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The assessment of the range of normal values of lower limb perfusion indicators at rest and stress with the own radio isotopic method and program

Wiesław Tryniszewski, Mariusz Gadzicki, Zbigniew Maziarz

Med Sci Tech 2008; 49(2): RA107-113

ID: 881607


Introduction: In this study, we took on the trial to elaborate the radioisotopic method and program allowing for defining the range of normal values of muscle perfusion. Aim. Elaborating the method and program allowing for half quantitative evaluation and defining the range of normal values of lower limbs perfusion indicators at rest and stress allowing for their clinical application. Material and methods: 74 patients, age 21 – 45 without the lower limbs muscle perfusion disturbances. Basic tests, biochemical blood tests, USG-Doppler, ankle-brachial, pulsation and resistance indexes and maximal blood flow in the lower limbs. Perfusion scintigraphy (Tc99mMIBI) of rest and stress. Data analysis with the own ALLP program. Results: Basic and biochemical examinations and USG Doppler didn’t show any deviation from the norm. The range of normal values of the lower limbs perfusion indexes was defined: calves: at rest – 5,28-8,02, at stress - 4,29-6,32; thighs, at rest – 4,54-7,08 and at stress - 4,00-5,66. Conclusions: The elaborated radioisotopic method and program allow for half quantitative assessment of lower limb perfusion at rest and stress. Established normal ranges of lower limb perfusion values at rest and stress allow for clinical assessment of perfusion in healthy patients and diagnostics of dysfunctions of muscle perfusion. They also monitor the effects in conservative and operative treatment and other factors that influence muscle perfusion. (Clin Exp Med Lett 2008; 49(2): 107-113)

Keywords: scintigraphy, Muscle perfusion, Rest, Stress, perfusion indicator, normal values, Lower Limbs

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