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ANC Opens up to the World 非洲国民大会向世界开放
Pub Date : 2020-01-01 DOI: 10.17996/anc.20-00001
K. Yoshinaga
A pproximately six years ago, the Japanese Society of Nuclear Cardiology (JSNC) launched its official journal, the Annals of Nuclear Cardiology (ANC), with the ultimate goal of advancing research and clinical practice by those in the field of nuclear cardiology, including physicians, technologists, and scientists, as well as the industries that support them. Initially JSNC aimed to promote its own members’ research and clinical practice and therefore it required any non-JSNC members who wanted to submit their manuscript to ANC to become JSNC members. However, as ANC has become bettter known among physicians and researchers on different continents and as the nature of research itself has moved further towards examining issues on a global scale, the time has come to open ANC not only to our members but to all nuclear cardiology researchers around the world. Beginning this year, ANC therefore no longer requires authors to become JSNC members or to pay a submission fee. With this change, ANC is now more accessible to everyone in the nuclear cardiology field around the world. In this spirit, the editorial board of ANC is working to ensure that articles published in ANC can be accessed via major search engines. Board members have been working very hard to collect the information necessary to apply to such search engines, but further steps are necessary. First, ANC needs to have a more international perspective. Therefore, the ANC editorial board is looking to include international advisory members among its ranks. This move will be coming soon. We are planning to apply to PubMed or PubMed Central operated by the National Institute of Health in the United States. Improving the quality of original articles and technical articles is now even more important and so last year we started an editorial support program. Through this program, editorial board members work with authors preparing manuscripts for submission. Beginning with this edition of ANC, original articles accepted for publication will have undergone thorough scientific editing as part of ANC’s process to support authors in manuscript preparation and to improve the overall quality of manuscripts. Authors sometimes overlook the new insight their studies may provide. In this regard, editorial board members, who have great depth of experience, will endeavour to help these authors to identify such new insights from their work. For this issue of ANC at least, the number of original articles is still limited. However, I expect this number to grow in the coming years. Along with increasing the quantity of manuscripts, we continuously aim to improve their quality. In this regard, the review process is very important. Therefore, I have asked experienced reviewers in Asia, the UK, Europe, North America, and South America to review articles submitted to ANC. Among ANC reviewers this year are a number of core American Society of Nuclear Cardiology members. I am especially grateful to those who have been wil
大约六年前,日本核心脏病学会(JSNC)推出了官方期刊《核心脏病学年鉴》(ANC),其最终目标是促进核心脏病学领域的研究和临床实践,包括医生、技术专家、科学家以及支持他们的行业。最初,JSNC旨在促进其成员的研究和临床实践,因此它要求任何想向ANC提交手稿的非JSNC成员成为JSNC成员。然而,随着ANC在不同大陆的医生和研究人员中越来越出名,随着研究本身的性质进一步向全球范围内的研究问题发展,现在不仅是向我们的成员开放ANC,而且是向全世界所有核心脏病学研究人员开放ANC的时候了。因此,从今年开始,ANC不再要求作者成为JSNC成员或支付提交费。随着这一变化,ANC现在对世界各地的核心脏病学领域的每个人都更容易获得。本着这种精神,ANC编辑委员会正在努力确保在ANC发表的文章可以通过主要搜索引擎访问。董事会成员一直在努力收集应用于此类搜索引擎所需的信息,但还需要采取进一步措施。首先,非国大需要有更多的国际视野。因此,非国大编辑委员会正在寻求将国际顾问成员纳入其行列。这一举措将很快出台。我们计划申请美国国立卫生研究院运营的PubMed或PubMed Central。提高原创文章和技术文章的质量现在变得更加重要,因此去年我们启动了一项编辑支持计划。通过这个项目,编辑委员会成员与作者一起准备投稿。从这一版ANC开始,接受发表的原创文章将经过彻底的科学编辑,作为ANC过程的一部分,以支持作者准备手稿并提高手稿的整体质量。作者有时会忽略他们的研究可能提供的新见解。在这方面,经验丰富的编辑委员会成员将努力帮助这些作者从他们的工作中发现这些新的见解。至少对于这一期的ANC来说,原创文章的数量仍然有限。然而,我预计这个数字在未来几年还会增长。随着稿件数量的增加,我们将不断提高稿件的质量。在这方面,审查进程非常重要。因此,我邀请了亚洲、英国、欧洲、北美和南美经验丰富的审稿人来审查提交给ANC的文章。在今年的ANC审稿人中,有一些是美国核心脏病学会的核心成员。我特别感谢那些在今年世界各地非常具有挑战性的情况下愿意抽出时间进行这些审查的人。我鼓励国际审稿人和研究人员考虑以审稿人或作者的身份参与ANC。为了向世界宣布其存在,ANC于2017年推出了其网站。从下图可以看出,今年对该网站的兴趣大大增加了。我希望,随着我们的期刊在全球核心脏病学界变得更加知名,来自世界各地的投稿数量也将继续增长。通过这种方式,随着原创文章质量和数量的不断提高,本刊将成为核心脏病学领域一个值得注意的贡献者。
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引用次数: 1
The Diagnostic Criteria 2020 for Triglyceride Deposit Cardiomyovasculopathy. 甘油三酯沉积性心肌病诊断标准 2020》。
Pub Date : 2020-01-01 Epub Date: 2020-08-31 DOI: 10.17996/anc.20-00131
Kunihisa Kobayashi, Yasuhiko Sakata, Hideyuki Miyauchi, Yoshihiko Ikeda, Yasuyuki Nagasawa, Kenichi Nakajima, Kazunori Shimada, Junji Kozawa, Hiroyuki Hao, Tetsuya Amano, Hiroshi Yoshida, Tohru Inaba, Chikako Hashimoto, Ken-Ichi Hirano

Triglyceride deposit cardiomyovasculopathy (TGCV) is a newly identified disease that was discovered in individuals who required cardiac transplantation in Japan in 2008. Defective intracellular lipolysis causes triglyceride (TG) accumulation in the myocardium and coronary artery vascular smooth muscle cells, which results in severe heart failure and coronary artery disease with poor prognosis. A known cause of TGCV is a genetic deficiency of adipose triglyceride lipase (ATGL), a rate-limiting enzyme in the intracellular hydrolysis of TG. TGCV is classified into primary TGCV with ATGL mutations and idiopathic TGCV without ATGL mutations. Since its discovery, the Japan TGCV Study Group has attempted to elucidate its pathophysiology, develop diagnostic procedures, and specific treatment. Myocardial scintigraphy with iodine-123-β-methyl iodophenyl-pentadecanoic acid (123I-BMIPP) is a unique imaging modality for evaluating myocardial lipolysis in vivo. The washout rate of 123I-BMIPP is an essential indicator for the diagnosis of TGCV. Along with our efforts to provide awareness of and insights into this disease concept, we found that the cumulative number of clinically diagnosed patients has reached >200 and the cases are distributed throughout Japan. In addition, we successfully completed three investigator-initiated clinical trials of a potential therapeutic agent (CNT-01) for TGCV, which was assigned by the Ministry of Health, Labour, and Welfare, Japan, under the SAKIGAKE Designation System in June 2020. Here, we provide the Diagnostic Criteria 2020 for TGCV in order to further promote this "rare and intractable disease" project.

甘油三酯沉积性心肌病(TGCV)是一种新发现的疾病,2008 年在日本需要进行心脏移植的患者中被发现。细胞内脂肪分解缺陷会导致甘油三酯(TG)在心肌和冠状动脉血管平滑肌细胞内积聚,从而导致严重的心力衰竭和冠状动脉疾病,且预后不良。TGCV 的一个已知病因是脂肪甘油三酯脂肪酶(ATGL)的遗传缺陷,ATGL 是细胞内水解 TG 的限速酶。TGCV 可分为 ATGL 基因突变的原发性 TGCV 和无 ATGL 基因突变的特发性 TGCV。自发现以来,日本 TGCV 研究小组一直试图阐明其病理生理学,开发诊断程序和特定治疗方法。使用碘-123-β-甲基碘苯基十五烷酸(123I-BMIPP)进行心肌闪烁成像是一种独特的成像模式,可用于评估体内心肌脂肪溶解情况。123I-BMIPP 的洗脱率是诊断 TGCV 的重要指标。随着我们对这一疾病概念的认识和深入了解,我们发现临床诊断患者的累计人数已超过 200 人,病例分布在日本全国各地。此外,我们还成功完成了三项由研究者发起的 TGCV 潜在治疗药物(CNT-01)的临床试验,并于 2020 年 6 月获得日本厚生劳动省根据 "榊岳指定系统 "指定的治疗药物。在此,我们提供了 TGCV 的 2020 诊断标准,以进一步推动这一 "罕见难治疾病 "项目。
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引用次数: 0
Significant Residual Ischemia on Myocardial Perfusion Imaging after Optimal Medical Therapy with or without Coronary Revascularization Predicts a Worse Prognosis 有或没有冠脉血运重建术的最佳药物治疗后心肌灌注显像上明显的残余缺血预示着更差的预后
Pub Date : 2019-03-22 DOI: 10.17996/ANC.19-00086
T. Murata, T. Toyama, S. Kasama, H. Hoshizaki, M. Kurabayashi
Background : Myocardial perfusion imaging (MPI) by single photon emission computed tomography is widely performed in patients with coronary artery disease (CAD). These days, the relation between MPI findings and the prognosis of CAD has been reported. Methods : A total of 188 consecutive patients with stable CAD were retrospectively enrolled. They all had ischemic findings in the initial stress/resting MPI and underwent a repeat stress/resting MPI within one year of the initial test. We evaluated the summed stress score, summed rest score, and summed difference score (SDS). We defined %residual ischemia as the percent SDS on repeat MPI relative to that on initial MPI (post SDS × 100/pre SDS). We followed the patients until occurrence of an adverse event or for at least one year after repeat MPI to assess adverse events including cardiac death, nonfatal myocardial infarction, hospitalization for heart failure, revascularization by percutaneous coronary intervention or coronary artery bypass grafting, stroke, and non-cardiac death. Results : Fifty-four patients (28.7%) experienced adverse events. According to multivariate Cox proportional hazards regression analysis of adverse event rates, more extensive %residual ischemia was associated with a higher incidence of adverse events (HR 1.025, p = 0.018). According to Kaplan-Meier analysis, patients with significant %residual ischemia had a higher risk of adverse events than those with mild %residual ischemia (p = 0.001, log rank test). Conclusion : In patients with CAD, significant residual ischemia on repeat MPI may predict a worse prognosis for CAD patients receiving optimal medical therapy with or without coronary revascularization.
背景:单光子发射计算机断层扫描心肌灌注成像(MPI)在冠状动脉疾病(CAD)患者中广泛应用。近年来,MPI表现与CAD预后之间的关系已被报道。方法:回顾性纳入188例稳定型冠心病患者。他们在初始应激/静息MPI中都有缺血的发现,并在初始测试的一年内重复进行应激/静息MPI。评估总应激评分、总休息评分和总差异评分(SDS)。我们将%残余缺血定义为重复MPI相对于初始MPI的SDS百分比(SDS后× 100/ SDS前)。我们对患者进行随访,直到出现不良事件,或在重复MPI后随访至少一年,以评估不良事件,包括心源性死亡、非致死性心肌梗死、心力衰竭住院、经皮冠状动脉介入或冠状动脉旁路移植术、中风和非心源性死亡。结果:54例(28.7%)患者出现不良事件。根据不良事件发生率的多因素Cox比例风险回归分析,更广泛的%残余缺血与更高的不良事件发生率相关(HR 1.025, p = 0.018)。Kaplan-Meier分析显示,严重%残余缺血患者发生不良事件的风险高于轻度%残余缺血患者(p = 0.001, log rank检验)。结论:在冠心病患者中,重复MPI的明显残余缺血可能预示着冠心病患者接受最佳药物治疗伴有或不伴有冠状动脉重建术的预后较差。
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引用次数: 0
Increased Washout of 123I-BMIPP in Triglyceride Deposit Cardiomyovasculopathy (TGCV) with Severe Coronary Stenosis 甘油三酯沉积性心血管病(TGCV)伴严重冠状动脉狭窄患者123I-BMIPP洗脱量增加
Pub Date : 2019-01-01 DOI: 10.17996/anc.19-00106
K. Hirano, M. Higashi, Hideyuki Miyauchi, A. Takagi, Y. Ikeda, Y. Nakano, T. Amano
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引用次数: 0
Cardiac PET 心脏的宠物
Pub Date : 2019-01-01 DOI: 10.17996/ANC.19-00085
N. Johnson
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引用次数: 1
Gamma Camera Testing Schedules for Nuclear Cardiology Facilities 核心脏病学设施伽玛相机测试时间表
Pub Date : 2019-01-01 DOI: 10.17996/anc.19-00104
K. Nichols, A. Tosh
Interpreting medical scans acquired with nuclear imaging equipment requires testing the equipment to assure that the best results achievable are routinely and reliably produced. Strict adherence to predetermined schedules for testing and recording the results for gamma cameras will facilitate the efficient operation of a Nuclear Cardiology laboratory, satisfy regulatory and accreditation requirements, and instill confidence in the readings obtained by interpreting the collected patient scans, for the ultimate benefit of the patients being evaluated.
解释核成像设备获得的医学扫描需要对设备进行测试,以确保常规和可靠地产生可达到的最佳结果。严格遵守预先确定的测试和记录伽马相机结果的时间表,将有助于核心脏病学实验室的有效运作,满足监管和认证要求,并对通过解释收集的患者扫描结果获得的读数灌输信心,最终使被评估的患者受益。
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引用次数: 0
Current Status of Myocardial Blood Flow Quantification by CT and MR CT和MR定量心肌血流量的现状
Pub Date : 2019-01-01 DOI: 10.17996/anc.19-00109
T. Mochizuki
I n this issue of the Annals of Nuclear Cardiology, there are two review articles related to myocardial blood flow assessment (MBF; ml/g-myocardium/min). One is using dynamic perfusion CT by Manabe et al., and the other is using dynamic perfusion MR by Ichikawa et al. (1, 2). MBF measurement has been mainly performed by dynamic positron emission tomography (PET) imaging with 13 N-NH3, 15 O-H2O, and 82 Rb (3, 4). PET MBF assessment is a gold standard for non-invasive quantification of MBF, however, there are limited number of facilities where dynamic perfusion PET can be available in the clinical settings. Recently, there are trials to quantify MBF using semi-conductor detector single photon emission computed tomography (SPECT) (5) and the PET MBF quantification methodology using 99m Tc-MIBI, 99m Tctetrofosmin or 201 Tl-TlCl. In addition to the limited number of facilities where semi-conductor or high sensitivity SPECT systems are installed, there are limitations of SPECT MBF quantification such as underestimation and accuracy when using 99m Tc-agents, and low counts or noisy data. If non-invasive MBF assessment is available with widely used modalities such as CT and MR, it would be of beneficial for many coronary artery disease (CAD) patients in the clinical setting.
在本期《核心脏病学年鉴》上,有两篇关于心肌血流量评估(MBF;毫升/ g-myocardium /分钟)。一种是Manabe等人使用的动态灌注CT,另一种是Ichikawa等人使用的动态灌注MR(1,2)。MBF测量主要是通过动态正电子发射断层扫描(PET)成像(含13个N-NH3、15个O-H2O和82个Rb)进行的(3,4)。PET MBF评估是MBF无创量化的金标准,然而,在临床环境中可以使用动态灌注PET的设施数量有限。最近,有使用半导体探测器单光子发射计算机断层扫描(SPECT)(5)和使用99m Tc-MIBI, 99m Tctetrofosmin或201 Tl-TlCl的PET MBF量化方法的试验。除了安装半导体或高灵敏度SPECT系统的设施数量有限之外,SPECT MBF定量也存在局限性,例如使用99m tc试剂时的低估和准确性,以及计数低或有噪声的数据。如果非侵入性MBF评估可以通过广泛使用的方式,如CT和MR,它将有利于许多冠状动脉疾病(CAD)患者的临床设置。
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引用次数: 0
Medical Writing by Non-native English-speaking Authors 非英语母语作者的医学写作
Pub Date : 2019-01-01 DOI: 10.17996/ANC.19-00095
F. Wackers
The Editor-in Chief of the Journal of Nuclear Cardiology created in 2014 the “Mentorship at Distance Committee” to provide editorial assistance to foreign authors. The chair of the committee discusses in the present communication his 3-year experience with mentoring manuscripts. He addresses the selection of manuscripts, the process of mentoring and common problems encountered and resolved. The mentoring process required the full commitment by both the mentor and the author, because of necessary intensive and frequent communications by email. The average time involved from start to finish averaged about 9 weeks. Eight of 11 mentored manuscripts could be sufficiently revised and were accepted for publication. ・
《核心脏病学杂志》主编于2014年创建“远程指导委员会”,为外国作者提供编辑协助。委员会主席在本次交流中讨论了他3年指导手稿的经验。他谈到了手稿的选择、指导的过程以及遇到和解决的常见问题。由于通过电子邮件进行必要的密集和频繁的沟通,指导过程需要导师和作者的充分承诺。从开始到结束的平均时间约为9周。11份指导手稿中有8份经过充分修订并被接受出版。・
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引用次数: 2
JSNC 2020 in Aichi
Pub Date : 2019-01-01 DOI: 10.17996/anc.19-002
J. Hashimoto
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引用次数: 0
82Rb is the Best Flow Tracer for High-volume Sites 82Rb是高容量站点的最佳流量跟踪剂
Pub Date : 2019-01-01 DOI: 10.17996/anc.19-00105
R. Klein, R. deKemp
Rubidium-82 is the most well-established cardiac PET flow tracer with over 6 decades of literature. Due to its robust supply, short physical half-life, ease of use, low radiation dose and favorable kinetics it can deliver comprehensive clinical information with minimal risk and maximum convenience to patients and clinical staff. Optimized 82 Rb protocols can deliver high quality myocardial perfusion imaging, functional cardiac images and absolute myocardial blood flow and flow reserve from a single session 30 minutes clinical protocol‒benefiting patient convenience and clinical throughput. In a high volume setting the cost of 82 Rb PET can be dramatically lower than that of alternative PET flow tracers. These factors compound toward 82 Rb as the best PET flow tracer for high-throughput clinics.
铷-82是最完善的心脏PET血流示踪剂超过60年的文献。由于其供应充足,物理半衰期短,易于使用,低辐射剂量和良好的动力学,可以以最小的风险和最大的方便为患者和临床工作人员提供全面的临床信息。优化后的82 Rb方案可提供高质量的心肌灌注成像、心脏功能图像、绝对心肌血流量和血流储备,单次30分钟的临床方案有利于患者的便利性和临床吞吐量。在高容量环境下,82 Rb PET的成本可以显著低于其他PET流动示踪剂的成本。这些因素共同作用使82 Rb成为高通量临床的最佳PET流示踪剂。
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引用次数: 4
期刊
Annals of nuclear cardiology
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