Skip to main content

Estimation of organ input function and plasma clearance from the cardiac curve in dynamic scintigraphy

Abstract

A theoretical description of the relationship between the count rate detected in the cardiac region of interest and the arterial organ input function in dynamic scintigraphy is presented. It is shown that, provided the time-activity curve for the heart is corrected for extra-cardiac and unlabelled activity, it is proportional to the arterial organ input over both the first-pass and equilibrium phases of the passage of an intravenously injected radiopharmaceutical. A practical example demonstrating the value and validity of correcting the cardiac curve in dynamic radio colloid scintigraphy is described. Estimates of the colloid clearance rate to reticuloendothelial sites using the cardiac curve without correction were significantly lower (mean 0.085/min) than those derived from the liver uptake curve (mean 0.213/ min). However, corrected cardiac curve clearance rates (mean 0.225/min) were not significantly different from the liver ones. Also, the corrected cardiac curve clearance values correlated linearly with liver curve values (correlation coefficient 0.89, standard error of the estimate 0.021/ min), whereas the uncorrected values showed no significant correlation. Thus, correction of the cardiac curve gave clearance rate values that were both more accurate and more precise than those obtained without correction.

This is a preview of subscription content, access via your institution.

References

  • Bell SD, Peters AM (1991) Extravascular chest wall technetium99m diethylene triamine penta — acetic acid: implications for the measurement of renal function during renography. Eur J Nucl Med 18:87–90

    Google Scholar 

  • Diffey BL, Hall FM, Corfield JR (1976) The Tc-99m - DTPA dynamic scan with deconvolution analysis. J Nucl Med 17(5):352–355

    Google Scholar 

  • Fleming JS (1977) Measurement of Hippuran plasma clearance using a gamma camera. Phys Med Biol 22:526–530

    Google Scholar 

  • Fleming JS, Ackery DM, Walmsley BH, Karran SJ (1983) Scintigraphic estimation of arterial and portal blood supplies to the liver. J Nucl Med 24:1108–1113

    Google Scholar 

  • Fleming JS, Britten AJ, Blake GM, Gray J, Howlett PJ (1987) A general software system for the handling of medical images. Nucl Med Commun 8:270

    Google Scholar 

  • Gullquist R, Fleming JS (1987) Error analysis by simulation studies in renography deconvolution. Phys Med Biol 32:383–395

    Google Scholar 

  • Hunt TM, Flowerdew ADS, Britten AJ, Fleming JS, Karran SJ, Taylor I (1989) An association between parameters of liver blood flow and percentage hepatic replacement with tumour. Br J Cancer 59:410–414

    Google Scholar 

  • Karran SJ, Eagles CJ, Fleming JS, Ackery DM (1979) In vivo measurement of liver perfusion in the normal and partially hepatectomised rat using Tc-99m sulphur colloid. J Nucl Med 20(1):26–31

    Google Scholar 

  • Kenny RW, Ackery DM, Fleming JS, Goddard BA, Grant RW (1975) Deconvolution analysis of the scintillation camera renogram. Br J Radiol 48:481–486

    Google Scholar 

  • Miller J, Diffey BL, Fleming JS (1979) Measurement of colloid clearance rate as an adjunct to static liver imaging. Eur J Nucl Med 4:1–5

    Google Scholar 

  • Peters AM, Gunasekera RD, Henderson BL, Brown J, Lavender JP, De Souza M, Ash JM, Gilday DL (1987) Noninvasive measurements of blood flow and extraction fraction. Nucl Med Communi 8: 823–837

    Google Scholar 

  • Rutland MD (1985) A comprehensive analysis of DTPA renal studies. Nucl Med Commun 6:11–30

    Google Scholar 

Download references

Author information

Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Fleming, J.S. Estimation of organ input function and plasma clearance from the cardiac curve in dynamic scintigraphy. Eur J Nucl Med 19, 248–253 (1992). https://doi.org/10.1007/BF00175137

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00175137

Key words

  • Organ input function
  • Plasma clearance
  • Cardiac curve
  • Dynamic scintigraphy