赵全明,杜慧峰,董小黎,徐占民,王倩,许金鹏,宋爱丽,米洪志.PET/CT无创检测实验性动脉粥样硬化斑块的初步研究[J].中国医学影像技术,2008,24(8):1165~1168
PET/CT无创检测实验性动脉粥样硬化斑块的初步研究
Noninvasive imaging of vulnerable plaque with PET/CT: experimental study
投稿时间:2008-03-10  修订日期:2008-05-30
DOI:
中文关键词:  PET/CT  不稳定斑块  
英文关键词:PET/CT  Vulnerable plaque  Rabbit
基金项目:
作者单位E-mail
赵全明 首都医科大学附属北京安贞医院心内科十八病房,北京 100029 zhaoqm123@sohu.com 
杜慧峰 首都医科大学附属北京安贞医院心内科十八病房,北京 100029  
董小黎 首都医科大学基础医学院病理系,北京 100069  
徐占民 首都医科大学附属北京安贞医院心内科十八病房,北京 100029  
王倩 首都医科大学附属北京安贞医院核医学科,北京 100029  
许金鹏 河北大学医学院附属医院心内科,河北 保定 710000  
宋爱丽 首都医科大学基础医学院病理系,北京 100069  
米洪志 首都医科大学附属北京安贞医院核医学科,北京 100029  
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中文摘要:
      目的 探讨PET/CT无创检测动脉粥样斑块的可行性。 方法 6只新西兰大白兔随机分成实验组和对照组。实验组通过球囊拉伤膈下降主动脉内膜,并饲喂含2%胆固醇的高脂饲料20周,制造动脉粥样硬化模型;对照组仅饲喂普通饮食20周。静脉注射FDG (1 mCi/kg) 180 min后,将对照组和实验组动物置于PET/CT设备下进行降主动脉活体成像,之后处死实验组动物,进行降主动脉标本游离,数码照相,降主动脉标本分段,测定其放射强度和靶非靶比值。 结果 注药180 min后18F-FDG PET/CT活体显像显示:所有实验性动脉粥样硬化兔均可见沿降主动脉分布的放射性浓集显像。离体大体标本数码照相病变斑块与活体显像相一致。活体SUV以及离体标本放射性技术显示靶-非靶比值均相对较高。 结论 18F-FDG PET/CT无创检测动脉粥样斑块具有一定的可行性,有可能发展成为一种临床无创评价斑块稳定性的方法。
英文摘要:
      Objective To study the feasibility of noninvasive detection of vulnerable plaque with 18F-FDG PET/CT. Methods Inflamed atherosclerotic lesions were induced in 3 male New Zealand white rabbits via deendothelialization of the infradiaphragmatic aorta and exposure to a 20 weeks of high cholesterol diet; 3 rabbits fed standard diet without manipulation served as controls. Twenty weeks after balloon injury, animals were injected with FDG labeled with F18 (1 mCi/kg), then the aortic uptake of FDG was assessed (180 minutes after injection) with PET/CT. After the in vivo imaging, aortas were explanted and photographed with digital camera, and F18-FDG uptake analysised by γ counter. Results There was intense uptake of F18-FDG in atherosclerostic group, but no uptake was seen in controls. The results were confirmed in the ex vivo digital photo of the explanted aorta. Quantitative F18-FDG uptake was higher in lesion versus nonlesion areas. Conclusion The accumulation of F18-FDG is in proporation to the metabolic activity of plaque, these data show that measurement of vascular FDG uptake with PET/CT holds promise for the noninvasive detection of unstable atherosclerotic plaques.
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