Published in:
01-06-2009 | Original Article
Measurement of cerebral blood flow by the autoradiographic method with N-isopropyl-4-[I-123] iodoamphetamine: comparison of radiopharmaceuticals marketed by different companies in Japan
Authors:
Toshiyuki Ogura, Hiroshi Ito, Kazuhiro Hida, Toshihide Masuzuka, Hiroshi Fukuda, Jun Hatazawa
Published in:
Annals of Nuclear Medicine
|
Issue 4/2009
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Abstract
Objective
Iodine-123-labeled N-isopropyl-4-iodoamphetamine (IMP) is used as a tracer for the measurement of cerebral blood flow (CBF) by single-photon emission computed tomography (SPECT). Two IMP products, IMPA (Nihon Medi-Physics Co., Ltd.) and IMPB (FUJIFILM RI Pharma Co., Ltd.), produced by different radiopharmaceutical companies are marketed for clinical use in Japan. Although no significant difference in whole-body distribution between the two products has been reported, a significant difference in the radioactivity of the octanol-extracted fraction in whole blood between the two products has been reported in humans. In this study, CBF values obtained by the autoradiographic (ARG) method obtained from both IMPA and IMPB were compared in the same human subjects.
Methods
SPECT studies were performed on 6 healthy subjects with the use of both IMPA and IMPB. Standard input functions used in the ARG method were obtained for both IMPA and IMPB from 5 additional healthy subjects.
Results
Significant differences were found between CBF values when SPECT data with IMPA was combined with the standard input function for IMPB (37.7 ± 3.7 mL/100 g/min at a mid-scan time of 30 min) and SPECT data with IMPB was combined with the standard input function for IMPA (50.7 ± 8.9 mL/100 g/min). Nearly the same CBF values were found when SPECT data with IMPA was combined with the standard input function for IMPA (43.1 ± 4.4 mL/100 g/min) and SPECT data with IMPB was combined with the standard input function for IMPB (44.2 ± 7.6 mL/100 g/min).
Conclusions
Our results suggest that the appropriate standard input function should be used, according to the IMP product used, in the calculation of CBF by the ARG method.