Oguchi K, Kasuga T, Nakanishi F, Sone S
Department of Radiology, Shinshu University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 1991 Oct 25;51(10):1247-51.
For the noninvasive quantitative measurement of cerebral blood flow (CBF) using N-isopropyl-[123I]p-iodoamphetamine (IMP), we studied the usefulness of the lung clearance curve obtained by a single probe detector as the input function for brain as an alternative to arterial blood activity. In four patients, we compared the time-activity curve of the lung and serial arterial blood activity for approximately 20 minutes following an IV bolus injection of IMP. Significant positive correlations were observed between lung clearance and the integral of arterial blood activity of IMP. In addition, a study to identify the best region for monitoring lung activity with the probe detector was performed in six patients using a gamma camera and region of interest (ROI) management. The central region of the right lung was found to be the best position for monitoring lung radioactivity. This study suggests that the lung clearance curve of IMP can be used as the input function for brain in the quantitative assessment of CBF.
为了使用N-异丙基-[123I]对碘安非他明(IMP)进行脑血流量(CBF)的无创定量测量,我们研究了用单探头探测器获得的肺清除曲线作为脑的输入函数以替代动脉血活性的实用性。在4例患者中,静脉推注IMP后,我们比较了肺的时间-活性曲线和连续约20分钟的动脉血活性。观察到IMP的肺清除与动脉血活性积分之间存在显著正相关。此外,在6例患者中使用γ相机和感兴趣区(ROI)管理进行了一项研究,以确定用探头探测器监测肺活性的最佳区域。发现右肺中央区域是监测肺放射性的最佳位置。本研究表明,IMP的肺清除曲线可作为脑血流量定量评估中脑的输入函数。