[Measurement of effective hepatic blood flow using 99mTc-PMT SPECT and single blood sampling]

Nihon Igaku Hoshasen Gakkai Zasshi. 1989 Jan 25;49(1):62-5.
[Article in Japanese]

Abstract

Effective hepatic blood flow (EHBF) was measured from an uptake constant using single blood sampling and 99mTc-PMT hepatobiliary SPECT data. After intravenous injection of 3 mCi (111 MBq) of 99mTc-PMT, serial 1 min SPECT data were obtained for 7 minutes. A time activity curve (TAC) over the heart, that was normalized with the 5 minutes venous sample concentration (%/dose/ml), was used as a blood clearance curve (B(t]. And a TAC of the whole liver, that was normalized with the injected dose of 99mTc-PMT (%/dose), was used as a hepatogram (L(t]. An uptake constant representing EHBF, was estimated from the Rutland's method L. (t)/B(t) was plotted against integral of otB(t)dt/B(t), and the slope of the least square fitted straight line was determined as the uptake constant. In 16 cases, significant correlation was obtained between the 99mTc-PMT hepatic uptake at 5 minutes and the EHBF estimated from the blood clearance (r = 0.85, p less than 0.001). While there was a much better correlation between the EHBF from uptake constant and the EHBF from blood clearance (r = 0.95, p less than 0.001). In conclusion, this analysis for uptake constant of 99mTc-PMT SPECT data enables us to estimate EHBF with single venous sampling and in relatively short acquisition time. This method is thought to be very valuable in clinical practice.

MeSH terms

  • Humans
  • Liver / diagnostic imaging*
  • Liver / physiology
  • Liver Circulation*
  • Liver Cirrhosis / diagnostic imaging
  • Liver Cirrhosis / physiopathology
  • Organometallic Compounds*
  • Organotechnetium Compounds*
  • Pyridoxal / analogs & derivatives*
  • Technetium*
  • Tomography, Emission-Computed*
  • Tryptophan / analogs & derivatives*

Substances

  • Organometallic Compounds
  • Organotechnetium Compounds
  • technetium Tc 99m pyridoxyl-5-methyltryptophan
  • Pyridoxal
  • Technetium
  • Tryptophan