Abstract:
OBJECTIVE:123I-beta-methyl iodophenyl pentadecanoic acid (BMIPP) can visualize myocardial fatty acid metabolism and has extensive potential for diagnosing cardiac diseases such as acute coronary syndrome in the clinical setting. Increased BMIPP uptake with decreased perfusion occasionally occurs under acute reperfusion ischemia and the kinetics of BMIPP remain unclear. The present study uses the isolated rat heart model to measure kinetic changes in BMIPP under acute reperfusion ischemia. METHODS:Male Wistar rats were allotted to normal control (NG), mild (MG) and severe (SG) ischemia groups. The hearts were perfused according to the Langendorff method at a constant flow rate, and BMIPP wash-in and wash-out were studied. No-flow ischemia was applied for 15 and 30 min to the MG and SG groups, followed immediately by the wash-in and wash-out study. Whole heart radioactivity was determined using an external gamma detector throughout the experiment. Rates of myocardial uptake (K1, mL/min) and clearance (k2, min(-1)) were generated using a compartmental model analysis. The same procedures and protocols were performed using (99m)Tc-sestamibi (MIBI) as a perfusion study. RESULTS:Perfusion pressure significantly increased and mean heart rate significantly decreased in the severe ischemia group (heart rate: 244 ± 76, 304 ± 105 and 94 ± 140 bpm; perfusion pressure: 67 ± 13, 101 ± 31 and 160 ± 84 mmHg for NG, MG and SG, respectively). MIBI-K1 significantly decreased, whereas BMIPP-K1 increased in the MG and SG groups (MIBI-K1: 3.45 ± 1.10, 1.95 ± 0.82, and 1.05 ± 0.13 mL/min; BMIPP-K (1): 3.06 ± 0.88, 3.91 ± 0.87, and 4.94 ± 1.51 mL/min for NG, MG and SG, respectively) with an inverse relationship to the severity of ischemia. MIBI-k2 increased markedly in severe ischemia (NG vs. MG: p < 0.05), whereas BMIPP-k2 did not change in the ischemic groups (MIBI-k2: 0.00072 ± 0.0011, 0.00038 ± 0.00076 and 0.043 ± 0.033; BMIPP-k2: 0.0056 ± 0.0028, 0.0029 ± 0.0010 and 0.0037 ± 0.0022 min(-1) for NG, MG and SG, respectively). CONCLUSION:Myocardial BMIPP uptake increased immediately upon reperfusion after no-flow ischemia, and was inversely related to the severity of ischemia. The increased uptake was not due to reduced clearance, but to accelerated extraction.
journal_name
Ann Nucl Medjournal_title
Annals of nuclear medicineauthors
Fukushima K,Momose M,Kondo C,Hagiwara N,Sakai Sdoi
10.1007/s12149-011-0510-2subject
Has Abstractpub_date
2011-10-01 00:00:00pages
560-5issue
8eissn
0914-7187issn
1864-6433journal_volume
25pub_type
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章
doi:10.1007/BF03165069
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章,评审
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abstract:RATIONALE:Myocardial perfusion SPECT is a commonly performed, well established, clinically useful procedure for the management of patients with coronary artery disease. However, the attenuation of photons from myocardium impacts the quantification of infarct sizes. CT-Attenuation Correction (AC) potentially resolves th...
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doi:10.1007/s12149-017-1211-2
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abstract:OBJECTIVE:CBF, OEF and CMRO(2) provide us important clinical indices and are used for assessing ischemic degree in cerebrovascular disorders. These quantitative images can be measured by PET using (15)O-labelled tracers such as C(15)O, C(15)O(2) and (15)O(2). To reduce the time of scan, one possibility is to omit the u...
journal_title:Annals of nuclear medicine
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章,多中心研究
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更新日期:2006-04-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章
doi:10.1007/s12149-014-0871-4
更新日期:2014-10-01 00:00:00
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pub_type: 临床试验,杂志文章
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章
doi:10.1007/BF03165044
更新日期:1995-08-01 00:00:00
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更新日期:2001-06-01 00:00:00
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章
doi:10.1007/s12149-020-01446-x
更新日期:2020-04-01 00:00:00
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章
doi:10.1007/s12149-011-0545-4
更新日期:2012-01-01 00:00:00
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journal_title:Annals of nuclear medicine
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章
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更新日期:2003-06-01 00:00:00
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journal_title:Annals of nuclear medicine
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journal_title:Annals of nuclear medicine
pub_type: 杂志文章
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更新日期:1999-06-01 00:00:00