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The Journal of Nuclear Medicine Vol. 22 No. 1 22-31
© 1981 by Society of Nuclear Medicine
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Myocardial Imaging with a Radioiodinated Norepinephrine Storage Analog

Donald M. Wieland, Lawrence E. Brown, W. Les Rogers, Kathy C. Worthington, Jiann-long Wu, Neal H. Clinthorne, Charlotte A. Otto, Dennis P. Swanson and William H. Beierwaltes

University of Michigan Medical Center, Ann Arbor, Michigan

Correspondence: For reprints contact: Donald M. Wieland, PhD, 3685 Kresge I, Univ. of Michigan Med. Ctr., Ann Arbor, MI 48109.

ABSTRACT

Meta-iodobenzylguanidine (M-IBG), an iodinated aromatic analog of the hypotensive drug guanethidine, localizes in the heart of the rat, dog, and rhesus monkey. A comparative study of tissue distribution in the dog has been performed with five myocardiophilic agents: thallium-201, I-125 16-iodohexadecanoic acid, H-3 norepinephrine, C-14 guanethidine and I-125 M-IBG. The last two compounds give heart concentrations and heart-to-blood concentration ratios similar to those of thallium-201. Planar and tomographic images of the hearts of the dog and rhesus monkey were obtained using I-131 or I-123 labeled M-IBG. Blocking studies with reserpine suggest that a major component of myocardial retention of M-IBG is sequestration within the norepinephrine storage vesicles of the adrenergic nerves. The localization of M-IBG in other organs with rich sympathetic innervation and the relative insensitivity of myocardial uptake to a wide range of loading doses lend additional support for a neuronal mode of retention.




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