Abstract
Positron emission tomography (PET) has potentials for quantification of regional myocardial blood flow and metabolism in vivo. PET perfusion images can be obtained using N-13 ammonia, a generator-produced rubidium-82, and O-15 water. PET provides higher quality perfusion images than the widely used thallium-201 perfusion images. Therefore, the qualitative PET perfusion study can yield higher sensitivity and specificity for diagnosing coronary artery disease than the thallium-201 imaging. In addition, quantitative analysis of flow reserve by PET may further enhance the identification of a mild coronary perfusion abnormality. The tracers and techniques of PET perfusion imaging as well as the clinical value of PET perfusion study are discussed.
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References
Phelps ME, Hoffman EJ, Coleman RE, (1976) Tomographie images of blood pool and perfusion in brain and heart. J Nucl Med 17:603–612.
Torizuka K, Yonekura Y, Tamaki N, (1985) Noninvasive evaluation of regional myocardial perfusion with positron emission computed tomography. Jpn Circ J 39:719–726.
Schelbert HR, Schwaiger M (1986) PET studies of tjhe heart In: Phelps ME, Mazziotta J, Schellbert HR (eds) Positron tomography and autoradiography: Principles and applications for the brain and heart. Raven, New York, pp 581–661.
Schelbert HR, Phelps ME, Huang SC, (1981) N-13 ammonia as an indicator of myocardial blood flow. Circulation 63:1259–1272.
Krivokapich J, Smith GT, Huang SC, (1989) 13N-ammonia myocardial imaging at rest and with exercise in normal volunteers: Quantification of absolute myocardial perfusion wth dynamic positron emission tomography. Circulation 80:1328–1337.
Tamaki N, Yonekura Y, Senda M, (1985) Myocardial positron computed tomography with N-13 ammonia at rest and during exercise. Eur J Nucl Med 11:246–251.
Yonekura Y, Tamaki N, Senda M, (1987) Detection of coronary artery disease with 13N-ammonia and high-resolution positron emission computed tomography. Am Heart J 113:645–654.
Tamaki N, Yonekura Y, Senda M, (1988) Value and limitation of stress thallium-201 tomography: Comparison with N-13 ammonia perfusion positron tomography. J Nucl Med 29:1181–1188.
Tamaki N, Yonekura Y, Yamashita K, (1989) Value of rest-stress myocardial positron tomography using N-13 ammonia for the preoperative prediction of reversible asynergy. J Nucl Med 30:1302–1310.
Marshall RC, Tillisch JH, Phelps ME, (1983) Identification and differentiation of resting myocardial ischemia and infarction in man with positron computed tomography, 18F-labeled fluorodeoxyglucose and N-13 ammonia. Circulation 67:766–778.
Tillisch J, Brunken R, Marshall R, (1986) Reversibility of cardiac wall-motion abnormalities predicated by positron tomography. N Engl J Med 314:884–888.
Gould KL, Goldstein RA, Mullani NA, (1986) Noninvasive assessment of coronary stenosis by myocardial perfusion imaging during pharmacologic coronary vaso-dilation: VIII. Clinical feasibility of positron cardiac imaging without a cyclotron using generator-produced rubidium-82. J Am Coll Cardiol 7:775–789.
Denfield JE, Selwyn AP, Chierchia S, Myocardial ischemia during daily life: Its relation to symptom and heart rate changes Lancet 1983 (13) 1986.
Mullani NA, Godstein RA, Gould KL, (1983) Perfusion imaging with rubidium-82: I. Measurement of extraction and flow with external detectors. J Nucl Med 24:898–906.
Goldstein RA, Mullani NA, Marani SK, (1983) Perfusion imaging with rubidium-82: II. Effects of pharmacologic interventions on flow and extraction. J Nucl Med 24:907–915.
Schelbert HR, Wisenberg G, Phelps ME, (1982) Noninvasive assessment of coronary stenosis by myocardial imaging during pharmacologic coronary vaso-dilation: VI. Detection of coronary artery disease in man with intravenous N-13 ammonia and positron computed tomography. Am J Cardiol 49:1197–1207.
Bergmann SR, Fox KAA, Rand AL, (1984) Quantification of regional myocardial blood flow in vivo with H215O. Circulation 70:724–733.
Huang SC, Schwaiger M, Carson RE, (1985) Quantitative measurement of myocardial blood flow with oxygen-15 water and positron computed tomography: An assessment of potential and problems. J Nucl Med 26:616–625.
Iida H, Kanno I, Takahashi A, (1988) Measurement of absolute myocardial blood flow with H215O and dynamic positron emission tomography. Circulation 78:104–115.
Stewart R, Schwaiger M, Molina E, (1991) Comparison of rubidium-82 positron emission tomography and thallium-201 SPECT imaging for detection of coronary artery disease. Am J Cardiol 67:1303–1310.
Go RT, Marwick TH, MacIntyre WJ (1990) A prospective comparison of rubidium-82 PET and thallium-201 SPECT myocardial perfusion imaging utilizing a single dipyridamole stress in the diagnosis of coronary artery disease. J Nucl Med 31:1899–1905.
Pohost GM, Zir LM, Moore RH, McKusick KA, Guiney TE, Beller GA (1977) Differentiation of transiently ischemie from infarcted myocardium by serial imaging after single dose of thallium-201. Circulation 55:294–302.
Liu P, Kiess MC, Okada RD, Block PC, Strauss HW, Pohost GM, Boucher CA (1985) The persistent defect on exercise thallium imaging and its fate after myocardial revascularization: Does it represent scar or ischemia? Am Heart J 110:996–1001.
Tamaki N, Yonekura Y, Yamashita K, Saji H, Magata Y, Senda M, Konishi Y, Hirata K, Ban T, Konishi J (1989) Positron emission tomography using fluorine-18 deoxyglucose in evaluation of coronary artery bypass grafting. Am J Cardiol 64:860–865.
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© 1991 Springer Japan
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Tamaki, N., Yonekura, Y., Konishi, J. (1991). PET Measurement of Myocardial Blood Flow. In: Inoue, M., Hori, M., Imai, S., Berne, R.M. (eds) Regulation of Coronary Blood Flow. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68367-4_4
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DOI: https://doi.org/10.1007/978-4-431-68367-4_4
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