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正电子发射断层扫描在评估健康大鼠左心室功能中的应用:四种成像方法的比较。

Positron emission tomography in the assessment of left ventricular function in healthy rats: a comparison of four imaging methods.

机构信息

Department of Nuclear Medicine, University of Munich, Marchioninistr. 15, 81377, Munich, Germany.

出版信息

J Nucl Cardiol. 2013 Apr;20(2):262-74. doi: 10.1007/s12350-012-9663-1. Epub 2012 Dec 19.

DOI:10.1007/s12350-012-9663-1
PMID:23255241
Abstract

OBJECTIVE

To measure left ventricular (LV) function parameters in heart of healthy rats by three different positron emission tomography (PET) imaging techniques and by magnetic resonance imaging (MRI).

METHODS

ECG-gated microPET examinations were obtained in seven healthy rats with 2-deoxy-2-[(18)F]fluoro-D-glucose (FDG) for calculation of LV-function from the blood-pool phase of the dynamic recording (FDGBP), and also from the later myocardial uptake (FDGMyo). On subsequent days, we re-measured LV-function using the novel blood-pool tracer (68)Ga-albumin (AlbBP) and again by FDG (FDGMyo2) in one setting. Cine-MRI examination provided the reference standard measurement.

RESULTS

The mean LV ejection fractions (LVEF) were 56 ± 3 (FDGBP), 55 ± 3 (FDGMyo), 56 ± 3 (FDGMyo2), 57 ± 3 (AlbBP), and 57 ± 2 (MRI). There were good to excellent correlations found between the LVEF-values as compared to MRI reference standard for FDGBP (r = 0.71), FDGMyo (r = 0.86) and AlbBP (r = 0.88). Both of the blood-pool methods significantly overestimated the magnitudes of end-diastolic-volume and end-systolic-volume, whereas FDGMyo matched closely to the MRI reference standard. There was no significant bias for both blood-pool methods and a minor negative bias for FDGMyo regarding the LV ejection fraction (LVEF) when compared to cine-MRI results. There was no significant difference between the means of FDGMyo and FDGMyo2 (P = .50).

CONCLUSIONS

Relative to reference standard MRI measurements of LVEF, there was excellent agreement between PET-based measurements, notably for the novel blood-pool tracer (68)Ga-albumin.

摘要

目的

通过三种不同的正电子发射断层扫描(PET)成像技术和磁共振成像(MRI)来测量健康大鼠的左心室(LV)功能参数。

方法

对 7 只健康大鼠进行心电图门控微 PET 检查,使用 2-脱氧-2-[[18]F]氟-D-葡萄糖(FDG)进行动态记录的血池期(FDGBP)和后期心肌摄取(FDGMyo)计算 LV 功能。在随后的几天里,我们在一个设置中使用新型血池示踪剂(68)Ga-白蛋白(AlbBP)和再次使用 FDG(FDGMyo2)重新测量 LV 功能。电影 MRI 检查提供了参考标准测量。

结果

平均左心室射血分数(LVEF)分别为 56±3(FDGBP)、55±3(FDGMyo)、56±3(FDGMyo2)、57±3(AlbBP)和 57±2(MRI)。与 MRI 参考标准相比,FDGBP(r=0.71)、FDGMyo(r=0.86)和 AlbBP(r=0.88)的 LVEF 值之间存在良好到极好的相关性。两种血池方法均显著高估了舒张末期容积和收缩末期容积的大小,而 FDGMyo 则与 MRI 参考标准紧密匹配。与电影 MRI 结果相比,两种血池方法的 LV 射血分数(LVEF)均无显著偏差,而 FDGMyo 则存在轻微负偏差。FDGMyo 和 FDGMyo2 的平均值之间无显著差异(P=0.50)。

结论

与 LVEF 的 MRI 参考标准测量值相比,基于 PET 的测量值具有很好的一致性,特别是对于新型血池示踪剂(68)Ga-白蛋白。

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