Document Detail


Effect of acute experimental pulmonary arterial occlusion on the deposition and clearance of technetium-99m-DTPA radioaerosols.
MedLine Citation:
PMID:  8046493     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Canine models of autologous PE and balloon occlusion of the pulmonary vasculature were used to evaluate radioaerosol deposition and to quantify radioaerosol clearance in the immediate postembolic period. METHODS: A total of 28 animals were anesthetized, intubated and studied (central balloon occlusion = 4, peripheral balloon occlusion = 7, autologous PE = 5, various control groups = 12). A gamma camera computer system was used to monitor the distribution and clearance rate of inhaled DTPA radioaerosol. The perfusion defect distribution was determined after the radioaerosol study using 99mTc-MAA. RESULTS: A new radioaerosol deposition defect was seen in 3 of 16 animals in a zone of acute vascular occlusion by a balloon (n = 2) or PE (n = 1). In addition, radioaerosol clearance rates were altered substantially. Peripheral vascular occlusion and PE caused radioaerosol clearance rates to accelerate significantly (control clearance half-time = 33.6 +/- 4.6 min, post-balloon occlusion = 19.0 +/- 8.3 min, post-PE = 12.4 +/_ 3.7 min, both p < 0.05). In only one case did these clearance rate changes create a visible abnormality in the aerosol images. CONCLUSIONS: The pulmonary deposition patterns and clearance rates of 99mTc-DTPA radioaerosol can be altered by acute vascular occlusion or PE. These findings should be considered when interpreting radioaerosol images in patients with suspected PE.
Authors:
Y Mori; P O Alderson; H L Berman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of nuclear medicine : official publication, Society of Nuclear Medicine     Volume:  35     ISSN:  0161-5505     ISO Abbreviation:  J. Nucl. Med.     Publication Date:  1994 Aug 
Date Detail:
Created Date:  1994-08-30     Completed Date:  1994-08-30     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1351-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Columbia-Presbyterian Medical Center, New York, NY 10032.
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MeSH Terms
Descriptor/Qualifier:
Aerosols
Animals
Balloon Dilatation
Dogs
Lung / radionuclide imaging*
Pulmonary Artery*
Pulmonary Embolism / radionuclide imaging*
Technetium Tc 99m Aggregated Albumin / diagnostic use
Technetium Tc 99m Pentetate / diagnostic use*
Chemical
Reg. No./Substance:
0/Aerosols; 0/Technetium Tc 99m Aggregated Albumin; 65454-61-7/Technetium Tc 99m Pentetate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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