Department of Nuclear Medicine, University of Würzburg, Würzburg, Germany.
J Nucl Med. 2014 Mar;55(3):495-9. doi: 10.2967/jnumed.113.129429. Epub 2014 Jan 30.
The assessment of myocardial radiotracer kinetics, including cardiac extraction fraction and washout, requires the study of isolated perfused hearts to avoid analytic error due to tracer recirculation and systemic metabolites. Analysis of the isolated perfused rat heart by a high-resolution small-animal PET system may offer both reliable evaluation of cardiac tracer kinetics and tomographic images.
An isolated perfused heart system was modified to accommodate the small PET gantry bore size. Isolated rat hearts were perfused via the Langendorff method under a constant flow of Krebs-Henseleit buffer containing (18)F-FDG with a rate of 5 mL/min and placed in the field of view of the commercially available small-animal PET system. Dynamic PET imaging was then performed, with (18)F-FDG uptake in the isolated perfused heart verified by γ counter measurements. Additionally, a rat heart of myocardial infarction was also studied in this system with static PET imaging.
Dynamic PET acquisition of the isolated heart under constant (18)F-FDG infusion demonstrated continuous increase of activity in the heart. Correlation between cardiac activity (MBq) measured with the PET system and measurements made with the γ counter were excellent (R(2) = 0.98, P < 0.001, n = 10). Tracer input rate (MBq/min) was also well correlated with cardiac tracer uptake rate (MBq/min) (R(2) = 0.87, P < 0.001, n = 12). PET imaging of the heart with myocardial infarction showed a clear tracer uptake defect corresponding to the location of scar tissue identified by autoradiography and histology.
Combining the Langendorff method of isolated rat heart perfusion with high-resolution small-animal PET allows for the reliable quantification of myocardial tracer kinetics. This novel assay is readily adapted to available small-animal PET systems and may be useful for understanding myocardial PET tracer kinetics.
评估心肌示踪剂动力学,包括心脏提取分数和洗脱,需要研究分离的灌注心脏,以避免由于示踪剂再循环和全身代谢物而导致的分析误差。通过高分辨率小动物 PET 系统对分离的灌注大鼠心脏进行分析,可能同时提供可靠的心脏示踪剂动力学评估和断层图像。
对分离的灌注心脏系统进行了修改,以适应小 PET 架孔尺寸。通过 Langendorff 方法,在含有(18)F-FDG 的 Krebs-Henseleit 缓冲液以 5 毫升/分钟的恒定流速灌注分离的大鼠心脏,并将其置于市售小动物 PET 系统的视野中。然后进行动态 PET 成像,通过γ计数器测量验证(18)F-FDG 在分离的灌注心脏中的摄取。此外,还在该系统中对心肌梗死的大鼠心脏进行了静态 PET 成像研究。
在恒定(18)F-FDG 输注下对分离心脏的动态 PET 采集显示心脏活动持续增加。PET 系统测量的心脏活性(MBq)与γ计数器测量结果之间具有极好的相关性(R(2)= 0.98,P < 0.001,n = 10)。示踪剂输入率(MBq/min)与心脏示踪剂摄取率(MBq/min)也呈良好相关性(R(2)= 0.87,P < 0.001,n = 12)。心肌梗死心脏的 PET 成像显示了与放射性自显影和组织学确定的瘢痕组织位置相对应的清晰示踪剂摄取缺陷。
将 Langendorff 法分离的大鼠心脏灌注与高分辨率小动物 PET 相结合,可实现心肌示踪剂动力学的可靠定量。这种新的测定方法易于适应现有的小动物 PET 系统,可能有助于理解心肌 PET 示踪剂动力学。