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OtherBASIC SCIENCE INVESTIGATIONS

Dynamic Tracking During Intracoronary Injection of 18F-FDG-Labeled Progenitor Cell Therapy for Acute Myocardial Infarction

Brendan Doyle, Brad J. Kemp, Panithaya Chareonthaitawee, Cynthia Reed, Jeffrey Schmeckpeper, Paul Sorajja, Stephen Russell, Philip Araoz, Stephen J. Riederer and Noel M. Caplice
Journal of Nuclear Medicine October 2007, 48 (10) 1708-1714; DOI: https://doi.org/10.2967/jnumed.107.042838
Brendan Doyle
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Brad J. Kemp
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Panithaya Chareonthaitawee
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Cynthia Reed
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Jeffrey Schmeckpeper
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Paul Sorajja
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Stephen Russell
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Philip Araoz
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Stephen J. Riederer
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Noel M. Caplice
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  • FIGURE 1. 
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    FIGURE 1. 

    Labeling with 18F-FDG and in vivo detection of human and porcine progenitor cells. All P values are nonsignificant except *P < 0.05. (A) Comparison of labeling efficiency at incubation temperatures of 20°C, 28°C, and 37°C. (B) Comparison of labeling efficiency after incubation for periods of 10, 20, 30, 45, and 60 min at 37°C. (C) Elution of radiolabel by CPC at 1 and 2 h. (D) Detection of intracoronary injected 18F-FDG progenitor cells in inferolateral territory of normal heart in vivo.

  • FIGURE 2. 
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    FIGURE 2. 

    Dynamic tracking of 18F-FDG-labeled CPC during intracoronary injection. (A) From left to right: gross, unstained specimen shows extensive inferolateral MI (image is oriented to match subsequent PET/CT images); single frame of dynamic 3D PET/CT from same animal taken immediately after intracoronary injection shows myocardial activity localized to infarct territory and border zone; single frame from same animal taken 1 h after injection shows significant decrease in regional activity when compared with postinjection image. (B) Time–activity curves for myocardium (black line) and peripheral blood (gray line) during intracoronary injection using 3-cycle balloon-occlusion technique. Balloon was inflated for 4 min during coronary injection and subsequently deflated for 4 min during each cycle. Blood samples were drawn at 1-min intervals. (C) Time–activity curves for myocardium (black line) and peripheral blood (gray line) during high-concentration, single-bolus intracoronary injection.

  • FIGURE 3. 
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    FIGURE 3. 

    Comparison of myocardial activity (measured as percentage of total injected activity) after balloon-occlusion delivery or high-concentration, single-bolus therapy at various time points. *P < 0.05 (ANOVA) for comparison of injection techniques at any given time point.

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    TABLE 1

    Characteristics of Experimental Animals at Baseline

    CharacteristicGroup 1: balloon occlusionGroup 2: single bolusP
    Pig body mass (kg)42.1 ± 0.241.7 ± 0.5NS
    Ejection fraction (%)46.6 ± 4.244.9 ± 5.1NS
    Left ventricular mass (g)89.1 ± 6.186.5 ± 5.3NS
    Infarct size (g)14.5 ± 2.917.8 ± 1.9NS
    Infarct size (% of LV mass)16.3 ± 3.420.6 ± 2.7NS
    End-diastolic volume (mL)64.2 ± 2.967.3 ± 5.2NS
    End-systolic volume (mL)35.2 ± 5.833.8 ± 4.9NS
    Cardiac output (L/min)2.9 ± 0.12.7 ± 0.5NS
    Stroke volume (mL)28.7 ± 2.325.5 ± 2.2NS
    • P value denotes comparison of mean baseline values in balloon-occlusion delivery group with mean baseline values in single-bolus delivery group using ANOVA.

    • NS = not significant.

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    TABLE 2

    Labeling of CPC with 18F-FDG Among Experimental Animals

    Animal no.Delivery strategyBaseline labeling (%)Cell viability (%)Specific activity (kBq/107 NCs)Cell bound: 1 h (%)Cell bound: 2 h (%)
    1Balloon occlusion9298.6336.78171
    2Balloon occlusion9199.185.18580
    3Balloon occlusion9699.329.68174
    4Single bolus9398.933.37268
    5Single bolus9499.677.78571
    6Single bolus9299.1270.18374
    • NCs = nucleated cells.

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Journal of Nuclear Medicine: 48 (10)
Journal of Nuclear Medicine
Vol. 48, Issue 10
October 2007
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Dynamic Tracking During Intracoronary Injection of 18F-FDG-Labeled Progenitor Cell Therapy for Acute Myocardial Infarction
Brendan Doyle, Brad J. Kemp, Panithaya Chareonthaitawee, Cynthia Reed, Jeffrey Schmeckpeper, Paul Sorajja, Stephen Russell, Philip Araoz, Stephen J. Riederer, Noel M. Caplice
Journal of Nuclear Medicine Oct 2007, 48 (10) 1708-1714; DOI: 10.2967/jnumed.107.042838

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Dynamic Tracking During Intracoronary Injection of 18F-FDG-Labeled Progenitor Cell Therapy for Acute Myocardial Infarction
Brendan Doyle, Brad J. Kemp, Panithaya Chareonthaitawee, Cynthia Reed, Jeffrey Schmeckpeper, Paul Sorajja, Stephen Russell, Philip Araoz, Stephen J. Riederer, Noel M. Caplice
Journal of Nuclear Medicine Oct 2007, 48 (10) 1708-1714; DOI: 10.2967/jnumed.107.042838
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