{"title":"Factors affecting the Gates' measurement of glomerular filtration rate.","authors":"M Awdeh, K Kouris, I M Hassan, H M Abdel-Dayem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following technical factors affect the Gates' measurement of glomerular filtration rate (GFR): 1) net injected activity, 2) kidney depth, 3) corrected kidney counts. In the syringe measurement prior to injection, self-attenuation causes 16% data loss for a volume of 0.5 ml if the syringe is positioned perpendicular to the collimator face. A +/- 1 cm error in true kidney depth may cause a 16% difference in GFR in an adult. The choice of the background region of interest (ROI), for background subtraction significantly affects the calculation. To minimize errors in the Gates' estimate of GFR we recommend 1) that syringe counting be done with the syringe parallel to the collimator face; 2) that the i.v. set be included in the postsyringe measurement; in cases of extravasation, the injection site should also be counted; 3) that kidney depth, especially for ectopic and transplanted kidneys be estimated by ultrasound or using lateral views; and 4) that a background ROI for each kidney be used.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 1","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13349787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigation by scintigraphic methods of platelet kinetics under normal and septic shock conditions in the experimental baboon model.","authors":"I C Dormehl, J G Kilian, M Maree, L Jacobs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study concerned the correlation of platelet kinetics with the pathogenic course of septic shock and adult respiratory distress syndrome (ARDS) in the anesthetised baboon model. 111In-tropolonate platelets were traced in vivo in normal baboons (n = 7) and in Escherichia coli-infected baboons, which were reinjected with the labeled autologous platelets either 2 hr after the onset of the E. coli infusion (procedure A: n = 4) or simultaneously with the infusion (procedure B; n = 3). One minute images were taken hourly for 5 hr, using a gamma camera and data processor. Time-activity curves were obtained for platelet clearance from the blood and the lungs and for platelet accumulation in the liver and spleen. A significant retention of platelets in the lungs of baboons with E. coli-induced septic shock was noted, as well as an accelerated clearance from the circulation. Platelets were distributed mainly to the spleen after induction of bacteremia, later substantially moved to the liver, and even later moved back to the spleen.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 2","pages":"75-9"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13406182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of technetium-99m disofenin by column and instant thin-layer chromatography: demonstration of radiocolloid as a cause for splenic uptake.","authors":"J I Hirsch, M J Fratkin, J Balseiro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We found persistent splenic uptake in 5% of patients undergoing hepatobiliary imaging with Tc-99m Disofenin when administered within a few minutes after labeling, suggesting the presence of radiocolloid. Hydrolyzed reduced Tc-99m colloid (HR-Tc) present in labeled Disofenin kits is controversial and may be dependent on method of assay and radiochemical kinetics. Kits were therefore evaluated by gel column (GCC) and instant thin-layer (ITLC) chromatographic methods. Tc-99m Disofenin was prepared according to the manufacturer's instructions and was maintained at room temperature (23 degrees C) or was incubated at 37 degrees C for 0.5 hr and then held at 23 degrees C. Aliquots were obtained at intervals over 5 hr and applied to Sephadex G-15 resin columns and ITLC-SG strips, with distilled water as mobile phase. GCC showed 14.9% +/- 3.4% and 11.0% +/- 2.9% initial values of HR-Tc at 23 degrees C and 37 degrees C treatments, respectively. HR-Tc decreased over time with each treatment. ITLC showed 1.2% +/- 0.4% and 1.3% +/- 0.2% HR-Tc, with no change over time. ITLC appears to be an insensitive method for the detection of HR-Tc. Incubation of Tc-99m with Disofenin kits for 30 min at 37 degrees C or for 1 hr at 23 degrees C offers an empiric method to ensure HR-Tc levels acceptable for nuclear imaging.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 1","pages":"22-5"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13522866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A Rescigno, H Bushe, A B Brill, M Rusckowski, T W Griffin, D J Hnatowich
{"title":"Pharmacokinetic modeling of radiolabeled antibody distribution in man.","authors":"A Rescigno, H Bushe, A B Brill, M Rusckowski, T W Griffin, D J Hnatowich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes a method for the interpretation of the pharmacokinetics in cancer patients of an anti-CEA monoclonal antibody labeled with 111In. To determine the fate of the radiolabeled antibody administered i.v. to ten colon patients, the radioactivity contained in liver, spleen, kidneys, bone marrow, and tumor was measured and serum samples were counted. In addition each serum and urine sample was also analyzed by HPLC. The labeled antibody and two other radioactive species were observed in serum: an immunocomplex and a catabolic product. The computer program SAAM was used to fit the data. Thus, the rate constants for a number of pharmacokinetic models were calculated using the time-dependent serum radioactivity curves for each of the three species and the time-dependent radioactivity contained in normal organs. We also computed the model parameters for different connections between different organs, and using noncompartmental methods, the transit time, permanence time, and yield of those organs. Our results suggest that the immunocomplexes are formed in the circulation between circulating antibody and antigen, and that the rate of uptake by the liver depends on the concentration of the antibody in blood and not of the immunocomplex. Following deposition in the liver, free antibody does not appear to reenter the circulation, but once there it is catabolized. All breakdown products are then cleared into urine via serum.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 4","pages":"141-50"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13245825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MR image time-intensity relations in spleen and kidney: a comparative study of GdDTPA, albumin-(GdDTPA), and Gd2O3 colloid.","authors":"P F Daly, J B Zimmerman, J A Cannillo, G L Wolf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Magnetic resonance images were performed using a gradient recalled echo sequence with acquisition of images every 30 s in anesthetized rats before and after intravenous bolus injections of 100 microns/kg GdDTPA, 60 microns/kg albumin-(GdDTPA), and 60 microns/kg Gd2O3 colloid. All three agents caused significant enhancement of the renal cortex, and even greater enhancement of the spleen. GdDTPA showed an early peak at 11 s followed by a wash-out as blood concentrations fell, whereas albumin-(GdDTPA) and Gd2O3 showed sustained tissue enhancement. The enhancement in each organ was equivalent for albumin-(GdDTPA) and Gd2O3 which stay intravascular; but 30% less for GdDTPA which enters the interstitial space. In addition GdDTPA showed an initial enhancement of the renal medulla but then a subsequent loss of signal, whereas albumin-(GdDTPA) resulted in a greater enhancement of the medulla as compared to the cortex. We conclude that time-intensity studies of local tissue response to MR indicators reflect tissue physiological parameters such as perfusion, blood volume, and concentrating ability in a semiquantitative manner.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 3","pages":"119-24"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13435503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A D Nelson, R F Muzic, F Miraldi, G J Muswick, G P Leisure, W Voelker
{"title":"Continuous arterial positron monitor for quantitation in PET imaging.","authors":"A D Nelson, R F Muzic, F Miraldi, G J Muswick, G P Leisure, W Voelker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Quantitative measures of physiologic function with PET require continuous monitoring of arterial positron isotope concentration. A device has been developed that automates this process. This device has advantages over manual sampling techniques with syringes since fewer personnel are required, measurements are less error prone, and more continuous measures of arterial positron concentration are available. A constant flow infusion/withdrawal pump withdraws blood from the radial artery through a catheter connected to 0.5 mm inner diameter teflon tubing. This tubing is wrapped around a 50 mm thick by 50 mm diameter NaI(T1) crystal that is interfaced to a photomultiplier tube (PMT) and encased in a cylindrical lead shield. This crystal detects 511 Kev photons that result from positron annihilation. The device sensitivity is greater than 240 (cts/sec)/(microCi/ml) corresponding to a peak activity of approximately 10,000 cts/sec for a 50 mCi bolus injection in an adult. The system dynamic response has been measured and the true arterial input function is recovered by deconvolution. The system has been used clinically for more than 400 human PET studies and has been a reliable continuous monitor of arterial positron concentration.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 2","pages":"84-8"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13404099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Liebert, R L Wahl, G Lawless, P E McKeever, J A Taren, W H Beierwaltes, R Brasswell
{"title":"Direct stereotactic intracerebral injection of monoclonal antibodies and their fragments: a potential approach to brain tumor immunotherapy.","authors":"M Liebert, R L Wahl, G Lawless, P E McKeever, J A Taren, W H Beierwaltes, R Brasswell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Delivery of monoclonal antibodies (Mab) to brain tumors is restricted by the blood:brain barrier. To circumvent this problem, we studied direct stereotactic injection of the Mab into the brain. An anti-melanoma intact Mab and its Fab fragments, which do not react with normal rat brain, were radioiodinated and injected either intracerebrally (IC) or intravenously (IV) into rats. At 5 days after injection, IC delivery of intact antibody was 101 times higher than IV delivery. The ratio of radioantibody in injected cerebrum:blood was 14:1. With IC delivered Fab fragments, the radioantibody ratio in injected cerebrum:blood was 242:1 at 5 days after IC injection, with a 680-fold delivery advantage over IV injection. These data demonstrate a dramatic regional delivery advantage for intact Mab and especially for Fab fragments injected directly into the brain. This route of Mab delivery may have therapeutic potential for brain tumors.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 2","pages":"55-9"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13406180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B Eisenberg, M G Velchick, C Spritzer, H Kressel, A Alavi
{"title":"Magnetic resonance imaging and scintigraphic correlation in thyroid disorders.","authors":"B Eisenberg, M G Velchick, C Spritzer, H Kressel, A Alavi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thirty-nine patients (30 women and 9 men) underwent magnetic resonance imaging (MRI) and scintigraphic examinations to compare MRI evaluation qualitatively with the accepted standard of nuclear medicine diagnosis. Disorders evaluated included multinodular goiter (toxic and nontoxic), diffuse thyrotoxic states and solitary cold nodules (benign and malignant). Scintigraphy accurately detected palpable nodules and provided a gold standard against which to compare MRI findings. MRI frequently detected additional smaller nonpalpable lesions of uncertain clinical significance. High-resolution surface-coil MRI was more sensitive in detecting lesions not evident on scintigraphic images, although specificity could not be ascertained. T2-weighted images corresponded more closely to scintigraphic findings than T1. MRI provided superior anatomic detail in multiple imaging planes without any ionizing radiation exposure or need for IV contrast. MRI did not differentiate benign from malignant etiologies.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 1","pages":"8-21"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13522870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R H Bahar, A H Elgazzar, F M Abu-Zidan, M Sabha, I M Francis, K Kouris, M Awdeh, H M Abdel-Dayem, T Nilsson, K E Britton
{"title":"The predictive value of Tc-99m DTPA renography in obstructive uropathy using animal model.","authors":"R H Bahar, A H Elgazzar, F M Abu-Zidan, M Sabha, I M Francis, K Kouris, M Awdeh, H M Abdel-Dayem, T Nilsson, K E Britton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is no simple analytical test. Radionuclide diuretic renography (RDR), being a dynamic imaging study reflecting the function of the kidney and the urodynamics of the urinary tracts, has the potential to predict the outcome of surgery in obstructive uropathy. In 12 sheep, we occluded one ureter for a maximum of seven weeks and followed up for a maxim of five weeks after release of occlusion. Repeated Tc-99m DTPA diuretic renography studies were performed and the results were correlated with the duration of complete ureteric occlusion. The renal uptake percentage and the extraction slope of the time activity curve (TAC) showed progressive and steady decrease over the period of the occlusion. By the fifth week there was very low uptake (less than 18%) and the TAC was almost flat, suggestive of severe nephropathy. The parenchymal transit time index (PTTI) showed immediate rise after occlusion but with no progressive increase in its value. By the fifth week it dropped down to normal. After release, the recovery of function showed good correlation with the renal uptake percentage and extraction slope of TAC before release of occlusion. Therefore both these parameters, rather than PTTI, can be used to predict the outcome of surgery before the release of complete obstruction of the ureter.</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 3","pages":"107-11"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13435501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Shimonagata, T Nishimura, T Uehara, K Hayashida, M Saito, T Sumiyoshi
{"title":"Exercise-induced ST-segment elevation in leads over infarcted area and residual myocardial ischemia in patients with previous myocardial infarction.","authors":"T Shimonagata, T Nishimura, T Uehara, K Hayashida, M Saito, T Sumiyoshi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the clinical significance of exercise-induced ST elevation in patients who had previous myocardial infarction. Electrocardiographic leads were placed over the infarcted area in 65 patients who had previous myocardial infarction (PMI; isolated left anterior descending coronary artery disease). All patients also had stress thallium scan. Exercise-induced ST changes in leads placed over patients' infarcted areas were compared with the extent of both their myocardial ischemia [thallium ischemic score (TIS)] and the area of their infarcted tissue [defect score (DS)]. The latter was derived from a circumferential profile analysis. In patients who had PMI less than three months after the onset of myocardial infarction (n = 36), the left ventricular ejection fraction (LVEF) and the extent of abnormal left ventricular wall motion did not significantly differ from those in patients with exercise-induced ST elevation (greater than 2 mm, n = 26; less than 2 mm, n = 10). In patients who had PMI more than three months after the onset of myocardial infarction (n = 29), patients with high exercise-induced ST elevation (greater than 2 mm, n = 15) showed left ventricular dyskinesis more frequently than those with low ST elevations (less than 2 mm, n = 14). In addition, the former showed higher DS and lower TIS than the latter. In patients who had PMI less than three months after onset (n = 26), 73% of those with ST elevations with prominent upright T waves (n = 15) also had transient thallium defects in their infarcted areas. They also had higher LVEF and TIS than those with low ST elevations (less than 2 mm, n = 11). These results indicated that exercise-induced ST elevations in leads placed over the infarcted areas are to be interpreted differently depending on the degree of recovery of injured myocardial tissue.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76992,"journal":{"name":"American journal of physiologic imaging","volume":"5 3","pages":"99-106"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13436793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}