Comparison of different methods for assessment of left ventricular regional motility using the gated blood pool method

The following methods of evaluation were compared: qualitative analysis of cine mode; qualitative analysis of parametric scans obtained by Fourier analysis including the phase histogram; quantitative analysis of regional ejection fraction (EF). Regional wall motion abnormalities of high degree (akinesia, dyskinesia) were recognized by all three methods with a high sensitivity of 89.7-96.6% without statistically significant differences. The sensitivity for detecting hypokinetic segments was significantly lower (50.0-68.2%) without statistically significant differences between the three methods. Sensitivity for all kinds of wall motion abnormalities could be increased by combining the quantitative method of regional EF with the qualitative evaluation after Fourier analysis