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Effect of coronary blood flow on uptake and washout of Tc-99m DMPE and Tl-201.

Abstract
After intravenous administration of Tc-99m DMPE the flow-dependent kinetics were studied in dogs during induced ischemia and during induced maximal reactive hyperemia. A control group was also studied. Mean time-activity curves obtained from the myocardial wall were compared within the same intervention group and also with other groups. During reactive hyperemia, there was a rapid and absolute increase in uptake followed by a rapid washout, whereas during ischemia there was a slow and decreased uptake followed by a slow washout. The magnitude of Tc-99m DMPE uptake during reactive hyperemia was slightly less than that of Tl-201, but the decreased uptake with ischemia was about equal for the two agents. Following maximal uptake in the myocardium the effective half-life of Tc-99m DMPE was one-third to one-fourth that of Tl-201. The similar kinetics of Tc-99m DMPE compared to Tl-201 suggests its usefulness in the evaluation of ischemic heart disease.
AuthorsH Nishiyama, R J Adolph, E Deutsch, V J Sodd, K Libson, M C Gerson, E L Saenger, S J Lukes, M Gabel, J L Vanderheyden, D L Fortman
JournalJournal of nuclear medicine : official publication, Society of Nuclear Medicine (J Nucl Med) Vol. 23 Issue 12 Pg. 1102-10 (Dec 1982) ISSN: 0161-5505 [Print] United States
PMID7143092 (Publication Type: Comparative Study, Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Organotechnetium Compounds
  • Phosphines
  • Radioisotopes
  • Technetium
  • technetium Tc 99m bis(1,2-dimethylphosphino)ethane
  • Thallium
Topics
  • Animals
  • Coronary Circulation
  • Coronary Disease (diagnostic imaging)
  • Dogs
  • Hyperemia (diagnostic imaging)
  • Kinetics
  • Myocardium (metabolism)
  • Organotechnetium Compounds
  • Phosphines (metabolism)
  • Radioisotopes
  • Radionuclide Imaging
  • Technetium (metabolism)
  • Thallium (metabolism)

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