A1 Refereed original research article in a scientific journal
Comparative analysis of peri-nidal cerebral blood flow and metabolism using a novel quantitative 15O-PET method in patients with arteriovenous malformations
Authors: Maruyama, Daisuke; Iida, Hidehiro; Koshino, Kazuhiro; Nakagawara, Jyoji; Morita, Yoshiaki; Hashimura, Naoki; Mori, Hisae; Satow, Tetsu; Takahashi, Jun C.; Fukuda, Tetsuya; Iihara, Koji; Kataoka, Hiroharu
Publisher: SAGE
Publication year: 2025
Journal: Journal of Cerebral Blood Flow and Metabolism
Volume: 45
Issue: 2
First page : 259
Last page: 274
ISSN: 1559-7016
eISSN: 0271-678X
DOI: https://doi.org/10.1177/0271678X241270416
Web address : https://journals.sagepub.com/doi/10.1177/0271678X241270416
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/457529586
To effectively treat cerebral arteriovenous malformations (AVMs), peri-nidal flow regulation and metabolic status must be understood. In this study, we used 15O-oxygen positron emission tomography (PET) post-processing analysis to investigate vascular radioactivity in the nidal region of AVMs. Single-dynamic PET imaging was performed on seven unruptured AVM patients during the sequential inhalation of 15O2 and C15O2. A previously validated dual-tracer basis function method (DBFM) was employed to calculate parametric images. The results of our study were as follows. First, in remote and contralateral AVM regions, DBFM and a previous approach of dual-tracer autoradiography (DARG) showed strong positive correlations in cerebral blood flow (CBF), cerebral oxygen metabolism rate (CMRO2), and oxygen extraction fraction. Second, peri-nidal CBF and CMRO2 correlation was lower, and overestimation occurred with DARG compared to with DBFM. Third, on comparing DBFM to quantitative 123I-iodoamphetamine single-photon emission computed tomography (SPECT), CBF correlated significantly. In contrast, the correlation between DARG and quantitative 123I-iodoamphetamine-SPECT was weaker in the peri-nidal regions. Fourth, analysis of tissue time-activity curves demonstrated good reproducibility using the novel formulation in the control, peri-nidus, and core nidal regions, indicating the adequacy of this approach. Overall, the DBFM approach holds promise for assessing haemodynamic alterations in patients with AVMs.
Downloadable publication This is an electronic reprint of the original article. |
Funding information in the publication:
This work was supported by JSPS KAKENHI Grant-in-Aid for Research Activity Start-up (25893304) and Fostering Joint International Research (B) (21KK0183), and Japan Cardiovascular Research Foundation.