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定量心肌灌注 SPECT 与放射性自显影检测大鼠心肌灌注缺陷大小的比较。

Quantification of Myocardial Perfusion Defect Size in Rats: Comparison between Quantitative Perfusion SPECT and Autoradiography.

机构信息

Department of Nuclear Medicine, Kanazawa University Hospital, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.

Department of Physics, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, Japan.

出版信息

Mol Imaging Biol. 2018 Aug;20(4):544-550. doi: 10.1007/s11307-018-1159-1. Epub 2018 Jan 16.

Abstract

PURPOSE

Ultra-high resolution single-photon emission computed tomography (SPECT) system, using multiple pinhole collimators, has been applied to the imaging of small rodents. We aimed to compare the myocardial infarction (MI) area on quantitative perfusion single-photon emission computed tomography (QPS; Cedars-Sinai Medical Center, USA) with that on high-resolution autoradiography in rat model to determine the accuracy of perfusion defect measurement by QPS.

PROCEDURES

After thoracotomy, rats (n = 9) had their left coronary arteries occluded and reperfused before injection with 185 MBq [Tc] methoxyisobutylisonitrile ([Tc]MIBI) for SPECT and autoradiography. Healthy rats (n = 28) were similarly scanned to create a normal database on which to base QPS. The MI area on SPECT images was analysed automatically by QPS software. For the autoradiography images, regions of interest for MI were set at 1 mm intervals.

RESULTS

In normal rats, [Tc]MIBI accumulated throughout the left ventricles, and a polar map of ventricular perfusion showed the lowest and highest uptakes in the inferior (68 % ± 4 %) and anterior (92 % ± 5 %) walls, respectively. In the rat MI model, the percentage of polar map with reduced [Tc]MIBI uptake correlated strongly with the percentage of left ventricle with MI on autoradiography (r = 0.90).

CONCLUSIONS

QPS can quantitatively evaluate MI severity on myocardial perfusion images in rats, with comparable results to autoradiography. This widely available software could promote the development of new techniques for analysing cardiac images in small animals.

摘要

目的

使用多个针孔准直器的超高分辨率单光子发射计算机断层扫描(SPECT)系统已应用于小动物的成像。我们旨在比较定量灌注单光子发射计算机断层扫描(QPS;美国雪松-西奈医疗中心)上的心肌梗死(MI)面积与大鼠模型上的高分辨率放射自显影,以确定 QPS 测量灌注缺损的准确性。

过程

开胸后,大鼠(n=9)的左冠状动脉阻塞并再灌注,然后注射 185MBq[Tc]甲氧异丁基异腈([Tc]MIBI)进行 SPECT 和放射自显影。健康大鼠(n=28)也进行了类似的扫描,以创建 QPS 的正常数据库。SPECT 图像上的 MI 面积由 QPS 软件自动分析。对于放射自显影图像,MI 的感兴趣区域设置为 1mm 间隔。

结果

在正常大鼠中,[Tc]MIBI 积聚在左心室的整个区域,心室灌注极地图显示下壁(68%±4%)和前壁(92%±5%)的摄取最低和最高。在大鼠 MI 模型中,极地图上减少的 [Tc]MIBI 摄取百分比与放射自显影上的 MI 左心室百分比密切相关(r=0.90)。

结论

QPS 可以定量评估大鼠心肌灌注图像上的 MI 严重程度,结果与放射自显影相当。这种广泛应用的软件可以促进小动物心脏图像分析新技术的发展。

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