Use of iodine-123 metaiodobenzylguanidine scintigraphy for the detection of amiodarone induced pulmonary toxicity in a rabbit model: a comparative study with technetium-99m diethyltriaminepenta acetic acid radioaerosol scintigraphy

The purpose of the study was; (i) to determine whether 123I-MIBG scintigraphy is sensitive for detection of amiodarone induced pulmonary toxicity (AIPT) and (ii) to compare it with 99mTc-DTPA radioaerosol. Twelve white New Zealand rabbit with initial mean body weight 4.24 +/- 0.47 g were divided int...

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Veröffentlicht in:Annals of nuclear medicine 2005-05, Vol.19 (3), p.217-224
Hauptverfasser: Durmuş-Altun, Gulay, Altun, Armagan, Aktas, Ranan Gülhan, Salihoglu, Yavuz Sami, Yigitbasi, Necmi Omer
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container_issue 3
container_start_page 217
container_title Annals of nuclear medicine
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creator Durmuş-Altun, Gulay
Altun, Armagan
Aktas, Ranan Gülhan
Salihoglu, Yavuz Sami
Yigitbasi, Necmi Omer
description The purpose of the study was; (i) to determine whether 123I-MIBG scintigraphy is sensitive for detection of amiodarone induced pulmonary toxicity (AIPT) and (ii) to compare it with 99mTc-DTPA radioaerosol. Twelve white New Zealand rabbit with initial mean body weight 4.24 +/- 0.47 g were divided into two groups. AIPT group (n = 7) was administered amiodarone (20 mg/kg BW). The control group (n = 5) received the same amount of 0.9% saline. All animals underwent 123I-MIBG and 99mTc-DTPA radioaerosol scintigraphy at the end of the treatment period. 123I-MIBG static thorax images were obtained during 10 minutes at 15 minutes and 3-hours after intravenous injection of the radiopharmaceutical. Lung to heart ratios (LHR) and lung to mediastinum ratios (LMR), and retention index (LRI) of 123I-MIBG were determined. Two days after 123I-MIBG scintigraphy, 99mTc-DTPA radioaerosol scintigraphy was performed, and clearance from the lungs was measured for 10 min (1 min/frame) following termination of inhalation. 123I-MIBG lung retention index (LRI) was significantly higher in the AIPT group than the control (61 +/- 4.6 vs. 40 +/- 4.5, p = 0.01). Early LHR and LMR were significantly lower in the AIPT group than in the control group (p = 0.04, p = 0.01, respectively), whereas those of late LHR and LMR were not significantly different. T1/2 values of DTPA clearance were significantly increased in AIPT group according to the control group (55 +/- 7.2 vs. 86.6 +/- 18.5, p = 0.02). 123I-MIBG scintigraphy is a valuable tool for detecting AIPT in a rabbit model. Additionally, 99mTc-DTPA radioaerosol scintigraphy is an excellent comprehensive investigational tool for detecting AIPT with the added advantage of lower cost.
doi_str_mv 10.1007/BF02984608
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subjects 3-Iodobenzylguanidine
Acetic acid
Aerosols
Amiodarone
Amiodarone - adverse effects
Amiodarone - therapeutic use
Animals
Anti-Arrhythmia Agents - adverse effects
Anti-Arrhythmia Agents - therapeutic use
Body weight
Comparative studies
Inhalation
Injections, Intravenous
Iodine
Iodine isotopes
Lung - diagnostic imaging
Lung - drug effects
Lung - pathology
Lung Diseases - chemically induced
Lung Diseases - diagnostic imaging
Lung Diseases - pathology
Lungs
Mediastinum
Medical imaging
Pharmaceuticals
Rabbits
Radiochemistry
Radioisotopes
Radionuclide Imaging
Radiopharmaceuticals
Reproducibility of Results
Respiration
Scintigraphy
Sensitivity and Specificity
Technetium
Technetium isotopes
Technetium Tc 99m Pentetate
Thorax
Toxicity
title Use of iodine-123 metaiodobenzylguanidine scintigraphy for the detection of amiodarone induced pulmonary toxicity in a rabbit model: a comparative study with technetium-99m diethyltriaminepenta acetic acid radioaerosol scintigraphy
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