Effect of Carbon-11-Acetate Recirculation on Estimates of Myocardial Oxygen Consumption by PET

Mono- and biexponential fitting of myocardial 11C-acetate kinetics does not account for the effect of recirculating 11C activity following intravenous injection of the tracer. A tracer kinetic model comprising two and three compartments was developed to describe intravascular and myocardial 11C-acet...

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Veröffentlicht in:The Journal of nuclear medicine (1978) 1991-10, Vol.32 (10), p.1950-1957
Hauptverfasser: Buck, Alfred, Wolpers, H. Georg, Hutchins, Gary D, Savas, Vicky, Mangner, Thomas J, Nguyen, Ngoc, Schwaiger, Markus
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container_end_page 1957
container_issue 10
container_start_page 1950
container_title The Journal of nuclear medicine (1978)
container_volume 32
creator Buck, Alfred
Wolpers, H. Georg
Hutchins, Gary D
Savas, Vicky
Mangner, Thomas J
Nguyen, Ngoc
Schwaiger, Markus
description Mono- and biexponential fitting of myocardial 11C-acetate kinetics does not account for the effect of recirculating 11C activity following intravenous injection of the tracer. A tracer kinetic model comprising two and three compartments was developed to describe intravascular and myocardial 11C-acetate kinetics defined by PET. This model approach including a correction for 11C-metabolites in blood was validated by correlating the model parameter estimates with directly measured oxygen consumption (MVO2) in 11 closed-chest dog experiments over a wide range of cardiac work. The model parameter k2 closely correlated with oxygen consumption (r = 0.94). This approach was subsequently applied to human studies and k2-related to rate-pressure product (PRP). In comparison to conventional monoexponential fitting of 11C-acetate tissue kinetics, the model approach improved the correlation coefficients of scintigraphic MVO2 estimates and PRP values from 0.61 to 0.91. Thus, analysis of myocardial 11C-acetate and clearance kinetics with a tracer kinetic model corrects for recirculating 11C-activity and may provide more consistent estimates of myocardial oxygen consumption.
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subjects Acetates
Adult
Animals
Carbon Radioisotopes
Dogs
Female
Heart - diagnostic imaging
Heart Valve Diseases - diagnostic imaging
Humans
Male
Middle Aged
Models, Theoretical
Myocardium - metabolism
Oxygen Consumption - physiology
Tomography, Emission-Computed
title Effect of Carbon-11-Acetate Recirculation on Estimates of Myocardial Oxygen Consumption by PET
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