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Research ArticleClinical Investigation

Myocardial Oxygen Extraction Fraction Measured Using Bolus Inhalation of 15O-Oxygen Gas and Dynamic PET

Mark Lubberink, Yeun Ying Wong, Pieter G.H.M. Raijmakers, Robert C. Schuit, Gert Luurtsema, Ronald Boellaard, Paul Knaapen, Anton Vonk-Noordegraaf and Adriaan A. Lammertsma
Journal of Nuclear Medicine January 2011, 52 (1) 60-66; DOI: https://doi.org/10.2967/jnumed.110.080408
Mark Lubberink
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Yeun Ying Wong
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Pieter G.H.M. Raijmakers
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Robert C. Schuit
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Gert Luurtsema
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Ronald Boellaard
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Paul Knaapen
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Anton Vonk-Noordegraaf
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Adriaan A. Lammertsma
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  • FIGURE 1.
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    FIGURE 1.

    Ascending aorta, right ventricle, and lung time–activity curves (A), ratio of 15O2 to whole-blood concentrations (B), compartment model fit of 15O-water radioactivity concentration in blood (C), and resulting 15O2 and 15O-water input functions (D) for typical patient during 15O2 inhalation.

  • FIGURE 2.
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    FIGURE 2.

    Simulation study: mean bias (± SD) of fitted OEF relative to true (simulated) OEF (A) and correlation coefficient (r2; B) between fitted and true values for all models.

  • FIGURE 3.
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    FIGURE 3.

    Clinical study: average test–retest variability of OEF using models 1–5. Av myocardium = average myocardium.

  • FIGURE 4.
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    FIGURE 4.

    Clinical study: correlation (A) and Bland–Altman (B) plots of OEF determined using model 3 for LVW.

  • FIGURE 5.
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    FIGURE 5.

    Clinical study: whole-myocardium OEF values in patients as determined using models 1–5.

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    TABLE 1

    Parameter Estimation

    ModelOEFMBFαVAVRVVBL/VLNumber*
    115O215O-water15O-waterC15ONAC15O/μ-map1
    215O215O-water15O-water15O-water15O-waterC15O/μ-map1
    315O215O-water15O-water15O-water15O-water15O-water/μ-map1
    415O215O-water15O-water15O-water15O-waterC15O/15O22
    515O215O-water15O-water15O-water15O-water15O-water/15O22
    615O215O-water15O-water15O215O215O-water/15O24
    715O215O-water15O215O215O215O-water/15O25
    815O215O2/15O-water15O2/15O-water15O2/15O-water15O2/15O-waterC15O/μ-map/15O26†
    915O215O215O215O215O2C15O/μ-map5
    • ↵* Number of parameters to be estimated from 15O2 scan.

    • ↵† 5 parameters estimated within limits from results of 15O-water scan.

    • NA = not applicable.

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    TABLE 2

    Intraclass Correlation Coefficients

    Model
    ROI12345
    Average myocardium0.960.750.700.680.66
    LVW plus septum0.760.850.840.840.72
    LVW0.990.750.800.710.14
    RVW0.630.540.570.540.58
    Septum0.870.700.720.780.81

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Journal of Nuclear Medicine: 52 (1)
Journal of Nuclear Medicine
Vol. 52, Issue 1
January 1, 2011
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Myocardial Oxygen Extraction Fraction Measured Using Bolus Inhalation of 15O-Oxygen Gas and Dynamic PET
Mark Lubberink, Yeun Ying Wong, Pieter G.H.M. Raijmakers, Robert C. Schuit, Gert Luurtsema, Ronald Boellaard, Paul Knaapen, Anton Vonk-Noordegraaf, Adriaan A. Lammertsma
Journal of Nuclear Medicine Jan 2011, 52 (1) 60-66; DOI: 10.2967/jnumed.110.080408

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Myocardial Oxygen Extraction Fraction Measured Using Bolus Inhalation of 15O-Oxygen Gas and Dynamic PET
Mark Lubberink, Yeun Ying Wong, Pieter G.H.M. Raijmakers, Robert C. Schuit, Gert Luurtsema, Ronald Boellaard, Paul Knaapen, Anton Vonk-Noordegraaf, Adriaan A. Lammertsma
Journal of Nuclear Medicine Jan 2011, 52 (1) 60-66; DOI: 10.2967/jnumed.110.080408
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