Lötter M G, Rabé W L, de Lange A H, Naudé H, Otto A C, Meyer B, Heyns A D, Badenhorst P N
Department of Biophysics, Faculty of Medicine, University of the Orange Free State, Bloemfontein, South Africa.
J Nucl Med. 1991 Dec;32(12):2245-8.
The first purpose of this investigation was to investigate in 35 young normal male subjects the use of the Dornhorst function and the weighted-mean method to calculate reference values for mean red cell survival time with and without correction for elution of 51Cr. We compared survival times calculated with the Dornhorst and weighted-mean methods with survival time estimated with linear or exponential models. Two methods to correct for elution of 51Cr from red cells were investigated. For the first method, correction factors were generated using the Dornhorst function fitted to mean survival curves obtained from the normal subjects. In the second method, the new Dornhorst rate constant method, the survival time, corrected for elution of 51Cr, was directly calculated from the experimental survival curve without applying correction factors. Correction for elution using the Dornhorst rate constant method was not successful and resulted in nonphysiologic values. The 95% confidence range of red cell survival time for reference subjects without correction for 51Cr elution was 37-74 days for the weighted-mean method and 37 to 73 days for the Dornhorst method. The 95% confidence range for normal subjects when the survival curves were corrected for elution was 47-179 days for the Dornhorst method and 58-161 days for the weighted-mean method. The poor results obtained with the Dornhorst rate constant method and the large 95% confidence range were due to the rapid and large variation in elution rate of 51Cr from red cells.
本研究的首要目的是,在35名年轻正常男性受试者中,研究使用多恩霍斯特函数和加权平均法来计算校正和未校正51Cr洗脱的平均红细胞存活时间参考值的情况。我们将用多恩霍斯特法和加权平均法计算出的存活时间,与用线性或指数模型估算的存活时间进行了比较。研究了两种校正红细胞中51Cr洗脱的方法。对于第一种方法,使用拟合自正常受试者平均存活曲线的多恩霍斯特函数生成校正因子。在第二种方法即新的多恩霍斯特速率常数法中,校正51Cr洗脱后的存活时间直接从实验存活曲线计算得出,无需应用校正因子。使用多恩霍斯特速率常数法校正洗脱并不成功,得出的是非生理学值。对于未校正51Cr洗脱的参考受试者,加权平均法的红细胞存活时间95%置信区间为37 - 74天,多恩霍斯特法为37至73天。当存活曲线校正洗脱后,多恩霍斯特法的正常受试者95%置信区间为47 - 179天,加权平均法为58 - 161天。多恩霍斯特速率常数法得到的结果不佳以及95%置信区间较大,是由于51Cr从红细胞中洗脱的速率快速且变化较大。