Sago M, Nishimura T
Kaku Igaku. 1989 Jul;26(7):855-63.
To evaluate the advantage of free fatty acid imaging on the detection of hypertrophied myocardium, we compared sequentially myocardial thallium and BMIPP (15-(p-iodophenyl)-3-(R,S)-methyl pentadecanoic acid) distribution in spontaneously hypertensive rat (SHR) using dual tracer autoradiography and in vivo pin-hole imaging. Autoradiography and pin-hole imaging showed uniform myocardial distribution of BMIPP and thallium within less than 27 weeks age SHR. In 40 weeks age SHR, thallium myocardial distribution showed uniform, however, BMIPP had focal decreases. Quantitative analysis of pin-hole images showed that myocardial BMIPP and thallium uptake ratio decreased according to the ages of SHR. Our data suggest that hypertension is associated with uniform myocardial perfusion and focal alternation in the substrate used for the performance of myocardial work. Based on the above autoradiographic and in vivo pin-hole imagings, I-123 BMIPP imaging may have a potential for early detection on hypertrophic myocardium compared to thallium perfusion in clinically hypertensive patients.
为评估游离脂肪酸成像在检测肥厚心肌方面的优势,我们使用双示踪剂放射自显影和体内针孔成像技术,对自发性高血压大鼠(SHR)的心肌铊和BMIPP(15-(对碘苯基)-3-(R,S)-甲基十五烷酸)分布进行了连续比较。放射自显影和针孔成像显示,在27周龄以内的SHR中,BMIPP和铊在心肌内分布均匀。在40周龄的SHR中,铊在心肌内的分布仍均匀,但BMIPP出现局灶性减少。针孔图像的定量分析表明,心肌BMIPP与铊摄取率随SHR年龄增长而降低。我们的数据表明,高血压与心肌灌注均匀以及心肌做功所用底物的局灶性改变有关。基于上述放射自显影和体内针孔成像结果,与铊灌注相比,I-123 BMIPP成像在临床高血压患者中可能具有早期检测肥厚心肌的潜力。