Apr, 1997
A comparative study of simple methods to measure regional cerebral blood flow using iodine-123-IMP SPECT
JOURNAL OF NUCLEAR MEDICINE
- ,
- ,
- Volume
- 38
- Number
- 4
- First page
- 597
- Last page
- 601
- Language
- English
- Publishing type
- Research paper (scientific journal)
- Publisher
- SOC NUCLEAR MEDICINE INC
The aim of this study was to compare the accuracy and reliability of simple methods of quantifying regional cerebral blood Row (rCBF) with I-123-labeled N-isopropyl-p-iodoamphetamine (IMP) and SPECT and to determine which method was best. Methods: Four methods were examined: (a) the microsphere method with continuous withdrawal of arterial blood, which was based on a microsphere model using the SPECT image obtained 5 min after tracer injection, (b) the microsphere method with one-point sampling, which was the same as the first method except that one-point sampling was used instead of continuous withdrawal, (c) the modified microsphere method with one-point sampling, which was the same as the second method except that a later SPECT image (30-min postinjection) with correction was used and (d) a table look-up method based on a two-compartment model with one-point arterial blood sampling and two SPECT scans obtained 40- and 180-min postinjection. The accuracy of these methods was validated by comparing the rCBF values with those obtained by nonlinear least squares fitting analysis based on the two-compartment model in 15 subjects. Results: Regional cerebral blood flow values obtained by the first method correlated most closely with those obtained by nonlinear least squares fitting analysis (error, 6.8%). The second method estimated rCBF with a mean error of 10.4%. The third method estimated rCBF with a mean error of 13.1%, even though it tended to slightly overestimate rCBF. The fourth method was inclined to underestimate rCBF with a mean error of 17.1%, and it greatly overestimated regional distribution volume. Conclusion: The first method was the most accurate and reliable. For less invasiveness, the first method should be combined with one-point sampling instead of continuous withdrawal, which was used in the second method. When using a delayed SPECT image with a conventional SPECT scanner, the third method was considered to be superior to the fourth method.
- Link information
- ID information
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- ISSN : 0161-5505
- Web of Science ID : WOS:A1997WR37700029