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Quantification of regional myocardial blood flow in vivo with H/sub 2//sup 15/O. [Dogs]

Journal Article · · Circulation; (United States)
Using H/sub 2//sup 15/O the authors demonstrated that a modification of the tissue autoradiographic approach permitted quantitation of myocardial blood flow in open-chest dogs by direct assay of myocardial tissue and that noninvasive estimation with positron-emission tomography (PET) delineated relative myocardial blood flow in intact dogs. In open-chest anesthetized dogs, the single-pass extraction fraction of H/sub 2//sup 15/O averaged 96 +/- 5% at flows of 80 to 100 ml/100 g/min. Myocardial blood flow calculated after a 60 sec intravenous infusion of H/sub 2//sup 15/O and direct analysis of tissue correlated well with results obtained with microspheres. Subsequently the approach was adapted for preliminary use with PET. Tomograms obtained in vivo in six dogs with either normal or reduced regional blood flow correlated closely with the tomographically detectable distribution of /sup 68/Ga-labeled microspheres and with postmortem microsphere distribution. The technique accurately reflects myocardial blood flow. With the use of PET, rapid sequential noninvasive estimation of relative regional myocardial blood flow has been demonstrated that should ultimately permit improved objective assessment of nutritional blood flow in patients in response to medical and surgical interventions designed to augment perfusion.
Research Organization:
Washington Univ. School of Medicine, St. Louis, MO
OSTI ID:
5779100
Journal Information:
Circulation; (United States), Journal Name: Circulation; (United States) Vol. 70:4; ISSN CIRCA
Country of Publication:
United States
Language:
English