Abstract
BackgroundMagnetic resonance imaging (MRI) with Gadolinium 1,4,7,10-tetraazacyclododecane-N′,N″,N′′′,N″″-tetraacetic acid (Gd-DOTA) enables assessment of myocardial perfusion during first-pass of the contrast agent, while increased retention can signify areas of myocardial infarction (MI). We studied whether Gallium-68-labeled analog, 68Ga-DOTA, can be used to assess myocardial perfusion on positron emission tomography/computed tomography (PET/CT) in rats, comparing it with 11C-acetate. MethodsRats were studied with 11C-acetate and 68Ga-DOTA at 24 hours after permanent ligation of the left coronary artery or sham operation. One-tissue compartmental models were used to estimate myocardial perfusion in normal and infarcted myocardium. After the PET scan, hearts were sectioned for autoradiographic detection of 68Ga-DOTA distribution. Results11C-acetate PET showed perfusion defects and histology showed myocardial necrosis in all animals after coronary ligation. Kinetic modeling of 68Ga-DOTA showed significantly higher k1 values in normal myocardium than in infarcted areas. There was a significant correlation (r = 0.82, P = 0.001) between k1 values obtained with 68Ga-DOTA and 11C-acetate. After 10 minutes of tracer distribution, the 68Ga-DOTA concentration was significantly higher in the infarcted than normal myocardium on PET imaging and autoradiography. ConclusionsOur results indicate that acute MI can be detected as reduced perfusion, as well as increased late retention of 68Ga-DOTA.
Highlights
Gadolinium (Gd)-labeled chelates are widely used magnetic resonance imaging (MRI) contrast agents
There was a significant correlation (r = 0.82, P = 0.001) between k1 values obtained with 68Ga-DOTA and 11C-acetate
Our results indicate that acute myocardial infarction (MI) can be detected as reduced perfusion, as well as increased late retention of 68Ga-DOTA. (J Nucl Cardiol 2020;27:891–8.)
Summary
Gadolinium (Gd)-labeled chelates are widely used magnetic resonance imaging (MRI) contrast agents. Positron emission tomography/computed tomography (PET/CT) perfusion imaging enables quantification of myocardial blood flow (MBF) and myocardial flow reserve (MFR). As it does not require an on-site cyclotron, rubidium-82 (82Rb) chloride is the most widely used tracer for assessment of myocardial perfusion with PET. Magnetic resonance imaging (MRI) with Gadolinium 1,4,7,10-tetraazacyclododecane-N0,N00,N000,N0000-tetraacetic acid (Gd-DOTA) enables assessment of myocardial perfusion during first-pass of the contrast agent, while increased retention can signify areas of myocardial infarction (MI). We studied whether Gallium-68-labeled analog, 68Ga-DOTA, can be used to assess myocardial perfusion on positron emission tomography/computed tomography (PET/CT) in rats, comparing it with 11C-acetate
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