Stroke, Vol 18, 158-167, Copyright © 1987 by American Heart Association
H Nakai, H Matsuda, E Takara, M Diksic, E Meyer and YL Yamamoto
Lumped and transfer rate constants in ischemic brain tissue must be
measured to estimate accurately cerebral glucose utilization by the
deoxyglucose method. We studied the bilateral middle cerebral artery
occlusion model in 17 cats, 5 with a 1-hour occlusion, 5 with a 4-hour
occlusion, and 7 with a sham operation. The time course of cerebral tissue
radioactivity (Ci*(t)) was monitored by external coincidence counting
during a programmed infusion of [18F]-2-deoxy-2-fluoro-d- glucose
(18F-2-FDG). Arterial plasma concentration (Cp*(t)) of the tracer was kept
constant during the first 45 minutes. Rate constants were estimated from
Ci*(t) and Cp*(t) by a nonlinear least-squares fitting routine. The lumped
constant was estimated from the fit of the ratio of extraction fractions of
glucose and 18F-2-FDG by nonweighted, nonlinear least-squares fitting. In
the 4-hour-occlusion model, the transfer constant k1* was 23% lower, k3*
39% lower, and the lumped constant 78% higher than in the sham-operated
animals. In the 1-hour- occlusion model, k3* was 26% lower than in the
sham-operated animals but the lumped constant was not significantly
different. The rate of glucose utilization was significantly different in
the 4-hour-occlusion model compared to the sham-operated animals (48%
decrease, p less than 0.05) but was not significantly different in the
1-hour-occlusion model.
ARTICLES
Simultaneous in vivo measurement of lumped constant and rate constants in experimental cerebral ischemia using F-18 FDG
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