Current status and prospects of cardiac PET.

Accession number;99A1042714
Title;Current status and prospects of cardiac PET.
Author; YOSHIDA KATSUYA (National Inst. of Radiological Sciences)
Journal Title;NIRS-M (Natl Inst Radiol Sci)
Journal Code:Z0881A
ISSN:
VOL.;NO.132;PAGE.37-40(1999)
Figure&Table&Reference;REF.9
Pub. Country;Japan
Language;Japanese
Abstract;With positron emission tomography(PET), noninvasive measurements of myocardial blood flow and metabolism have now become possible. (1) Myocardial blood flow: We developed a high-resolution PET sysytem for rabbits and showed that myocardial N-13 ammonnia uptake correlated well with flow measure with microspheres. We also demonstrated that a simplified PET protocol using N-13 ammonia or Rb-82 provide noninvasive measurement of coronary flow reserve in dog experiments. This protocol enables to produce estimates of myocardial blood flow in man and that are well correlated with the complex compartment model. (2) Myocardial glucose metabolism: We validated experimentally a simple method to quantify tissue glucose utilization with the brain reference index(BRI) using C-14deoxyglucose and assessed its clinical feasibility for myocardial PET. (3) Membrane integrity: Loss of cell membrane integrity for trapping the potassium or it's analog is a market of myocardial necrosis/viability. We recently synthetized potassium-38 as a PET tracer and started an experimental study. (author abst.)