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[利用单动脉血样采集的123I-IMP动态SPECT定量测定脑血流量和分配系数]

[Quantitation of cerebral blood flow and partition coefficient using 123I-IMP dynamic SPECT with single arterial blood sampling].

作者信息

Mizumura S, Kumita S, Kumazaki T

机构信息

Department of Radiology, Nippon Medical School, Japan.

出版信息

Kaku Igaku. 1996 Mar;33(3):251-9.

PMID:8622257
Abstract

A method base on the two-compartment model was developed to measure quantitative cerebral blood flow (CBF) and partition coefficient (lambda) of IMP from dynamic SPECT and single arterial blood sampling. In this method, the linear differential equation of two-compartment model, Yokoi proposed, was employed and quantitative CBF and lambda values were measured with the standard input function calibrated by single arterial sampling. The input function was derived from the standard input function scaled by a factor determined by the single arterial blood sample. This new technique was applied to 5 normal volunteers (Ages ranged from 25 to 29 yr., average 26 yr.). The optimal time to calibrate the standard input function in the individual study and optimal the period of the upper limit time to which input function is integrated from IMP administration for analysis of the equation were determined to minimize the difference between integration of the calibrated standard input function and of the individual input function. Minimization of the difference yields an optimal calibration time (4 to 10 min after IMP administration) and the period of the upper limit time (8 to 60 min after acquisition start). Comparison of CBF and lambda values obtained by the graphical method using the calibrated standard data and individual input function were performed. It should be noted that CBF values were in good agreement between the two methods, respectively (r = 0.92, P<0.01; r = 0.72, p = 0.01). This method is easy to estimate CBF and lambda by only single arterial blood sampling and IMP dynamic SPECT, and useful for routine studies.

摘要

一种基于两室模型的方法被开发出来,用于从动态单光子发射计算机断层扫描(SPECT)和单次动脉血采样中测量定量脑血流量(CBF)和碘代安替比林(IMP)的分配系数(λ)。在该方法中,采用了横井提出的两室模型的线性微分方程,并通过单次动脉采样校准的标准输入函数来测量定量CBF和λ值。输入函数是从由单次动脉血样本确定的因子缩放的标准输入函数推导而来的。这项新技术应用于5名正常志愿者(年龄范围为25至29岁,平均26岁)。为了使校准后的标准输入函数与个体输入函数的积分之间的差异最小化,确定了个体研究中校准标准输入函数的最佳时间以及从IMP给药开始积分输入函数以分析方程的上限时间的最佳周期。差异的最小化产生了最佳校准时间(IMP给药后4至10分钟)和上限时间周期(采集开始后8至60分钟)。使用校准后的标准数据和个体输入函数,通过图形法对获得的CBF和λ值进行了比较。应该注意的是,两种方法得到的CBF值分别具有良好的一致性(r = 0.92,P<0.01;r = 0.72,p = 0.01)。该方法仅通过单次动脉血采样和IMP动态SPECT就易于估计CBF和λ,并且对常规研究有用。

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