Berglund L, Lilja A, Andersson J, Lindberg B, Ulin J, Långström B, Lundqvist H
Department of Obstetrics and Gynecology, Akademiska Sjukhuset, Uppsala, Sweden.
Gynecol Obstet Invest. 1991;31(1):1-7. doi: 10.1159/000293090.
The relative volume of the intervillous space of the placenta of the rhesus monkey was measured in vivo using positron emission tomography (PET), a noninvasive tracer technique. 11CO-Hb and 68GaCl3 were both used in three experiments and 68Ga-EDTA in two. The tracers were administered intravenously as bolus doses to 6 pregnant monkeys during 7 different pregnancies. Measurements with 11CO-Hb gave a volume of 48.0% of the total placental volume. Transplacental transfer of 11CO to the fetal circulation is probably a minor problem due to the small fetal blood volume and the prolonged time before the same concentration is reached in the maternal and fetal blood. Measurements with 68GaCl3, which binds to transferrin, gave an intervillous space volume of 55.6% of the placental volume. The concentration of radioactivity in the placenta did not attain a steady state, indicating a clearance of the tracer from the blood only to a small extent. Measurements with 68Ga-EDTA displayed a volume of 60.4% of the placental volume. Transplacental transfer and the additional distribution of radioactivity to fetal and maternal extracellular spaces, including the placenta, when 68Ga-EDTA was used will make this tracer unsuitable in measurements of the blood volume of the placenta with PET.
采用正电子发射断层扫描(PET)这一非侵入性示踪技术,在体内测量了恒河猴胎盘绒毛间隙的相对体积。在三个实验中同时使用了¹¹CO-Hb和⁶⁸GaCl₃,在两个实验中使用了⁶⁸Ga-EDTA。在7次不同的妊娠期间,将示踪剂以大剂量静脉注射给6只怀孕的猴子。用¹¹CO-Hb测量得出的体积为胎盘总体积的48.0%。由于胎儿血容量小以及在母血和胎儿血中达到相同浓度所需时间长,¹¹CO经胎盘向胎儿循环的转移可能是个小问题。用与转铁蛋白结合的⁶⁸GaCl₃测量得出绒毛间隙体积为胎盘体积的55.6%。胎盘中的放射性浓度未达到稳态,表明示踪剂仅在很小程度上从血液中清除。用⁶⁸Ga-EDTA测量得出的体积为胎盘体积的60.4%。当使用⁶⁸Ga-EDTA时,经胎盘转移以及放射性向胎儿和母体细胞外间隙(包括胎盘)的额外分布,将使该示踪剂不适用于用PET测量胎盘血容量。