A Compartmental Model for Alveolar Clearance of Pertechnegas

The washout of an inhaled water soluble radiotracer from the lungs is a measure of alveolar integrity. Data evaluation of 99mTc-DTPA studies were previously performed mainly with monoexponential fitting with or without background subtraction. The introduction of 99mTc-pertechnegas for the assessment...

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Veröffentlicht in:The Journal of nuclear medicine (1978) 1996-12, Vol.37 (12), p.2066-2071
Hauptverfasser: Kotzerke, Jorg, van den Hoff, Jorg, Burchert, Wolfgang, Wagner, Thomas O.F, Emter, Matthias, Hundeshagen, Heinz
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container_end_page 2071
container_issue 12
container_start_page 2066
container_title The Journal of nuclear medicine (1978)
container_volume 37
creator Kotzerke, Jorg
van den Hoff, Jorg
Burchert, Wolfgang
Wagner, Thomas O.F
Emter, Matthias
Hundeshagen, Heinz
description The washout of an inhaled water soluble radiotracer from the lungs is a measure of alveolar integrity. Data evaluation of 99mTc-DTPA studies were previously performed mainly with monoexponential fitting with or without background subtraction. The introduction of 99mTc-pertechnegas for the assessment of alveolar permeability necessitates the investigation of adequate data evaluation schemes for this radiotracer. We developed a three-compartmental model to describe 99mTc-pertechnegas kinetics after inhalation. Monoexponential fitting of the first 5 min was investigated as simplification for clinical use. Different background corrections based on blood samples or representative regions of interest were compared. Correction of intra- and extravascular background by subtraction of calibrated curves, which are derived from blood or background areas, resulted in monoexponential washout curves. Clearance rates based on the three-compartmental model were nearly the same as those derived from a monoexponential fit after blood-activity subtraction (r = 0.96). A monoexponential analysis of the first 5 min without any background correction correlates well with the first component of the biexponential analysis (r = 0.97). A dynamic study of more than 45 min allows quantitative determination of the transfer rate of 99mTc-pertechnegas from the alveoli into the blood using compartmental analysis. A simplified monoexponential analysis of the first 5 min allows assessment of lung clearance without any background correction.
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Data evaluation of 99mTc-DTPA studies were previously performed mainly with monoexponential fitting with or without background subtraction. The introduction of 99mTc-pertechnegas for the assessment of alveolar permeability necessitates the investigation of adequate data evaluation schemes for this radiotracer. We developed a three-compartmental model to describe 99mTc-pertechnegas kinetics after inhalation. Monoexponential fitting of the first 5 min was investigated as simplification for clinical use. Different background corrections based on blood samples or representative regions of interest were compared. Correction of intra- and extravascular background by subtraction of calibrated curves, which are derived from blood or background areas, resulted in monoexponential washout curves. Clearance rates based on the three-compartmental model were nearly the same as those derived from a monoexponential fit after blood-activity subtraction (r = 0.96). 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Data evaluation of 99mTc-DTPA studies were previously performed mainly with monoexponential fitting with or without background subtraction. The introduction of 99mTc-pertechnegas for the assessment of alveolar permeability necessitates the investigation of adequate data evaluation schemes for this radiotracer. We developed a three-compartmental model to describe 99mTc-pertechnegas kinetics after inhalation. Monoexponential fitting of the first 5 min was investigated as simplification for clinical use. Different background corrections based on blood samples or representative regions of interest were compared. Correction of intra- and extravascular background by subtraction of calibrated curves, which are derived from blood or background areas, resulted in monoexponential washout curves. Clearance rates based on the three-compartmental model were nearly the same as those derived from a monoexponential fit after blood-activity subtraction (r = 0.96). 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Administration, Inhalation
Adult
Aged
Biological and medical sciences
Contrast media. Radiopharmaceuticals
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Lung - diagnostic imaging
Male
Medical sciences
Middle Aged
Models, Theoretical
Permeability
Pharmacology. Drug treatments
Pulmonary Alveoli - metabolism
Radionuclide Imaging
Radionuclide investigations
Respiratory system
Sodium Pertechnetate Tc 99m - administration & dosage
Sodium Pertechnetate Tc 99m - pharmacokinetics
title A Compartmental Model for Alveolar Clearance of Pertechnegas
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