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Evaluation of regional pulmonary function using short-lived radioactive gases

Abstract

We investigated the application of short-lived radioactive gases for the assessment of regional pulmonary function, particularly diffusing capacity, in patients with chronic obstructive lung disease and interstitial lung disease. Short-lived radioactive gases including C[sup 15]O-O, [sup 11]CO[sub 2], and [sup 11]CO were produced using a baby cyclotron for medical care. Using a [gamma] camera, breath-holding images were taken serially after inhalation of the radioactive gases. The first exponential component of time-activity curve was analyzed to obtain clearance rate, which was expressed as exponential coefficient ([lambda]). Moreover, we created a functional map which was calculated by the clearance rate of [sup 11]CO[sub 2] as a percentage. Regional clearance rates of each gas in normal volunteers revealed higher values in the lower lung field than in the upper lung field. Whole lung clearance rates ([lambda]) of each gas in patients correlated well with D[sub LCO]/V[sub A], which indicates diffusing capacity. The functional map showed decreased regional diffusion closely matched to the perfusion defects seen by [sup 99m]Tc-MAA perfusion images. However, in certain interstitial lung diseases decreased clearance of [sup 11]CO[sub 2] was observed in regions having no evidence of perfusion defects. We concluded the functional map display of [sup 11]CO[sub 2] is  More>>
Authors:
Ashitaka, Tsuyoshi [1] 
  1. Toho Univ., Tokyo (Japan). School of Medicine
Publication Date:
May 01, 1993
Product Type:
Journal Article
Reference Number:
JPN-94-001292; EDB-94-047468
Resource Relation:
Journal Name: Toho Igakkai Zasshi (Journal of the Medical Society of Togo University); (Japan); Journal Volume: 40:1
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CARBON 11; POSITRON COMPUTED TOMOGRAPHY; LUNGS; BIOLOGICAL FUNCTIONS; BLOOD FLOW; EMPHYSEMA; INHALATION; LUNG CLEARANCE; OXYGEN 15; RESPIRATORY SYSTEM DISEASES; SCINTISCANNING; TECHNETIUM 99; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BETA-PLUS DECAY RADIOISOTOPES; BODY; CARBON ISOTOPES; CLEARANCE; COMPUTERIZED TOMOGRAPHY; COUNTING TECHNIQUES; DIAGNOSTIC TECHNIQUES; DISEASES; EMISSION COMPUTED TOMOGRAPHY; EVEN-ODD NUCLEI; EXCRETION; HOURS LIVING RADIOISOTOPES; INTAKE; INTERMEDIATE MASS NUCLEI; INTERNAL CONVERSION RADIOISOTOPES; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; LIGHT NUCLEI; MINUTES LIVING RADIOISOTOPES; NUCLEI; ODD-EVEN NUCLEI; ORGANS; OXYGEN ISOTOPES; RADIOISOTOPE SCANNING; RADIOISOTOPES; RESPIRATORY SYSTEM; TECHNETIUM ISOTOPES; TOMOGRAPHY; YEARS LIVING RADIOI; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
5347824
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: ISSN 0040-8670; CODEN: TOIZAG
Submitting Site:
JPN
Size:
Pages: 75-82
Announcement Date:
Apr 01, 1994

Citation Formats

Ashitaka, Tsuyoshi. Evaluation of regional pulmonary function using short-lived radioactive gases. Japan: N. p., 1993. Web.
Ashitaka, Tsuyoshi. Evaluation of regional pulmonary function using short-lived radioactive gases. Japan.
Ashitaka, Tsuyoshi. 1993. "Evaluation of regional pulmonary function using short-lived radioactive gases." Japan.
@misc{etde_5347824,
title = {Evaluation of regional pulmonary function using short-lived radioactive gases}
author = {Ashitaka, Tsuyoshi}
abstractNote = {We investigated the application of short-lived radioactive gases for the assessment of regional pulmonary function, particularly diffusing capacity, in patients with chronic obstructive lung disease and interstitial lung disease. Short-lived radioactive gases including C[sup 15]O-O, [sup 11]CO[sub 2], and [sup 11]CO were produced using a baby cyclotron for medical care. Using a [gamma] camera, breath-holding images were taken serially after inhalation of the radioactive gases. The first exponential component of time-activity curve was analyzed to obtain clearance rate, which was expressed as exponential coefficient ([lambda]). Moreover, we created a functional map which was calculated by the clearance rate of [sup 11]CO[sub 2] as a percentage. Regional clearance rates of each gas in normal volunteers revealed higher values in the lower lung field than in the upper lung field. Whole lung clearance rates ([lambda]) of each gas in patients correlated well with D[sub LCO]/V[sub A], which indicates diffusing capacity. The functional map showed decreased regional diffusion closely matched to the perfusion defects seen by [sup 99m]Tc-MAA perfusion images. However, in certain interstitial lung diseases decreased clearance of [sup 11]CO[sub 2] was observed in regions having no evidence of perfusion defects. We concluded the functional map display of [sup 11]CO[sub 2] is useful indicator of the regional diffusing capacity of both the normal and diseased lung, and that it is beneficial to analyze the pathogenic physiology of diseased lungs by making a comparison between the functional map of [sup 11]CO[sub 2] and [sup 99m]Tc-MAA perfusion images. (author).}
journal = []
volume = {40:1}
journal type = {AC}
place = {Japan}
year = {1993}
month = {May}
}