Detection and Quantitation of Left-to-Right Shunts from Radionuclide Angiocardiography Using the Homomorphic Deconvolution Technique

The homomorphic filtering method is described for the detection and quantitation of left-to-right shunts from radionuclide angiocardiography. First, the method is investigated theoreticatly and numerically using a realistic model with systemic recirculation. It is demonstrated that even in a noisy situation the shunt flow fraction can be relatively well estimated, if only the characteristics of the fiters used are suitable. Second, the method is applied to real data, i.e., the pulmonary time-activity curves from radionucUde anglocardiography. The presence or absence of a left-to-right shunt is determined using the ratio AT/MTT. The pulmonary-to-systemic flow ratios calculated from the areas of the two decomposed curves are compared with those from oximetry at cardiac catheterization. Good agreement between the Qp/Qs ratios calculated by oximetry and radionucUide angiocardiography is obtained.