1.Development and status of quality control and standard for nuclear medicine imaging equipment
Chinese Journal of Nuclear Medicine and Molecular Imaging 2015;35(1):75-78
To assure the quality and safety of nuclear medicine imaging,quality control for the imaging equipment is essential.Quality control consists of a series of special tests for assurance and adjustment of equipment accuracy according to specific standards.The development and status of quality control and the standards for nuclear medicine imaging equipment are investigated and reviewed in this study.The results show that the quality control and feasibility of the standards are both in need of improvement in China.
2.Dosimetry of endovascular irradiation using beta emitters in the prevention of restenosis
Yingmao CHEN ; Jiahe TIAN ; Shuwen ZHANG
Chinese Journal of Interventional Cardiology 1993;0(03):-
Objective To give a dose reference to the researcher who study prevention of restenosis using endovascular brachytherapy Methods The dose distributions around a 3 mm diam by 20 mm long balloon filled with 90 Y , 32 P and 186 Re separately have been calculated by a computer program based on a dose point kernel Results The peak value of the absorbed dose is found inside the balloon, the inflexion of the dose curve at the endothelial surface of the vessel In the vessel tissue the dose decreases with distance in an approximately exponential manner The lower the nuclide energy is, the faster the dose falls with distance, and the longer the region of uniform dose distribution along vessel wall is The dose rate at the surface of the vessel wall is approximately 74, 71, and 45 mGy/min per mCi/ml, with the dose rate decreasing to 53%, 48% and 28% at 0 5 mm for 90 Y , 32 P and 186 Re separately Conclusion The fast falling of the dose in an approximately exponential manner in the vessel tissue makes for focusing ? radionuclide energy to the vessel wall target and reducing the injury of the normal tissue around the vessel, and especially 186 Re with lower energy has a more obvious advantage in this aspect
3.Whole Body Simulation and Visualization of Metabolic Process of ~(18)F 2-fluoro-2-deoxy-D-glucose
Yunfeng CUI ; Jing BAI ; Yingmao CHEN ; Jiahe TIAN
Space Medicine & Medical Engineering 2006;0(01):-
Objective To simulate the metabolic distribution process of 18F 2-fluoro-2-deoxy-D-glucose(FDG) in human body and to visualize this distribution process through 3D images with high resolution and high quality. Methods The model parameters of FDG metabolism in tissues were estimated through clinical experiments, and the curves which represent the FDG metabolic process in tissues were calculated using the model parameters and blood input function. This FDG distribution process in human body was visualized basing on the high-resolution anatomical structure. Results The simulation and visualization results directly and clearly displayed the FDG metabolic distribution process after injection to human body. The properties of the FDG distribution process represented by our simulation were consistent with that represented by clinical experiment. Conclusion The method presented in this study is effective to simulate and visualize human functional information of metabolism, and it may provide a useful tool for education and research on nuclear imaging.
4.Multiple modalities PET/CT neuroimaging for the diagnosis of Parkinson's disease and multiple system atrophy: statistical parametric mapping analysis
Ruimin WANG ; Zhe GUO ; Hui YANG ; Tong CHEN ; Xiaojun ZHANG ; Yingmao CHEN ; Baixuan XU
Chinese Journal of Neurology 2017;50(7):501-505
Objective To investigate the topographic distributions of dopamine transporter (DAT),dopamine D2 receptor and glucose in Parkinson's disease (PD) and multiple system atrophy (MSA) using positron emission tomography/computed tomography (PET/CT) scanning and statistical parametric mapping (SPM) analysis.Methods Seventy subjects (39 PD patients,15 MSA patients and 16 normal controls) who came from People's Liberation Army General Hospital from September 2013 to November 2015 underwent DAT,D2 receptor and glucose brain PET/CT scans using 11 C-methyl-N-2-β-carbomethoxy-3-β-(4-fluorophenyl) tropane (11C-β-CFT),11C-raclopride and 18F-fluorodeoxyglucose (18 F-FDG) as radiotracers,respectively.The uptake patterns were analyzed using SPM software.Results Striatal DAT binding decreased in the putamen in PD patients compared with controls (Z =5.21-5.77,P =0.002-0.016).D2 receptor showed no significant differences.However,glucose uptake decreased in cingulate gyrus(Z =4.51-4.67,P =0.010-0.017).For MSA patients,both DAT and D2 receptor binding decreased in the putamen(Z =2.13-3.42,P =0.000-0.016).Glucose uptake decreased in the bilateral putamen,cerebellum and part of frontal temporal lobes (Z =1.86-3.75,P =0.000-0.032).Conclusion Multiple modalities PET/CT scans using the ligands 11 C-β-CFT,11C-raclopride,and 18F-FDG are valuable in diagnosis of MSA and differential diagnosis of MSA from PD.
5.Initial experience on protocol optimization for integrated PET/MR
Jiajin LIU ; Yingmao CHEN ; Xiongwei ZHANG ; Liping FU ; Jiahe TIAN ; Dayi YIN ; Baixuan XU
Chinese Journal of Nuclear Medicine and Molecular Imaging 2014;34(6):438-442
Objective To investigate the optimal workflow and protocol for integrated PET/MR by comparison with PET/CT.Methods A total of 228 patients were enrolled in this study for PET/CT and PET/MR evaluation on the same day.Six PET/MR protocols with different MR sequences but the same PET acquisition protocol were investigated and the optimal protocol was identified based on image quality,acquisition time and diagnostic performance.Results PET/MR workflow was similar to PET/CT,however,some special issues needed to be considered for PET/MR.Among the 6 protocols,protocol No.6 outperformed others for body and head regions.Types of artifacts were found more often in PET/MR than in PET/CT.Conclusions By optimizing the protocol,PET/MR could achieve almost the same diagnostic performance as PET/CT.However,the issues of long acquisition time and artifacts on PET/MR need to be further improved.
6.Clinical verification protocol of domestic SPECT and its implementation
Shuwen ZHANG ; Yijie HE ; Zilai LIU ; Mingze SHAO ; Yingmao CHEN ; Jiahe TIAN
Chinese Medical Equipment Journal 1989;0(02):-
It is the first time to lay down a complete and accurate plan for clinical verification protocol of domestic SPECT. The protocol's application to the first domestic BHP6601 SPECT proves its definitive purpose, reliability and completion. The protocol can meet the requirements of the criterions of China and related department, and thus must be beneficial to the clinical verification and popularization of large-scale nuclear medicine image equipment.
7.Effects of carvedilol, cilazapril and their combination on left ventricular remodeling after acute myocardial infarction in rats
Yida TANG ; Yuejin YANG ; Yingmao RUAN ; Yongli LI ; Yanwen ZHOU ; Yi TIAN ; Runlin GAO ; Jilin CHEN ; Zaiji CHEN
Chinese Journal of Pathophysiology 1999;0(09):-
0 05) Left ventricular (LV) end diastolic pressure (LVEDP), volume (LVV), weight (LVW) and septal thickness (STh) were all higher and left ventricular pressure maximal rate of rise and fall (?d p /d t ) were lower (all P
8.Effect of diltiazem on heme oxygenase-1 and nitric oxide synthase in rats with pulmonary hypertension
Ying CHEN ; Yingmao RUAN ; Li LI ; Yan CHU ; Xiaomei ZHOU ; Xinlin XU ; Lianzhuang ZHNAG ; Wenxue SI ; Xiaohui LI
Chinese Journal of Pathophysiology 1989;0(05):-
AIM: To investigate the action of diltiazem (a calcium antagonist) on the expression of heme oxygenase (HO) -1 and nitric oxide synthase (NOS) in the small pulmonary arteries (SPA) of rat in chronic hypoxia. METHODS: Chronic pulmonary arterial hypertension models were established by treating the rats in hypoxic environment[(10%?1%)O 2] for 6 weeks. After 2 weeks of hypoxia, rats were treated with diltiazem (15 mg/kg/day). Right ventricular systolic pressure (RVSP) and right ventricular hypertrophy index (RVHI) were measured. Pathological changes in the lungs were observed under the light microscope and transmission electron microscope. The expression and distribution of heme oxygenase (HO) -1, endothelial NOS (eNOS) and inducible NOS (iNOS) were tested by immunohistochemistry and Western blot. Guanosine-3', 5'-cyclic monophosphate (cGMP) of lung tissues were detected with radioimmunoassay. RESULTS: Diltiazem significantly decreased abnormal RVSP, and RVHI in model rats, attenuated the SPA media thickeness, and recovered abnormal eNOS and iNOS expression in SPA. Whereas diltiazem had little effect on the increased HO-1 expression in SPA caused by hypoxia and ultrastructure injury in endothelium. cGMP levels were corresponded with HO-1. CONCLUSION: Diltiazem has a significant effect on inhibiting hypoxic pulmonary hypertension structural remodeling. These effects might be partly attributed to the suppression of iNOS, promotion of eNOS, and not attenuation HO-1 expression in the lung of hypoxic rats.
9.Protective effects of tongxinluo, carvedilol and valsartan on microvascular endothelial function and integrity after late reperfused AMI in rabbits
Yuejin YANG ; Jian ZHANG ; Yongjian WU ; Yida TANG ; Xi CHEN ; Yingmao RUAN ; Shijie YOU ; Kunshen LIU ; Jilin CHEN ; Runlin GAO ; Zaijia CHEN
Chinese Journal of Pathophysiology 2000;0(07):-
AIM: To compare the protective effects of tongxinluo, a Chinese medicine, and carvedilol and valsartan on myocardium microvascular endothelial function and integrity after late reperfusion of acute myocardial infarction (AMI) in rabbits. METHODS: Forty-eight rabbits were randomly assigned to the following groups: (1) sham operated rabbits; (2) ischemia-reperfusion (I-R) controls; (3) tongxinluo (1.0 g?kg~ -1?d~ -1); (4) carvedilol (5 mg?kg~ -1?d~ -1); (5) valsartan (10 mg?kg~ -1?d~ -1) and (6) ticlopidine + aspirine (30 and 20 mg?kg~ -1?d~ -1, respectively) groups. After 3 d of drug treatment, the left coronary artery in the rabbit was ligated for 2 h and loosed subsequently for another 2 h. The serum levels of nitric oxide (NO_2~-/NO_3~-) and endothelin (ET) at baseline before AMI, 2 h after both AMI and reperfusion were examined. Also, the number of circulating endothelial cells (CEC), MI size and percentage myocardium focal bleeding incidence were determined 2 h after reperfusion. RESULTS: (1) The baseline level of NO_2~-/NO_3~- was significantly higher in tongxinluo group than that in other groups (all P
10.Value of FDG PET for mediastinal lymph node staging in non-small cell lung cancer.
Baixuan XU ; Yanling LIU ; Shulin YAO ; Mingzhe SHAO ; Yingmao CHEN ; Kun WANG ; Jiahe TIAN
Chinese Journal of Lung Cancer 2003;6(3):198-200
BACKGROUNDTo evaluate the diagnostic significance of FDG PET in preoperative mediastinal lymph node staging for NSCLC.
METHODSWhole-body FDG PET imaging was performed in 70 patients with NSCLC. All patients received thoracic CT examination 2 weeks before PET scan or 1 week after PET scan, and then were given thoracotomy with hilar and mediastinal lymph nodes dissection. After intravenous administration of 18F-FDG (150μCi/kg), PET scan was performed in 3-7 bed positions with 2D acquisition and OSEM reconstruction. For quantitative evaluation, a region of interest (ROI) was placed over the mediastinal lymph node which had abnormal uptake of radiation activity, then the standardized uptake value (SUV) were calculated. If SUV≥2.5 or uptake activity was higher than the blood pool of mediastinal on the basis of visual inspection, it was considered to be positive.
RESULTSThe sensitivity, specificity and accuracy of PET were 100%, 93% and 94%, respectively. The positive lymph nodes diagnosed by PET correctly corresponded to pathological results. PET changed the clinical staging of 12 patients. The sensitivity, specificity and accuracy of CT were 70%, 77% and 76%, respectively.
CONCLUSIONSPET is an effective modality for accurate mediastinal lymph node staging in patients with NSCLC. It is valuable for determining clinical treatment.