVs respectively. Normal LVEF was recorded in 301 (85.8%) of the patients while mild, moderate and severe LV dysfunction were recorded in 12.8%, 0.8% and 0.6% of the patients respectively. Conclusion: ERNA is a frequently requested nuclear medicine examination for assessment of cardiac function in patients undergoing cardiotoxic chemotherapyhttps://kjmsmedicaljournal.com/wp-content/uploads/2020/02/4.-KJMS-Vol.-13-No.-2.pdfernaindicationslv functionlvef
spellingShingle Yunusa GH
More SS
REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
Kanem Journal of Medical Sciences
erna
indications
lv function
lvef
title REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_full REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_fullStr REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_full_unstemmed REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_short REFERRAL PATTERN AND FINDINGS FOLLOWING PLANAR EQUILIBRIUM RADIONUCLIDE ANGIOCARDIOGRAPHY IN A TERTIARY HOSPITAL
title_sort referral pattern and findings following planar equilibrium radionuclide angiocardiography in a tertiary hospital
topic erna
indications
lv function
lvef
url https://kjmsmedicaljournal.com/wp-content/uploads/2020/02/4.-KJMS-Vol.-13-No.-2.pdf
work_keys_str_mv AT yunusagh referralpatternandfindingsfollowingplanarequilibriumradionuclideangiocardiographyinatertiaryhospital
AT moress referralpatternandfindingsfollowingplanarequilibriumradionuclideangiocardiographyinatertiaryhospital