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Instrumentation & Data Analysis: Data Analysis & ManagementQuantitative Methods |
1 Nuclear Medicine and Radiobiology; 2 Endocrinology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
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Objectives: PET imaging can be used to investigate the effects of diabetes and genetic susceptibility to diabetes on skeletal muscle metabolism and perfusion. The purpose of this study was to validate the use of the femoral artery (FA) as the input function (IF) in PET images for tracer kinetic modeling with 11C-acetate (AC) and 18F-fluoro-6-thia-heptadecanoic acid (FTHA).
Methods: The approach was validated with two phantom systems. First, various radioactive cylinders were used to determine recovery coefficient (RC) factors. Second, a tubing with constant flow was used to simulate first pass of a radiotracer and confirm the validity of an external noninvasive PET measurement of IF. RC was then applied to the data from 6 patients who received 2 consecutive injections of 5 mCi of AC and FTHA. Data were compared to measurements obtained with arterialized venous blood.
Results: Uncorrected PET time activity curve (TAC) from FA led to underestimated activity compared to blood samples and significantly affected femoral muscle perfusion extracted with AC and a three compartment model (0.96 ± 0.50 min-1 without correction vs 0.35 ± 0.27 min-1 with RC correction). The latter result is not statistically different from that obtained with blood samples (0.35 ± 0.34 min-1). Similarly, the fatty acid metabolic rate measured with FTHA extracted by the Patlak method using corrected FA TAC yielded 0.94 ± 0.41 min-1, which was close to the values of 1.13 ± 0.49 min-1 calculated from the arterialized venous plasma.
Conclusions: FA TAC data corrected for partial volume effect as measured noninvasively by PET imaging can be used as a substitute of arterial blood sampling to perform tracer kinetic modeling in skeletal femoral muscles.
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