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M Kira

Publications and source records attributed to M Kira.

At least 19 recordsLinked to original sources

Quantitative planar imaging method for measurement of renal activity by using a conjugate-emission image and transmission data.

We are proposing a method to accurately measure renal activity in renography using Tc-99m labeled tracers. This method uses a conjugate-view image and transmission data for attenuation correction, the triple energy window (TEW) method for scatter correction, and background correction techniques that consider the source volume for accurate background activity correction. To examine this method in planar imaging, we performed two renal phantom studies with various uniform background activity concentrations. One study used two ideal box-shaped kidney phantoms with a thickness of 2 or 4 cm in a water tank and the other study employed two real kidney-shaped phantoms in a fillable abdominal cavity. For these studies the kidney phantom-to-background activity concentration ratio (S) was changed from 5 to infinity. The transmission data were obtained with an external Tc-99m line array source. The anterior- and posterior-view emission images were acquired with a dual-headed gamma camera simultaneously and the TEW method was used to correct scatter for the emission and transmission images. The results showed that this method with both the accurate background correction and scatter correction could give depth-independent count rates and could estimate the true count rate with errors of less than 5% for all S values. However, if either accurate background correction or scatter correction was performed alone, the absolute error increased to about 50% for the smaller S values. Our proposed method allows one to accurately and simply measure the renal radioactivity by planar imaging using the conjugate-emission image and transmission data.

Kidney↗

Quantitative evaluation of the hepatic functional reserve using technetium-99m DTPA-galactosyl human serum albumin before and after transjugular intrahepatic portosystemic shunt.

Transjugular intrahepatic portosystemic shunt (TIPS), a new therapeutic method, has been performed widely for the treatment of portal hypertension. TIPS produces a decrease in the portal blood flow to the hepatic parenchyma, which is considered to cause a reduction in hepatic functional reserve. To evaluate the changes in hepatic functional reserve after TIPS, we performed technetium-99m DTPA-galactosyl human serum algumin (99mTc-GSA) hepatic scintigraphy before and after TIPS in eight male patients, ranging in age from 54 to 72 years (mean 62.2 years). Two quantitative indices - blood clearance index (uptake ratio of the heart at 15 min to that at 3 min, HH15) and hepatic accumulation index (uptake ratio of the liver to the liver plus heart at 15 min, LHL15) - were calculated from the time-activity curves of the heart and liver. Early and late uptake constant indices (early and late KU) were also calculated from the time-activity curves of the heart and liver by means of Patlak plot. The values of HH15, LHL15 and late KU deteriorated after TIPS in all patients. Early KU (1-3 min) decreased by more than 55% in two patients who showed a poor prognosis and corresponded well with the status of the portosystemic shunt. It is concluded that 99mTc-GSA hepatic scintigraphy is a useful means of evaluating the degree to which hepatic function is compromised following TIPS. The post-TIPS alterations in HH15, LHL15 and late KU (5-10 min) reflect the changes in hepatic functional reserve, and early KU is a useful index for evaluating the degree of portosystemic shunt.

Humans↗

[Energy spectral analysis in a photopeak region of 201Hg X-rays for 201Tl imaging].

For thallium-201 (201Tl) imaging, a photopeak of X-ray region of mercury-201 (201Hg) around 70 keV is usually employed. In such a low energy region, scatter and attenuation in the body become serious problems for quantitative scintigraphic imaging. We measured energy spectra around 201Hg X-ray region by a 201Tl line source with scattering materials and a gamma camera, and analyzed them to investigate the amount of scattered photons in 201Tl imaging window. Furthermore, Monte Carlo calculations were performed to distinguish primary photons from scattered photons. The results of analysis of energy spectra showed that the 201Hg X-ray photopeak consists of four different X-rays and do not have a perfect Gaussian shape. It was also found that not only forward scatter but also much backward scatter are included in this region. These scattered photons were reduced by using an off-peak window moved toward the higher energy region. We conclude that the data obtained from the analysis of scattered photons in 201Tl imaging window are very useful to develop a new scatter correction method and evaluate the scatter rejection methods proposed.

Gamma Cameras↗

[Scatter correction with an off-peak triple energy window method in thallium-201 imaging].

For scatter correction using the triple energy window (TEW) acquisition in 201Tl imaging, we propose an off-peak TEW (OFPTEW) method. This OFPTEW method employs a wide main energy window of 34 keV centered at 73 keV and two 5.1 keV sub-energy windows and uses the scatter correction factor of 0.55. To assess scatter correction using the OFPTEW method in 201Tl imaging, phantom studies for planar and SPECT imaging were performed and the data with the OFPTEW method were compared with those by the conventional TEW method using the trapezoidal formula with the 20% main energy window centered at 70 keV and two 4.9 keV sub-energy windows. The planar images corrected by both methods were visually similar. The OFPTEW method, however, estimated the true primary counts and the contrast value in the cold lesion accurately, while the conventional TEW method underestimated the primary counts by 30% and gave wrong contrast values. For the myocardial SPECT imaging, the short-axis images by both methods were very similar, but the images by the OFPTEW method had 1.46 times more counts than those corrected by the conventional TEW method. In conclusion, the OFPTEW method can correct scatter in 201Tl imaging accurately and increase the primary counts effectively compared with the conventional TEW method.

Phantoms, Imaging↗

[Experimental study on the location of energy windows for scatter correction by the TEW method in 201Tl imaging].

To investigate validity of scatter correction by the TEW method in 201Tl imaging, we performed an experimental study using the gamma camera with the capability to perform the TEW method and a plate source with a defect. Images were acquired with the triple energy window which is recommended by the gamma camera manufacturer. The result of the energy spectrum showed that backscattered photons were included within the lower sub-energy window and main energy window, and the spectral shapes in the upper half region of the photopeak (70 keV) were not changed greatly by the source shape and the thickness of scattering materials. The scatter fraction calculated using energy spectra and, visual observation and the contrast values measured at the defect using planar images also showed that substantial primary photons were included in the upper sub-energy window. In TEW method (for scatter correction), two sub-energy windows are expected to be defined on the part of energy region in which total counts mainly consist of scattered photons. Therefore, it is necessary to investigate the use of the upper sub-energy window on scatter correction by the TEW method in 201Tl imaging.

Phantoms, Imaging↗

Quantitative renography with the organ volume method and interporative background subtraction technique.

When quantification of renal activity is performed by planar imaging, many correction factors must be considered. To obtain quantitative renal images and renogram, we have examined our proposed method by using the organ volume for scatter, attenuation, and background activity, and the interporative background subtraction (IBS) technique in phantom and clinical studies. A renal phantom study was performed by varying the renal depth from 3 to 11 cm and the kidney-to-background activity concentration ratio from 5 to 80. Planar images were properly corrected for scatter, attenuation and background activity by our method and the corrected images were compared with the images obtained by the conventional method for the estimation of true renal activity. Clinical Tc-99m DTPA dynamic data for both a good and a poor renal function were also corrected by our method and volume-corrected renograms were obtained. For the phantom study, depth-independent images were obtained and these images gave a good estimation of the true count rate. In the clinical study, the conventional renogram was especially modified to allow for oversubtraction of background counts in the early phase (0-4 min). In conclusion, our proposed correction method can assess renal function qualitatively and quantitatively in both static and dynamic planar renal imaging.

Evaluation Studies as Topic↗

[Evaluation of simultaneous acquisition of transmission and emission data on thallium-201 myocardial SPECT].

This study evaluates the usefulness of attenuation correction on regional myocardial tracer distributions defined by Thallium-201 myocardial SPECT images obtained from cardiac phantoms and patients with or without coronary heart disease. A three-detector SPECT system equipped with a Technetium-99m line source and a fan-beam collimator was used for simultaneous transmission and emission data acquisition. All three detectors were equipped with fan-beam collimators. Thallium-201 myocardial scintigraphy was performed on phantom study and 19 patients. Transmission images, uncorrected and corrected emission images were iteratively reconstructed with a EM-ML algorithm. Attenuation map computed from the transmission data was utilized for the attenuation correction. For the phantom study, circumferential profile analysis was applied to both datasets of horizontal long-axis slices through the center of the phantom. The maximum profile value in the circumferential profile set to 100% in the normalized uncorrected and corrected profiles. The uncorrected circumferential profiles from cardiac insert model 7070 and RH-2 cardiophantom showed decrease in activity in basal regions which appeared improvement in the attenuation corrected profiles. In clinical study, the inferior-to-anterior activity ratio, changed from 0.78 +/- 0.10 to 0.97 +/- 0.11 on stress images in patients with inferior ischemia and from 0.96 +/- 0.12 to 1.15 +/- 0.13 on 4 hour delayed or rest images in normal cases. The anteroapical wall of the attenuation corrected images, however, showed a decrease in activity relative to the inferior wall in normal cases. The increase in activity in inferior wall on attenuation corrected images was observed frequently in clinical study but not in phantom study. A presence of scatter from the liver or bowels may cause the increase in activity in the inferior wall in clinical study. In conclusion, transmission scan is one of the useful methods for the attenuation correction. Scatter correction, however, is also necessary to make an accurate attenuation corrected images.

Heart↗

Caldesmon and low Mr isoform of tropomyosin are localized in neuronal growth cones.

Neuronal growth cones move actively, accompanying changes in intracellular Ca2+ concentration. The movement of growth cones may partly depend on the actomyosin system, considering the presence of actin and myosin II. Yet, Ca(2+)-sensitive regulatory proteins for the actomyosin system have not been identified in growth cones. In the present study, caldesmon, an inhibitory protein on actin-myosin interaction, was detected in the growth cone fraction isolated from embryonic rat brain, using immunoblotting with the antibody to chicken gizzard caldesmon. Morphological evidence of caldesmon in growth cones of cultured rat neurons was obtained using the indirect immunofluorescence method. Since inhibition of caldesmon on actin-myosin interaction can be overcome by calmodulin and Ca2+, caldesmon may be involved in the Ca(2+)-dependent regulation in growth cone motility. Tropomyosin is another member of the actomyosin system whose function may be regulated by caldesmon in smooth and nonmuscle cells. A low Mr isoform of tropomyosin was distributed in the growth cone fraction. Using specific antibodies against tropomyosin isoforms, we further clarified morphologically that the low Mr isoform was localized in growth cones, but not the high Mr isoform. High Mr isoforms of tropomyosin were present in nonneuronal cells. Actin filaments in growth cones may be unstable, since low Mr tropomyosin binds to actin filaments with a lower affinity than high Mr isoforms. The instability of actin filaments may be suitable for the rapid movement and shape changes of growth cones.

Actins↗

Gelsolin is localized in neuronal growth cones.

Gelsolin, a Ca(2+)-sensitive actin filament-severing protein, is involved in actin turnover. Immunocytochemical study with anti-gelsolin antibody revealed that the protein is localized in both filopodia and the body part of growth cones of differentiated PC12 cells with nerve growth factor (NGF) and of rat dorsal root ganglion neurons. Here, we identified gelsolin as one of the molecular bases for the Ca(2+)-dependent movement of growth cones.

Animals↗

[Testosterone-estradiol binding globulin and sex steroids during pregnancy and at delivery].

Testosterone-estradiol binding globulin (TeBG), testosterone, estradiol-17 beta, index-T (testosterone not bound to TeBG) and index-E2 were determined during pregnancy, at parturition, in the umbilical artery and vein, and during postpartum periods. TeBG showed a rapid increase during the early pregnancy and then it reached a certain level at the mid pregnancy. At parturition, it decreased to about half of the late pregnancy. In the umbilical artery and vein the level was extremely low. Testosterone gradually increased from the early to the late pregnancy. However, index-T reached its lowest level during the 5th month of pregnancy. In the umbilical artery and vein testosterone exhibited a slightly lower level in comparison with the maternal blood but in contrast to this index-T exhibited five times higher level in the umbilical artery and vein than in the maternal blood. Estradiol-17 beta exhibited a linear increase from the early to the late pregnancy but index-E2 showed a sudden increase during the late pregnancy. The levels in the maternal blood at the parturition and in the umbilical artery and vein were compared: The estradiol-17 beta levels were maternal blood greater than umbilical vein greater than umbilical artery and the index-E2 levels were maternal blood .=. umbilical vein greater than umbilical artery.

Estradiol↗