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Dynamic /sup 99m/Tc-DTPA radioaerosol lung scanning for the evaluation of alveolar-capillary barrier permeability

Abstract

Pulmonary clearance of small droplet /sup 99m/Tc-DTPA radioaerosol was studied in 100 patients (12 normal subjects, N; 10 asymptomatic healthy smoker, FA; 31 patients with interstitial lung diseases, IP; 47 patients with chronic obstructive lung disease, BPCO). The first seven minutes of clearance were described with the function At=Ao*exp(-K*t) and the time constant K was considered representative of the /sup 99m/Tc-DTPA clearance rate and hence of the alveolar-capillary barrier permeability. Groups FA, IP and BPCO showed a significant (p<0.05) or a highly significant (p<0.01) increase in permeability when compared to group N. No correlation was found between permeability and bronchial obstraction tests. The following conclusions were drawn: 1) /sup 99m/Tc-DTPA dynamic lung scanning is an easy, non-invasive method to assess derangements of alveolar-capillary barrier permeability secondary to epithelial damage; 2) permeability increase is a very early effect of cigarette smoke damafe to the epithelium; 3) other mechanisms of epithelial injury are present in diffuse lung disease; 4) while the clinical role of this new pathophysiological test is not yet clear, it is likely that it may become a very early marker of pulmonary epithelial damage in diffuse lung disease. 35 refs.
Publication Date:
Jan 01, 1987
Product Type:
Journal Article
Reference Number:
AIX-19-032596; EDB-88-061066
Resource Relation:
Journal Name: Radiol. Med.; (Italy); Journal Volume: 74:6
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; LUNG CLEARANCE; TECHNETIUM 99; LUNGS; SCINTISCANNING; AEROSOLS; DIAGNOSIS; DYNAMIC FUNCTION STUDIES; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; CLEARANCE; COLLOIDS; COUNTING TECHNIQUES; DIAGNOSTIC TECHNIQUES; DISPERSIONS; EXCRETION; HOURS LIVING RADIOISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; NUCLEI; ODD-EVEN NUCLEI; ORGANS; RADIOISOTOPE SCANNING; RADIOISOTOPES; RESPIRATORY SYSTEM; SOLS; TECHNETIUM ISOTOPES; YEARS LIVING RADIOISOTOPES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
5400071
Research Organizations:
Ancona Univ. (Italy). Cattedra di Medicina Nucleare; Universita Cattolica del Sacro Cuore, Rome (Italy). Ist. di Medicina Nucleare; Universita Cattolica del Sacro Cuore, Rome (Italy). Ist. di Clinica Medica
Country of Origin:
Italy
Language:
Italian
Other Identifying Numbers:
Journal ID: CODEN: RAMEA
Submitting Site:
INIS
Size:
Pages: 520-524
Announcement Date:
Mar 01, 1988

Citation Formats

Maini, C L, Marchetti, L, Bonetti, M G, Giordano, A, Pistelli, R, and Antonelli Incalzi, R. Dynamic /sup 99m/Tc-DTPA radioaerosol lung scanning for the evaluation of alveolar-capillary barrier permeability. Italy: N. p., 1987. Web.
Maini, C L, Marchetti, L, Bonetti, M G, Giordano, A, Pistelli, R, &amp; Antonelli Incalzi, R. Dynamic /sup 99m/Tc-DTPA radioaerosol lung scanning for the evaluation of alveolar-capillary barrier permeability. Italy.
Maini, C L, Marchetti, L, Bonetti, M G, Giordano, A, Pistelli, R, and Antonelli Incalzi, R. 1987. "Dynamic /sup 99m/Tc-DTPA radioaerosol lung scanning for the evaluation of alveolar-capillary barrier permeability." Italy.
@misc{etde_5400071,
title = {Dynamic /sup 99m/Tc-DTPA radioaerosol lung scanning for the evaluation of alveolar-capillary barrier permeability}
author = {Maini, C L, Marchetti, L, Bonetti, M G, Giordano, A, Pistelli, R, and Antonelli Incalzi, R}
abstractNote = {Pulmonary clearance of small droplet /sup 99m/Tc-DTPA radioaerosol was studied in 100 patients (12 normal subjects, N; 10 asymptomatic healthy smoker, FA; 31 patients with interstitial lung diseases, IP; 47 patients with chronic obstructive lung disease, BPCO). The first seven minutes of clearance were described with the function At=Ao*exp(-K*t) and the time constant K was considered representative of the /sup 99m/Tc-DTPA clearance rate and hence of the alveolar-capillary barrier permeability. Groups FA, IP and BPCO showed a significant (p<0.05) or a highly significant (p<0.01) increase in permeability when compared to group N. No correlation was found between permeability and bronchial obstraction tests. The following conclusions were drawn: 1) /sup 99m/Tc-DTPA dynamic lung scanning is an easy, non-invasive method to assess derangements of alveolar-capillary barrier permeability secondary to epithelial damage; 2) permeability increase is a very early effect of cigarette smoke damafe to the epithelium; 3) other mechanisms of epithelial injury are present in diffuse lung disease; 4) while the clinical role of this new pathophysiological test is not yet clear, it is likely that it may become a very early marker of pulmonary epithelial damage in diffuse lung disease. 35 refs.}
journal = []
volume = {74:6}
journal type = {AC}
place = {Italy}
year = {1987}
month = {Jan}
}