Abstract
With the recent development of positron emission computerized axial tomography (PCT), cross-sectional imaging of the heart has become possible [1]. These cross-sectional images reflect quantitatively the distribution of radioactive indicator concentrations in the myocardium and can be thought of as “in vivo” autoradiographs. Potentially, PCT provides a nontraumatic means for quantifying regional myocardial perfusion. The usefulness of 13NH3 as a myocardial perfusion imaging agent suitable for PCT has been suggested [2–5], although the relation of 13NH3 uptake to myocardial blood flow has not yet been examined in quantitative terms. Characterization of this relationship including the study of myocardial 13NH3 uptake during the hyperemia of exercise is particularly important for the noninvasive assessment of coronary artery disease [6,7]. Therefore, the goal of this study was to examine the realtionship between myocardial perfusion and 13NH3 uptake over a wide range of coronary blood flow and to examine the accuracy of quantifying noninvasively by PCT myocardial 13NH3 tissue concentration and, hence, regional myocardial perfusion.
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References
Phelps ME (1977) Emission computed tomography. Semin Nucl Med 7: 337–365
Hunter W, Monahan WG (1971) 13N-ammonia: new physiologic radiotracer for molecular medicine. J Nucl Med 12: 368
Harper PV, Lathrop KA, Krizek H, Lembares N, Stark V, Hoffer PB (1972) Clinical feasibility of myocardial imaging with 13NH3. J Nucl Med 13: 278–280
Walsh WF, Harper PV, Resnekov L, Fill H (1976) Noninvasive evaluation of regional myocardial perfusion in 112 patients using a mobile scintillation camera and intravenous Nitrogen-13 labeled ammonia. Circulation 54: 226–275
Phelps ME, Hoffmann EJ, Coleman RE, Welch MS, Raichle ME, Weiss ES, Sobel BE, Ter-Pogossian MM (1976) Tomographic images of blood pool and perfusion in brain and heart. J Nucl Med 17: 603–612
Gould KL, Lipscomb K, Hamilton GW (1974) Physiologic basis for assessing critical coronary stenosis. Instanteneous flow response and regional distribution during coronary hyperemia as measures of coronary flow reserve. Am J Cardiol 33: 87–94
Gould KL, Westcott RJ, Albro PC, Hamilton GH (1978) Noninvasive assessment of coronary stenoses by myocardial imaging during pharmacologic coronary vasodilation. II. Clinical methodology and feasibility. Am J Cardiol 41: 279–287
Phelps ME, Hoffman EJ, Huang SC, Kuhl DE (1978) ECAT: A new computerized tomo¬graphic imaging system for positron-emitting radiopharmaceuticals. J Nucl Med 19: 635–647
Raichle ME, Eichling JO, Straatmann MG, Rudolph AM (1976) Blood brain barrier permeability of labeled alcohols and labeled water. Am J Physiol 230: 543–552
Vaalburg W, Kamphuis JAA, Beerling-van der Molen HD, et al (1975) An improved method for the cyclotron production of 13N-labelled ammonia. Int J Appl Radiat Isot 26: 316–318
Heymann MA, Payne BD, Hoffman JIE, Rudolph AM (1977) Blood flow measurements with radionuclide-labeled particles. Prog Cardiovasc Dis 20: 55–79
Sapirstein LA (1956) Fractionation of the cardiac output of rats with isotopic potassium. Circ Res 4: 689–692
Donato L, Bartolomei G, Giordani R (1964) Evaluation of myocardial perfusion in man with radioactive potassium or rubidium and precordial counting. Circulation 39: 195–203
Harper PV, Schwartz J, Beck RN et al (1973) Clinical myocardial imaging with Nitrogen-13 ammonia. Radiology 108: 613–617
Phelps ME, Hoffman EJ, Raybaud C (1977) Factors which affect cerebral uptake and retention of 13NH3. Stroke 8: 694–702
Crone CL (1963) The permeability of capillaries in various organs as determined by use of the “indicator diffusion” method. Acta Physiol Scand 58: 292–305
Bassingthwaighte JB, Yipintsoi T (1970) The emergence function: Effects of flow and capillary-tissue exchange in the heart. In: (eds) Capillary permeability. Crone C, Lassen NA, Munksgaard, Copenhagen, pp 239–252
Schafer DE, Johnson JK (1964) Permeability of mammalian heart capillaries to sucrose and inulin. Am J Physiol 206: 985–991
Klocke RA, Anderson KK, Rotman HH, et al (1972) Permeability of human erythrocytes to ammonia and weak acids. Am J Physiol 22: 1004–1013
Parker JO, West RO, Digiogi S (1971) The effect of nitroglycerin on coronary blood flow and the hemodynamic response to exercise in coronary artery disease. Am J Cardiol 27: 59–65
Holmberg SW, Serzysko W, Varnauskas E (1971) Coronary circulation during heavy exercise in control subjects and patients with coronary disease. Acta Med Scand 190: 465–480
Heiss HW, Barmeyer J, Wink K, et al (1975) Durchblutung und Substratumsatz des gesunden menschlichen Herzens in Abhängigkeit vom Trainingszustand. Verh Dtsch Ges Kreislaufforsch 41: 247–252
Becker L, Ferreira R, Thomas M (1975) Comparison of 86and microsphere estimates of left ventricular blood flow distribution. J Nucl Med 15: 969–973
Utley J, Carlton EL, Hoffman JIE (1974) Total and regional myocardial blood flow measurements with 25 u, 15 u, 9 u and filter 1–10 u microspheres and antipyrine in dogs and sheep. Circ Res 34: 391–405
Yipintsoi T, Dobbs WA Jr, Scanion PD, et al (1973) Regional distribution of diffusible tracers and carbonized microspheres in the left ventricle of isolated dog hearts. Circ Res 33: 573–587
Hoffman EJ, Huang SC, Phelps ME (1978) Effect of object size in quantitative positron computed tomography (abstr). J Nucl Med 19: 683
Huang SC, Phelps ME, Hoffman EJ, et al (1978) Effects of inaccurate attenuation correction in emission computed tomography (abstr) J Nucl Med 19: 745
Gould KL, Schelbert HR, Phelps ME, Hoffman EJ (1979) Noninvasive assessment of coronary stenosis by myocardial perfusion imaging during pharmacologic coronary dilation. V. Detection of 47% diameter coronary stenosis with 13NH3 and emission computerized transaxial tomography in intact dogs. Am J Cardiol 43: 200–208
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Schelbert, H.R., Phelps, M.E., Hoffman, E.J., Huang, SC. (1980). Regional Myocardial Perfusion Assessed by Nitrogen-13 Labeled Ammonia and Positron Emission Computerized Axial Tomography. In: Horst, W., Wagner, H.N., Buchanan, J.W. (eds) Frontiers in Nuclear Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67575-1_3
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DOI: https://doi.org/10.1007/978-3-642-67575-1_3
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