Kittaka Daisuke, Takase Tadashi, Akiyama Masayuki, Nakazawa Yasuo, Shinozuka Akira, Shirai Muneaki
Department of Radiological Technology, Showa University Hospital.
Nihon Hoshasen Gijutsu Gakkai Zasshi. 2011;67(10):1292-7. doi: 10.6009/jjrt.67.1292.
(123)I-MIBG Heart-to-Mediastinum activity ratio (H/M) is commonly used as an indicator of relative myocardial (123)I-MIBG uptake. H/M ratios reflect myocardial sympathetic nerve function, therefore it is a useful parameter to assess regional myocardial sympathetic denervation in various cardiac diseases. However, H/M ratio values differ by site, gamma camera system, position and size of region of interest (ROI), and collimator. In addition to these factors, 529 keV scatter component may also affect (123)I-MIBG H/M ratio. In this study, we examined whether the H/M ratio shows correlation between two different gamma camera systems and that sought for H/M ratio calculation formula. Moreover, we assessed the feasibility of (123)I Dual Window (IDW) method, which is a scatter correction method, and compared H/M ratios with and without IDW method. H/M ratio displayed a good correlation between two gamma camera systems. Additionally, we were able to create a new H/M calculation formula. These results indicated that the IDW method is a useful scatter correction method for calculating (123)I-MIBG H/M ratios.
(123)I - 间碘苄胍(I - MIBG)的心纵隔活性比值(H/M)通常用作相对心肌(123)I - MIBG摄取的指标。H/M比值反映心肌交感神经功能,因此是评估各种心脏疾病中局部心肌交感神经去神经支配的有用参数。然而,H/M比值因测量部位、γ相机系统、感兴趣区(ROI)的位置和大小以及准直器而异。除了这些因素外,529keV散射成分也可能影响(123)I - MIBG的H/M比值。在本研究中,我们检查了H/M比值在两种不同γ相机系统之间是否具有相关性,并寻找H/M比值的计算公式。此外,我们评估了作为散射校正方法的(123)I双窗(IDW)法的可行性,并比较了使用和不使用IDW法时的H/M比值。H/M比值在两种γ相机系统之间显示出良好的相关性。此外,我们能够创建一个新的H/M计算公式。这些结果表明,IDW法是计算(123)I - MIBG H/M比值的一种有用的散射校正方法。