Non-invasive diagnosis of acute mesenteric ischaemia using PET View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-03-11

AUTHORS

Jan Kiss, Alexandru Naum, Nobuyuki Kudomi, Juhani Knuuti, Patricia Iozzo, Timo Savunen, Pirjo Nuutila

ABSTRACT

PurposeAcute mesenteric ischaemia (AMI) is a lethal disease with an increasing incidence. Despite the availability of effective treatment, AMI remains a vascular emergency with over 60% mortality rate mainly due to late diagnosis. The difficulty in diagnosing this fatal condition stems from non-specific clinical and laboratory findings and lack of appropriate imaging study. Our aim was to test a non-invasive method of identifying AMI using PET.MethodsThe study was conducted in normal pigs (n = 14), sham-operated pigs (n = 4) and pigs undergoing ischaemia and reperfusion of intestine (n = 6). Liver blood flow was imaged by H215O PET and liver blood content by C15O PET. Both scans were performed during intestinal ischaemia and during reperfusion.ResultsAMI was identified by PET imaging of hepatic perfusion and blood pool. The H215O PET scan during AMI detected a 40% decrease in total liver perfusion, which was caused by a 45% reduction of portal blood flow and no alteration in arterial blood flow. Compromised hepatic perfusion during AMI was accompanied by a 75% decrease in hepatic blood pool recognized by the C15O PET scan. The striking reduction of liver blood flow and blood content persisted during reperfusion of intestine.ConclusionOur results demonstrate that AMI can be readily recognized by PET imaging of liver blood flow and blood content. Moreover, PET can be used in detection of perfusion abnormalities after revascularization. This non-invasive imaging tool could represent a novel approach to diagnose AMI. More... »

PAGES

1338

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00259-009-1094-0

DOI

http://dx.doi.org/10.1007/s00259-009-1094-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1017644868

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19280187


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