J Vet Sci.  2007 Sep;8(3):223-227. 10.4142/jvs.2007.8.3.223.

Effectiveness of 99mTc-tetrofosmin for assessment of heart functions in micropigs

Affiliations
  • 1College of Veterinary Medicine, Biotherapy Human Resources Center, Chonnam National University, Gwangju 500-757, Korea. hjhan@chonnam.ac.kr
  • 2Department of Nuclear Medicine, Chonnam National University Hwasun Hospital, Hwasun 519-809, Korea.

Abstract

This study examined the suitability of a nuclear imagingtechnique using 99mTc-tetrofosmin as an agent to assess theheart functions of healthy micropigs. The mean age of thepigs was 360 days (male), and the mean body weight was35.3kg ranging from 34.5-36kg. There were no significantperfusion defects in any of the reconstructed images.Gated single-photon emission computed tomographyimaging can be used to calculate the ventricular volumeand ejection fraction (EF). In this case, an EF of 79% wascalculated from the ventricular volume of the end-systolicimage (10 ml) subtracted from that of the end-diastolicvolume (49 ml). A perfusion defect (particularly the apex,lateral wall) is unlikely because of the presence of apreserved wall motion in a segment with a defect. It isconcluded that quantitative cardiac scintigraphy, using99mTc-tetrofosmin is an adequate technique for estimatingthe heart functions of healthy micropigs.

Keyword

ejection fraction (EF); heart function; micropig; 99mTc-tetrofosmin

MeSH Terms

Animals
Heart/*radionuclide imaging
Heart Function Tests/methods/*veterinary
Male
Organophosphorus Compounds/*diagnostic use
Organotechnetium Compounds/*diagnostic use
Swine
Swine, Miniature/*physiology
Tomography, Emission-Computed, Single-Photon/methods/*veterinary

Figure

  • Fig. 1 A micropig positioned ventro-dorsally, and restrained physically and pharmacologically for an assessment of the cardiac function using gated 99mTc-tetrofosmin single photon emission computed tomography.

  • Fig. 2 Cardiac perfusion images. A-C: These images showed myocardial perfusion (Yellow arrow: anterior wall, Yellow dotted arrow: septal wall, white arrow: inferior wall, white dotted arrow: lateral wall). Cardiac short-axis (A), vertical long-axis (B), horizontal long-axis (C) was represented. The polar map (D) an image showing quantified values of perfusion of each cardiac region as a map.

  • Fig. 3 These images represent the cardiac wall motion reconstructed as 3 dimensional image. The cardiac wall motion images showed a visualization of the radioactivity of 99mTc-tetrofosmin in the heart and cardiac perfusion volume. A: end-diastole volume B: end-systole volume.

  • Fig. 4 Images representing the quantitative wall motion and thickening that provides evidence of the ventricular function. A: thickening (above: end-diastolic image, below: end-systolic image), B: thickening map.


Reference

1. Arbab AS, Koizumi K, Toyama K, Arai T, Araki T. 99mTc-tetrofosmin, 99mTc-MIBI and thallium-201 uptake in rat myocardial cells. J Nucl Med. 1998. 39:266–271.
2. DePuey EG, Rozanski A. Using gated 99mTc-sestamibi SPECT to characterize fixed myocardial defects as infarct or artifact. J Nucl Med. 1995. 36:952–955.
3. Evans RW, Orians CE, Ascher NL. The potential supply of organ donors. An assessment of the efficacy of organ procurement efforts in the united states. JAMA. 1992. 267:239–246.
Article
4. Flamen P, Bossuyt A, Franken PR. 99mTc-tetrofosmin in dipyridamole-stress myocardial SPECT imaging: intraindividual comparison with 99mTc-sestamibi. J Nucl Med. 1995. 36:2009–2015.
5. Hachamovitch R, Berman DS, Kiat H, Cohen I, Cabico JA, Friedman J, Diamond GA. Exercise myocardial perfusion SPECT in patients without known coronary artery disease: incremental prognostic value and use in risk stratification. Circulation. 1996. 93:905–914.
Article
6. Hachamovitch R, Berman DS, Kiat H, Cohen I, Friedman JD, Shaw LJ. Value of stress myocardial perfusion single photon emission computed tomography in patients with normal resting electrocardiograms: an evaluation of incremental prognostic value and cost-effectiveness. Circulation. 2002. 105:823–829.
Article
7. Hachamovitch R, Hayes S, Friedman JD, Cohen I, Shaw LJ, Germano G, Berman DS. Determinants of risk and its temporal variation in patients with normal stress myocardial perfusion scans: what is the warranty period of a normal scan? J Am Coll Cardiol. 2003. 41:1329–1340.
Article
8. Klocke FJ, Baird MG, Lorell BH, Bateman TM, Messer JV, Berman DS, O'Gara PT, Carabello BA, Russell RO, Cerqueira MD, St John Sutton MG, DeMaria AN, Udelson JE, Kennedy JW, Verani MS, Williams KA, Antman EM, Smith SC, Alpert JS, Gregoratos G, Anderson JL, Hiratzka LF, Faxon DP, Hunt SA, Fuster V, Jacobs AK, Gibbons RJ, Russell RO; American College of Cardiology; American Heart Association Task Force on Practice Guidelines; American Society for Nuclear Cardiology. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging). Circulation. 2003. 108:1404–1418.
Article
9. Mark DB, Shaw LJ, Lauer MS, O'Malley PG, Heidenreich P. 34th Bethesda Conference: Task force #5--Is atherosclerosis imaging cost effective? J Am Coll Cardiol. 2003. 41:1906–1917.
10. Münch G, Neverve J, Matsunari I, Schröter G, Schwaiger M. Myocardial 99mTc-tetrofosmin and 99mTc-sestamibi kinetics in normal subjects and patients with coronary artery disease. J Nucl Med. 1997. 38:428–432.
11. Platts EA, North TL, Pickett RD, Kelly JD. Mechanism of uptake of technetium-tetrofosmin. I: Uptake into isolated adult rat ventricular myocytes and subcellular localization. J Nucl Cardiol. 1995. 2:317–326.
Article
12. Pollock SG, Abbott RD, Boucher CA, Beller GA, Kaul S. Independent and incremental prognostic value of tests performed in hierarchical order to evaluate patients with suspected coronary artery disease. Validation of models based on these tests. Circulation. 1992. 85:237–248.
Article
13. Reemtsma K, Mccracken BH, Schlegel JU, Pearl M. Heterotransplantation of the kidney: two clinical experiences. Science. 1964. 143:700–702.
Article
14. Reemtsma K, Mccracken BH, Schlegel JU, Pearl MA, Pearce CW, Dewitt CW, Smith PE, Hewitt RL, Flinner RL, Creech O. Renal heterotransplantation in man. Ann Surg. 1964. 160:384–410.
Article
15. Rozanski A, Berman DS. The efficacy of cardiovascular nuclear medicine exercise studies. Semin Nucl Med. 1987. 17:104–120.
Article
16. Underwood SR, Godman B, Salyani S, Ogle JR, Ell PJ. Economics of myocardial perfusion imaging in Europe-the EMPIRE Study. Eur Heart J. 1999. 20:157–166.
Article
17. Schaefer WM, Lipke CS, Standke D, Kühl HP, Nowak B, Kaiser HJ, Koch KC, Buell U. Quantification of left ventricular volumes and ejection fraction from gated 99mTc-MIBI SPECT: MRI validation and comparison of the Emory Cardiac Tool Box with QGS and 4D-MSPECT. J Nucl Med. 2005. 46:1256–1263.
18. Younés A, Songadele JA, Maublant J, Platts E, Pickett R, Veyre A. Mechanism of uptake of technetium-tetrofosmin. II: Uptake into isolated adult rat heart mitochondria. J Nucl Cardiol. 1995. 2:327–333.
Article
Full Text Links
  • JVS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr