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Research ArticleCLINICAL INVESTIGATIONS

Shorter Examination Method for the Diagnosis of Misery Perfusion with Count-Based Oxygen Extraction Fraction Elevation in 15O-Gas PET

Masato Kobayashi, Takashi Kudo, Tetsuya Tsujikawa, Makoto Isozaki, Yoshikazu Arai, Yasuhisa Fujibayashi and Hidehiko Okazawa
Journal of Nuclear Medicine February 2008, 49 (2) 242-246; DOI: https://doi.org/10.2967/jnumed.107.047118
Masato Kobayashi
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Takashi Kudo
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Tetsuya Tsujikawa
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Makoto Isozaki
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Yoshikazu Arai
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Yasuhisa Fujibayashi
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Hidehiko Okazawa
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  • FIGURE 1. 
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    FIGURE 1. 

    Scan protocol and data preparation for 15O-gas PET. For cbOEF calculation, subsets of 15O2 dynamic data were extracted at 2, 3, 4, 5, 6, and 7 min (bars below diagram, from top to bottom, respectively) after beginning of 15O2 inhalation up to 13 min. cbOEF-AI was calculated from 15O2 images and H215O PET scans for 3 min. qOEF was calculated from 15O2 images obtained from 8 min to 13 min after 15O2 inhalation and H215O images with arterial blood data. C15O data were used for CBV correction of qOEF.

  • FIGURE 2. 
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    FIGURE 2. 

    Changes in cbOEF-AI for 3 patients with misery perfusion, as determined from 15O2 images with various scan durations started at 2 min (A), 3 min (B), 4 min (C), and 5 min (D) after beginning of 15O2 inhalation. Misery perfusion was defined in our previous study as increase in qOEF of 52.0% or greater, which is equivalent to threshold of 1.17 for qOEF-AI (qOEF-AI = 1.17 for • and ▴ and 1.36 for ▪). Threshold of 1.15 for cbOEF-AI in present study (dashed line) was equivalent to threshold of 1.17 for qOEF-AI in our previous study. Regardless of different acquisition start times, continuous 15O2 inhalation for 7 min or longer would be required to correctly detect misery perfusion.

Tables

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    TABLE 1

    Hemispheric Differences in Cerebrovascular Diseases (n = 25)

    Value for:
    ParameterIpsilateral hemisphereContrateral hemisphereAIP*
    Cerebral blood flow (mL/min/100 g)31.8 ± 4.9434.7 ± 5.960.92 ± 0.09<0.01
    Cerebral metabolic rate for oxygen (mL/min/100 g)2.21 ± 0.372.35 ± 0.420.94 ± 0.10<0.01
    OEF (%)44.4 ± 6.043.3 ± 4.81.02 ± 0.06<0.05
    CBV (mL/100 g)3.23 ± 0.883.18 ± 0.581.00 ± 0.130.30
    • ↵* As determined with paired t test.

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    TABLE 2

    Correlations Between qOEF-AI and cbOEF-AI for Different Acquisition Start Times and Scan Durations (n = 25)

    Acquisition start time
    Scan duration (min)2 min3 min4 min5 min6 min7 min
    SloperBiasSloperBiasSloperBiasSloperBiasSloperBiasSloperBias
    10.730.792.51.140.922.71.140.952.00.860.931.70.810.901.90.810.941.8
    20.980.932.11.090.961.71.050.961.50.840.961.20.810.941.70.930.961.4
    31.000.951.60.940.951.60.930.971.20.830.961.20.900.971.30.920.961.3
    40.900.941.50.890.961.20.890.971.00.920.981.00.910.971.20.950.981.0
    50.870.961.30.890.971.00.910.981.00.930.981.00.930.980.80.950.980.7
    60.860.971.10.920.980.90.920.981.00.980.990.70.940.980.81.010.980.8
    70.890.981.00.920.980.90.960.990.70.990.990.70.990.990.7
    80.900.990.80.940.990.70.950.990.71.040.990.8
    90.910.990.70.940.990.61.000.990.6
    100.910.990.60.970.990.6
    110.950.990.6
    • Scan duration was time after beginning of 15O2 image scanning. Slope represents slope of regression line between qOEF-AI and cbOEF-AI. Bias represents mean distance between line of identity and plots of qOEF-AI and cbOEF-AI (%).

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Journal of Nuclear Medicine: 49 (2)
Journal of Nuclear Medicine
Vol. 49, Issue 2
February 2008
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Shorter Examination Method for the Diagnosis of Misery Perfusion with Count-Based Oxygen Extraction Fraction Elevation in 15O-Gas PET
Masato Kobayashi, Takashi Kudo, Tetsuya Tsujikawa, Makoto Isozaki, Yoshikazu Arai, Yasuhisa Fujibayashi, Hidehiko Okazawa
Journal of Nuclear Medicine Feb 2008, 49 (2) 242-246; DOI: 10.2967/jnumed.107.047118

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Shorter Examination Method for the Diagnosis of Misery Perfusion with Count-Based Oxygen Extraction Fraction Elevation in 15O-Gas PET
Masato Kobayashi, Takashi Kudo, Tetsuya Tsujikawa, Makoto Isozaki, Yoshikazu Arai, Yasuhisa Fujibayashi, Hidehiko Okazawa
Journal of Nuclear Medicine Feb 2008, 49 (2) 242-246; DOI: 10.2967/jnumed.107.047118
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