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Nuklearmedizin 2014; 53(06): 221-226
DOI: 10.3413/Nukmed-0640-14-01
Original article
Schattauer GmbH

Estimation of regional cerebral blood flow using N-isopropyl-p-123I iodoamphetamine acquisition data from the lungs and brain

An improved non-invasive techniqueBestimmung des regionalen zerebralen Blutflusses mit N-Isopropyl-p-Iod-123-Iodamphetamin mittels Akquisitionsdaten von Lunge und GehirnEine verbesserte nicht-invasive Abschätzung
S. Abe
1   Department of Radiological Technology, Nagoya University Hospital, Nagoya, Japan
,
K. Kato
2   Department of Radiological and Medical Laboratory Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
Y. Takahashi
3   Rikkyo University Graduate School of Sociology, Tokyo, Japan
,
N. Fujita
1   Department of Radiological Technology, Nagoya University Hospital, Nagoya, Japan
,
M. Ikeda
2   Department of Radiological and Medical Laboratory Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
N. Ota
4   Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
Y. Kajita
5   Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
S. Yamamoto
2   Department of Radiological and Medical Laboratory Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
S. Naganawa
4   Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Japan
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Weitere Informationen

Publikationsverlauf

received: 17. Januar 2014

accepted in revised form: 06. Juli 2014

Publikationsdatum:
04. Januar 2018 (online)

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Summary

Aim: Previously, we devised a method for estimating 123I labeled N-isopropyl-p-iodo- amphetamine (123I IMP) arterial blood activity at 10 minutes after intravenous injection of 123I IMP (Ca10) without any blood sampling using 123I IMP autoradiography (ARG) acquisition data, and verified its usefulness for quantification of regional cerebral blood flow (rCBF). In this study, we attempted to develop an improved noninvasive method for estimating rCBF. Patients, methods: 123I IMP studies with 23 patients and 15O-H2O positron emission tomography (PET) ARG studies with 20 patients were evaluated. Multiple regression analysis was used to estimate an integral of the arterial blood counts during the time after injection of 123I (JCa) using parameters from the time series of the lung counts and brain counts as the explanatory variables and the fraction [brain single-photon emission computed tomography (SPECT) average count / the mean of rCBFs (mean CBF) measured by 15O-H2O PET ARG method] as the objective variable. Results: The regression equation was as follows: Estimated JCa = (7.09x10-3 · Cb12) - (1.57x10-4 · CbpreSPECT) + (9.48x10-5 · CbpostSPECT) + (1.35x10-4· L15) - (6.95x10-4· L33) + (7.61x10-4· L81) - (0.417), where Cb12: brain count at 12 minutes, Cbpre-SPECT: brain count before SPECT, Cbpost-SPECT: brain count after SPECT, L15, L33, and L81: lung count at 15, 33, and 81 seconds, respectively. The mean CBF values (ml/min/100g) calculated using the estimated JCa values more closely correlated with those measured by 15O-H2O PET ARG method (r = 0.833, p < 0.01) than those obtained by our previous method (r = 0.590, p < 0.01). Conclusion: The rCBFs obtained by this method approximated more accurately to the values measured by 15O-H2O PET ARG method than those obtained by our previous method.

Zusammenfassung

Ziel: In einer früheren Arbeit wurde eine Methode vorgestellt, ohne Blutentnahmen die Aktivität von 123I-markiertem N-Isopropyl- p-Iodamphetamin (123I-IMP) im arteriellen Blut 10 Minuten nach intravenöser Injektion abzuschätzen (Ca10), und deren Nutzen zur Quantifizierung des regionalen zerebralen Blutflusses (rCBF) mittels 123I-IMP-Autoradio- graphie (ARG) verifiziert. In dieser Studie wurde versucht, eine verbesserte, nicht-inva- sive Methode zur Schätzung des rCBF zu entwickeln. Patienten, Methoden: Untersuchungen mit 123I-IMP an 23 Patienten und 15O-H2O-Positronenemissionstomographie (PET) ARG an 20 Patienten wurden evaluiert. Zur Abschätzung des Zeitintegrals der Zählrate im arteriellen Blut (JCa) nach Injektion von 123I wurde eine multiple Regressionsanalyse durchgeführt. Dabei wurden Parameter aus den Aufnahmeserien über der Lunge und dem Gehirn als erklärende Variablen verwendet. Zielvariable war der Quotient aus der durchschnittlichen Zählrate des Gehirns in der Einzelphotonen-Emissionscomputertomographie (SPECT) und dem Mittelwert der rCBFs (mittlerer CBF) gemessen mittels 15O-H2O-PET-ARG. Ergebnisse: Die Regressionsgleichung lautete: geschätztes JCa = (7,09x10-3 · Cb12) - (1,57x10-4 · CbpreSPECT) + (9,48x10-5 · CbpostSPECT) + (1,35x10-4 · L15) - (6,95x10-4 · L33) + (7,61x10-4· L81) - (0,417). Dabei ist Cb12 die Zählrate für das Gehirn 12 Minuten p. i., Cbpre-SPECT und Cbpost-SPECT sind die Zählraten des Gehirns vor bzw. nach SPECT, sowie L15, L33 bzw. L81 die Zählraten über der Lunge 15, 33 bzw. 81 Sekunden nach Injektion. Die anhand der geschätzten jCa- Werte berechneten mittleren CBF-Werte (ml/min/100 g) korrelierten stärker mit den Werten, die mittels der 15O-H2O-PET-ARG gemessen wurden (r = 0,833, p < 0,01), als die mit der früher beschriebenen Methode bestimmten Werte (r = 0,590, p < 0,01). Schlussfolgerung: Im Vergleich mit den gemessenen rCBF-Werten der 15O-H2O-PET- ARG liefert die Abschätzung mit der vorgestellten Methode eine bessere Näherung als das früher beschriebene Verfahren.

Keywords

Cerebral blood flow - 123I IMP - 15O-H2O - SPECT - PET

Schlüsselwörter

123I IMP - 15O-H2O - SPECT - PET
 

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