Skip to main content
Erschienen in: Annals of Nuclear Medicine 3/2016

01.04.2016 | Original Article

Development of a simple non-invasive microsphere quantification method for cerebral blood flow using I-123-IMP

verfasst von: Asato Ofuji, Hiroaki Mimura, Kosuke Yamashita, Akihiro Takaki, Teruki Sone, Shigeki Ito

Erschienen in: Annals of Nuclear Medicine | Ausgabe 3/2016

Einloggen, um Zugang zu erhalten

Abstract

Objective

In clinical practice, measurement of the rCBF has mainly been conducted by I-123-N-isopropyl-p-iodoamphetamine (123I-IMP) SPECT using the microsphere (MS) method, with continuous arterial blood sampling. While several non-invasive 123I-IMP quantification methods have been developed, their accuracy has been shown to be lower than that of the MS method. Therefore, a non-invasive quantification method for use in routine clinical practice is being sought. The purpose of this study was to develop a simple non-invasive 123I-IMP quantification method (SIMS method) with a simple input function-determining protocol based on the MS method.

Method

The input function for the SIMS method was determined using the administered dose and the integrated lung washout ratio obtained by analyzing the count–time activity curve of the pulmonary artery and lung on dynamic chest images. The mean CBF (mCBF) and input function measured in 80 patients by the SIMS method was compared with those determined using the MS method.

Result

A good correlation was observed between the counts measured by continuous arterial blood sampling in the MS method and the estimated counts by image analysis in the new method (r = 0.94, p < 0.01). Similarly, a good correlation was observed between the mCBF values determined by the MS method and the SIMS method (r = 0.83, p < 0.01).

Conclusion

The mCBF values determined by the SIMS method were closely consistent with the values obtained by the MS method. This finding indicates the possibility of use of the SIMS method for routine clinical study.
Literatur
1.
Zurück zum Zitat Inui Y, Toyama H, Manabe Y, Sato T, Sarai M, Kosaka K, et al. Evaluation of probable or possible dementia with Lewy bodies using 123I-IMP brain perfusion SPECT, 123I-MIBG, and 99mTc-MIBImyocardial SPECT. J Nucl Med. 2007;48(10):1641–50.CrossRefPubMed Inui Y, Toyama H, Manabe Y, Sato T, Sarai M, Kosaka K, et al. Evaluation of probable or possible dementia with Lewy bodies using 123I-IMP brain perfusion SPECT, 123I-MIBG, and 99mTc-MIBImyocardial SPECT. J Nucl Med. 2007;48(10):1641–50.CrossRefPubMed
2.
Zurück zum Zitat Kanai Y, Hasegawa S, Kimura Y, Oku N, Ito H, Fukuda H, et al. N-isopropyl-4-[123I]iodoamphetamine (123I-IMP) products: a difference in radiochemical purity, unmetabolized fraction, and octanol extraction fraction in arterial blood and regional brain uptake in rats. Ann Nucl Med. 2007;21:387–91.CrossRefPubMed Kanai Y, Hasegawa S, Kimura Y, Oku N, Ito H, Fukuda H, et al. N-isopropyl-4-[123I]iodoamphetamine (123I-IMP) products: a difference in radiochemical purity, unmetabolized fraction, and octanol extraction fraction in arterial blood and regional brain uptake in rats. Ann Nucl Med. 2007;21:387–91.CrossRefPubMed
3.
Zurück zum Zitat Matsuda H, Oba H, Terada H, Tsuji S, Sumiya H, Shiba K, et al. Quantitative assessment of cerebral blood flow using technetium-99m-hexamethyl-propyleneamine oxime: part I, design of a mathematical model. Ann Nucl Med. 1988;2:13–9.CrossRefPubMed Matsuda H, Oba H, Terada H, Tsuji S, Sumiya H, Shiba K, et al. Quantitative assessment of cerebral blood flow using technetium-99m-hexamethyl-propyleneamine oxime: part I, design of a mathematical model. Ann Nucl Med. 1988;2:13–9.CrossRefPubMed
4.
Zurück zum Zitat Wong CH, Mohamed A, Larcos G, McCredie R, Somerville E, Bleasel A. Brain activation patterns of versive, hypermotor, and bilateral asymmetric tonic seizures. Epilepsia. 2010;51(10):2131–9.CrossRefPubMed Wong CH, Mohamed A, Larcos G, McCredie R, Somerville E, Bleasel A. Brain activation patterns of versive, hypermotor, and bilateral asymmetric tonic seizures. Epilepsia. 2010;51(10):2131–9.CrossRefPubMed
5.
Zurück zum Zitat Odano I, Ohkubo M, Yokoi T. Noninvasive quantification of cerebral blood flow using 99mTc-ECD and SPECT. J Nucl Med. 1999;40:1737–44.PubMed Odano I, Ohkubo M, Yokoi T. Noninvasive quantification of cerebral blood flow using 99mTc-ECD and SPECT. J Nucl Med. 1999;40:1737–44.PubMed
6.
Zurück zum Zitat Van Laere K, Dumont F, Koole M, Dierckx R. Non-invasive methods for absolute cerebral blood flow measurement using 99mTc-ECD: a study in healthy volunteers. Eur J Nucl Med. 2001;28:862–72.CrossRefPubMed Van Laere K, Dumont F, Koole M, Dierckx R. Non-invasive methods for absolute cerebral blood flow measurement using 99mTc-ECD: a study in healthy volunteers. Eur J Nucl Med. 2001;28:862–72.CrossRefPubMed
7.
Zurück zum Zitat Newberg AB, Wintering N, Khalsa DS, Roggenkamp H, Waldman MR. Meditation effects on cognitive function and cerebral blood flow in subjects with memory loss: a preliminary study. J Alzheimers Dis. 2010;20(2):517–26.PubMed Newberg AB, Wintering N, Khalsa DS, Roggenkamp H, Waldman MR. Meditation effects on cognitive function and cerebral blood flow in subjects with memory loss: a preliminary study. J Alzheimers Dis. 2010;20(2):517–26.PubMed
8.
Zurück zum Zitat Kuhl DE, Barrio JR, Huang SC, Selin C, Ackermann RF, Lear JL, et al. Quantifying local cerebral blood flow by N-isopropyl-p-(123I)iodoamphetamine (IMP) tomography. J Nucl Med. 1982;23:196–203.PubMed Kuhl DE, Barrio JR, Huang SC, Selin C, Ackermann RF, Lear JL, et al. Quantifying local cerebral blood flow by N-isopropyl-p-(123I)iodoamphetamine (IMP) tomography. J Nucl Med. 1982;23:196–203.PubMed
9.
Zurück zum Zitat Lassen NA, Henriksen L, Holm S, Barry DI, Paulson OB, Vorstrup S, et al. Cerebral blood-flow tomography:xenon-133 compared with isopropyl-amphetamine-iodine-123: concise communication. J Nucl Med. 1983;24:17–21.PubMed Lassen NA, Henriksen L, Holm S, Barry DI, Paulson OB, Vorstrup S, et al. Cerebral blood-flow tomography:xenon-133 compared with isopropyl-amphetamine-iodine-123: concise communication. J Nucl Med. 1983;24:17–21.PubMed
10.
Zurück zum Zitat Matsuda H, Seki H, Sumiya H, Tsuji S, Tonami N, Hisada K, et al. Quantitative cerebral blood flow measurements using N-isopropyl-(iodine 123) p-iodoamphetamine and single photon emission computed tomography with rotating gamma camera. Am J Physiol Imaging. 1986;1(4):186–94.PubMed Matsuda H, Seki H, Sumiya H, Tsuji S, Tonami N, Hisada K, et al. Quantitative cerebral blood flow measurements using N-isopropyl-(iodine 123) p-iodoamphetamine and single photon emission computed tomography with rotating gamma camera. Am J Physiol Imaging. 1986;1(4):186–94.PubMed
11.
Zurück zum Zitat Yokoi T, Iida H, Itoh H, Kanno I. A new graphic plot analysis for cerebral blood flow and partition coefficient with iodine-123-iodoamphetamine and dynamic SPECT validation studies using oxygen-15-water and PET. J Nucl Med. 1993;34(3):498–505.PubMed Yokoi T, Iida H, Itoh H, Kanno I. A new graphic plot analysis for cerebral blood flow and partition coefficient with iodine-123-iodoamphetamine and dynamic SPECT validation studies using oxygen-15-water and PET. J Nucl Med. 1993;34(3):498–505.PubMed
12.
Zurück zum Zitat Iida H, Itoh H, Nakazawa M, Hatazawa J, Nishimura H, Onishi Y, et al. Quantitative mapping of regional cerebral blood flow using iodine-123-IMP and SPECT. J Nucl Med. 1994;35:2019–30.PubMed Iida H, Itoh H, Nakazawa M, Hatazawa J, Nishimura H, Onishi Y, et al. Quantitative mapping of regional cerebral blood flow using iodine-123-IMP and SPECT. J Nucl Med. 1994;35:2019–30.PubMed
13.
Zurück zum Zitat Iida H, Itoh H, Bloomfield P, Munaka M, Higano S, Murakami M, et al. A method to quantitate cerebral blood flow using a rotating gamma camera and iodine-123 iodoamphetamine with one blood sampling. Eur J Nucl Med. 1994;21:1072–84.CrossRefPubMed Iida H, Itoh H, Bloomfield P, Munaka M, Higano S, Murakami M, et al. A method to quantitate cerebral blood flow using a rotating gamma camera and iodine-123 iodoamphetamine with one blood sampling. Eur J Nucl Med. 1994;21:1072–84.CrossRefPubMed
14.
Zurück zum Zitat Ito S, Tkaki A, Inoue S, Tomiguchi S, Shiraisgi S, Akiyama Y, et al. Improvement of the 99mTc-ECD brain uptake ratio (BUR) method for measurement of cerebral blood flow. Ann Nucl Med. 2012;26(4):351–8.CrossRefPubMed Ito S, Tkaki A, Inoue S, Tomiguchi S, Shiraisgi S, Akiyama Y, et al. Improvement of the 99mTc-ECD brain uptake ratio (BUR) method for measurement of cerebral blood flow. Ann Nucl Med. 2012;26(4):351–8.CrossRefPubMed
15.
Zurück zum Zitat Tomiguchi S, Tashiro K, Shiraishi S, Yoshida M, Kawanaka K, Takahashi Y, et al. Estimation of 123I-IMP arterial blood activity from dynamic planar imaging of the chest using a graph plot method for the quantification of regional cerebral blood flow. Ann Nucl Med. 2010;24(5):387–93.CrossRefPubMed Tomiguchi S, Tashiro K, Shiraishi S, Yoshida M, Kawanaka K, Takahashi Y, et al. Estimation of 123I-IMP arterial blood activity from dynamic planar imaging of the chest using a graph plot method for the quantification of regional cerebral blood flow. Ann Nucl Med. 2010;24(5):387–93.CrossRefPubMed
16.
Zurück zum Zitat Abe S, Kato K, Takahashi Y, Fujita N, Yamashita M, Shinoda M, et al. Estimation of 123I-IMP arterial blood activity using 123I-IMP acquisition data from the lungs and brain without any blood sampling: validation of its usefulness for quantification of regional cerebral blood flow. Clin Nucl Med. 2012;37:258–63.CrossRefPubMed Abe S, Kato K, Takahashi Y, Fujita N, Yamashita M, Shinoda M, et al. Estimation of 123I-IMP arterial blood activity using 123I-IMP acquisition data from the lungs and brain without any blood sampling: validation of its usefulness for quantification of regional cerebral blood flow. Clin Nucl Med. 2012;37:258–63.CrossRefPubMed
17.
Zurück zum Zitat Yonekura Y, Sugihara H, Taniguchi Y, Aoki E, Furuichi K, Miyazaki Y. Quantification of brain perfusion SPECT with N-isopropyl-p-iodoamphetamine using noninvasive microsphere method: estimation of arterial input by dynamic imaging. Kaku Igaku. 1997;34:901–8.PubMed Yonekura Y, Sugihara H, Taniguchi Y, Aoki E, Furuichi K, Miyazaki Y. Quantification of brain perfusion SPECT with N-isopropyl-p-iodoamphetamine using noninvasive microsphere method: estimation of arterial input by dynamic imaging. Kaku Igaku. 1997;34:901–8.PubMed
18.
Zurück zum Zitat Yonekura Y, Fujita T, Nishizawa S, Iwasaki Y, Mukai T, Konishi J. Temporal changes in accumulation of N-isopropyl-p-iodoamphetamine in human brain: relation to lung clearance. J Nucl Med. 1989;30:1977–81.PubMed Yonekura Y, Fujita T, Nishizawa S, Iwasaki Y, Mukai T, Konishi J. Temporal changes in accumulation of N-isopropyl-p-iodoamphetamine in human brain: relation to lung clearance. J Nucl Med. 1989;30:1977–81.PubMed
19.
Zurück zum Zitat Takeuchi R, Yonekura Y, Matsuda H, Konishi J. Usefulness of a three-dimensional stereotaxic ROI template on anatomically standardised 99mTc-ECD SPET. Eur J Nucl Med Mol Imaging. 2002;29:331–41.CrossRefPubMed Takeuchi R, Yonekura Y, Matsuda H, Konishi J. Usefulness of a three-dimensional stereotaxic ROI template on anatomically standardised 99mTc-ECD SPET. Eur J Nucl Med Mol Imaging. 2002;29:331–41.CrossRefPubMed
20.
Zurück zum Zitat Nishizawa S, Shimozaki T, Ueno M, et al. A new method to estimate rCBF using IMP and SPECT without any blood sampling. Ann Nucl Med. 2000;14:433–40.CrossRefPubMed Nishizawa S, Shimozaki T, Ueno M, et al. A new method to estimate rCBF using IMP and SPECT without any blood sampling. Ann Nucl Med. 2000;14:433–40.CrossRefPubMed
21.
Zurück zum Zitat Kanno I, Iida H, Miura S, Murakami M, Takahashi K, Sasaki H, et al. A system for cerebral blood flow measurement using an H2O-15 autoradiographic method and positron emission tomography. J Cereb Blood Flow Metab. 1987;7:143–53.CrossRefPubMed Kanno I, Iida H, Miura S, Murakami M, Takahashi K, Sasaki H, et al. A system for cerebral blood flow measurement using an H2O-15 autoradiographic method and positron emission tomography. J Cereb Blood Flow Metab. 1987;7:143–53.CrossRefPubMed
22.
Zurück zum Zitat Iida H, Kanno I, Miura S, Murakami M, Takahashi K, Uemura K. Error analysis of a quantitative cerebral blood flow measurement using H2O-15 autoradiography and positron emission tomography: with respect to the dispersion of the input function. J Cereb Blood Flow Metab. 1986;6:536–45.CrossRefPubMed Iida H, Kanno I, Miura S, Murakami M, Takahashi K, Uemura K. Error analysis of a quantitative cerebral blood flow measurement using H2O-15 autoradiography and positron emission tomography: with respect to the dispersion of the input function. J Cereb Blood Flow Metab. 1986;6:536–45.CrossRefPubMed
23.
Zurück zum Zitat Iida H, Akutsu T, Endo K, Fukuda H, Inoue T, Ito H, et al. A multicenter validation of regional cerebral blood flow quantitation using [123I]iodo-amphetamine and single photon emission computed tomography. J Cereb Blood Flow Metab. 1996;16:781–93.CrossRefPubMed Iida H, Akutsu T, Endo K, Fukuda H, Inoue T, Ito H, et al. A multicenter validation of regional cerebral blood flow quantitation using [123I]iodo-amphetamine and single photon emission computed tomography. J Cereb Blood Flow Metab. 1996;16:781–93.CrossRefPubMed
24.
Zurück zum Zitat Shimosegawa E, Fujino K, Kato H, Hatazawa J. Quantitative CBF measurement using an integrated SPECT/CT system: validation of three-dimensional ordered-subset expectation maximization and CT-based attenuation correction by comparing with O-15 water PET. Ann Nucl Med. 2013;27:822–33.CrossRefPubMed Shimosegawa E, Fujino K, Kato H, Hatazawa J. Quantitative CBF measurement using an integrated SPECT/CT system: validation of three-dimensional ordered-subset expectation maximization and CT-based attenuation correction by comparing with O-15 water PET. Ann Nucl Med. 2013;27:822–33.CrossRefPubMed
25.
Zurück zum Zitat Iida H, Akutsu T, Endo K, et al. Multicenter validation of regional cerebral blood flow quantification using I-123 iodoamphetamine and single photon emission computed tomography. J Cereb Blood Flow Metab. 1996;16:781–93.CrossRefPubMed Iida H, Akutsu T, Endo K, et al. Multicenter validation of regional cerebral blood flow quantification using I-123 iodoamphetamine and single photon emission computed tomography. J Cereb Blood Flow Metab. 1996;16:781–93.CrossRefPubMed
Metadaten
Titel
Development of a simple non-invasive microsphere quantification method for cerebral blood flow using I-123-IMP
verfasst von
Asato Ofuji
Hiroaki Mimura
Kosuke Yamashita
Akihiro Takaki
Teruki Sone
Shigeki Ito
Publikationsdatum
01.04.2016
Verlag
Springer Japan
Erschienen in
Annals of Nuclear Medicine / Ausgabe 3/2016
Print ISSN: 0914-7187
Elektronische ISSN: 1864-6433
DOI
https://doi.org/10.1007/s12149-015-1053-8

Weitere Artikel der Ausgabe 3/2016

Annals of Nuclear Medicine 3/2016 Zur Ausgabe