Revell W J, Brookes M
Academic Department of Orthopaedics, St Thomas's Hospital, London, UK.
J Anat. 1993 Jun;182 ( Pt 3)(Pt 3):305-12.
Arteriolar blockade is probably the most widely used laboratory method for bone blood flow measurement. At first, cheap labelled cationic resin particles were used. These have largely been displaced by labelled microspheres, which have theoretical advantages but are expensive. This investigation compares measurements of bone blood flow made with the 2 different materials, using a reference artery method. Resin particles (1.4 mg per rat) were compared with 2 different doses of 85Sr-labelled microspheres (1 mg and 3 mg per rat). Whole bone blood flow from the 3 groups was not statistically different. Regional bone blood flow comparisons using resin particles and 1 mg dose microspheres showed no significant difference in epiphyses or metaphyses. In the resin group, marrow flow was significantly lower, and cortical flow elevated. It is suggested that these differences are caused by leaching of 59Fe to plasma, and methods of preventing this are discussed. Measured flow rates were significantly increased in the tibial marrow and cortex using 3 mg microspheres, compared with the 1 mg dose. This increase may reflect better sampling of the arteriolar beds. We conclude there is little advantage in using microspheres for bone blood flow measurement. When sufficient resin particles of appropriate size are injected and procedures are adopted to prevent leaching of isotope to plasma, the observed measurements are essentially identical.
小动脉阻断法可能是骨血流测量中应用最广泛的实验室方法。最初,使用的是廉价的标记阳离子树脂颗粒。这些颗粒在很大程度上已被标记微球所取代,标记微球具有理论上的优势,但价格昂贵。本研究采用参考动脉法比较了用这两种不同材料进行的骨血流测量。将树脂颗粒(每只大鼠1.4毫克)与两种不同剂量的85Sr标记微球(每只大鼠1毫克和3毫克)进行比较。三组的全骨血流在统计学上无差异。使用树脂颗粒和1毫克剂量微球进行的局部骨血流比较显示,骨骺或干骺端无显著差异。在树脂组中,骨髓血流显著降低,皮质血流升高。提示这些差异是由59Fe向血浆中的浸出所致,并讨论了预防这种情况的方法。与1毫克剂量相比,使用3毫克微球时,胫骨骨髓和皮质的测量流速显著增加。这种增加可能反映了对小动脉床的更好采样。我们得出结论,使用微球进行骨血流测量几乎没有优势。当注入足够数量合适大小的树脂颗粒并采用防止同位素向血浆浸出的程序时,观察到的测量结果基本相同。