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1. 复旦大学附属中山医院核医学科
2. 复旦大学附属中山医院核医学科,上海,200032
纸质出版日期:2006-05-01
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[1]许长德,陈绍亮,姚瑞敏,张庆勇,石洪成.~(18)F-FDG符合显像诊断梗死心肌活力的实验研究[J].核技术,2006(05):372-375.
XU Changde CHEN Shaoliang YAO Ruimin ZHANG Qingyong SHI Hongcheng. 18F-FDG coincidence imaging diagnosis of viability of infarction myocardium[J]. Nuclear techniques, 2006, (5): 372-375.
将6只20kg的小型猪制作心肌梗死模型
进行心肌99Tcm-甲氧基异丁基异腈(99Tcm-sestamibi
99Tcm-MIBI)血流灌注显像确定梗死区
用18F-脱氧葡萄糖(18F-fluorodeoxyglucose
18F-FDG)观察空腹与糖负荷图像的差别
确定心肌坏死或存活区。制作模型前进行自身对照形成对照组。并进行B超心功能检查。结果显示:心肌梗死区大部分心肌没有活力
99Tcm-MIBI和18F-FDG都没有摄取。空腹时有部分心肌显影
糖负荷时该区域显影程度减轻。
The objective of the work is to observe the role of 99Tcm-sestamibi perfusion imaging and coincidence imaging with 18F-FDG for detecting viability of infarct myocardum in miniswine model. Six minipigs with circum- flex branch ligation for the myocardial infarction underwent excising and resting myocardial perfusion imaging with 99Tcm-MIBI by using single photon emission computed tomography (SPECT) and fast and glucose-injection coinci- dence imaging with 18F-FDG. They also underwent the imaging before operation as a normal control group. The re- gion of myocardial infarction of the model was found no uptake of the 99Tcm-MIBI and 18F-FDG. Part myocardium can be imaged in fast state
and after injecting 18F-FDG the images in this region get fainter. It is concluded that the coincidence imaging with 18F-FDG is better to diagnose the viability of infarct myocardium
and fast and glucose stress can display viability of severe ischmia myocardium.
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