Myocardial perfusion with rubidium-82. II. Effects of metabolic and pharmacologic interventions

Autor: R A, Goldstein, N A, Mullani, S K, Marani, D J, Fisher, K L, Gould, H A, O'Brien
Rok vydání: 1983
Předmět:
Zdroj: Journal of nuclear medicine : official publication, Society of Nuclear Medicine. 24(10)
ISSN: 0161-5505
Popis: In order to validate a new method for quantifying coronary blood flow, we injected intravenously a bolus of rubidium-82 (Rb-82) into 28 open-chested dogs under a wide range of flow and physiologic conditions, using beta probes to monitor myocardial radioactivity. Extraction fraction and perfusion were measured using a functional model that separates the data into the free and trapped myocardial rubidium. Extraction and uptake of rubidium were lower during acidosis than during alkalosis and were unchanged by glucose-insulin, digoxin, or propranolol. Myocardial flow, as indicated by rubidium, correlated linearly with simultaneous measurements of flow by microspheres in the same sample volume over a wide range of flow (r = 0.97, n = 106, range 0.02-7.76 ml/min/g). Regional myocardial blood flow can be accurately determined using generator-produced Rb-82. Studies using current state-of-the-art, fast positron-emission tomographic cameras are required to determine the utility of this approach in man.
Databáze: OpenAIRE