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[用放射性微球测量心肌缺血犬的局部心肌血流量]

[Regional myocardial blood flow measurement with radioactive microspheres in dogs with myocardial ischemia].

作者信息

Endo T, Sato N, Kaneko H, Kiuchi K, Fujita S, Nejima J, Hayakawa H, Suzuki Y

机构信息

First Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.

出版信息

Nihon Ika Daigaku Zasshi. 1991 Dec;58(6):696-702. doi: 10.1272/jnms1923.58.696.

Abstract

In order to evaluate the radioactive microsphere technique used in our laboratory for measuring regional myocardial blood flow (RMBF) in dogs with myocardial ischemia, simultaneous blood flow measurements with three different nuclide (141Ce, 51Cr or 113Sn)-labeled microspheres were performed after coronary artery occlusion. There were excellent correlations between all paired RMBF values in 80 samples. The linear regression lines were expressed as: 51Cr = 1.09x 141Ce-0.02 (r = 0.996, SEE = 0.06); 113Sn = 0.99x 141Ce + 0.01 (r = 0.997, SEE = 0.05); 113Sn = 0.90x 51Cr + 0.03 (r = 0.991, SEE = 0.08). The duplicate variability ranged from 5.5 +/- 0.7 to 9.9 +/- 1.1%. When RMBF was measured before and after intravenous administration of nipradilol (0.2 mg/kg), a new beta-blocker, in a dog with myocardial ischemia, RMBF fell in the normal zone (23.6 +/- 1.6%), and did not change in the severely ischemic zone. Thus, this study demonstrated that RMBF can be measured accurately and repeatedly with radioactive microspheres in dogs with regional myocardial ischemia.

摘要

为了评估我们实验室用于测量心肌缺血犬局部心肌血流量(RMBF)的放射性微球技术,在冠状动脉闭塞后,使用三种不同核素(141Ce、51Cr或113Sn)标记的微球进行了同步血流量测量。80个样本中所有配对的RMBF值之间具有良好的相关性。线性回归线表示为:51Cr = 1.09×141Ce - 0.02(r = 0.996,标准误差估计值(SEE) = 0.06);113Sn = 0.99×141Ce + 0.01(r = 0.997,SEE = 0.05);113Sn = 0.90×51Cr + 0.03(r = 0.991,SEE = 0.08)。重复测量的变异性范围为5.5±0.7%至9.9±1.1%。在一只心肌缺血犬静脉注射新型β受体阻滞剂尼普地洛(0.2mg/kg)前后测量RMBF时,正常区域的RMBF下降(23.6±1.6%),严重缺血区域的RMBF没有变化。因此,本研究表明,放射性微球可准确、重复地测量局部心肌缺血犬的RMBF。

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