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Uncoupling of Flow and Metabolism in Infarcted Tissue

  • Conference paper
Book cover Functional Mapping of the Brain in Vascular Disorders

Abstract

In order to study the relationship between regional cerebral blood flow and metabolism, it is necessary to measure these entities of tissue function independently. The use of gamma-ray-emitting radioisotopes to trace physiological/biochemical pathways, and radiation detectors placed external to the body, enables regional tissue function to be measured without disturbing the subject’s physiological state. The paper presented by Dr. Ter-Pogossian in this symposium describes how shortlived positron-emitting radioisotopes of oxygen, nitrogen, carbon, and fluorine can be used as labels for in vivo tracer studies. He also demonstrates that by positron emission tomographic (PET) scanning, the transaxial tomographic distribution of these isotopes can be recorded throughout the body. Furthermore, by applying a correction for attenuation effects, it is possible to measure absolute levels of regional tissue concentrations of tracer. This is an important aspect of PET scanning, since it enables concentrations of tracer in blood, measured from samples, to be expressed in the same units as the tracer concentration in the tissues. Thus, appropriate tracer models formulated to define the fate of the labelled molecules can be solved to derive absolute values of the physiological entity being traced.

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References

  1. Ackerman RH, Correia JA, Alpert NM, Baron JC, Gouliamos A, Grotta JC, Brownell GL, Taveras JM (1981) Positron imaging in ischemia stroke disease using compounds labelled with oxygen-15. Arch Neurol 38:537–543

    PubMed  CAS  Google Scholar 

  2. Baron JC, Bousser MG, Comar D, Castaigne P (1981) Crossed cerebellar diaschisis in human supratentorial brain infarction. Trans Am Neurol Assoc 105:459–461

    PubMed  CAS  Google Scholar 

  3. Baron JC, Bousser MG, Comar D, Soussaline F, Castaigne P (1981) Non-invasive tomographic study of cerebral blood flow and oxygen metabolism in vivo: potentials, limitations and clinical applications. Eur Neurol 20:273–284

    Article  PubMed  CAS  Google Scholar 

  4. Baron JC, Bousser MG, Rey A, Guillard A, Comar D, Castaigne P (1981) Reversal of local “misery-perfusion syndrome” by extra-intracranial arterial bypass in hemodynamic cerebral ischemia: a case study with 15O positron tomography. Stroke 12:454–459

    Article  PubMed  CAS  Google Scholar 

  5. Benson DF, Kuhl DE, Hawkins RA, Phelps ME, Cummings JL, Tsai SY (1983) The fluorodeoxyglucose 18F scan in Alzheimer’s disease and multi-infarct dementia. Arch Neurol 40:711–14

    PubMed  CAS  Google Scholar 

  6. Blomqvist G, Bergstrom K, Bergstrom M et al. (1984) Models for 11C glucose. In: Greitz T et al. (eds) The metabolism of the human brain studied with PET. Raven, New York, pp 185–194

    Google Scholar 

  7. Bousser MG, Baron JC, Iba-Zizen MT, Comar D, Cabans E, Castaigne P (1980) Migrainous cerebral infarction: a tomographic study of cerebral blood flow and oxygen extraction fraction with the oxygen-15 inhalation technique. Stroke 11:145–148

    Article  PubMed  CAS  Google Scholar 

  8. Frackowiak RSJ, Lenzi GL, Jones T, Heather JD (1980) Quantitative measurement of regional cerebral blood flow and oxygen metabolism in man using 15O and positron emission tomography: theory, procedure and normal values. J Comput Assist Tomogr 4(6):727–736

    Article  PubMed  CAS  Google Scholar 

  9. Frackowiak RSJ, Pozzilli C, Legg NJ, Du Boulay GH, Marshall J, Lenzi GL, Jones T (1981) Regional cerebral oxygen supply and utilisation in dementia: A clinical and physiological study with oxygen-15 and positron tomography. Brain 104:753–778

    Article  PubMed  CAS  Google Scholar 

  10. Feindel W, Perat P (1965) Red cerebral veins, a report on arteriovenous shunts in tumours and cerebral scans. J Neurosurg 22:315–325

    Article  PubMed  CAS  Google Scholar 

  11. Gibbs JM (1985) Cerebral blood flow and metabolism in dementia, with reference to the effects of pharmacological intervention. In: Trimble M (ed) Proceedings of British Association of Psychopharmacology meeting, October 1984. Pergamon, Oxford

    Google Scholar 

  12. Gibbs JM, Wise RJS, Leenders KL, Jones T (1984) Evaluation of cerebral perfusion reserve in patients with carotid-artery occlusion. Lancet 1:310–314

    Article  PubMed  CAS  Google Scholar 

  13. Gibbs JM, Wise RJS, Ross Russell RW, Mansfield AO (1985) Cerebral circulatory reserve before and after surgery for occlusive carotid artery disease. Procceedings of the twelfth international symposium on cerebral blood flow and metabolism, June 1985. J Cereb Blood Flow Metab [Suppl] In press

    Google Scholar 

  14. Heiss WD, Pawlik G, Wagner R, Ilsen HW, Herholz K, Wienhard K (1983) Functional hypometabolism of noninfarcted brain regions in ischemic stroke. J Cereb Blood Flow Metab 3 [suppl l]:582–583

    Google Scholar 

  15. Herold S, et al. (In preparation) Regional brain blood flow and oxygen utilisation pre and post omental transposition in established cerebral infarction

    Google Scholar 

  16. Herold S, Brozovic M, Gibbs JM, Lammertsma AA, Leenders KL, Carr D, Fleming JS Measurement of regional cerebral blood flow, blood volume and oxygen utilisation in patients with sickle cell anaemia, (in preparation)

    Google Scholar 

  17. Herscovitch P, Markham J, Raichle ME (1983) Brain blood flow measured with intravenous H2 15O.I. Theory and error analysis. J Nucl Med 24:782–789

    PubMed  CAS  Google Scholar 

  18. Holden JE, Gatley SJ, Hichwa RD, Ip WR, Shaughnessy WJ, Nickles RJ, Polcyn RE (1981) Cerebral blood flow using PET measurements of fluoromethane kinetics. J Nucl Med 22:1084

    PubMed  CAS  Google Scholar 

  19. Huang SC, Carson RE, Phelps ME (1982) Measurement of local cerebral blood flow and distribution volume with short-lived isotopes: general input technique. J Cereb Blood Flow Metab 2:99

    Article  PubMed  CAS  Google Scholar 

  20. Huang SC, Carson RE, Hoffman EJ, Carson J, MacDonald N, Barrio JR, Phelps ME (1983) Quantitative measurement of local cerebral blood flow in humans by positron computed tomography and 15O-water. J Cereb Blood Flow Metab 3:141

    Article  PubMed  CAS  Google Scholar 

  21. Kanno I, Lammertsma AA, Heather JD, Gibbs JM, Rhodes CG, Clark JC, Jones T (1984) Measurement of cerebral blood flow using bolus inhalation of C15O2 continuous inhalation method. J Cereb Blood Flow Metab 4:224–234

    Article  PubMed  CAS  Google Scholar 

  22. Lassen NA (1966) The luxury-perfusion syndrome and its possible relation to acute metabolic acidosis localized within the brain. Lancet II: 1113–1115

    Article  Google Scholar 

  23. Lenzi GL, Frackowiak RSJ, Jones T (1982) Cerebral oxygen metabolism and blood flow in human cerebral ischemic infarction. J Cereb Blood Flow Metab 2:321–335

    Article  PubMed  CAS  Google Scholar 

  24. Martin WRW, Raichle ME (1983) Cerebellar blood flow and metabolism in cerebral hemisphere infarction. Ann Neurol 14:168–176

    Article  PubMed  CAS  Google Scholar 

  25. Martin WRW, Baker RP, Herscovitch P, Zeiger HE, Grubb RL, Raichle ME (1983) The selection of patients for extracranial-intracranial bypass surgery: hemodynamic and metabolic criteria. Neurology (NY) 32:A89

    Google Scholar 

  26. Mintun MA, Raichle ME, Martin WRW, Herscovitch P (1984) Brain oxygen utilization measured with 0-15 radiotracers and positron emission tomography, J Nucl Med 25:177–187

    PubMed  CAS  Google Scholar 

  27. Phelps ME, Huang SC, Hoffman EJ, Selin C, Sokoloff L, Kuhl DE (1979) Tomographic measurement of local cerebral glucose metabolic rate in humans with (F-18)-2-fluoro-2-deoxy-D-glucose: validation of method. Ann Neurol 6:371

    Article  PubMed  CAS  Google Scholar 

  28. Powers W, Martin W, Herscovitch P, Raichle M, Grubb R (1983) The value of regional cerebral blood volume measurements in the diagnosis of cerebral ischemia. J Cereb Blood Flow Metab 3 [Suppl l]:598–599

    Google Scholar 

  29. Powers WJ, Martin WRW, Herscovitch P, Raichle ME, Grubb RL (1984) Extracranial-intracranial bypass surgery: hemodynamic and metabolic results. Neurology (in press)

    Google Scholar 

  30. Raichle ME, Martin WRW, Herscovitch P, Mintun MA, Markham J (1983) Brain blood flow measured with intravenous H2 15O. II. Implementation and validation. J Nucl Med 24:790–798

    PubMed  CAS  Google Scholar 

  31. Reivich M, Kuhl D, Wolf A, Greenberg J, Phelps ME, Ido T, Casella V, Fowler J, Hoffman EJ, Alavi A, Som P, Sokoloff L (1979) The (18F)-fluorodeoxyglucose method for the measurement of local cerebral glucose utilization in man. Circ Res 44:127

    PubMed  CAS  Google Scholar 

  32. Reivich M, Alavi A, Wolf A, Greenberg JH, Fowler J, Christman D, MacGregor R, Jones SC, London J, Shiue C, Yonekura Y (1982) Use of 2-deoxy-D-[1-11C] glucose for the determination of local cerebral glucose metabolism in humans: variation within and between subjects. J Cereb Blood Flow Metab 2:307

    Article  PubMed  CAS  Google Scholar 

  33. Rougemont D, Baron JC, Lebrun-Grandie P, Bousser MG, Cabanis E, Laplane D (1983) Debnit sanguin cerebral et extraction d’oxygène dans les hémiplégies lacunaires. Etude semi-quantitative par l’oxygène 15 et la tomographie d’émission. Rev Neurol 139 (4):277–282

    PubMed  CAS  Google Scholar 

  34. Shulman GI, Alger JR, Prichard JW, Shulman RG (1984) Nuclear magnetic resonance spectroscopy in diagnostic and investigative medicine. J Clin Invest 74:1127–1131

    Article  PubMed  CAS  Google Scholar 

  35. Siesjö BK (1981) Cell damage to the brain: a speculative synthesis. J Cereb Blood Flow Metab 1:155–185

    Article  PubMed  Google Scholar 

  36. Ter-Pogossian MM, Eichling JO, Davis DO, Welch MJ (1970) The measure in vivo of regional cerebral oxygen utilization by means of oxyhaemoglobin labelled with radioactive oxygen-15. J Clin Invest 49:381

    Article  PubMed  CAS  Google Scholar 

  37. Wise RJS, Bernardi S, Frackowiak RSJ, Legg NJ, Jones T (1983) Serial observations on the pathophysiology of acute stroke: the transition from ischaemia to infarction as reflected in regional oxygen extraction. Brain 106:197–222

    Article  PubMed  Google Scholar 

  38. Wise RJS, Rhodes CG, Gibbs JM, Hatazawa J, Palmer T, Frackowiak RSJ, Jones T (1984) Disturbance of oxidative metabolism of glucose in recent human cerebral infarcts. Ann Neurol 14:627–637

    Article  Google Scholar 

  39. Yamamoto YL, Thompson CJ, Meyer E, Robertson JS, Feindel W (1977) Dynamic positron emission tomography for study of cerebral haemodynamics in cross section of the head using positron-emitting 68Ga-EDTA and 77Kr. J Comput Assist Tomogr 1:43

    Article  PubMed  CAS  Google Scholar 

  40. Yates PO, Blackwood W, Carselius JAN (eds) (1976) Vascular diseases of the nervous system. Greenfields neuropathology, 3rd edn. Arnold, London, pp 86–147

    Google Scholar 

Further Reading: Cerebrovascular Disease and PET

  • Frackowiak RSJ (1982) The positron emission scanner: application to clinical neurology and the understanding of cerebral ischaemia. In: Barnett HJM (ed) AAN annual course no 203: cerebrovascular disease. American Academy of Neurology pp 151–172

    Google Scholar 

  • Frackowiak RSJ, Wise RJS (1983) Positron tomography in ischemic cerebrovascular disease. Neurologic Clinics 1(1): 183–200

    PubMed  CAS  Google Scholar 

  • Frackowiak RSJ, Wise RJS, Gibbs JM, Jones T (1984) Positron emission tomographic studies in aging and cerebrovascular disease at Hammersmith Hospital. Ann Neurol 15 [Suppl]: 112–118

    Article  Google Scholar 

  • Kuhl DE, Phelps ME, Howell AP, Metter EJ, Selin C, Winter J (1980) Effects of stroke on local cerebral metabolism and perfusion: mapping by emission computed tomography of 18FDG and 13NH3. Ann Neurol 8:47–60

    Article  PubMed  CAS  Google Scholar 

  • Powers WJ, Raichle ME (1985) Positron emission tomography and its application to the study of cerebral vascular disease in man. Stroke (to be published)

    Google Scholar 

  • Wise RJS (1982) Regional cerebral blood flow and oxygen metabolism in acute stroke. In: Sarner M (ed) Advanced medicine 18. Pitman Medical, London, pp 302–311

    Google Scholar 

  • Wise RJS, Gibbs JM, Frackowiak RSJ (1985) The application of PET to the study of cerebral perfusion reserve and ischaemia. In: Greitz T, Ingvar DH, Widén L (eds) The metabolism of the human brain studied with positron emission tomography. Raven, New York, pp 363–375

    Google Scholar 

PET Methods to Measure Cerebral Blood Flow and Metabolism

  • Ell PJ, Holman BL (eds) (1982) Computed emission tomography. Oxford University Press, Oxford, pp 188–210

    Google Scholar 

  • Greitz T et al. (eds) (1984) The metabolism of the human brain studied with positron emission tomography. Raven, New York

    Google Scholar 

  • Heiss WD, Phelps ME (eds) (1983) Positron emission tomography of the brain. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Jones T, Frackowiak R, Lenzi GL (1983) Clinical application of measurement of regional cerebral blood flow and oxygen utilization by positron emission tomography. In: Heiss WD, Phelps ME (eds) Positron emission tomography of the brain. Springer, Berlin Heidelberg New York, pp 107–112

    Google Scholar 

  • Kuhl DE (1984) Imaging local brain function with emission computed tomography. Radiology 105(3):625–631

    Google Scholar 

  • Lammertsma AA, Jones T (1983) The correction for the presence of intravascular oxygen-15 in the steady state technique for measuring regional oxygen extraction ratio in the brain. 1. Description of the method. J Cereb Blood Flow Metab 3:416–424

    Article  PubMed  CAS  Google Scholar 

  • Lammertsma AA, Jones T, Frackowiak RSJ, Lenzi GL (1981) A theoretical study of the steady state model for measuring regional cerebral blood flow and oxygen utilization using oxygen-15. J Comput Assist Tomogr 5(4):544–550

    Article  PubMed  CAS  Google Scholar 

  • Lammertsma AA, Heather JD, Jones T, Frackowiak RSJ, Lenzi GL (1982) A statistical study of the steady state technique for measuring regional cerebral blood flow and oxygen utilization using oxygen-15. J Comput Assist Tomogr 6:566–573

    Article  PubMed  CAS  Google Scholar 

  • Lammertsma AA, Wise RJS, Heather JD, Gibbs JM, Leenders KL, Frackowiak RSJ, Rhodes CG, Jones T (1983) The correction for the presence of intravascular oxygen-15 in the steady state technique for measuring regional oxygen extraction ratio in the brain. 2. Results in normal subjects and brain tumour and stroke patients. J Cereb Blood Flow Metab 3:425–431

    Article  PubMed  CAS  Google Scholar 

  • Lebrun-Grandie P, Baron JC, Soussaline F, Loch’h C, Sastra J, Bousser MG (1983) Coupling between regional blood flow and oxygen utilization in the normal human brain. A study with positron tomography and oxygen 15. Arch Neurol 40:230–236

    PubMed  CAS  Google Scholar 

  • Leenders KL, Gibbs JM, Frackowiak RSJ, Lammertsma AA, Jones T (1984) Positron emission tomography of the brain: new possibilities for the investigation of human cerebral pathophysiology. Prog Neurobiol 23:1–38

    Article  PubMed  CAS  Google Scholar 

  • Pantano P, Baron JC, Lebrun-Grandie P, Duquesnoy N, Bousser MG (1984) Regional cerebral blood flow and oxygen consumption in human aging. Stroke 15(4):635–641

    Article  PubMed  CAS  Google Scholar 

  • Phelps ME, Mazziotta JC, Huang SC (1982) Study of cerebral function with positron emission tomography. J Cereb Blood Flow Metab 2:113–162

    Article  PubMed  CAS  Google Scholar 

  • Reivich M (ed) (1985) Positron emission tomography. Liss, New York

    Google Scholar 

  • Research issues in positron emission tomography. Proceedings of a conference sponsored by the National Institute of Neurological and Communications Disorders and Stroke, 1983. Ann Neurol 15 [Suppl] (1984)

    Google Scholar 

  • Rhodes CG, Lenzi GL, Frackowiak RSJ, Jones T, Pozzilli C (1981) Measurement of CBF and CMRO2 using the continuous inhalation of C15O2 and 15O2. J Neurol Sci 50:381–389

    Article  PubMed  CAS  Google Scholar 

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Jones, T., Wise, R.J.S., Frackowiak, R.S.J., Gibbs, J.M., Lenzi, G.L., Herold, S. (1985). Uncoupling of Flow and Metabolism in Infarcted Tissue. In: Heiss, WD. (eds) Functional Mapping of the Brain in Vascular Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70720-9_5

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  • DOI: https://doi.org/10.1007/978-3-642-70720-9_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-15801-1

  • Online ISBN: 978-3-642-70720-9

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