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[使用99mTc-SQ30217进行心肌灌注显像:三头单光子发射计算机断层显像系统的应用]

[Myocardial perfusion imaging with 99mTc-SQ30217: application of three-headed SPECT system].

作者信息

Nakajima K, Taki J, Bunko H, Muramori A, Matunari I, Konishi K, Hisada K, Ichihara T

机构信息

Department of Nuclear Medicine, Kanazawa University.

出版信息

Kaku Igaku. 1991 Feb;28(2):127-33.

PMID:2051650
Abstract

The early dynamic change of a new myocardial imaging agent, 99mTc-SQ30217, was investigated in SPECT study. A three-headed high sensitivity SPECT system was employed to evaluate the serial changes of accumulation pattern in the heart, lung and liver using a "continuous repetitive acquisition" mode. The myocardial activity reached a peak rapidly and decreased with rapid clearance rate. The analysis of myocardial clearance curve showed a T1/2 of 2.8 minutes (k1 = 0.25 +/- 0.12/min) in the rapid phase, and a T1/2 of 57 minutes (k2 = 0.012 +/- 0.011/min) in the slow phase. The tracer clearance in the lung was more rapid, while the hepatic uptake reached a peak approximately 10 to 15 minutes after injection. When the serial SPECT images were reviewed, the early 3-minute acquisition within 10 minutes after injection showed better image quality than the images obtained after 10 minutes. The hepatic activity did not obscure the infero-septal wall in the earlier images, but did in the images 10 minutes after injection. Thus, quick SPECT data acquisition seemed to be desirable for this agent. We concluded that 99mTc-SQ30217 was a promising radiopharmaceutical for myocardial perfusion imaging.

摘要

在单光子发射计算机断层显像(SPECT)研究中,对新型心肌显像剂99mTc-SQ30217的早期动态变化进行了研究。采用三头高灵敏度SPECT系统,以“连续重复采集”模式评估心脏、肺和肝脏中放射性药物蓄积模式的系列变化。心肌放射性活度迅速达到峰值,并以较快的清除率下降。心肌清除曲线分析显示,快速相的半衰期为2.8分钟(k1 = 0.25±0.12/分钟),缓慢相的半衰期为57分钟(k2 = 0.012±0.011/分钟)。肺部的示踪剂清除更快,而肝脏摄取在注射后约10至15分钟达到峰值。回顾系列SPECT图像时,注射后10分钟内的早期3分钟采集图像质量优于10分钟后获得的图像。早期图像中肝脏放射性活度未遮盖下壁和前间隔壁,但注射后10分钟的图像中则遮盖了。因此,对于这种显像剂,似乎需要快速进行SPECT数据采集。我们得出结论,99mTc-SQ30217是一种有前景的用于心肌灌注显像的放射性药物。

相似文献

1
[Myocardial perfusion imaging with 99mTc-SQ30217: application of three-headed SPECT system].[使用99mTc-SQ30217进行心肌灌注显像:三头单光子发射计算机断层显像系统的应用]
Kaku Igaku. 1991 Feb;28(2):127-33.
2
Dynamic acquisition with a three-headed SPECT system: application to technetium 99m-SQ30217 myocardial imaging.使用三头单光子发射计算机断层扫描(SPECT)系统进行动态采集:在锝99m-SQ30217心肌显像中的应用。
J Nucl Med. 1991 Jun;32(6):1273-7.
3
[Myocardial perfusion and clearance of 99mTc teboroxime assessed by SPECT].
Kaku Igaku. 1992 Apr;29(4):485-93.
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Myocardial clearance kinetics of technetium-99m-SQ30217: a marker of regional myocardial blood flow.锝-99m-SQ30217的心肌清除动力学:区域心肌血流的标志物
J Nucl Med. 1990 Jul;31(7):1183-90.
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Rapid back to back adenosine stress/rest technetium-99m teboroxime myocardial perfusion SPECT using a triple-detector camera.使用三探测器相机进行快速连续腺苷负荷/静息锝-99m替硼肟心肌灌注单光子发射计算机断层扫描
J Nucl Med. 1993 Sep;34(9):1485-93.
6
[Clinical application of 99mTc-SQ30,217 myocardial imaging--a study of pharmacokinetics and imaging time].[99mTc-SQ30,217心肌显像的临床应用——药代动力学及显像时间研究]
Kaku Igaku. 1991 Jan;28(1):71-82.
7
Clinical experience with technetium-99m teboroxime, a neutral, lipophilic myocardial perfusion imaging agent.
Am J Cardiol. 1990 Oct 16;66(13):63E-67E. doi: 10.1016/0002-9149(90)90614-7.
8
[Clinical usefulness of exercise/rest 99mTc-teboroxime SPECT imaging: results of a Japanese multi-center phase II study].
Kaku Igaku. 1992 Aug;29(8):991-1003.
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Rapid myocardial perfusion imaging with 99Tcm-teboroxime and a three-headed SPECT system: a comparative study with 201Tl.利用99Tcm-替硼肟和三头单光子发射计算机断层扫描(SPECT)系统进行快速心肌灌注成像:与201Tl的对比研究
Nucl Med Commun. 1992 Nov;13(11):790-4. doi: 10.1097/00006231-199211000-00003.
10
[Simultaneous evaluation of myocardial perfusion and fatty acid metabolism using dynamic SPECT with single injection of 123I-15-(p-iodophenyl)-3-methyl pentadecanoic acid (BMIPP)].[使用单次注射123I-15-(对碘苯基)-3-甲基十五烷酸(BMIPP)的动态单光子发射计算机断层显像同步评估心肌灌注和脂肪酸代谢]
Kaku Igaku. 1995 Jan;32(1):19-29.

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