论文标题
多参数心脏18F-FDG PET:使用82RB心肌流动的FDG输送率的试点比较
Multiparametric Cardiac 18F-FDG PET: Pilot Comparison of FDG Delivery Rate with 82Rb Myocardial Blood Flow
论文作者
论文摘要
通常在诊所中使用灌注特异性放射性措施(例如82rbchloride)在诊所中使用正电子发射断层扫描(PET)来定量心肌血流(MBF)和流量储备。但是,现有的灌注示踪剂的临床可及性仍然有限。同时,18f氟脱氧葡萄糖(FDG)是一种常用的放射性示例,用于宠物代谢成像,而没有类似的局限性。在本文中,我们通过将心肌FDG递送率K1与MBF进行比较,探讨了18F-FDG对心肌灌注成像的潜力,并由14个患有心脏病的人受试者中的动态82RB PET确定。两组FDG K1来自一个小时的动态FDG扫描。一个是原始的FDG K1估计值,另一个是相应的K1值,该值对血糖水平进行线性归一化。使用广义的肾骨模型与RB MBF拟合FDG K1,然后允许将FDG K1转换为MBF进行非线性提取分数校正。在葡萄糖归一化之前,FDG衍生的MBF和RB MBF之间的线性相关性是中等的(r = 0.79),并在葡萄糖归一化后得到了更大的改善(r> 0.9)。 FDG的提取部分也与心肌中的RB-氯化物相似。这项试验研究的结果表明,具有示踪剂动力学建模的动态心脏FDG-PET具有除代谢成像的常规用途外提供MBF的潜力。
Myocardial blood flow (MBF) and flow reserve are usually quantified in the clinic with positron emission tomography (PET) using a perfusion-specific radiotracer (e.g. 82Rbchloride). However, the clinical accessibility of existing perfusion tracers remains limited. Meanwhile, 18F-fluorodeoxyglucose (FDG) is a commonly used radiotracer for PET metabolic imaging without similar limitations. In this paper, we explore the potential of 18F-FDG for myocardial perfusion imaging by comparing the myocardial FDG delivery rate K1 with MBF as determined by dynamic 82Rb PET in fourteen human subjects with heart disease. Two sets of FDG K1 were derived from one-hour dynamic FDG scans. One was the original FDG K1 estimates and the other was the corresponding K1 values that were linearly normalized for blood glucose levels. A generalized Renkin-Crone model was used to fit FDG K1 with Rb MBF, which then allowed for a nonlinear extraction fraction correction for converting FDG K1 to MBF. The linear correlation between FDG-derived MBF and Rb MBF was moderate (r=0.79) before the glucose normalization and became much improved (r>0.9) after glucose normalization. The extraction fraction of FDG was also similar to that of Rb-chloride in the myocardium. The results from this pilot study suggest that dynamic cardiac FDG-PET with tracer kinetic modeling has the potential to provide MBF in addition to its conventional use for metabolic imaging.