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Limites de la tomoscintigraphie myocardique (TSM)

  • Conference paper
Imagerie en coupes du cœur et des vaisseaux

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Résumé

Décrire les limites d’une technique, quelle qu’elle soit, revient à en délimiter le périmètre d’action, et par là à fournir une image en négatif de ses avantages. De ce point de vue, l’imagerie scintigraphique étant parvenue à l’âge de la maturité (les premières utilisations cliniques avec le thallium-201 datent des années soixante-dix), le travail pourrait s’en trouver simplifié. Cependant, les enjeux de la médecine moderne évoluent et fixent de nouveaux défis. Tout d’abord, le contexte médical a beaucoup changé. L’échographie, l’angioscanner et 1TRM surtout offrent des possibilités d’analyse de la perfusion myocardique qui peuvent être associées à des études précises de la fonction contractile. L’exploration anatomique du réseau coronaire est actuellement possible en angioscanner, si bien qu’on peut s’interroger sur la place actuelle et à venir de la TSM. Enfin, le confort (imagerie rapide) et la sécurité du patient (dosimétrie) nous contraignent à la fois à proposer des techniques d’imagerie rapide et à minimiser la dosimétrie du patient.

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Author information

Authors and Affiliations

  1. Service de médecine nucléaire, CHU de Caen, avenue de la Côte-de-Nacre, 14000, Caen, France

    A. Manrique

  2. Imagerie chez l’Homme, GIP Cyceron, Campus Jules Horowitz, BP 5229, 14074, Caen Cedex 6, France

    A. Manrique

  3. EA 4650, Université de Caen Basse-Normandie, 14000, Caen, France

    A. Manrique

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  1. A. Manrique
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Correspondence to A. Manrique .

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Editors and Affiliations

  1. Pôle de radiologie et imagerie médicale, CHU, 30, place Henri-Dunant, BP 69, 63003, Clermont-Ferrand, France

    Louis Boyer

  2. Fédération de cardiologie Hôpital Henri Mondor, Université Paris XII, Créteil, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010, Créteil, France

    Pascal Guéret

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Manrique, A. (2013). Limites de la tomoscintigraphie myocardique (TSM). In: Boyer, L., Guéret, P. (eds) Imagerie en coupes du cœur et des vaisseaux. Springer, Paris. https://doi.org/10.1007/978-2-8178-0435-4_11

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  • DOI: https://doi.org/10.1007/978-2-8178-0435-4_11

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0434-7

  • Online ISBN: 978-2-8178-0435-4

  • eBook Packages: MedicineMedicine (R0)

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