Juárez-Orozco Luis E, Szymanski Mariusz K, Hillege Hans L, Kruizinga Silvana, Noordzij Walter, Koole Michel, Tio René A, Alexanderson Erick, Dierckx Rudi A J O, Slart Riemer H J A
Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30001, 9700 RB, Groningen, The Netherlands.
Int J Cardiovasc Imaging. 2015 Jan;31(1):213-9. doi: 10.1007/s10554-014-0538-1. Epub 2014 Sep 25.
Cardiac dysfunction leads to decreased organ perfusion. We aimed to measure cardiac and renal perfusion simultaneously with the use of (13)N-NH3-microPET in different rat models. Ten male Wistar rats underwent sham surgery (n = 5) or permanent coronary artery ligation to induce myocardial infarction (MI, n = 5). Eleven weeks later (13)N-NH3-microPET scan was performed to study the cardiac and renal perfusion. Cardiac perfusion was significantly reduced in MI group, directly correlated with ejection fraction and inversely correlated with MI size (r = 0.89; p < 0.001 and r = -0.86; p < 0.001 respectively). Renal perfusion showed a notional 17 % non-significant reduction in MI group when compared to sham (3.44 ± 0.40 vs. 4.12 ± 0.48 ml/g/min). There was a trend towards greater reduction of perfusion in cortical than medullar region. Cortex perfusion was negatively correlated with histological changes. (13)N-NH3-microPET may be a potential tool for evaluation of cardiac and renal functional and perfusion changes in presence of cardiac dysfunction in rat models.
心脏功能障碍导致器官灌注减少。我们旨在使用(13)N-NH3-微PET在不同大鼠模型中同时测量心脏和肾脏灌注。十只雄性Wistar大鼠接受假手术(n = 5)或永久性冠状动脉结扎以诱导心肌梗死(MI,n = 5)。十一周后进行(13)N-NH3-微PET扫描以研究心脏和肾脏灌注。MI组心脏灌注显著降低,与射血分数直接相关,与MI大小呈负相关(分别为r = 0.89;p < 0.001和r = -0.86;p < 0.001)。与假手术组相比,MI组肾脏灌注名义上降低了17%,但差异无统计学意义(3.44 ± 0.40 vs. 4.12 ± 0.48 ml/g/min)。皮质区域灌注减少的趋势大于髓质区域。皮质灌注与组织学变化呈负相关。(13)N-NH3-微PET可能是评估大鼠模型中心脏功能障碍时心脏和肾脏功能及灌注变化的潜在工具。