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18.11.2019 | Original Article

Functional significance of post-myocardial infarction inflammation evaluated by 18F-fluorodeoxyglucose imaging in swine model

Journal of Nuclear Cardiology
MD Xiao-Ying Xi, MD Feifei Zhang, MD Jianfeng Wang, MD Wei Gao, MD Yi Tian, MD Hongyu Xu, MD Min Xu, MD Yuetao Wang, MD Min-Fu Yang
Wichtige Hinweise

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The online version of this article (https://​doi.​org/​10.​1007/​s12350-019-01952-0) contains supplementary material, which is available to authorized users.
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This work was supported by the National Natural Science Foundation of China (81471690, 81471694).
Xiao-Ying Xi and Feifei Zhang have contributed equally to this work and are co-first.

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The aim of the study was to investigate the relationship between post-myocardial infarction (MI) inflammation and left ventricular (LV) remodeling in a swine model by 18F-fluorodeoxyglucose (FDG) imaging.


MI was induced in swine by balloon occlusion of the left anterior descending coronary artery. A series of FDG positron emission tomography (PET) images were taken within 2 weeks post-MI, employing a comprehensive strategy to suppress the physiological uptake of cardiomyocytes. Echocardiography was applied to evaluate LV volume, global and regional function. CD68+ macrophage and glucose transporters (GLUT-1, -3 and -4) were investigated by immunostaining.


The physiological uptake of myocardium was adequately suppressed in 92.3% of PET scans verified by visual analysis, which was further confirmed by the minimal expression of myocardial GLUT-4. Higher FDG uptake was observed in the infarct than in the remote area and persisted within the observational period of 2 weeks. The FDG uptake of infarcted myocardium on day 1 post-MI was correlated with LV global remodeling, and the FDG uptake of infarcted myocardium on days 1 and 8 post-MI had a trend of correlating with regional remodeling of the infarct area.


We here report a feasible swine model for investigating post-MI inflammation. FDG signal in the infarct area of swine persisted for a longer duration than has been reported in small animals. FDG activity in the infarct area could predict LV remodeling.

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