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Reduced Absolute Bilateral Pulmonary Blood Flow using O-15 labeled water PET in Patients with Chronic Thromboembolic Pulmonary Hypertension

https://repo.qst.go.jp/records/71733
https://repo.qst.go.jp/records/71733
2ba63bcb-829a-4509-ac7f-8b954b7084ff
Item type 会議発表用資料 / Presentation(1)
公開日 2015-06-18
タイトル
タイトル Reduced Absolute Bilateral Pulmonary Blood Flow using O-15 labeled water PET in Patients with Chronic Thromboembolic Pulmonary Hypertension
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_c94f
資源タイプ conference object
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Yoshinaga, Keiichiro

× Yoshinaga, Keiichiro

WEKO 705960

Yoshinaga, Keiichiro

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Tomiyama, Yuuki

× Tomiyama, Yuuki

WEKO 705961

Tomiyama, Yuuki

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Tsujino, Ichizo

× Tsujino, Ichizo

WEKO 705962

Tsujino, Ichizo

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Ohira, Hiroshi

× Ohira, Hiroshi

WEKO 705963

Ohira, Hiroshi

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Manabe, Osamu

× Manabe, Osamu

WEKO 705964

Manabe, Osamu

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Katoh, Chietsugu

× Katoh, Chietsugu

WEKO 705965

Katoh, Chietsugu

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Nishimura, Masaharu

× Nishimura, Masaharu

WEKO 705966

Nishimura, Masaharu

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Tamaki, Nagara

× Tamaki, Nagara

WEKO 705967

Tamaki, Nagara

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吉永 恵一郎

× 吉永 恵一郎

WEKO 705968

en 吉永 恵一郎

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抄録
内容記述タイプ Abstract
内容記述 Background: Absolute pulmonary blood flow (PBF) estimation may be a sensitive approach to evaluate lung perfusion. However, this approach has not been studied in patients with chronic thromboembolic pulmonary hypertension (CTEPH). The purpose of the present study was to evaluate bilateral PBF in CTEPH patients using O-15-labeled water PET.
Methods: Eleven patients with CTEPH (age 60.814.6 years, mean pulmonary artery pressure (mPAP): 35.49.3 mmHg, pulmonary vascular resistance: 7.152.79 WU) and 7 healthy controls (age 29.79.1 years) underwent dynamic O-15 water PET at rest. All CTEPH patients showed multiple perfusion defects in both lungs using Tc-99m macroaggregated human serum albumin lung scan. Dynamic O-15 water PET was used to simultaneously measure bilateral PBF and myocardial blood flow (MBF). The input function was derived from the right ventricle (RV) cavity. Region of interest were made on bilateral lung using transmission data.
Results: There was no significant difference in whole LV MBF between the CTEPH and controls (0.880.24 vs. 0.760.11 mL/g/min, P=0.25). In contrast, CTEPH patients showed significantly lower left (180.527.2 vs. 224.742.6 mL/ 100mL of lung/min, P=0.015) and right PBF (131.122.1 vs. 166.129.0 mL/ 100mL of lung/min, P=0.012) compared to that in control. PBF did not correlate with mPAP (R=0.15, P=0.65).
Conclusions: CTEPH patients showed preserved rest MBF, but reduced quantitative bilateral PBF. Addition of the quantitative PBF assessment using PET to the current imaging modalities may enable further understanding of the pathophysiology and may be better evaluation of the emerging medical and invasive treatments of CTEPH.
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 62nd Society of Nuclear Medicine and Molecular Imaging
発表年月日
日付 2015-06-08
日付タイプ Issued
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