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Sample records for 201tl myocardial single-photon

  1. Evaluation of acute myocardial infarction by 201Tl single-photon emission computed tomography using scoring system

    In 36 patients with acute myocardial infarction (AMI) 201Tl single photon emission computed tomography (SPECT) examinations were performed in a relatively early phase of AMI. The short and long axis views of the left ventricle (LV) were divided into 6 segments. Images of each segment were assigned scores (segmental scores) based on a visual evaluation of the extent of 201Tl accumulations. SPECT scores were compared with max GOT, max LDT, max CPK and max CK-MB, Killip classification and Forrester hemodynamic subset on admission, and LV ejection fraction (LVEF). Segmental scores were compared with LV wall motion evaluated by left ventriculography. The results are as follows: There were significant correlations between SPECT scores and max GOT, max LDH, max CPK and max CK-MB. SPECT scores in patients with Killip group III were significantly higher than in patients with Killip group I+II. However, no significant differences in max GOT, max LDH, max CPK and max CK-MB were observed between patients with Killip group III and those with Killip group I+II. SPECT scores were significantly higher in patients with Forrester group III+IV than in patients with Forrester group I+II. Segmental scores in segments evaluated as akinesis, dyskinesis and aneurysm by left ventriculography were significantly higher than those evaluated as hypokinesis or normal. Segmental scores in segments evaluated as hypokinesis were significantly high in comparison with normal segments. Significant correlations were observed between LVEF and SPECT scores. However, LVEF correlated poorly with max GOT, max LDH and max CPK, and no significant correlation was observed between LVEF and max CK-MB. SPECT examinations were performed in 11 patients in both the acute and chronic phase of AMI. SPECT scores in the chronic phase did not change in 4 patients, decreased in 5, increased in 2. These results suggest that SPECT scores and segmental scores can be useful indices in the evaluation of AMI. (J.P.N.)

  2. Effects of smoking on myocardial injury in patients with conservatively treated acute myocardial infarction. A study with resting 123I-15-iodophenyl 3-methyl pentadecanoic acid/201Tl myocardial single photon emission computed tomography

    Many reports have demonstrated that smokers who have suffered an acute myocardial infarction (AMI) have a better prognosis than nonsmokers. The present study investigated the effects of current smoking on myocardial injury with resting 123I-15-iodophenyl 3-methyl pentadecanoic acid (BMIPP)/201Tl myocardial single photon emission computed tomography in 103 patients with conservatively treated AMI. The left ventricular myocardium was divided into 9 segments and BMIPP and 201Tl defects were scored using a 5-point grading system (0=normal and 4=no uptake). The sum of the defect scores was defined as the total defect score. There was no significant difference in either the baseline severity of the coronary artery discase or the total defect scores for BMIPP and 201Tl between the current smoker and nonsmoker groups. The difference between the total defect scores for BMIPP and 201Tl tended to be larger in the current smoker group than in the nonsmoker group (2.0±1.9 vs 1.3±1.6, p=0.056). Forty-one (53%) of 77 patients in the current smoker group exhibited a BMIPP/201Tl mismatch, whereas only 8 (31%) of 26 patients in the nonsmoker group did (p=0.047). In conclusion, current smokers had more likelihood of salvageable myocardium in areas at risk, as demonstrated by BMIPP/201Tl mismatch, in AMI than nonsmokers. (author)

  3. Relationship between the mismatch of 123I-BMIPP and 201Tl myocardial single-photon emission computed tomography and autonomic nervous system activity in patients with acute myocardial infarction

    The purpose of this study was to elucidate the relationship between the mismatch of thallium-201 (Tl) and iodine-123-beta-methyl-iodophenyl-pentadecanoic acid (BMIPP) myocardial single-photon emission computed tomography (SPECT) and autonomic nervous system activity in myocardial infarction (MI) patients. The subjects were 40 patients (34 males, 6 females) who underwent examinations by 123I-BMIPP and 201Tl myocardial SPECT imaging and 24-hour Holter monitoring within a 3-day period 3 weeks after the onset of their first MI. R-R intervals were analyzed every hour over a period of 24 hours by fast Fourier transformation (FFT). High frequency (HF) and low frequency (LF) were defined as markers of cardiac vagal activity in the former and the LF/HF ratio as sympathetic activity. Greater or more extensive decreases in the BMIPP image than that in the Tl image were defined as a positive mismatch. Patients were divided into positive and negative mismatch groups of 20 patients each. There were no significant differences between the 2 groups in age, sex, site of infarction, max CK (creatine kinase), max CK-MB, or left ventricular ejection fraction. The incidences of clinical signs suggesting residual myocardial ischemia were significantly greater in the positive than in the negative mismatch group (P123I-BMIPP and 201Tl myocardial SPECT 3 weeks after a first acute myocardial infarction with uncomplicated moderate or severe heart failure and decreased heart rate variability are related to residual myocardial ischemia. A combined assessment of heart rate variability in 24 hour Holter electrocardiogram (ECG) monitoring and perfusion-metabolism mismatch in 123I-BMIPP and 201Tl myocardial SPECT is useful for determining residual myocardial ischemia in the follow-up of those with acute myocardial infarction. (author)

  4. Clinical use of 201Tl myocardial scintigraphy

    Myocardial imaging with 201Tl and scinticamera was studied experimentally using specially designed phantoms and clinically in 23 patients with myocardial infarction or other heart disease. In the phantom experiment, quality of image, accumulative count rate, and detectability of the defect were compared to obtain the best technique for their detection, using four different collimators, i.e., converging, pin-hole, 4000-hole, and 140 keV high-resolution, at two photopeak levels of 201Tl of 75 and 167 keV, and combining a radiation absorber. In patient examination, myocardial images taken at different periods after injection, different detecting conditions of the scinticamera, and various detecting projections were compared. Images of the converging collimator at the 75 keV photopeak revealed considerably higher accumulative counts and relatively higher quality than those of other detecting conditions. It was necessary to take as many images as possible in various projections, in order to detect the location and size of the myocardial ischemic lesion because the lesion was demonstrated as a clear defect only in profile. It became evident that images taken between about 25 and 90 min delineated the myocardium more clearly than those taken in other periods. Normal images taken in 8 patients without ischemic heart disease appeared in the shape of a doughnut of horseshoe, demonstrating mainly the left venticular myocardium. The image was faint in the region of the aortic or mitral valve and thin in the region of the apical wall. A faint image of the right ventricular myocardium was sometimes seen. In 3 patients with valvular heart disease, findings suggested changes in the thickness of myocardium and the distribution of coronary blood flow. In 11 of 12 patients with old myocardial infarction, the location and size of the lesion was detected. (Evans, J.)

  5. Evaluation of infantile ventricular tachycardia by 201Tl myocardial SPECT

    201Tl myocardial SPECT findings in infantile ventricular tachycardia (VT) were examined. The subjects were 4 cases of infantile VT subjected exercise-loading 201Tl scintigraphy in 1990. These cases (3 males and 1 female) were aged 11-14 years, being persistent and non-persistent type VT (2 cases each). Echocardiography revealed no abnormal findings in these 4 cases. Exercise-loading was performed by means of sitting ergometer. ECG revealed sinus arrhythmia except for one case which throughout its course of treatment, had already been presenting ventricular extrasystole from before the excercise-loading. Myocardial SPECT revealed persistent defects (antero-septal wall defects in three cases). The above suggests that 201Tl myocardial SPECT enables us to search for etiology of VT, prognosis and the like. (author)

  6. Effects of smoking on lung uptake of 201Tl during exercise myocardial perfusion imaging

    Objective: To investigate the influence of smoking on lung uptake of 201Tl during myocardial perfusion imaging. Methods: Ninety-two healthy subjects, with normal 201Tl myocardial perfusion imaging findings but no evidence of left ventricular hypertrophy and pulmonary disease, were divided into three groups, smoker, nonsmoker and quitted smoker groups. Exercise/delay 201Tl myocardial perfusion imaging was performed on all subjects included. Lung/heart ratio was defined on the anterior planar image obtained during exercise tomography. Results: Both the lung/heart ratios during exercise in smoker (0.40 ± 0.07, F=10.635, P201Tl lung/heart ratios in smokers are higher than in nonsmokers and this must be kept in mind when 201Tl lung/heart ratios are used clinically, even in quitted smokers

  7. Value of dipyridamole stress 201Tl myocardial SPECT in detecting dysfunction of coronary microcirculation

    Objective: To evaluate the value of dipyridamole stress 201Tl myocardial SPECT in detecting dysfunction of coronary microcirculation. Methods: Forty-eight patients diagnosed with cardiac syndrome X underwent dipyridamole stress 201Tl myocardial SPECT. Dipyridamole (0.56 mg/kg) was intravenously injected over 4 min followed by 201Tl (111 MBq) injection at 2 min after dipyridamole administration. Image was acquired at 10 min and 240 min post-injection and co-analyzed by over two experienced doctors in nuclear medicine after three-dimensional reconstruction. The patients with 'reverse redistribution' underwent repeated dipyridamole stress 201Tl SPECT after medical therapy for 2 weeks. The clinical symptoms and results of the treadmill exercise test pre-and post-therapy were compared. Results: Forty two patients (42/48, 87.50%) showed segmental defects: 'reverse redistribution' on delayed (240 min)201Tl images. After medical treatment, 36 cases of the 42 'reverse redistribution' patients had improvement in both clinical symptoms and treadmill exercise test. Post-treatment 201Tl imaging showed improvement in 45/49 (91.84%) defect segments. Six of the 42 patients had no improvement in clinical symptoms and/or treadmill exercise test. Post-treatment 201Tl imaging showed no improvement in all the 7 defect segments on the first scan. Conclusion: Dipyridamole stress 201Tl myocardial SPECT may be valuable in evaluation of impaired coronary microcirculation associated with cardiac syndrome X. (authors)

  8. 201Tl in myocardial diagnosis: studies on the influence of dipyridamole, dobutamine ergometer exercise and background subtraction on the 201Tl myocadial scintiscam

    Changes in 201Tl myocardial scintiscans upon administration of dipyridamole or dobutamine and upon ergometer exercise relative to scintiscans at rest were investigated as well as the influence of myocardial background subtraction on scintiscan quality and information. A total of 90 201Tl examinations were carried out in 59 patients. 18 patients had no myocardial disease, 30 patients had a coronary disease, 5 patients suffered from cardiomyopathy and 6 from left ventricular hypertrophy. The findings are discussed in detail. (orig.)

  9. Correlation of myocardial uptake of 201Tl with local perfusion in the dog heart

    34 anesthetized and thoracotomized dogs are studied. The local myocardial blood flow is measured with sup(99m)Tc human albumin microsphere. The intramyocardial distribution of 201Tl in relation to local blood flow is studied in basal conditions (24 dogs), after experimental infarction (4 dogs) and postischemic reactive hyperhemia (6 dogs). We conclude that during basal conditions, after infarction and hyperhemia the 201Tl myocardial distribution reflect with damping the variations of blood flow

  10. Diagnostic use of T2-weighted inversion-recovery magnetic resonance imaging in acute coronary syndromes compared with 99mTc-pyrophosphate, 123I-BMIPP and 201TlCl single photon emission computed tomography

    The incidence of missed diagnoses of acute cardiac ischemia in the emergency department could be reduced by a new imaging modality. In the present study, the clinical significance of 99mTc-pyrophosphate (PYP), 123I-β-methyl-p-iodophenyl-pentadecanoic acid (BMIPP), 201TlCl scintigraphy (imaging) and T2-weighted inversion-recovery magnetic resonance imaging (MRI) for the detection of culprit lesion in patients with acute coronary syndromes (ACS) was compared. The study group comprised 18 patients with ACS: 12 patients with acute myocardial infarction (AMI) (11 males; mean age, 63±11 years) and 6 patients with unstable angina (UA) (3 males, mean age, 67±5 years). Of the 12 patients with AMI, 10 underwent 201TlCl and PYP single photon emission computed tomography (SPECT) studies as a dual-energy acquisition (201TlCl/PYP) and 8 underwent 201TlCl SPECT within 1 week of the BMIPP study. All 18 patients underwent BMIPP SPECT and MRI. The MRI pulse sequence was black blood turbo short-inversion-time inversion recovery (STIR) (breath-hold T2-weighted studies). The T2-weighted inversion-recovery MRI showed higher sensitivity and negative predictive value than PYP and 201TlCl, and higher specificity and positive predictive value than BMIPP and 201TlCl. The area under the receiver-operating characteristic curve for PYP, BMIPP, 201TlCl and MRI was 0.787, 0.725, 0.731 and 0.878, respectively. The difference between the areas of MRI and BMIPP was significant (p<0.05). Accurate detection of culprit lesion is improved by using MRI rather than BMIPP, particularly for patients with ACS. (author)

  11. Impact of diabetes mellitus on worsening of the left ventricular ejection fraction in exercise-gated 201Tl myocardial single photon emission computed tomography in patients with coronary artery disease

    It remains uncertain whether factors other than the severity of coronary artery disease (CAD) are associated with the worsening of the left ventricular ejection fraction (LVEF) by exercise. In the present study the impact of coronary risk factors on the worsening of LVEF by exercise was investigated in 391 patients with known or suspected CAD using exercise-gated 201Tl scanning to calculate the LVEF. Significant worsening of the LVEF by exercise was defined as >4.7% (mean plus 1 SD of the value in 116 patients without CAD). Multivariate analysis revealed that diabetes mellitus (DM) was an independent risk factor for the worsening of LVEF by exercise in patients with multivessel (2- or 3-vessel) CAD with an odds ratio (95% confidence interval) of 2.2 (1.1-4.5, p=0.037). In 157 patients with 2- or 3-vessel CAD, 20 (23.5%) of 85 nondiabetic patients and 31 (43.1%, p=0.009 vs nondiabetic patients) of 72 diabetic patients showed significant worsening of LVEF by exercise. In patients with 2- or 3-vessel CAD, there was no significant difference in Gensini score or reversibility of perfusion defects between nondiabetic and diabetic patients. Thus, DM is a risk factor for worsening LVEF by exercise in addition to the severity of CAD. (author)

  12. Dipyridamole 201Tl myocardial SPECT imaging in patients with dilated cardiomyopathy

    Objective: To explore the characteristics of dipyridamole 201Tl myocardial perfusion imaging (MPI) SPECT in patients with dilated cardiomyopathy. Methods: Thirty patients with dilated cardiomyopathy underwent pharmacological stress 201Tl MPI SPECT after intravenous infusion of dipyridamole (0.56 mg/kg) for 4 min. The early and delayed SPECT images were acquired respectively at 10 and 240 min after 201Tl injection. The images were analyzed and reported by two or three experienced nuclear medicine physicians. Results: All patients were found to have abnormal perfusion patterns at delay imaging, however 90.00% (27/30) were also abnormal at early images. Six patients had reverse redistribution. Conclusion: Dipyridamole 201Tl MPI SPECT imaging may be of some value for the assessment of patients with dilated cardiomyopathy. (authors)

  13. Sequential change of cardiomyopathy of Duchenne muscular dystrophy by 201Tl myocardial SPECT

    201Tl myocardial SPECT were performed to evaluate of cardiomyopathy in Duchenne type of progressive muscular dystrophy (DMD). Follow up SPECT images of the same patients were also obtained about 1 year after the first scan. Cases subjected to study were 10 DMD. At the first study the hypoperfusion area of the left ventricular muscle were observed in 6 cases (60%) out of 10. At the second study the hypoperfusion areas became wider and lower in 4 out of 6 cases (66.7%). The new hypoperfusion area which was not demonstrated at the first study was observed at the second study in one case of these cases. These results suggested that the positive rate of cardiomyopathy in DMD by 201Tl myocardial SPECT was high, and 201Tl myocardial SPECT is a useful examination to detect the change of myocardial damage in DMD. (author)

  14. Effects of ischemic-like insult on myocardial 201Tl accumulation

    Despite extensive clinical use of thallium-201 (201Tl) for myocardial imaging, the effect of ischemia on myocardial accumulation and release of 201Tl independent of flow has not been fully defined. Therefore, myocardial accumulation of 201Tl in response to ischemic-like myocardial injury was assessed in vitro using the cultured fetal mouse heart preparation. Cultured fetal mouse hearts (n . 311) were subjected to injury simulating ischemia by deprivation of oxygen and oxidizable substrates for periods ranging from 15 minutes to 10 hours. The extent of irreversible injury was determined by the percentage of lactic dehydrogenase (LDH) lost from the hearts to the culture medium during recovery from injury. Injury was essentially reversible at 1 hour of insult. The fraction of 201Tl content in injured compared with control hearts was not significantly lower after 1 hour of insult. By 3 hours of insult, irreversible injury as assessed by loss of LDH was detectable and the extent of injury increased progressively through 10 hours. During the 3-10-hour period of irreversible injury, 201Tl accumulation within injured hearts compared with controls was related in a monotonically decreasing fashion to the loss of LDH as described by a mathematical kinetic model that fit the observations closely (R2 greater than 0.99). These results indicate that in this organ culture preparation, in which there is effectively an unlimited reservoir of 201Tl and no confounding effects of perfusion, the time-dependent 201Tl accumulation is determined by the extent of irreversible injury

  15. Diagnosis of myocardial ischaemia using exercise ST mapping and afterload 201Tl scintigraphy

    Two non-invasive methods are compared used in the diagnosis of myocardial ischaemia, i.e. precordial exercise mapping of the ST segment and after load 201Tl scintigraphy of the myocardium.High sensitivity of mapping (89.3%) and of 201Tl scan (92.9%) was found compared to the findings on the coronary arteries. The specificity of both methods was lower (57.1%). Both methods give similar results in diagnosis of myocardial ischaemia; for localization the affection site thallium scintigraphy of the myocardium is preferably used. (author). 2 figs., 2 tabs., 23 refs

  16. Correlation of an abnormal rest 201Tl myocardial image: Pathological findings in cardiac transplant recipients

    Rest myocardial 201Tl scintigraphy was undertaken in 15 males mean age 39 years (22-54) who had been accepted for cardiac transplantation. Complete pathological correlation was obtained in 14 after transplantation and in 1 who died before a suitable donor heart became available. The average time from scintigraphy to pathological evaluation was 42 days (9-103). All the 201Tl images were grossly abnormal and on the basis of these studies it was not possible to differentiate ischemic from idiopathic cardiomyopathy. Each of the three views of the 201Tl study was divided into three segments, therefore 135 areas were available for comparison (3 x 3 x 15). Eighty-eight of these were abnormal on scan and 78 of these were abnormal pathologically. The right ventricle was seen on all rest images but the degree of uptake bore no relationship to the measured thickness of the right ventricular wall. Structures such as the atrial wall and the enlarged papillary muscle were visualized in some patients. In two patients there was an improvement of the rest 201Tl image in delayed views and histologically these areas showed a mixture of muscle and fibrous tissue. The sensitivity of 201Tl imaging in this study was 89% and there was close correlation of the images with gross and microscopic pathological findings. (orig.)

  17. Long term retention and excretion of 201Tl in a patient after myocardial perfusion imaging

    201Tl is widely used in nuclear medicine to carry out myocardial perfusion imaging (MPI). However, very limited data is available on long-term distribution in the body, excretion and corresponding dose. In this study we performed a 2 month follow-up of a patient who underwent MPI, by urine analysis and in vivo measurements. The biological half-life of thallium was consequently estimated to be 11.6-27 d, which is in partial agreement with previous studies. We also estimated excretion and retention of 200Tl, 201Tl and 202Tl isotopes using the biokinetic parameters from ICRP publication 53 and compared the forecast result with actual measurements. The latter demonstrated a higher urinary excretion and a higher body retention than what was expected. Our results therefore suggest that the long-term retention and consequently the effective dose coefficient for 201Tl considered in ICRP publications 53 and 80 may be slightly underestimated. (authors)

  18. Long term retention and excretion of 201Tl in a patient after myocardial perfusion imaging.

    Blanchardon, E; Challeton-de Vathaire, C; Boisson, P; Célier, D; Martin, J-C; Cassot, S; Herbelet, G; Franck, D; Jourdain, J R; Biau, A

    2005-01-01

    201Tl is widely used in nuclear medicine to carry out myocardial perfusion imaging (MPI). However, very limited data is available on long-term distribution in the body, excretion and corresponding dose. In this study we performed a 2 month follow-up of a patient who underwent MPI, by urine analysis and in vivo measurements. The biological half-life of thallium was consequently estimated to be 11.6-27 d, which is in partial agreement with previous studies. We also estimated excretion and retention of 200Tl, 201Tl and 202Tl isotopes using the biokinetic parameters from ICRP publication 53 and compared the forecast result with actual measurements. The latter demonstrated a higher urinary excretion and a higher body retention than what was expected. Our results therefore suggest that the long-term retention and consequently the effective dose coefficient for 201Tl considered in ICRP publications 53 and 80 may be slightly underestimated. PMID:15671052

  19. Myocardial scintigraphy with 201Tl and quantitative assessment of myocardial blood flow

    A newly introduced radionuclide for myocardial imaging, 201-Tl, was studied. Twenty-two subjects consisting of 7 normals, 12 with ischemic heart disease and 3 with hypertrophic cardiomyopathy (HCM) were selected. On intravenous administration of 201-Tl(1.5 - 20. mCi), initial transit of the tracer through the heart, as well as subsequent uptake by the myocardium, were recorded by a scintillation camera. The later process showed the distribution of the myocardial blood flow (MBF). A normal myocardial scintigraphy revealed the left-sided myocardial mass predominantly, whereas the right side or the septum predominated in the case of tetralogy of fallot (T/F) or idiopathic hypertrophic subuaortic stenosis (IHSS). An ischemic or infarcted area of the myocardium in ischemic heart disease (IHD) was compatible with electrocardiographic findings, and revealed defects even in an equivocal case on ECG. Since the ratio of radioactivity taken up by the myocardium (U) to the total injected dosis (I) is assumed to be proportional to the fractional MBF of cardiac output (CO), MBF/CO is calculated by ratio of the radioactivity selected from myocardial region on the later recording to that from the entire region on the initial transit of the tracer bolus. The average MBF/CO of normals was 4.4 +- 0.5%, IHD 4.0 +- 0.8% and HCM 5.5 +- 1.2%. On exercise loading, a significant increase of this value was observed in normals, whereas no change was observed in IHD. (auth.)

  20. Detection of coronary artery stenosis in children with Kawasaki disease. Usefulness of pharmacologic stress 201Tl myocardial tomography

    This study determined the feasibility and accuracy of quantitative 201Tl myocardial single-photon emission computed tomography (SPECT) after dipyridamole infusion to detect coronary obstructive lesions in children with Kawasaki disease. 201Tl distribution after dipyridamole infusion was measured in 23 normal children, and with these normal values, quantitative analysis of SPECT was performed in 49 patients. Thirty-four patients had coronary stenosis 90% or greater on angiograms. Side effects resulting from systemic vasodilation were observed in about 70%. Angina pectoris and ischemic ST changes were observed only in patients with coronary stenosis. These symptoms disappeared after aminophylline infusion. Results of visual and quantitative analysis of SPECT were compared. SPECT data were shown on two-dimensional polar maps, and the extent and severity scores were calculated. The sensitivity of SPECT for detection of overall coronary stenosis was 91% (visual analysis) and 88% (quantitative analysis). The specificity of SPECT was 60% visually and 93% quantitatively. The sensitivity of quantitative analysis to detect individual coronary stenosis was similar to that of visual analysis. However, the specificity of visual analysis to detect individual coronary artery stenosis was significantly less than that of quantitative analysis. From these data, we conclude that quantitative analysis of myocardial SPECT after dipyridamole infusion is a safe and accurate diagnostic method for identifying coronary stenosis in children with Kawasaki disease

  1. ATP-loading 201Tl myocardial SPECT for the detection of ischemic heart disease

    To evaluate the usefulness for the detection of ischemic heart disease, ATP myocrdial SPECT was performed in 35 patients (mean; 59±9.4 years) with angina pectoris or old myocardial infarction. Coronary angiography (CAG) was performed in all patients. The ultra-short half-life of ATP required a continuous infusion for its use. ATP was infused intravenously at a rate of 0.16 mg/kg/min for 5 min, with 201Tl injection taking place at 3 min. Myocardial SPECT imaging was begun 5 min and 4 hr later after the end of ATP infusion. ATP caused a significant decrease in arterial blood pressure (p201Tl myocardial SPECT for the detection of coronary artery disease (CAD) was evaluated using CAG as a golden standard. The sensitivity and specificity for CAD detection were 82% and 90%, respectively. ATP myocardial SPECT is a promising new test for the detection of ischemic heart disease. (author)

  2. 201Tl single photon emission tomography in the evaluation of residual and recurrent astrocytoma

    Twenty-five patients with malignant astrocytoma, either postoperatively (15 cases) or with recurrent tumour versus gliosis (10 cases) were included in this study. 201T1 single photon emission computed tomography (SPECT) was performed with the calculation of early and delayed uptake values and retention index. There was a higher sensitivity in detection of tumour viability by 201T1 SPECT of 100% versus 80% using computed tomographic scanning and in the differentiation between recurrent tumour and postradiation gliosis. (author)

  3. [sup 201]Tl single photon emission tomography in the evaluation of residual and recurrent astrocytoma

    Moustafa, H.M.; Ziada, G.A.; El-Ghonimy, E.G. (Cairo Univ., El Mansura (Egypt). Faculty of Medicine); Omar, W.M.; Ezzat, I. (Cairo Univ. (Egypt). Cancer Inst.)

    1994-03-01

    Twenty-five patients with malignant astrocytoma, either postoperatively (15 cases) or with recurrent tumour versus gliosis (10 cases) were included in this study. [sup 201]T1 single photon emission computed tomography (SPECT) was performed with the calculation of early and delayed uptake values and retention index. There was a higher sensitivity in detection of tumour viability by [sup 201]T1 SPECT of 100% versus 80% using computed tomographic scanning and in the differentiation between recurrent tumour and postradiation gliosis. (author).

  4. Parameters for discriminating multiple-vessel coronary artery lesion in exercise 201Tl myocardial SPECT

    This study was performed to select parameters most suitable for discriminating multiple-vessel lesion in exercise 201Tl SPECT. Exercise 201Tl SPECT and coronary contrasting were carried out in 110 patients. At 1 min before the end (appearance of heart pain, severe arrhythmia, hypotension or fatigue) of exercise with a bicycle ergometer, 4 mCi of 201Tl was intravenously injected and myocardial SPECT was done with gamma camera from 32 directions for 20 sec at 5 min and 4 hr after the exercise. Images were analyzed by scaring the uptake of 201Tl for left ventricle. Parameters were Initial score of Tl uptake, Score difference of Tl uptake, Lung/heart, Initial width, Width difference, Diffuse slow washout, Cavity/myocardium, Lung/myocardium and Lung/cavity. Parameters versus Number of diseased vessels were analyzed by chi square method or ANOVA and the parameters for the present purpose were selected by stepwise discriminant analysis. Lung/heart and Initial score were found most suitable. (K.H.)

  5. Is the cardiac function improvement after PTCA predictable by the quantitative indices from exercise stress 201Tl myocardial SPECT, in patients with old myocardial infarction?

    We examined whether the improvement of left ventricular function after percutaneous transluminal coronary angioplasty (PTCA) in patients with one diseased vessel can be predicted by the quantitative indices from exercise stress 201Tl single photon emission computed tomography (SPECT) and radionuclide angiography (RNA) before PTCA. Exercise stress 201Tl myocardial SPECT and RNA were performed before and after PTCA in 28 patients with old myocardial infarction (OMI). The patients were divided into two groups according to the results of coronary angiogram performed at 3 to 6 months after PTCA; patency was confirmed in 22 patients (Group P) and restenosis was observed in the remaining 6 patients (Group S). In Group P, the count ratios defined as 201Tl uptake in the PTCA region divided by the uptake in the normal region were significantly improved at 1 week and 3 to 6 months after PTCA in the initial image. 201Tl washout rates in the normal regions were significantly increased at 1 week after PTCA in Group S, and these rates in the PTCA regions were significantly increased at 1 week after PTCA in Group P. Left ventricular ejection fractions (LVEF) obtained from RNA were significantly improved 1 week and 3 to 6 months after PTCA in Group P. The changes of LVEF between pre-PTCA and 3 to 6 months after PTCA (ΔLVEF) were significantly correlated with the count ratios of both initial and delayed SPECT images in Group P (r=0.652; p<0.01, r=0.645; p<0.01 respectively). From the multiple regression analysis using stepwise methods, the count ratio in delayed image and the LVEF before PTCA were selected as independent predictive variables for ΔLVEF (multiple correlation coefficient=0.776). Thus, the improvement of LVEF after PTCA may be predictable by the count ratio in the delayed SPECT image and LVEF before PTCA when the treated vessel is persistently patent. (author)

  6. Thallium chloride 201Tl combined with single photon emission computed tomography (SPECT) in the evaluation of vestibular schwannoma growth

    Charabi, Samih Ahmed; Lassen, N A; Thomsen, J;

    1997-01-01

    Thallium chloride 201Tl combined with SPECT was performed in a series of 29 patients with neuroradiological evidence of vestibular schwannoma (VS). The relative tumor uptake (U) and relative tumor concentration (C) of the radiotracer 201Tl was determined, and the cerebellum served as a reference...

  7. Contamination of clothing and other items by sweat during exercise 201Tl myocardial perfusion scintigraphy

    We measured the radioactivity on patient's upper and lower garments, towels, broad sashes for the bust, and electrodes contaminated by sweat due to exercise 201Tl myocardial perfusion scintigraphy. In measuring activity, a scintillation survey meter adjusted to the energy of 201Tl was used. In measuring the radioactivity of clothing, more than 4 Bq/cm2 was considered to be a significant level of contamination. We detected contamination in 30% of upper garments and towels, 19% of broad sashes, 8% of lower garments and 4% of electrodes. Among these materials, several items of clothing and other items showed contamination exceeding 40 Bq/cm2. Towels were remarkably contaminated, with one towel showing a maximum contamination level of 420 Bq/cm2. Examinations done by exercise 201Tl myocardial perfusion scintigraphy often result in the contamination of clothing and other items through sweating. This contamination is especially common in summer, particularly in upper garments and towels. The contamination ratio for towels was over 50%. The contamination ratio increased as the level of exercise became more difficult. When the exercise load was more than 100 W, the contamination ratio was 50%. In cases of extreme contamination, images of contaminated upper garments could be obtained by the scintigraphy camera. The areas of high activity on the images seemed to correspond to areas of the body where sweating was profuse. Based on these results, we should pay close attention to the handling of clothing and other items used in exercise testing by 201Tl myocardial perfusion scintigraphy and the points used in measuring contaminated clothing and other items after testing. (author)

  8. Limited performance of quantitative assessment of myocardial function by thallium-201 gated myocardial single-photon emission tomography

    We investigated the reproducibility between thallium-201 and technetium-99m methoxyisobutylisonitrile (MIBI) gated single-photon emission tomography (SPET) for the assessment of indices of myocardial function such as end-diastolic and end-systolic volume (EDV, ESV), ejection fraction (EF) and wall motion. Rest 201Tl (111 MBq) gated SPET was sequentially performed twice in 20 patients. Rest 201Tl gated SPET and rest 99mTc-MIBI (370 MBq) gated SPET were performed 24 h apart in 40 patients. Wall motion was graded using the surface display of the Cedars quantitative gated SPET (QGS) software. EDV, ESV and EF were also measured using the QGS software. The reproducibility of functional assessment on rest 201Tl gated SPET was compared with that on 99mTc-MIBI gated SPET, and also with that between 201Tl gated SPET and 99mTc-MIBI gated SPET performed on the next day. The two standard deviation (2 SD) values for EDV, ESV and EF on the Bland-Altman plot were 29 ml, 19 ml and 12%, respectively, on repeated 201Tl gated SPET, compared with 14 ml, 11 ml and 5.3% on repeated 99mTc-MIBI gated SPET. The correlations were good (r=0.96, 0.97 and 0.87) between the two measurements of EDV, ESV and EF on repeated rest studies with 201Tl and 99mTc-MIBI gated SPET. However, Bland-Altman analysis revealed that the 2 SD values between the two measurements were 31 ml, 23 ml and 12%. We were able to score the wall motion in all cases using the 3D surface display of the QGS on 201Tl gated SPET. The kappa value of the wall motion grade on the repeated 201Tl study was 0.35, while that of the wall motion grade on the repeated 99mTc-MIBI study was 0.76. The kappa value was 0.49 for grading of wall motion on repeated rest studies with 201Tl and 99mTc-MIBI. In conclusion, QGS helped determine EDV, ESV, EF and wall motion on 201Tl gated SPET. Because the EDV, ESV and EF were less reproducible on repeated 201Tl gated SPET or on 201Tl gated SPET and 99mTc-MIBI gated SPET on the next day than on repeated

  9. Evaluation of viability of infarcted myocardium by low dose dobutamine stress echocardiography. Comparison with exercise stress 201Tl myocardial scintigraphy

    Exercise stress 201Tl myocardial single-photon emission computed tomography (SPECT) is recognized to be a excellent method for identifying viability after myocardial infarction, but it is expensive and needs a longer time for data acquisition than echocardiography. We therefore performed this study to evaluate the effectiveness of low dose (5-10 μg/kg/min) dobutamine stress echocardiography (DSE) in 30 patients (61±8 years old: 24 men and 6 women) within 4 weeks after myocardial infarction in identifying viable myocardium, compared to results obtained by SPECT. Defining an akinetic or dyskinetic segment obtained by rest echocardiography as a definite infarct area, altogether 96 segments out of 716 segments were shown to be infarct areas. Of these, 75 (78%) segments were identified as viable by DSE, and 77 (80%) by SPECT. Only 2 segments were shown to be discrepant on DSE and SPECT. Subsequently, the sensitivity, specificity and accuracy rates for DSE were 96%, 100% and 96%, respectively. In conclusion, DSE is as effective and useful as SPECT in the evaluation of viability after myocardial infarction. (author)

  10. 201Tl myocardial perfusion in the management of transplanted heart

    A semi quantitative method with thallium has been applied in the management of cardiac transplants. In all, 142 scans were performed in 20 patients and were arranged in 3 groups that represent respectively all controls performed to the transplants (G1), and a selection of the scans obtained during the 1st rejection episode in each patient (G2) and the 2nd if present (G3). A heart/lung index was calculated through early and late images (IA, IB,) obtained 5 min and 4 h post injection of thallium. A decrease in IA was detected during acute rejection in all groups. This fall was statistically significant from the mild to moderate rejection degree in G1 (P3 (PB was not modified with rejection. Comparing the biopsies with and without edema, in the absence of rejection, it has been proved that the intra myocardial edema can produce a decrease in IA (PA is a simple and sensitive index to evaluate the graft, although intra myocardial edema can reduce its specificity. (orig.)

  11. Myocardial reversibility detection. Rest NTG 99mTc-MIBI versus 201Tl reinjection. Preliminary results

    This study test whether sublingual administration of nitroglycerin (NTG) could improve the capability of 99mTc-MIBI to detect reversibility in exercise-induced perfusion defects and to compare it with the 201Tl stress-redistribution-reinjection protocol. Twenty-one patients with previous myocardial infarction were submitted to exercise, rest and NTG rest 99mTc-MIBI imaging (3-day protocol). The patients also underwent exercise, redistribution and reinjection 201Tl myocardial scintigraphy. A total of 273 myocardial segments were analyzed: 76 (28%) had irreversible defects on stress-rest 99mTc-MIBI, 60 (79%) appeared as fixed defects and 16 (21%) were reversible on NTG rest 99mTc-MIBI. Of the 78 myocardial segments with irreversible defects on standard stress-redistribution thallium cardiac imaging, 63 (81%) did not change and 15 (19%) demonstrated enhanced uptake of thallium after reinjection. Data show that rest NTG 99mTc-MIBI study improves the detection of reversible myocardium versus standard exercise/rest 99mTc-MIBI and achieve similar results than 201TI reinjection protocol. (author)

  12. Evaluation of coronary hemodynamics and exercise sup 201 Tl-myocardial scintigraphy in patients with vasospastic angina

    Matsumura, Kentaro; Nakase, Emiko; Haiyama, Tohru; Hasegawa, Akira; Saito, Takayuki (Kyoto Minami Hospital (Japan))

    1992-05-01

    To clarify the coronary hemodynamics and myocardial perfusion in patients with vasospastic angina, we performed exercise {sup 201}Tl-myocardial scintigraphy (planar and SPECT) in 72 patients and left coronary digital subtraction angiography (DSA) in 37 patients without significant organic coronary artery stenosis. Coronary artery spasm was documented by coronary angiography in all patients. Fifty-four patients (75%) developed exercise-induced {sup 201}Tl-myocardial perfusion defect on SPECT. {sup 201}Tl pulmonary uptake (L/H) was significantly increased in patients with vasospastic angina. Especially, L/H was higher in patients with multiple small perfusion defect on {sup 201}Tl-SPECT, so that exercise-induced left ventricular dysfunction existed in patients with vasospastic angina and especially in cases of multiple small perfusion defect on {sup 201}Tl-SPECT. The left coronary circulation time (CCT) was prolonged in patients with vasospastic angina. The mechanism of prolonged CCT is still unknown, but we suspected that prolonged CCT was induced by increased peripheral coronary vascular resistance in patients with vasospastic angina. It was concluded that the peripheral coronary circulation was disturbed in patients with vasospastic angina, but its abnormal coronary circulation had no relation to location of spasm-induced vessels. We concluded that impaired coronary microcirculation was taken a part of pathophysiology in vasospastic angina. (author).

  13. Emission computed tomography using rotating gamma cameras for stress 201Tl myocardial imaging

    The purpose of this study is to evaluate the efficacy of emission computed tomography (ECT) for stress 201Tl myocardial imaging to localize coronary artery disease (CAD) in comparison with planar (PL) images. In a series of 14 normal subjects and 53 patients with CAD proved coronary arteriography, ECT and PL imaging were performed successively. ECT data were collected for 90 projections in a 64 x 64 matrix form with a total aquisition time of 6 munutes over 1800 of opposed dual cameras ratation and tomographic sections oriented perpendicular and parallel to the long axis of left ventricle were reconstructed. PL images were obtained for left lateral, left anterior oblique (300 and 450) and anterior projections. Both ECT and PL myocardial images were divided into 8 segments and segmental analysis was performed by visual interpretation. The ECT images remarkably increased sensitivity over the PL images in left anterior descending (LAD) artery (from 56% to 76%), right coronary artery (RCA) (from 50% to 96%), and circumflex artery (CX) (from 56% to 69%) lesions. The specificity for ECT images, as compared with PL images, was higher in LAD (88% against 85%) but slightly lower in RCA (70% ag ainst 72%) and CX (84% against 88%). Overall accuracy, therefore, was improved in LAD (from 67% to 81%) and RCA (from 64% to 79%) but equal in CX (81%). We conclude that stress 201Tl ECT imaging result in a remarkable improvement in the localization of CAD, especially in patients with RCA lesions and multi-vessel disease. (author)

  14. Microvascular obstruction on delayed enhancement cardiac magnetic resonance imaging after acute myocardial infarction, compared with myocardial {sup 201}Tl and {sup 123}I-BMIPP dual SPECT findings

    Mori, Hiroaki [Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya (Japan); Department of Cardiology, Kainan Hospital, Yatomi (Japan); Isobe, Satoshi, E-mail: sisobe@med.nagoya-u.ac.jp [Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya (Japan); Sakai, Shinichi [Department of Cardiology, Kainan Hospital, Yatomi (Japan); Yamada, Takashi [Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya (Japan); Watanabe, Naoki; Miura, Manabu [Department of Cardiology, Kainan Hospital, Yatomi (Japan); Uchida, Yasuhiro; Kanashiro, Masaaki; Ichimiya, Satoshi [Department of Cardiology, Yokkaichi Municipal Hospital, Yokkaichi (Japan); Okumura, Takahiro; Murohara, Toyoaki [Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya (Japan)

    2015-08-15

    Highlights: • The percentage infarct size (%IS) was significantly greater in the microvascular obstruction (MO) group than in the non-MO group. • The percentage mismatch score (%MMS) on dual scintigraphy significantly correlated with the %IS and the percentage MO. • The %MMS was significantly greater in the non-MO group than in the MO group, and was an independent predictor for MO. - Abstract: Background: The hypo-enhanced regions within the hyper-enhanced infarct areas detected by cardiac magnetic resonance (CMR) imaging reflect microvascular obstruction (MO) after acute myocardial infarction (AMI). The combined myocardial thallium-201 ({sup 201}Tl)/iodine-123-15-(p-iodophenyl)-3-(R,S)-methylpentadecanoic acid ({sup 123}I-BMIPP) dual single-photon emission computed tomography (SPECT) is a useful tool for detecting myocardial reversibility after AMI. We evaluated whether MO could be an early predictor of irreversible myocardial damage in comparison with {sup 201}Tl and {sup 123}I-BMIPP dual SPECT findings in AMI patients. Methods: Sixty-two patients with initial AMI who successfully underwent coronary revascularization were enrolled. MO was defined by CMR imaging. Patients were divided into 2 groups as follows: MO group (n = 32) and non-MO group (n = 30). Scintigraphic defect scores were calculated using a 17-segment model with a 5-point scoring system. The mismatch score (MMS) was calculated as follows: the total sum of (Σ) {sup 123}I-BMIPP defect score minus Σ{sup 201}Tl defect score. The percentage mismatch score (%MMS) was calculated as follows: MMS/(Σ{sup 123}I-BMIPP score) × 100 (%). Results: The percentage infarct size (%IS) was significantly greater in the MO group than in the non-MO group (32.2 ± 13.8% vs. 18.3 ± 12.1%, p < 0.001). The %MMS significantly correlated with the %IS and the percentage MO (r = −0.26, p = 0.03; r = −0.45, p < 0.001, respectively). The %MMS was significantly greater in the non-MO group than in the MO group (45.4

  15. Impaired Coronary Flow Reserve Is the Most Important Marker of Viable Myocardium in the Myocardial Segment-Based Analysis of Dual-Isotope Gated Myocardial Perfusion Single-Photon Emission Computed Tomography

    Lee, Won Woo; So, Young; Kim, Ki-Bong; Lee, Dong Soo

    2014-01-01

    Objective The aim of this study was to investigate the most robust predictor of myocardial viability among stress/rest reversibility (coronary flow reserve [CFR] impairment), 201Tl perfusion status at rest, 201Tl 24 hours redistribution and systolic wall thickening of 99mTc-methoxyisobutylisonitrile using a dual isotope gated myocardial perfusion single-photon emission computed tomography (SPECT) in patients with coronary artery disease (CAD) who were re-vascularized with a coronary artery by...

  16. 201Tl myocardial scintigraphy correlation with TMT and coronary angiography - a preliminary report

    Full text: This study analyses 60 patients of suspected ischemic heart disease who underwent myocardial perfusion studies with 201Tl SPECT from June 1998 - September 1998. Thirty six patients were tested positive on TMT, thallium scintigraphy was positive in 21 (58%) patients and negative in 15 (41%) cases. Coronary angiography results were available in 35 patients, of which there were 5 cases with LBBB where TMT was not done due to high unpredictability. The 5 cases were tested negative, both angiographically and stress thallium showing 100% correlation. Out of remaining 30 patients, angiography was positive in 22 patients. Stress thallium was positive in 19 patients (87%). Of the 8 cases which showed normal coronary angiography, stress thallium was positive in 3 cases (13%) and negative in 5 patients (87%). Statistical analysis of this small group showed a sensitivity of 86%, specificity of 63%, false negative rate 14% and false positive rate of 37%. Overall accuracy is 80%

  17. Crosstalk analysis of simultaneously acquired dual-isotope 201tl myocardial perfusion SPECT and 99Tcm-RBC equilibrium ventricle imaging

    Objective: To analysis the crosstalk between the 20'1Tl and 99Tcm while the myocardial SPECT imaging with 201Tl and the equilibrium ventricle imaging with 99Tcm-RBC are simultaneously acquired, and to search after a method to reduce the down scatter of 99Tcm in the 201Tl window. Methods: Myocardial perfusion images were acquired using a cardiac phantom, which can present various levels of ischemia. The pulse height analysis was performed before the SPECT acquisition. The down scatter ratio of different 201Tl doses was calculated on each project with variable acquisition energy window. After the raw data were reconstructed with Butterworth filter, the defect-to-myocardium count ratios from different 201Tl acquisition window and variable defect levels were compared. Results: During the dual-isotope acquisition with 201Tl and 99Tcm the main crosstalk was the down scatter of 99Tcm in 201Tl window, which was considerably reduced while using higher dosage of 201Tl. The down scatter was also inhibited by applying more specific energy window of 201Tl. The defect-to-myocardium ratio analysis showed that only the data acquired under 15% energy window were affected on the contrast of the defects in short axis slice. The window of 201Tl and the extent of the ischemia influenced the defect-to-myocardium ratios of mimic ischemia segments differently. The completely defect group appeared insensible to the change of acquisition window. Between the defect-to-myocardium ratio of 33% filled group and the 66% filled group considerable difference was demonstrated while the acquisition window of 20% was used. Conclusions: The down scatter of 99Tcm is the major factor which influences the simultaneous dual-isotope acquisition. The stain can be reduced either using more specific 201Tl energy acquisition window or applying higher dosage of 201Tl. But due to the long half-life of 201Tl, the authors can not increase the dosage discretionarily. As the more specific window of 201Tl can avoid

  18. Quantitative evaluation of right ventricular overload in cor pulmonale using 201Tl myocardial SPECT

    To determine quantitatively the discriminant and characteristics of cor pulmonale, 201Tl myocardial perfusion SPECT was performed in 16 patients with chronic obstructive pulmonary disease (COPD) and 7 with restrictive pulmonary disease (RPD). One section of the short-axis SPECT image in which the right ventricle was most clearly visualized was selected. Tl-score was defined as the ratio of the sum of counts in the region of interest (ROI) at the anterior, mid, and posterior regions of the right ventricular free wall to the sum of counts in ROI at the posterior, lateral, and anterior walls of the left ventricle, and the anterior and posterior regions of the interventricular septum. In the group of COPD patients, Tl-score was positively correlated with mean pulmonary arterial pressure (mPAP), total pulmonary vascular resistance (TPR), and arterial carbon dioxide tension (PaCO2), while it was inversely correlated with arterial oxygen tension (PaO2). However, there was no significant correlation between Tl-score and mPAP, TPR, PaCO2, and PaO2 in the group of RPD patients. In assessing pulmonary hypertension as defined by mPAP over 20 mmHg, a Tl-score greater than 0.25 was useful with a sensitivity of 69% and a specificity of 90%. The occurrence of cor pulmonale is a major factor in determining the prognosis of COPD patients. It was concluded that 201Tl myocardial SPECT is useful for evaluating right ventricular overload quantitatively, as well as for assessing core pulmonale, especially in COPD patients, since the ratio of Tl counts in the right and left ventricles was significantly correlated with right cardiopulmonary hemodynamic parameters. (N.K.)

  19. Myocardial scintigraphy using 99m-Tc-methoxyisobutylisonitrile (Tc-MIBI): A full substitution of 201-Tl?

    The results of selective coronary angiography, myocardial 201-Tl scintigraphy (stress and redistribution) and after 99m-Tc-methoxyisobutylisonitrile stress and rest injections (Tc-MIBI, Cardiolite, DuPont de Nemours, USA) were compared in 19 patients with manifest ischemic heart disease in identical three projections and after same ergometric load. 16 patients had significant stenoses of 1-3 main coronary arteries inclusive of left coronary artery main stem, insignificant stenoses (<50%) were present in the remaining 3 patients. Scintigraphic localizations of accumulation defects in both Tc-MIBI and 201-Tl stress scintigraphy were in agreement in 70.6% of evaluated left ventricular wall segments. A positive 201-Tl redistribution and rest-stress Tc-MIBI scintigraphic difference agreed in 52.6% of images of all three projections with verified accumulation defects. The sensitivity of ischemic area detection in reference to coronary angiography was nearly identical in 201-Tl (75%) and Tc-MIBI scintigraphy (81.2%). Better physical properties of 99m-Tc from the point of view of a gamma camera detection, a possibility to get markedly higher counting rate and sufficient accumulation of the radiopharmaceutical in the perfused myocardium enable to reach scintigraphic pictures with a high contrast after labelled Tc-MIBI injection, even in case of sequential impulse summation during heart cycle (gating). (author) 1 tab., 1 fig., 14 refs

  20. Effect of wall thickness of left ventricle on {sup 201}Tl myocardial SPECT images. Myocardial phantom study

    Koto, Masanobu; Kawase, Osami [Kobe Univ. (Japan). Hospital; Namura, Hiroyuki; Yamasaki, Katsuhito; Kono, Michio

    1996-07-01

    {sup 201}Tl myocardial SPECT is known for better sensitivity, specificity, and accuracy than planar images in detecting coronary artery disease and diagnosing myocardial viability. SPECT images arc also superior to planar images in diagnostic sensitivity and anatomical orientation. However, as limitation of the spatial resolution of the machine, we often encounter poor SPECT plower image quality in patients with decreased wall thickness. To test the accuracy of SPECT images in patients with marked thinning of the left ventricular wall, as occurs in dilated cardiomyopathy, we performed a experimental study using myocardial phantom with 7 mm wall thickness. Tomographic image of the phantom images were rather heterogeneous, though no artificial defect was located Dilated cardiomyopathy is thought to be characterized by patchy defects in the left ventricle. Careful attention should be given to elucidating myocardial perfusion in patients with a thin left ventricle wall, as there are technical limitations in addition to clinical features. (author)

  1. 201Tl myocardial SPECT and β-endorphin levels in patients with suspected silent ischemia

    Today silent myocardial ischemia (SMI) is a well-recognized phenomenon. Treadmill exercise according to the Bruce protocol, 201Tl myocardial SPECT and coronary angiography were performed in a total of 106 patients with suspected SMI. In group I (high probability of ischemia; n=46), reversible defects detected by SPECT correlated well with significant stenoses and irreversible defects with subtotal stenoses or complete occlusions. SPECT sensitivity in the detection of ischemia was 91%, its specificity 96%. In group II (low probability of ischemia; n=60), SPECT sensitivity was as high as in group I (94%) but due to a high number of false-positive results (e.g. cardiomyopathy) specificity was only 75%. However, SPECT was superior to exercise ECG (sensitivity 70%; specificity 56%) in the detection of SMI. In addition, β-endorphin levels were determined in 180 healthy subjects, 37 patients with symptomatic CAD and in 34 patients with SMI before and during maximum exercise. Exercise values in patients with SMI were significantly higher than in healthy subjects or in patients with symptomatic CAD. (orig./MG)

  2. Coronary artery disease detected noninvasively by dipyridamole-loading 201Tl myocardial scintigraphy in elderly patients

    To evaluate the usefulness in diagnosing coronary artery disease (CAD), dipyridamole-loading 201Tl myocardial scintigraphy was performed for 52 elderly patients (65 - 92 years, mean: 72 years), and the results were compared with data from the treadmill exercise tests. 1. Thirty-five patients could not tolerate adequate exercise tests. Seven of them had reversible defects; six, fixed (irreversible) ones. Dipyridamole scintigraphy is therefore applicable in detecting CAD among patients with suspected CAD who are unable to perform adequate exercise tests. 2. Four of 16 patients with positive exercise tests had no reversible defects; the exercise results in three were regarded as false positives. 3. Seventeen patients experienced chest pain; 12 had ST depression during dipyridamole loading. There were no serious complications, but seven patients required aminophylline. 4. We demonstrated previously that the sensitivity and specificity of dipyridamole scintigraphy in detecting CAD were 90 % and 92 %, respectively, in patients with chest pain undergoing coronary angiography. These results were superior to those of conventional exercise myocardial scintigraphy. Therefore, dipyridamole scintigraphy is regarded as a safe and useful method for detecting CAD, particulary in elderly patients who have ST and T wave abnormalities but cannot tolerate exercise test adequately. (author)

  3. Improvement of myocardial perfusion detected by 201Tl scintigraphy on cardiac rehabilitation for patients with coronary artery disease

    The effect of cardiac rehabilitation (mean 70±48 months) on myocardial perfusion was assessed using thallium-201 (201Tl) exercise study in 63 patients with coronary artery disease (CAD). Subjects were those in a rehabilitation group (Rh=42) participating in supervised sports training two to three times per week and the control group (Ct=21) not taking active daily exercise. The interval between two 201Tl SPECT studies was 19±16 months. After physical training, total duration of the exercise test increased from 443±112 to 536±121 seconds (+19%) in the Rh group, and from 484±129 to 432±115 seconds in the Ct group (-10.7%) (p2 to 269.8±58 x 102 in the Rh group and decreased from 218.7±40 x 102 to 216.6±76 x 102 (p201Tl myocardial perfusion defect on exercise improved more in 54.8% (stress 59.5%, rest 35.7%) in the Rh group than in the Ct group (9.5%, p201Tl perfusion defect decreased from 68 (23.1%) to 49 regions (16.7%) of 294 total myocardial regions in the Rh group on exercise. However. it increased from 39 (26.5%) to 44 (29.9%) regions of 147 regions in the Ct group (p<0.01). Thus, cardiac rehabilitation increases exercise tolerance with improvement of myocardial perfusion. suggesting that cardiac rehabilitation is an advisable and effective treatment for patients with ischemic heart disease. (author)

  4. Cost-effectiveness of exercise 201Tl myocardial SPECT in patients with chest pain assessed by decision-tree analysis

    To evaluate the potential cost-effectiveness of exercise 201Tl myocardial SPECT in outpatients with angina-like chest pain, we developed a decision-tree model which comprises three 1000-patients groups, i.e., a coronary arteriography (CAG) group, a follow-up group, and a SPECT group, and total cost and cardiac events, including cardiac deaths, were calculated. Variables used for the decision-tree analysis were obtained from references and the data available at out hospital. The sensitivity and specificity of 201Tl SPECT for diagnosing angina pectoris, and its prevalence were assumed to be 95%, 85%, and 33%, respectively. The mean costs were 84.9 x 104 yen/patient in the CAG group, 30.2 x 104 yen/patient in the follow-up group, and 71.0 x 104 yen/patient in the SPECT group. The numbers of cardiac events and cardiac deaths were 56 and 15, respectively in the CAG group, 264 and 81 in the follow-up group, and 65 and 17 in the SPECT group. SPECT increases cardiac events and cardiac deaths by 0.9% and 0.2%, but it reduces the number of CAG studies by 50.3%, and saves 13.8 x 104 yen/patient, as compared to the CAG group. In conclusion, the exercise 201Tl myocardial SPECT strategy for patients with chest pain has the potential to reduce health care costs in Japan. (author)

  5. Evaluation of the graft flow reserve after coronary artery bypass grafting by stress {sup 201}Tl myocardial SPECT. Comparison between arterial grafts and venous grafts

    Ichikawa, Akihiro; Taki, Junichi; Nakajima, Kenichi; Kawasuji, Michio; Tonami, Norihisa [Kanazawa Univ. (Japan). School of Medicine

    1997-01-01

    We performed stress {sup 201}Tl myocardial SPECT to evaluate ischemia and perfusion reserve after coronary artery bypass grafting (CABG). A total of 103 patients was performed stress {sup 201}Tl myocardial SPECT one month after CABG. Each patient`s myocardium was divided into 9 segments and visually evaluated using five grade scoring system (0=defect, 1=severe decrease, 2=moderate decrease, 3=mild decrease, 4=normal uptake). Eleven of 133 (8.27%) segments covered by patent venous grafts showed reversible {sup 201}Tl defect, however, 36 of 117 (30.8%) segments which covered by patent arterial grafts showed reversible {sup 201}Tl defect. This finding was observed more significantly in arterial grafts than in venous grafts (p<0.001). These finding suggests that arterial grafts have lower flow capacity than venous grafts at peak exercise. (author)

  6. Evaluation of the graft flow reserve after coronary artery bypass grafting by stress 201Tl myocardial SPECT. Comparison between arterial grafts and venous grafts

    We performed stress 201Tl myocardial SPECT to evaluate ischemia and perfusion reserve after coronary artery bypass grafting (CABG). A total of 103 patients was performed stress 201Tl myocardial SPECT one month after CABG. Each patient's myocardium was divided into 9 segments and visually evaluated using five grade scoring system (0=defect, 1=severe decrease, 2=moderate decrease, 3=mild decrease, 4=normal uptake). Eleven of 133 (8.27%) segments covered by patent venous grafts showed reversible 201Tl defect, however, 36 of 117 (30.8%) segments which covered by patent arterial grafts showed reversible 201Tl defect. This finding was observed more significantly in arterial grafts than in venous grafts (p<0.001). These finding suggests that arterial grafts have lower flow capacity than venous grafts at peak exercise. (author)

  7. Development of normal limits for left ventricular ejection fraction measured from gated myocardial perfusion SPECT with 99Tcm-MIBI and 201Tl

    Objective: To develop normal limits for left ventricular ejection fraction (LVEF) measured from gated myocardial perfusion SPECT with 99Tcm-methoxyisobutylisonitrile (MIBI) and 201Tl. Methods: Gated myocardial perfusion SPECT with 99Tcm-MIBI and 20'1Tl was performed on 277 patients with a low Bayesian likelihood (99Tcm-MIBI [normotensive subgroup: n=85; hypertension without left ventricular hypertrophy (LVH) subgroup: n=25] and 201Tl(n=167, normotensive subgroup: n=128; hypertension without LVH subgroup: n=39). The resting LVEF was calculated using an automatic gated myocardial perfusion SPECT processing software. Results: The hypertension without LVH subgroup had significantly higher resting LVEF values compared with normotensive subgroup (P99Tcm-MIBI group and 20'1Tl group. Sex differences were marked: men had significantly lower mean resting LVEF values than women (P0.05). The distributions for resting LVEF values in 99Tcm-MIBI group and 201Tl group were Gaussian (P>0.05). The normal limits were LVEF≥45% in 99Tcm-MIBI (≥45% in men, ≥48% in women) and ≥43% in 201Tl (≥42% in men, ≥47% in women) Conclusion: These normal limits can be evaluated prospectively for their potential clinical value

  8. Clinical assessment of myocardial viability by stress-reinjection 201Tl/rest 99mTc-MIBI dual-isotope imaging strategy

    Objectives: To assess area and severity of myocardial ischemia and myocardial viability by dobutamine stress-reinjection 201Tl/ rest 99mTc-MIBI dual-isotope myocardial perfusion tomography. Methods: The study included 35 patients who underwent tress-reinjection 201Tl/ rest 99mTc-MIBI dual-isotope SPECT and coronary angiography (CAG). Dobutamine stress was carried out 20 min after 99mTc-MIBI was injected intravenously at rest, then 201Tl was administrated intravenously, and dual-isotope SPECT was performed instantly. Because both of stress 201Tl and rest 99mTc-MIBI imaging showed area of defect radioactivity, 1mCi 201Tl was reinjected at rest, dual-isotope SPECT was performed again 4 hours later. Results: (1) of 86 segments showing defected activity, 54 segments were fill with radioactivity and the other 32 segments were not improved after 201Tl was reinjected. (2) All of 35 patients, 9 patients were normal and 26 patients were abnormal by coronary angiography (one cronory artery stenosis in 2 patients, 2 coronary arteries stenosis in 7 patients, 3 coronary arteries stenosis in 17 patients.). There were 17 patients with 50-75% coronary stenosis, 3 patients with 75-85% coronary stenosis and 15 patients with more than 85% coronary stenosis. The stenosis coronary arteries detected by coronary angiography were consistent with those detected by tress-reinjection 201Tl/ rest 99mTc-MIBI dual-isotope SPECT. (3) Assessed by stress-reinjection 201Tl/ rest 99mTc-MIBI dual-isotope SPECT, all ischemic cardiac muscles in 26 patients with CAD were viable. Of 26 CAD patients, 2 patients underwent PTCA, 2 patients underwent PCI, 6 patients underwent CABG in two or more vessels, 1 patient was treated with thrombolysis, the other 15 patients received medical treatment. (4) 14 segments with defect activity were detected by myocardial imaging in 9 normal patients by CAG. Of them, 5 segments were in lateral wall, 3 segments in anterior wall, 7 segments in septal wall near basement. 11

  9. Evaluation of myocardial disorders in patients with dilated cardiomyopathy and left ventricular eccentric hypertrophy; By sup 201 Tl myocardial SPECT

    Yamazaki, Junichi; Ohsawa, Hidefumi; Uchi, Takashi (Toho Univ., Tokyo (Japan). School of Medicine) (and others)

    1992-03-01

    {sup 201}Tl myocardial SPECT was performed in cases of dilated cardiomyopathy and valvular heart disease with left ventricular eccentric hypertrophy, and the two groups were compared from the standpoint of the mechanism of onset of myocardial disorders. Significant coefficients of correlation were seen between the Tl score and LVDd (r=0.792, r=0.785) and Tl score and LVEF (r=-0.634, r=-0.555) in both dilated cardiomyopathy and valvular heart disease. In cases of valvular heart disease, significant correlation coefficients (r=-0.756, r=-0.720) between LVDd and r-WR (relative-washout rate), and Tl score and r-WR were observed, but no such correlation was seen in dilated cardiomyopathy. In valvular heart disease, a decrease in myocardial perfusion associated with enlargement of the left ventricle appeared, while in dilated cardiomyopathy, there was a marked decrease in LVEF in proportion to the thallium defect. Therefore, it was assumed that left ventricular wall disorders occur due to myocardial metabolic disorders and coronary microcirculation disorders. (author).

  10. Clinical implications of increased lung uptake of 201Tl during exercise scintigraphy 2 weeks after myocardial infarction

    To determine the prevalence and clinical significance of increased lung 201Tl uptake during submaximal exercise myocardial scintigraphy performed 2 weeks after acute myocardial infarction, 61 patients underwent submaximal exercise testing (target heart rate, 120 beats/min), multigated blood pool imaging at rest and coronary angiography before hospital discharge. Thallium lung uptake on the initial anterior projection image was graded qualitatively by comparing the intensity of 201Tl activity in the lungs with that in the mediastinum. In 39 patients (64 percent), it was normal (equal to mediastinal activity) and in 22 (36 percent), it was increased (greater than mediastinal activity). Compared with patients with normal lung uptake, those with increased uptake had a greater prevalence of prior infarction (13 versus 36 percent, probability [p] less than 0.05), less global cardiac reserve as assessed by the four level New York Heart Association classification (p less than 0.05), more advanced Killip class in the coronary care unit (p less than 0.05), a higher Norris coronary prognostic index (2.6 +/- 1.9 versus 4.6 +/- 2.3 [mean +/- standard deviation], p less than 0.01), failure to achieve the target heart rate because of dyspnea, fatigue or angina (36 versus 86 percent, p less than 0.01), a greater prevalence of exercise-induced S-T segment depression (18 versus 45 percent, p less than 0.05), a greater number of anterior 201Tl myocardial defects (p less than 0.05); a lower radionuclide ejection fraction at rest (50.4 +/- 6.1 versus 39.6 +/- 9.3 percent, p less than 0.01) and a greater number of asynergic left ventricular segments (p less than 0.05). Thus, the occurrence of increased lung 201Tl uptake during submaximal exercise scintigraphy in the early postinfarction period is frequent and appears to be a marker of severe and functionally more important coronary artery disease associated with left ventricular dysfunction

  11. Evaluation of 201Tl stress-redistribution imaging for the detection of myocardial ischemia and assessment of its therapeutic effect (40 cases attached)

    The characteristics of 201Tl stress-redistribution imagings of 21 normal controls and 19 myocardial ischemia were reported. Normal variability of myocardial images and its influencing factors were discussed as well. All of 40 cases were also undergoing coronary arteriography (CAG), and exercise ECG. Taken the stenosis of coronary artery > 50% by CAG as the criterion of diagnosis of CHD, the sensitivity and specificity of 201Tl image were 94.7% and 100%, while as exercise ECG were 66.6% and 80.9% respectively. 2 patients with bypass surgery and 6 patients with PTCA were examined pre- and postoperatively by 201Tl images. The results indicated that this technique was noninvasive and reliable also for the assessment of their therapeutic effect and follow up studies

  12. Serial change of 123I-BMIPP SPECT imaging during recovery from stunned myocardium after acute myocardial infarction. Correlation with 201Tl and two-dimensional echocardiography

    Using 123I-β-methyl iodophenyl pentadecanoic acid (123I-BMIPP), we investigated changes in myocardial fatty acid metabolism at recovery from stunned myocardium after acute myocardial infarction (AMI), correlation with recovery of regional wall motion and thallium-201 (201Tl) distribution in particular. The subjects were 15 patients who underwent successful reperfusion therapy after the first onset of AMI. None of the patients had multi-vessel disease or ischemic episode during their clinical course. Patients underwent 123I-BMIPP scintigraphy, 201Tl scintigraphy and two-dimensional echocardiography during the acute and chronic phases. Then, we compared regional wall motion with distribution of 123I-BMIPP and 201Tl. Regional wall motion and SPECT were evaluated by the established 16 segment model. In patients, showing serial improvement in regional wall motion, there was 80.0% (8/10) showed normal 201Tl distribution during the acute phase or normalized during the chronic phase. However, distribution of 123I-BMIPP normalized only in 10.0% (1/10) of this group. In examination of each segment that showed serial improvement in regional wall motion, 92.3% (24/26) of these segments showed normal distribution of 201Tl during the acute phase or normalized distribution during chronic phase, despite distribution of 123I-BMIPP improved in only 3.8% (1/26) of these segments. These indicate that, in the process of recovery from myocardial stunning after AMI, abnormal distribution of 123I-BMIPP continued longer than abnormal distribution of 201Tl. (author)

  13. Evaluation of clinical usefulness of myocardial perfusion imaging with tetrofosmin in patients with ischemic heart disease. Comparison with [sup 201]Tl SPECT

    Yoshida, Tsuyoshi; Sasaki, Masayuki; Ichiya, Yuichi (Kyushu Univ., Fukuoka (Japan). Faculty of Medicine) (and others)

    1994-09-01

    We evaluated the clinical usefulness of [sup 99m]Tc-1, 2-bis[bis(2-ethoxyethyl)phosphino]ethane (tetrofosmin) and compared it with [sup 201]Tl. The subjects consisted of 12 patients including 8 patients with old myocardial infarction (OMI), 2 with effort angina, one with stable angina and one with myocarditis. The tetrofosmin SPECT images were obtained during exercise and at rest. The quality of tetrofosmin SPECT images was equal or slightly superior to that of [sup 201]Tl. And the sensitivity, specificity and accuracy of tetrofosmin for the detection of coronary stenosis and/or obstruction were equal to that of [sup 201]Tl. We conclude that tetrofosmin is useful in the diagnosis of ischemic heart disease. (author).

  14. {sup 123}I-MIBG myocardial scintigraphy in diabetic patients. Relationship with {sup 201}Tl uptake and cardiac autonomic function

    Nagamachi, Shigeki; Jinnouchi, Seishi; Kurose, Takeshi; Ohnishi, Takashi; Flores, L.G. II; Nakahara, Hiroshi; Futami, Shigemi; Tamura, Shozo; Matsukura, Shigeru [Miyazaki Medical Coll., Kiyotake (Japan)

    1998-12-01

    The purpose of this paper is to investigate the influence of diabetic myocardial damage (suspected myocardial damage; SMD) diagnosed by {sup 201}Tl-SPECT and diabetic cardiac autonomic neuropathy (AN) on myocardial MIBG uptake in patients with NIDDM. Eighty-seven diabetic patients divided into four subgroups: 23 with SMD (+) AN (+); 19 with SMD (+) AN (-); 27 with SMD (-) AN (+); 18 with SMD (-) AN (-), and 10 controls were studied. Both planar and SPECT images were taken at 30 minutes (early) and 3 hours (delayed) after {sup 123}I-MIBG injection. The heart to mediastinum uptake ratio (H/M) and washout ratio of {sup 123}I-MIBG (WR) were obtained from both planar images. Similarly, the difference between the {sup 201}Tl image and the {sup 123}I-MIBG image in the total uptake score (TUS) was taken as the difference in the total uptake score ({Delta}TUS) representing cardiac sympathetic denervation without SMD. On both early and delayed planar images, the mean H/M value in the subgroups of diabetic patients was significantly lower in the SMD (+) AN (+) group than in the control group, but among those subgroups, there was statistically significant difference between the SMD (+) AN (+) and SMD (-) AN (-) groups only on the delayed images. Regarding the WR value, there was no statistically significant difference among subjects. On SPECT image analysis, the diabetic subgroup with AN or SMD had statistically significant lower values for TUS than those of the control group. Among diabetics, there was a statistically significant differences between SMD [+] AN [+] and SMD [-] AN [-] on both early and delayed images. Similarly, the SMD [+] AN [-] group also had significantly lower values than those of SMD [-] AN [-] on early images. Regarding {Delta}TUS, there was a statistically significant differences between AN [+] subgroups and controls. Similarly, the mean value for {Delta}TUS was much higher in AN [+] subgroups than in AN [-] subgroups with or without SMD in diabetes

  15. [sup 123]I-MIBG myocardial scintigraphy in diabetic patients. Relationship with [sup 201]Tl uptake and cardiac autonomic function

    Nagamachi, Shigeki; Jinnouchi, Seishi; Kurose, Takeshi; Ohnishi, Takashi; Flores, L.G. II; Nakahara, Hiroshi; Futami, Shigemi; Tamura, Shozo; Matsukura, Shigeru (Miyazaki Medical Coll., Kiyotake (Japan))

    1998-12-01

    The purpose of this paper is to investigate the influence of diabetic myocardial damage (suspected myocardial damage; SMD) diagnosed by [sup 201]Tl-SPECT and diabetic cardiac autonomic neuropathy (AN) on myocardial MIBG uptake in patients with NIDDM. Eighty-seven diabetic patients divided into four subgroups: 23 with SMD (+) AN (+); 19 with SMD (+) AN (-); 27 with SMD (-) AN (+); 18 with SMD (-) AN (-), and 10 controls were studied. Both planar and SPECT images were taken at 30 minutes (early) and 3 hours (delayed) after [sup 123]I-MIBG injection. The heart to mediastinum uptake ratio (H/M) and washout ratio of [sup 123]I-MIBG (WR) were obtained from both planar images. Similarly, the difference between the [sup 201]Tl image and the [sup 123]I-MIBG image in the total uptake score (TUS) was taken as the difference in the total uptake score ([Delta]TUS) representing cardiac sympathetic denervation without SMD. On both early and delayed planar images, the mean H/M value in the subgroups of diabetic patients was significantly lower in the SMD (+) AN (+) group than in the control group, but among those subgroups, there was statistically significant difference between the SMD (+) AN (+) and SMD (-) AN (-) groups only on the delayed images. Regarding the WR value, there was no statistically significant difference among subjects. On SPECT image analysis, the diabetic subgroup with AN or SMD had statistically significant lower values for TUS than those of the control group. Among diabetics, there was a statistically significant differences between SMD [+] AN [+] and SMD [-] AN [-] on both early and delayed images. Similarly, the SMD [+] AN [-] group also had significantly lower values than those of SMD [-] AN [-] on early images. Regarding [Delta]TUS, there was a statistically significant differences between AN [+] subgroups and controls. Similarly, the mean value for [Delta]TUS was much higher in AN [+] subgroups than in AN [-] subgroups with or without SMD in diabetes

  16. assessment of the clinical role of simultaneous 99mTc-MIBI and 201Tl dual-isotopic myocardial perfusion SPECT imaging in the patients wit hypertension

    Objective: To study the clinical role of Simultaneous rest technetium-99m sestamibi (99mTc-MIBI) and stress thallium-201 (201Tl) Dual-isotopic myocardial perfusion SPECT imaging in the patients with hypertension. Methods: 116 patients with high blood pressure underwent simultaneous dual-isotopic myocardial perfusion SPECT imaging with 99mTc-MIBI and 201Tl. 99mTc-MIBI was injected at rest, 15 min later dobutamine was instilled into vein begin with 5 mg/kg/min, before and after instilling the base ECG, blood pressure, heart rate was recorded. when the maximal dose of Dobutamine was achieved, thallium-201 was injected, the dual-isotopic simultaneously SPECT imagine was performed. The stress and rest imagine was obtained. After tomographic reconstruction, the images were interpreted by two experienced observers without previous knowledge of results of other studies. Coronary angiography was performed in two weeks. All of 116 patients were found normal. Results: (1) All of 116 patients with high blood pressure were divided as three group by the course of disease: A group (20 year), 15. The heart/lung ratios of A, B, C group were 2.651±0.246, 2.546±0.231, 2.490±0.36 (mean±SD)respectively, no significant difference was noted among three group. Normal heart/lung ratios is 2.50±0.28 among of control group of 20. (2) The overall sensitivity for the dual-isotopic simultaneously myocardial SPECT imagine of high blood pressure was 46.55%(54/116). (3) Anterior, lateral, inferior, apex, interventricular septal segment were regarded as a whole segment, 111 segments display abnormal 201Tl uptake. 63, 30, 18 segments were in A, B, C group respectively, and no significant difference was noted among three group. 4 85 segments reveal reduced stressing 201Tl uptake and no typical redistribution was observed in the delay 201Tl imagines. 20, 24, 14, 12, 15 segments were in anterior, lateral, inferior, apex, interventricular septal segment respectively. 26 segments display inverse 201

  17. A new protocol of dual energy acquisition on stress 201Tl and rest 99mTc-tetrofosmin myocardial scintigraphy

    We carried out stress 201Tl (Tl) and rest 99mTc-tetrofosmin (TF) myocardial scintigraphy with dual energy acquisition in 24 patients with suspected ischemic heart disease performed coronary arteriography and elucidated the sensitivity of this method. One hour after light meal eating, TF (555 MBq) was injected intravenously at rest and after 3 minutes from injection of TF exercise or pharmacologic stress was performed. During stress Tl (111 MBq) was injected intravenously before end-point or at adequate point of pharmacologic stress. Dual energy acquisition using triple energy windows (TEW) was started after 5 minutes (early) and 4 hours (delayed) from stress. The sensitivity (Sn), specificity (Sp) and accuracy (Ac) in diagnosis of non-infarcted branches by using Tl (early)-TF (rest) and Tl (early)-Tl (delayed) were 79% vs. 53% (Sn), 78% vs. 96% (Sp) and 79% vs. 71% (Ac) respectively. Accordance of uptake score of infarcted region between TF (rest) and Tl (delayed) was 70%. In conclusion, this protocol is seemed to be useful as usual protocol for detection of myocardial ischemia and viability during about only 1 hour. (author)

  18. sup(99m)Tc-pyrophosphate and 201Tl myocardial scintigrams in a patient with myocarditis

    Myocardial necrosis in acute myocarditis was investigated by scintigraphy. sup(99m)Tc-pyrophosphate (PYP) and 201TI myocardial scintigrams were obtained on a patient with acute myocarditis due to mycoplasma infection. sup(99m)Tc-PYP myocardial scintigrams in the acute stage demonstrated grade 2+ findings, which remained until the chronic stage. 201TI myocardial scintigrams in the acute stage revealed impaired perfusion restricted to the posterolateral wall, and this decrease continued through the chronic stage. It was concluded that both of sup(99m)Tc-PYP and 201TI myocardial scintigrams can reveal abnormality of acute myocarditis. (Ueda, J.)

  19. Assessment of myocardial damage and metabolic disorder in the left ventricle in patients with mitral stenosis using 201Tl and 123I-BMIPP myocardial SPECT

    This study was designed to evaluate the myocardial damage and metabolic disorder of the left ventricle in patients with mitral stenosis. We studied 15 patients with mitral stenosis. Their grade of chronic heart failure using New York Heart Association classification were class I: 5 patients, class II: 5, class III: 3, class IV: 2, respectively. The severely stenotic group (valve area 2) included 6 patients, mildly stenostic group (1.5 cm2≤ valve area 2) included 9. A 111 MBq of 123I-BMIPP was intravenously injected at rest, SPECT images were obtained at 15 min and 3 hours after injection. A 111 MBq of 201Tl was intravenously injected at rest, and SPECT images were obtained at 15 min after injection. Washout rate (WR) of 123I-BMIPP from the whole left ventricle was obtained using polar maps. The concentration of norepinephrine (NE: pg/ml) in the blood at rest was measured. The mean values of pulmonary artery pressure was measured in ten patients using Swan-Ganz catheter. 123I-BMIPP myocardial SPECT and measurement of NE were reexamined in 5 patients after mitral valvuloplasty. NE values were 476±72 and 793±286 in classes I+II and III+IV, respectively. NE values was increased in the severe heart failure group (p201Tl and 123I-BMIPP myocardial SPECT. Three patients showed slightly reduced uptake on both 201Tl and 123I-BMIPP myocardial SPECT. WR was 27.2±4.8% and 44.3±6.7% in class I+II and class III+IV, respectively. WR was increased in severe heart failure group (p<0.05). WR was 27.8±6.0% and 41.3±9.4% in the mildly and severely stenotic group, respectively. WR was increased in the severely stenotic group (p<0.05). NE was correlated with WR (p<0.001). In patients with mitral valvuloplasty, WR was 44.3±6.7% and 31.4±4.7% before and after mitral valvuloplasty, respectively. NE values were 857±266 and 574±165, respectively. Both WR and NE were decreased after mitral valvuloplasty (p<0.01). In patients with mitral stenosis, WR was increased in the severe

  20. Assessment of myocardial perfusion and cardiac sympathetic nerve dysfunction in patients with sick sinus syndrome. Evaluation of coronary hemodynamics and 201TlCl/123I-MIBG myocardial SPECT

    To clarify the coronary hemodynamics, myocardial perfusion and cardiac sympathetic nerve function in patients with sick sinus syndrome (SSS), we performed left coronary digital subtraction angiography (DSA) in 41 patients, exercise 201TlCl-myocardial scintigraphy (planar and SPECT) in 69 patients, and 201TlCl/123I-MIBG myocardial dual SPECT in 13 patients without significant organic coronary stenosis. Coronary artery spasm was documented on coronary angiography in 25/43 (58%) patients with SSS by ergonovine provocation test. Compared with normals, patients with SSS demonstrated prolongation of left coronary circulation time (CCT) on own heart beats and right atrial pacing. We suspected that prolonged CCT may be induced by increased peripheral coronary vascular resistance and impaired coronary micro-circulation in patients with SSS. Forty-two patients (60.9%) developed exercise-induced 201Tl-myocardial perfusion defect on SPECT images. On myocardial dual SPECT images, 11/13 (85%) patients showed localized myocardial low uptake in 123I-MIBG-SPECT images. In eight patients with normal findings on 201Tl-SPECT, six patients showed abnormality on 123I-MIBG-SPECT. We suspected that coronary vasospasm, impaired coronary micro-circulation and cardiac sympathetic nerve dysfunction are taken a part of pathophysiology in SSS (decreased β-adrenergic receptor of peripheral coronary arteries?). (author)

  1. Quantitative analysis of exercise 201Tl myocardial emission CT in patients with coronary artery disease

    The clinical usefulness of quantitative analysis of exercise thallium-201 myocardial emission computed tomography (ECT) was evaluated in coronary artery disease (CAD). The subjects consisted of 20 CAD patients and five normal controls. All CAD patients underwent coronary angiography. Tomographic thallium-201 myocardial imaging was performed with a rotating gamma camera, and long-axial and short-axial myocardial images of the left ventricle were reconstructed. The tomographic images were interpreted quantitatively using circumferential profile analysis. Based on features of regional myocardial thallium-201 kinetics, two types of abnormalities were studied: (1) diminished initial distribution (stress defect) and (2) slow washout of thallium-201, as evidenced by patients' initial thallium-201 uptake and 3-hour washout rate profiles which fell below the normal limits, respectively. Two diagnostic criteria including the stress defect and a combination of the stress defect and slow washout were used to detect coronary artery lesions of significance (>=75 % luminal narrowing). The ischemic volumes were also evaluated by quantitative analysis using thallium-201 ECT. The diagnostic accuracy of the stress defect criterion was 95 % for left anterior descending, 90 % for right, and 70 % for left circumflex coronary artery lesions. The combined criteria of the stress defect and slow washout increased detection sensitivity with a moderate loss of specificity for identifying individual coronary artery lesion. A relatively high diagnostic accuracy was obtained using the stress defect criterion for multiple vessel disease (75 %). Ischemic myocardial volume was significantly larger in triple vessel than in single vessel disease (p < 0.05) using the combined criteria. It was concluded that quantitative analysis of exercise thallium-201 myocardial ECT images proves useful for evaluating coronary artery lesions. (author)

  2. Quantitative analysis of 201Tl myocardial scintigraphy in ischemic heart disease

    Seventy two patients with myocardial infarction (MI), 13 with angina pectoris (AP), and 10 without ischemic heart disease were investigated by the quantitative analysis of Tl-201 myocardial scintigraphy. In the group of MI patients, defects of Tl-201 uptake was observed in 89.7% on planar images and 91.2% on SPECT images. Patients without Tl defect had no evidence of abnormal Q wave. For 62 patients undergoing coronary angiography and left ventriculography, defect size was well consistent with culprit lesions, particularly in the left anterior descending artery. Both extent score (ES) and severity score (SS), obtained by planar images and bull's-eye SPECT images, were significantly correlated with peak creatine phosphokinase (CPK) in plasma and ejection fraction. Redistribution magnitudes of Tl-201 uptake (ΔES and ΔSS) 3 hr after exercise were much greater in patients with exercise-induced ST depression than those with either unchanged or elevated ST segments. Some of the patients with no evidence of ST depression had high ΔES and ΔSS. Similarly, these indices were high in patients with residual stenosis of culprit coronary artery. Six MI patients treated with percutaneous transluminal coronary angioplasty (PTCA) were found to have the decrease in both ΔES and ΔSS. Decreased % Tl-201 uptake and % washout rate were also improved by PTCA. Similar improvement in these indices was seen in 15 AP patients successfully treated with PTCA. Reverse redistribution (RR) was seen in 5 patients with no significant stenosis of culprit coronary artery. Three other MI patients had also RR after PTCA. Areas corresponding to RR had higher washout rate than the other areas. In conclusion, quantitative analysis of Tl-201 myocardial scintigraphy seems to be useful in estimating infarction size and viable myocardium, as well as in evaluating the improvement of myocardial ischemia after PTCA. (N.K.)

  3. Assessment of 201Tl myocardial SPECT reinjected at 24 hours after stress imaging

    To improve the quality of 24 hours delayed images (24 DL) of stress thallium-201 myocardial SPECT, reinjection was performed at 24 hours later (24 RI), and the results were compared with those of 24 DL. A total of 45 patients were studied, including 18 patients in 24 DL, 27 patients in 24 RI. All of them showed persistent defect or incomplete redistribution on the routine stress and 3 hours delayed SPECT scans. In 24 RI, 37 MBq of thallium-201 was reinjected at 24 hours later. Myocardial count of 24 DL was about 1/4 of stress image, while 24 RI was about 1/2. Quality of 24 RI image was nearly equal to 3 hours delayed image. Of regions without redistribution on 3 hours delayed image, 5 (36%) regions showed new redistribution at 24 RI. Of regions incomplete redistribution, 6 (25%) regions showed further redistribution. Compared with 24 DL, the frequency of redistribution tended to be higher in this protocol than that of the 24 DL (11%, 17% respectively). In conclusion, the reinjection on 24 hours delayed imaging was considered to be useful to evaluate viability of myocardium in patients with CAD. (author)

  4. Dobutamine stress thallium-201 single-photon emission tomography versus echocardiography for evaluation of the extent and location of coronary artery disease late after myocardial infarction

    Elhendy, A.; Bax, J.J.; Domburg, R.T. van; Cornel, J.H.; Roelandt, J.R.T.C. [Thoraxcenter, Univ. Hospital Rotterdam-Dijkzigt, Rotterdam (Netherlands); Valkema, R.; Reijs, A.E.M.; Krenning, E.P. [Dept. of Nuclear Medicine, University Hospital Rotterdam-Dijkzigt, Rotterdam (Netherlands)

    1999-05-01

    Dobutamine stress echocardiography and thallium-201 myocardial perfusion scintigraphy are clinically useful methods for the evaluation of coronary artery disease (CAD). However, the relative merits of these imaging modalities in the evaluation of the extent of CAD after myocardial infarction have not been well studied. The aim of this study was to compare the accuracy of dobutamine stress echocardiography and simultaneous {sup 201}Tl single-photon emission tomography (SPET) imaging for the diagnosis and localization of CAD late after acute myocardial infarction. Dobutamine (up to 40 {mu}g kg{sup -1} min{sup -1})-atropine (up to 1 mg) stress echocardiography in conjunction with stress-reinjection {sup 201}Tl SPET was performed for the evaluation of myocardial ischaemia in 90 patients with previous myocardial infarction who underwent coronary angiography. Significant CAD was predicted on bases of myocardial ischemia (new or worsening wall motion abnormalities on echocardiography and reversible perfusion defects on {sup 201}Tl SPET). Significant CAD ({>=} 50% luminal diameter stenosis) was detected in 73 (81%) patients. The sensitivity, specificity and accuracy of echocardiography in detecting remote ischaemia for the diagnosis of remote CAD (present in 53 patients) were, respectively, 79% (CI 70%-88%), 85% (CI 77%-93%) and 81% (CI 73%-90%), while the corresponding figures for {sup 201}Tl SPET were 75% (CI 66%-85%), 78% (CI 69%-87%) and 76% (CI 67%-86%) respectively (P = NS vs echocardiography). The sensitivity, specificity and accuracy of echocardiography in detecting peri-infarction ischaemia for the diagnosis of infarct-related artery stenosis (present in 70 patients) were, rspectively, 77% (CI 68%-86%), 85% (CI 78%-92%) and 79% (CI 70%-87%) while the corresponding figures for {sup 201}Tl SPET were 73% (CI 64%-82%), 85% (CI 78%-92%) and 76% (CI 67%-84%) respectively (P = NS vs echocardiography). The agreement between the two methods for the diagnosis of peri

  5. Importance of 201Tl scintigraphy during exercise for diagnosis of silent myocardial ischemia

    Using thallium scintigraphy during exercise (TSE), suspect silent myocardial ischemia (SIM) was diagnosed in subjects without angina pectoris. 21 active pilots with suspect SIM were examined after previous exercise ECG as well as 33 patients with diabetes type I and II. In six pilots (28.6%) TSE showed accumulation defects suggesting ischemic disorders of the large coronary arteries. Five pilots showed obvious depressions of the ST segment in ECG during submaximal exercise TSE. In another group of five pilots small depressions of the ST segment were associated with normal TSE. Twelve diabetic patients (36.4%) had minor accumulation defects on TSE. Only two showed a ST depression under 2 mm in ECG during TSE. Based on data in the literature suggesting higher sensitivity and specificity of exercise thallium scintigraphy as compared with exercise ECG and the possibility of a false positive diagnosis of SIM from exercise ECG alone, it is recommended to also use TSE. A more detailed diagnosis of SIM is essential not only with regard to the assessment of work capacity but also for a long-term follow-up of patients with SIM for assessment of its incidence, impact and prognosis in the population. (author). 4 figs., 4 tabs., 25 refs

  6. Clinical study of right ventricular visualization by 201Tl myocardial scintigraphy

    Thallium-201 myocardial scans of 65 patients were retrospectively reviewed to evaluate the ability to detect right ventricular (RV) overloading. The degree of right ventricular visualization (RVV) was graded as a scale of (-)-(+++) according to RV uptake of the tracer: (-) = none; (+-) = slight RVV; (+) = less than left ventricular visualization (LVV); (++) = equal to LVV; (+++) = greater than LVV. Increased RV uptake was frequently seen in patients with chronic lung disease or congenital heart disease. The best projection angle for RVV was 60 deg in patients with grades (+-) and (+). The degree of RVV was compared with the data from cardiac catheterization performed in 25 of the patients. More increased uptake of the tracer was significantly associated with higher values of RV systolic pressure, pulmonary arterial systolic pressure, mean pulmonary arterial pressure, and pulmonary arterial resistant index. RV end-diastolic pressure, cardiac index, RV work index, RV stroke-work index, and heart rate were independent of the intensity of tracer uptake. The ratio of the RV to the left ventricle was significantly higher with increasing tracer uptake, although there was no significant difference between the groups with (+-) and grade (+). It was also correlated well with RV hemodynamic parameters. (Namekawa, K.)

  7. Dual myocardial scintigraphic imaging using 123I-BMIPP and 201Tl in patients with Duchenne's progressive muscular dystrophy

    Dual single photon emission computed tomography (SPECT) was performed in 30 patients with Duchenne's muscular dystrophy (DMD) using 201 thallium (Tl) for myocardial perfusion 123I-β-methyl-p-iodophenylpentadecanoic acid (BMIPP) for myocardial fatty acid metabolism scintigraphy. The left ventricle was divided into 9 regions, and accumulation of the radiotracers was assessed visually for each region to calculate defect score for each tracer. There was some degree of decrease in the myocardial accumulation of both tracers in all DMD patients. Reduced accumulation was most common at the apex (BMIPP, 70%; Tl, 63%), followed by the posterior wall, lateral wall, and anterior wall. It was less common on the apical side of the ventricular septum for both tracers (BMIPP, 3%; Tl, 17%). Accumulation of Tl was lower than BMIPP in 18/30 patients (60%) and higher in 9 (30%), while both tracers showed equal accumulation in 3 (10%). BMIPP showed higher accumulation than Tl in all regions but the septum. A significant negative correlation was found between the defect scores for both tracers and the left ventricular ejection fraction (LVEF) (r=-0.629 for Tl; r=-0.567 for BMIPP). The strongest negative correlation was that between the sum of the Tl and BMIPP defect scores and the LVEF (r=-0.681). Dual SPECT myocardial scintigraphy with Tl and BMIPP provided an accurate evaluation of the progression of cardiac lesions in DMD by detecting abnormalities of the myocardial metabolism of each substance thereby enabling the assessment of left ventricular function. (author)

  8. 201Tl labelled myocardium tomoscanning

    A new device, the J and P Tomoscanner, enables us to obtain the transverse scintigraphic section of any organ labelled by a single photon emitting radionuclide. For the time being, this technique has been used mainly for brain and liver studies. This work explores the ability of this tomograph to furnish sections of the 201Tl labelled myocardium by comparing them with the scintillation gamma-camera images. Towards this aim, witnesses and patients with documented anterior or lateral infarctus have been studied. Our actual results show a high correlation between the two explorations. But, by means of the section, both the site and size of the necrosis are visualized. However, only a single tomographic image was obtained in each patient because of the time necessary for its retranscription on paper. In the near future, when it will be possible to perform routinely several sections, a better size estimation will be possible

  9. Comparative study of dobutamine stress echocardiography and dual single-photon emission computed tomography (Thallium-201 and I-123 BMIPP) for assessing myocardial viability after acute myocardial infarction

    Yasugi, Naoko; Hiroki, Tadayuki [Fukuoka Univ., Chikushino (Japan). Chikushi Hospital; Koyanagi, Samon [National Fukuoka-Higashi Hospital, Koga (Japan). Clinical Research Inst.; Ohzono, Keizaburo; Sakai, Kikuo; Matsumoto, Takahiro; Sako, Shigeki; Homma, Tomoki; Azakami, Shirou [National Kyushu Medical Center, Fukuoka (Japan)

    2002-12-01

    Discordance between the {sup 123}I-labelled 15-iodophenyl-3-R, S-methyl pentadecanoic acid (BMIPP) and {sup 201}Tl findings may indicate myocardial viability (MV). This study compared dobutamine stress echocardiography (DSE) and single-photon emission computed tomography (SPECT) using the dual tracers for assessment of MV and prediction of functional recovery after acute myocardial infarction (AMI). DSE and dual SPECT were studied in 35 patients after AMI, of whom 28 underwent percutaneous coronary intervention in the acute stage. Dual SPECT was performed to compare the defect score of BMIPP and {sup 201}Tl. The left ventricular wall motion score (WMS) was estimated during DSE and 6 months later to assess functional recovery of the infarct area. The rate of agreement of MV between dual SPECT and DSE was 89% (p<0.01), and the sensitivity and specificity of DSE for dual SPECT in MV assessment was 86% and 93%, respectively. The positive and negative predictive values for functional recovery by dual SPECT were 76% and 67%, respectively, and by DSE were 90% and 79%, respectively. Four of 5 patients with positive MV by dual SPECT, but without functional recovery, had residual stenosis of the infarct-related artery. The WMS and defect scores of BMIPP and {sup 201}Tl were significantly smaller in patients with functional recovery than in those without. Assessment of MV using DSE concords with the results of dual SPECT in the early stage of AMI. DSE may have a higher predictive value for long-term functional recovery at the infarct area. However, a finding of positive MV by dual SPECT, without functional recovery, may indicate residual stenosis of the infarct-related artery, although the number of cases was small. Combined assessment by dual SPECT and DSE may be useful for detecting MV and jeopardized myocardium. Furthermore, the results suggest that functional recovery of dysfunctional myocardium may depend on the size of the infarct and risk area. (author)

  10. Correlation of left ventricular dyssynchrony with myocardial stunning using dual single photon emission computed tomography of 123iodine-β-methyl iodophenyl pentadecanoic acid and 201thallium scintigraphy after reperfusion therapy

    Left ventricular (LV) dyssynchrony after reperfusion therapy has been closely examined as a cause of chronic remodeling, but the details have not been clarified. The present study measured LV dyssynchrony appearing immediately after reperfusion therapy using real-time three-dimensional echocardiography (RT-3DE), and assessed the significance of this phenomenon in relation to dual single photon emission computed tomography (SPECT) of 123iodine β methyliodophenyl pentadecanoic acid (123I-BMIPP) and 201thallium (201Tl). Subjects comprised 58 patients with first-time acute myocardial infarction who received reperfusion therapy and underwent RT-3DE and dual SPECT of 123I-BMIPP and 201Tl within two weeks of onset. Two dyssynchrony parameters were measured using RT-3DE in the acute phase and six months later. After evaluating the correlation of these dyssynchrony parameters to resting 201Tl uptake, 201Tl washout, 123I-BMIPP uptake, and 201Tl-123I-BMIPP discrepancy (Tl-BMIPP discrepancy), we compared scintigraphic parameters in the chronic phase between groups with improved dyssynchrony and those without. Acute dyssynchrony exhibited a significant positive correlation to Tl-BMIPP discrepancy and it was significantly increased in the group with improved dyssynchrony in the chronic phase, revealing close relationship between dyssynchrony and Tl-BMIPP discrepancy. Then the subjects were divided into positive Tl-BMIPP discrepancy and negative discrepancy groups, and the parameters of cardiac function were compared between them. In the chronic phase, improved cardiac function was observed in the group with positive Tl-BMIPP discrepancy compared to negative discrepancy. LV dyssynchrony after reperfusion therapy correlates positively with Tl-BMIPP discrepancy, reflecting acute myocardial stunning, in which ventricular contraction improves during the chronic phase. (author)

  11. Effects of ischemia-reperfusion injury on myocardial single pass extraction and retention of Cu-PTSM in perfused rat hearts: comparison with [sup 201]Tl and [sup 14]C-iodoantipyrine

    Wada, Kouichi; Fujibayashi, Yasuhisa; Taniuchi, Hideyuki; Tajima, Naoyuki; Yokoyama, Akira (Kyoto Univ. (Japan). Faculty of Pharmaceutical Sciences); Tamaki, Nagara; Konishi, Junji (Kyoto Univ. (Japan). School of Medicine)

    1994-05-01

    The effects of ischemia-reperfusion-induced myocardial damage on the single pass extraction and retention of [sup 64]Cu-pyruvaldehyde-di-(N[sup 4]-methylthiosemicarbazone) ([sup 64]Cu-PTSM) in perfused rat hearts were compared to these effects on that of [sup 201]Tl and [sup 14]C-iodoantipyrine. [sup 201]Tl and [sup 14]C-iodoantipyrine did not show significant changes, but in the case of [sup 64]Cu-PTSM, the single pass extraction and retention was reduced with reperfusion. These findings indicate that ischemia-reperfusion-induced myocardial damage decrease the generator-produced [sup 62]Cu-labeled [sup 62]Cu-PTSM extraction and retention, and that [sup 62]Cu-PTSM might have potential not only as a blood flow tracer but also as a functional tracer. (author).

  12. Quality control 201TlCl solution obtained at IPEN-CNEN/SP through the direct method of 201Tl preparation

    The radiopharmaceutical 201TlCl is used in Nuclear medicine for myocardial visualization. The solution of 201TlCl was prepared using 201Tl obtained by irradiating a natural mercury target with protons. This radionuclide was subjected to different quality control processes to verify the purity required for its use in Medicine. Some of these controls concerned the determination of 200Tl, 201Tl and 202Tl; the chemical identification of 201Tl+1; the hydrazine concentration, mercury contamination and the presence of phosphate. Furthermore, the biologic distribution in Wistar rats and tests for sterility, pyrogens and for toxicity were carried out. It was verified that the solution obtained was in the form of thallous chloride. This radiopharmaceutical can give a good heart image in animals but due to the contamination of 201Tl with 200Tl and 202Tl its use in human beings is not possible unless enriched 202Hg is used as target of irradiation. (author)

  13. Coronary spasm: 201Tl scintiscanning following pharmacological provocation

    According to the authors' experience so far, 201Tl myocardial scintiscanning is a sufficiently sensitive non-invasive method for detection of coronary vasospasm provoked by ergotamine administration. Mild incomplete and asymptotic forms of coronary vasospasm were detected by scintiscanning. Indications for myocardial scintiscanning of ergotamine-provoked vasospasm are: Cases of angina pectoris at rest in which electrocardiograms during spasm are not available; elleviated symptoms after nitroglycerine administration; exercise electrocardiograms without any sign of ischaemia; negative results of exercise 201Tl myocardial scintiscanning. (orig.)

  14. Diagnosis of acute myocardial infarction using dual SPECT (99mTc PYP and 201Tl Cl) method

    We investigated the usefulness of the dual SPECT method with the Tc-99m and Tl-201 in comparison with the conventional Tc-99m planar method. Myocardial scintigraphy was performed in 57 patients with acute myocardial infarction; 30 were assessed by the conventional planar method and 27 by the dual SPECT method. The accumulation ratio of Tc-99m (%Tc) by the dual SPECT method was calculated from the coronal image and was compared with the serum values of total CPK, peak CPK, total CPK-MB, and peak CPK-MB obtained from serial sampling and the LVEF obtained by a left ventriculography a month later. The sensitivity for diagnosis of myocardial infarction was 73.3% by the planar method and 88.9% by the dual SPECT method. The infarct sites were identified in 61.5% of the antero-septal lesion, in 35.7% of the infero-posterior lesion and in 66.7% of the lateral lesion using the planar method, while using the dual SPECT method were 100% identification for both antero-septal and lateral lesions, and 75% for the infero-posterior lesion. The highest correlation, with a rate of 0.854, was between the %Tc and the total CPK. The %Tc also showed a positive correlation with peak CPK (r=0.798), with total CPK-MB (r=0.792) and with peak CPK-MB (r=0.751) (p<0.01). The LVEF had a tendency to decrease as %Tc exceeded 30%. The dual SPECT method was superior to the conventional planar method in detecting, in identifying the site and in evaluating the size of myocardial infarction. It also showed a high correlation between the %Tc and the LVEF at chronic stage of myocardial infarction. (author)

  15. Comparison of adenosine and exercise stress 201Tl myocardial perfusion imaging for diagnosing coronary heart disease in women

    Objective: To compare the diagnostic value of adenosine and exercise stress myocardial perfusion imaging (MPI) for detecting coronary heart disease (CHD) in women. Methods: One hundred and thirty-eight patients with CHD were randomly divided into two groups: adenosine stress group (n=69)and exercise stress group (n=69). All patients underwent myocardial SPECT evaluation. Coronary angiography (CAG), referred as 'gold standard' , was performed in each patient within 1 week before or after MPI. The diagnostic value of the two stress MPI was compared with χ2 test or Fisher's exact test. Results: In adenosine stress group, the sensitivity, negative predictive value and accuracy were 88.2% (45/51), 72.7% (16/22), 88.4% (61/69), respectively, which were not significantly different from those of the exercise stress group (91.7% (44/48), 66.7% (8/12), 81.2% (52/64); χ2 =0.571, 0.714, 0.249, P>0.05). However, the false positive rate of adenosine stress (11.1%, 2/18) was significantly lower than that of exercise stress (50.0%, 8/16), P=0.023. Conclusions: Adenosine and exercise stress MPI have similar value for CHD diagnosis in women, however, adenosine stress MPI may have an advantage of low false positive rate. (authors)

  16. Synthesis and in vivo evaluation of {sup 201}Tl(III)-DOTA complexes for applications in SPECT imaging

    Hijnen, Nicole M.; Vries, Anke de [Biomedical NMR, Department of Biomedical Engineering, Eindhoven University of Technology, 5600 MB Eindhoven (Netherlands); Blange, Roy [Department of Biomolecular Engineering, Antwerp University, 2610 Antwerp (Belgium); Burdinski, Dirk [Department of Biomolecular Engineering, Philips Research, 5656 AE Eindhoven (Netherlands); Gruell, Holger, E-mail: h.gruell@tue.n [Biomedical NMR, Department of Biomedical Engineering, Eindhoven University of Technology, 5600 MB Eindhoven (Netherlands); Department of Biomolecular Engineering, Philips Research, 5656 AE Eindhoven (Netherlands)

    2011-05-15

    Introduction: The aim of this study was to assess the use of {sup 201}thallium{sup 3+} ({sup 201}Tl{sup 3+}) as a radiolabel for nuclear imaging tracers. Methods for labeling of 1,4,7,10-tetraazacyclododecane-N,N',N'',N''' tetraacetic acid (DOTA) and diethylenetriaminepentaacetic acid (DTPA) chelators with {sup 201}Tl{sup 3+} were investigated, and the levels of stability of these chelates were tested in vitro and in vivo. Methods: {sup 201}Tl(I)Cl was treated with hydrochloric acid and ozone to form {sup 201}Tl(III)Cl{sub 3}. The procedure for labeling of DOTA and DTPA was optimized, testing different buffer solutions and pH values. The stability levels of {sup 201}Tl(III)-DOTA and {sup 201}Tl(III)-DTPA were assessed in buffer, mouse serum and human serum (1:1, v/v) at a temperature of 310 K for 48 h. Subsequently, in vivo stability studies with {sup 201}Tl(III)-DOTA were performed, comparing the biodistribution of {sup 201}Tl(III)-DOTA with that of {sup 201}Tl(I)Cl in a single-isotope study and with that of {sup 177}Lu(III)-DOTA in a dual-isotope single photon emission computed tomography study. Results: {sup 201}Tl(III)-DTPA, {sup 201}Tl(III)-DOTA and {sup 177}Lu(III)-DOTA were prepared with >95% radiochemical purity. While {sup 201}Tl(III)-DOTA showed a prolonged level of stability in buffer and serum, {sup 201}Tl was quickly released from DTPA in serum. Apart from some urinary excretion, the biodistribution of DOTA-chelated {sup 201}Tl{sup 3+} was similar to that of free (ionic) {sup 201}Tl{sup +} and did not match the biodistribution of {sup 177}Lu(III)-DOTA. This indicated a limited stability of {sup 201}Tl(III)-DOTA complexes in vivo. Conclusion: Despite promising results on the labeling and in vitro stability of {sup 201}Tl(III)-DOTA, our in vivo results indicate that the integrity of {sup 201}Tl(III)-DOTA decreases to <20% during the time required for urinary excretion, thereby limiting the use of {sup 201}Tl{sup 3+} as a

  17. Synthesis and in vivo evaluation of 201Tl(III)-DOTA complexes for applications in SPECT imaging

    Introduction: The aim of this study was to assess the use of 201thallium3+ (201Tl3+) as a radiolabel for nuclear imaging tracers. Methods for labeling of 1,4,7,10-tetraazacyclododecane-N,N',N'',N''' tetraacetic acid (DOTA) and diethylenetriaminepentaacetic acid (DTPA) chelators with 201Tl3+ were investigated, and the levels of stability of these chelates were tested in vitro and in vivo. Methods: 201Tl(I)Cl was treated with hydrochloric acid and ozone to form 201Tl(III)Cl3. The procedure for labeling of DOTA and DTPA was optimized, testing different buffer solutions and pH values. The stability levels of 201Tl(III)-DOTA and 201Tl(III)-DTPA were assessed in buffer, mouse serum and human serum (1:1, v/v) at a temperature of 310 K for 48 h. Subsequently, in vivo stability studies with 201Tl(III)-DOTA were performed, comparing the biodistribution of 201Tl(III)-DOTA with that of 201Tl(I)Cl in a single-isotope study and with that of 177Lu(III)-DOTA in a dual-isotope single photon emission computed tomography study. Results: 201Tl(III)-DTPA, 201Tl(III)-DOTA and 177Lu(III)-DOTA were prepared with >95% radiochemical purity. While 201Tl(III)-DOTA showed a prolonged level of stability in buffer and serum, 201Tl was quickly released from DTPA in serum. Apart from some urinary excretion, the biodistribution of DOTA-chelated 201Tl3+ was similar to that of free (ionic) 201Tl+ and did not match the biodistribution of 177Lu(III)-DOTA. This indicated a limited stability of 201Tl(III)-DOTA complexes in vivo. Conclusion: Despite promising results on the labeling and in vitro stability of 201Tl(III)-DOTA, our in vivo results indicate that the integrity of 201Tl(III)-DOTA decreases to 201Tl3+ as a radiolabel for tracer imaging.

  18. Computer-aided semi-quantitative myocardial scintiscanning using 201-Tl in routine examinations to diagnose coronary heart disease. Rechnerunterstuetzte semiquantitative 201-Tl-Myokardszintigraphie in der Roentgendiagnostik der koronaren Herzerkrankung

    Schumacher, M.

    1983-01-01

    Thallium-201 is generally used for intravenous myocardial scintiscanning. In the 42 patients investigated during the study, the sensitivity of this method in the diagnosis of reduced myocardial perfusion was judged to be superior to that of exercise electrocardiography. The most reliable conclusions could, however, be drawn from the combined results of both these non-invasive techniques. Coronary angiography was carried out for reasons of comparison and proved that the method under investigation, even though showing an extremely high sensitivity, was less satisfactory as regards specifity. Myocardial scintiscanning using thallium-201 constitutes the only non-invasive technique suitable for the evaluation of cardial microcirculation. It must therefore be regarded as an ideal diagnostic tool to be used in combination with coronary angiography which, in turn, provides evidence of macroscopic changes. Moreover, myocardial scintiscanning using thallium-201 still remains the only procedure permitting acute myocardial infarction to be detected within the first few hours following the incident. (TRV).

  19. Assessment of coronary hemodynamics and myocardial perfusion in patients with syndrome X by digital subtraction angiography and 201Tl-myocardial scintigraphy

    To evaluate coronary hemodynamics and myocardial perfusion, left coronary digital subtraction angiography (DSA) and Tl-201 myocardial scintigraphy were performed in patients with syndrome X. The coronary circulation time (CCT) was significantly prolonged after the injection of isosorbide dinitrate and contrast medium i.c. Apical T1/2 was also prolonged on ergonovine malate provocation test. We suspected that the vascular response of the coronary peripheral artery was impaired, and microvascular spasm probably existed in patients with syndrome X. The prevalence of abnormal myocardial perfusion defect on exercise Tl-201 SPECT in syndrome X was very high, and coronary hemodynamics was significantly disturbed in the group of syndrome X with abnormal Tl-201 SPECT. Tl-201 lung/heart count ratio significantly increased in syndrome X on treadmill test. Because of this, exercise induced left ventricular dysfunction was suspected. We concluded that the main pathophysiological finding of impaired coronary circulation in syndrome X was microvascular spasm. (author)

  20. The new method of evaluation for the regional myocardial function using the regional wall thickening curve obtained by ECG-gated 201Tl planar myocardial scintigraphy

    A new method was developed for obtaining an increase rate of regional myocardial systolic wall thickness (%WT) in ECG-gated Tl-201 myocardial scintigraphy. Its value was assessed in the clinical setting in comparison with %WT obtained by echocardiography. The subjects were a total of 18 patients with cardiac diseases, including angina pectoris (7), hypertension (3), dilated cardiomyopathy (4), aortic valve stenosis (2), aortic valve regurgitation (one) and sick sinus syndrome (one). Left ventricular septal and posterolateral segments were defined as regions of interest (ROI) on LAO 45deg planar images to correspond to the sites on echocardiographic left ventricular short axial M mode images. In addition, rectangular ROI, which directly crossed the ventricular wall, was assigned to determine changes in myocardial wall thickness, whereby time-activity curve (TAC) was prepared. TAC obtained so far was analogous to that obtained by ultrasound crystal method in an animal experiment. Thus the TAC was supposed to reflect changes in regional myocardial wall thickness. Furthermore, enddiastolic count (EDC) and endsystolic count (ESC) were obtained. %WT was obtained by a formula of (ESC - EDC)/EDC*100. %WT obtained in this way correlated positively with that obtained by echocardiography, for both septal segment (r=0.78) and posterolateral segment (r=0.77). These findings suggested that the regional wall thickening curve can be used in the clinical setting. (N.K.)

  1. Clinical evaluation of the ipsilateral lung uptake of 201TlCl in spontaneous pneumothorax

    A case of re-expansion pulmonary edema following the treatment of spontaneous pneumothorax was reported, and in 3 other cases of this disease, perfusion lung scintigraphy with sup(99m)Tc-MAA and myocardial scintigraphy with 201TlCl were performed in order to evaluate the regional pulmonary arterial perfusion and lung uptake of 201Tl. The perfusion decrease and the marked uptake of 201Tl were observed in the ipsilateral lung of 2 cases. In a previous study, we reported that diffuse bilateral lung uptake of 201Tl, which was distributed in more than 90% of the extravascular space of the lung, was observed in various cases with heart disease, diffuse interstitial pneumonia etc. Therefore, it seems that ipsilateral lung in cases with spontaneous pneumothorax may be accompanied with a subclinical increased vascular permeability and abnormal accumulation of interstitial fluid. Thus patients with spontaneous pneumothorax will be predisposed to re-expansion pulmonary edema. (author)

  2. Clinical evaluation of the ipsilateral lung uptake of /sup 201/TlCl in spontaneous pneumothorax

    Fujii, T.; Hirayama, J.; Kanai, H.; Kanbayashi, T.; Mimura, N.; Amamiya, H. (Shinshu Univ., Matsumoto, Nagano (Japan). Faculty of Medicine)

    1982-08-01

    A case of re-expansion pulmonary edema following the treatment of spontaneous pneumothorax was reported, and in 3 other cases of this disease, perfusion lung scintigraphy with sup(99m)Tc-MAA and myocardial scintigraphy with /sup 201/TlCl were performed in order to evaluate the regional pulmonary arterial perfusion and lung uptake of /sup 201/Tl. The perfusion decrease and the marked uptake of /sup 201/Tl were observed in the ipsilateral lung of 2 cases. In a previous study, we reported that diffuse bilateral lung uptake of /sup 201/Tl, which was distributed in more than 90% of the extravascular space of the lung, was observed in various cases with heart disease, diffuse interstitial pneumonia etc. Therefore, it seems that ipsilateral lung in cases with spontaneous pneumothorax may be accompanied with a subclinical increased vascular permeability and abnormal accumulation of interstitial fluid. Thus patients with spontaneous pneumothorax will be predisposed to re-expansion pulmonary edema.

  3. Usefulness of 201Tl SPECT in the evaluation of treatment effect for primary lung cancer

    Thallium-201 single photon emission computed tomography (201Tl SPECT) was performed on 20 patients with primary lung cancer before and after treatment (radiotherapy alone or combination of chemotherapy and radiotherapy). They were divided into early recurrence group and no recurrence group by presence of local tumor regrowth within 6 months after treatment. Retention index (Ret. I) after treatment was significantly lower (p201Tl SPECT indicated viability of residual mass, so it was useful in the evaluation of treatment effect for primary lung cancer. (author)

  4. Standardization and decay scheme of 201Tl

    An intercomparison exercise was conducted among three national standards laboratories and a commercial supplier to determine the degree of agreement between directly determined values of the activity concentration of a solution of 201Tl. The γ-ray emission probabilities of 201Tl were also determined, providing an emission probability for the 167.4 keV γ ray of 0.1000±0.0006. (author)

  5. Thallium-201 single photon emission computed tomography (SPECT) in patients with Duchenne's progressive muscular dystrophy. A histopathologic correlation study

    The pathomorphologic mechanism responsible for abnormal perfusion imaging during thallium-201 myocardial single photon emission computed tomography (201Tl-SPECT) in patients with Duchenne's progressive muscular dystrophy (DMD) was investigated. Hearts from 7 patients with DMD were evaluated histopathologically at autopsy and the results correlated with findings on initial and delayed resting 201Tl-SPECT images. The location of segments with perfusion defects correlated with the histopathologically abnormal segments in the hearts. Both the extent and degree of myocardial fibrosis were severe, especially in the posterolateral segment of the left ventricle. Severe transmural fibrosis and severe fatty infiltration were common in segments with perfusion defects. In areas of redistribution, the degree of fibrosis appeared to be greater than in areas of normal perfusion; and intermuscular edema was prominent. Thus, the degree and extent of perfusion defects detected by 201Tl-SPECT were compatible with the histopathology. The presence of the redistribution phenomenon may indicate ongoing fibrosis. Initial and delayed resting 201Tl-SPECT images can predict the site and progress of myocardial degeneration in patients with DMD. (author)

  6. Determination of [{sup 201}Tl]Tl(III) in [{sup 201}Tl]TlCl solutions using HPLC

    Akhlaghi, M. [Nuclear Medicine Group, Agriculture, Medicine and Industrial Research School (AMIRS), Nuclear Science and Technology Research Institute, Moazzen Blvd., Rajaeeshahr, P.O. Box 31485-498, Karaj (Iran, Islamic Republic of)], E-mail: makhlaghi@nrcam.org; Kamalidehghan, M.; Jalilian, A.R.; Shadanpoor, N. [Nuclear Medicine Group, Agriculture, Medicine and Industrial Research School (AMIRS), Nuclear Science and Technology Research Institute, Moazzen Blvd., Rajaeeshahr, P.O. Box 31485-498, Karaj (Iran, Islamic Republic of)

    2008-04-15

    A high-performance liquid chromatography technique has been presented to measure the [{sup 201}Tl]TlCl{sub 3} impurity in [{sup 201}Tl]TlCl radiopharmaceutical for precise determination of radiochemical purity. Diethylene tetraamine pentaacetic acid (DTPA) has been used for complete complexation of [{sup 201}Tl]Tl(III). [{sup 201}Tl]Tl(III)-DTPA was analyzed in the presence of [{sup 201}Tl]Tl(I) using a cation exchange HPLC column.

  7. The interpolated projection data estimation method improves the image quality of myocardial perfusion SPECT with a short acquisition time

    The interpolated projection data estimation processing (IPDE) method increases the amount of projection data by interpolation of the projection data. We examined the usefulness of the IPDE method for 201Tl myocardial perfusion imaging (MPI) single photon emission computed tomography (SPECT) with a short acquisition time. Forty patients with suspected ischemic heart disease underwent stress 201Tl-MPI SPECT. Both stress and delayed images were acquired with 4 cycles of 360 deg continuous rotation with a 90-direction setting for 14 min. The projection data used for reconstruction were all cycle data (Tl-90-14 min), 2 cycles of data (Tl-90-7 min), and 2 cycles of data processed using the IPDE method (Tl-180IPDE-7 min). This study compared the detection of the perfusion defect by the uptake score and the image quality of 201Tl-MPI SPECT using the normalized mean square error (NMSE). The uptake score of Tl-180IPDE-7 min was significantly more concordant with Tl-90-14 min in comparison to the Tl-90-7 min (p201Tl-MPI SPECT than for the stress 201Tl-MPI SPECT (p201Tl-MPI SPECT for a short acquisition time. Furthermore, the IPDE method is a simple software program that does not require any expensive equipment or use advanced algorithms. These results suggest that the IPDE method may be useful as an adjunctive method for shortening the acquisition time of 201Tl-MPI SPECT. (author)

  8. Efficacy of iodine-123-15-(p-iodophenyl)-3-R,S-methylpentadecanoic acid single photon emission computed tomography imaging in detecting myocardial ischemia in children with Kawasaki disease

    To evaluate its efficacy in detecting myocardial ischemia in children, iodine-123-labeled 15-(p-iodophenyl)-3-R,S-methylpentadecanoic acid (BMIPP) myocardial single photon emission computed tomography (SPECT) imaging was performed in 16 pediatric patients with Kawasaki disease (KD, 11 male, 5 female; mean age and range: 13 years 8 months and 8 years 11 months to 17 years 7 months). Five children with chest pain and no cardiac disease were studied as controls (2 male, 3 female; mean age and range: 13 years 4 months and 9 years 4 months to 17 years 11 months). Selective coronary angiography was also performed in the 16 patients to evaluate the location of coronary stenosis and coronary aneurysms. The SPECT images were expressed as polar maps (Bull's eye maps) and the 'defect' area was defined as where the uptake of BMIPP was less than the standardized BMIPP images of the 5 control children. In the 16 patients, 33 segments had coronary aneurysms and 10 (10/33: 30.3%) had significant coronary stenosis on selective coronary angiography. Nine of the 10 (90%) segments with significant coronary stenosis showed a defect on the BMIPP image whereas only 6 of the 23 (26.1%) segments without coronary stenosis showed a defect on BMIPP imaging. The sensitivity of BMIPP SPECT imaging for detection of coronary stenosis was 90% (9/10) and its specificity was 73.9% (17/23), whereas the sensitivity of 201Tl SPECT imaging was 80% (8/10) and its specificity was 60% (14/23). There was no significant difference between the BMIPP and 201Tl SPECT images in either the sensitivity or specificity for the detection of coronary stenosis. In the present series, only one case had discordant BMIPP uptake (BMIPP uptake201Tl uptake) in which there was a large coronary aneurysm and re-canalization after complete obstruction at segment 1 of the right coronary artery. This discordant BMIPP uptake reflects the possibility of ischemic but viable myocardium after re-canalization of a large aneurysm in KD

  9. Myocardial stunning in hypertrophic cardiomyopathy: recovery predicted by single photon emission computed tomographic thallium-201 scintigraphy

    A young woman with hypertrophic cardiomyopathy confirmed by echocardiography and cardiac catheterization presented with chest pain and features of a large left ventricular aneurysm. The initial diagnosis was myocardial ischemia with either an evolving or an ancient myocardial infarction. Subsequently, verapamil therapy was associated with complete resolution of the extensive left ventricular wall motion abnormalities, normalization of left ventricular ejection fraction and a minimal myocardial infarction. Normal thallium uptake on single photon emission computed tomographic scintigraphy early in the hospital course predicted myocardial viability in the region of the aneurysm. Thus, orally administered verapamil may reverse spontaneous extensive myocardial ischemia in hypertrophic cardiomyopathy and possibly limit the extent of myocardial infarction in such circumstances

  10. Thallium-201 single photon emission computed tomography (SPECT) in patients with Duchenne's progressive muscular dystrophy. A histopathologic correlation study

    Nishimura, Toru; Yanagisawa, Atsuo; Sakata, Konomi; Shimoyama, Katsuya; Yoshino, Hideaki; Ishikawa, Kyozo [Kyorin Univ., Mitaka, Tokyo (Japan). School of Medicine; Sakata, Hitomi; Ishihara, Tadayuki

    2001-02-01

    The pathomorphologic mechanism responsible for abnormal perfusion imaging during thallium-201 myocardial single photon emission computed tomography ({sup 201}Tl-SPECT) in patients with Duchenne's progressive muscular dystrophy (DMD) was investigated. Hearts from 7 patients with DMD were evaluated histopathologically at autopsy and the results correlated with findings on initial and delayed resting {sup 201}Tl-SPECT images. The location of segments with perfusion defects correlated with the histopathologically abnormal segments in the hearts. Both the extent and degree of myocardial fibrosis were severe, especially in the posterolateral segment of the left ventricle. Severe transmural fibrosis and severe fatty infiltration were common in segments with perfusion defects. In areas of redistribution, the degree of fibrosis appeared to be greater than in areas of normal perfusion; and intermuscular edema was prominent. Thus, the degree and extent of perfusion defects detected by {sup 201}Tl-SPECT were compatible with the histopathology. The presence of the redistribution phenomenon may indicate ongoing fibrosis. Initial and delayed resting {sup 201}Tl-SPECT images can predict the site and progress of myocardial degeneration in patients with DMD. (author)

  11. Exercise myocardial perfusion scintigraphy is useful for evaluating myocardial ischemia even in the elderly

    Pharmacologic stress testing is recommended to elderly patients as a valuable alternative to exercise testing. We examined whether exercise testing is as useful for evaluating myocardial ischemia in the elderly as in the young. The consecutive 1,508 patients who underwent exercise 201Tl single-photon emission computed tomography (SPECT) were divided into six age groups: 6-29 years (n=56), 30-44 (n=143), 45-54 (n=311), 55-64 (n=498), 65-74 (n=402), and 75-88 (n=98). Both heart rate and rate-pressure product at peak exercise were significantly lower in patients aged 75-88 than in the other five groups. The frequency of ischemic ST depression was higher in patients aged 75-88 than in those aged 6-74, although the difference was not significant. Moreover, the frequency of 201Tl transient defect was significantly higher in patients aged 75-88 than in those aged 6-74. On the other hand, the sensitivity of ischemic ST depression for 201Tl transient defect was similar among the six groups, but the specificity was significantly lower in patients aged 75-88 than in those aged 6-74. In conclusion, exercise 201Tl SPECT is useful for evaluating myocardial ischemia even in the elderly, but exercise electrocardiography has limitations such as lower specificity in the elderly than 201Tl SPECT. (author)

  12. Evaluation of the ischemic myocardium in acute coronary syndromes using 123I-MIBG and 201TlCl SPECT imaging

    Images from myocardial I-123-meta-iodobenzylguanidine (MIBG) single photon emission computed tomography (SPECT) and Tl-201 SPECT were reviewed in 20 patients with acute coronary syndromes, including 6 with unstable angina and 7 with non-transmural myocardial infarction. Myocardial SPECT imaging was undertaken 90 min after iv injection of I-123 MIBG, followed by myocardial perfusion SPECT imaging 15 min after iv injection of 201TlCl. One week later, coronary arteriography was performed. Of 7 patients with non-transmural myocardial infarction, 3 were not recognized as having hypoperfusion or defect on Tl-201 images, but were found to have defects in culprit vessels on I-123 MIBG images. In 3 of 6 patients with unstable angina, I-123 MIBG imaging clearly visualized defects in culprit vessels, although there were no abnormal findings in serum creatinine kinase or Tl-201 myocardial imaging. Thus I-123 MIBG myocardial imaging was found to visualize ischemic zones, not detected by the other imaging methods, especially in non-transmural myocardial infarction and unstable angina. (N.K.)

  13. Detection of the viable myocardium. A perfusion scintigraphic study, before and after coronary bypass surgery in myocardial infarction patients

    Chalela Willliam A.

    1999-01-01

    Full Text Available OBJECTIVE: To compare single-photon-emission computed tomography (SPECT imaging scans using 201Tl and 99mTc-MIBI in detection of viable myocardium, in regions compromised by infarction. METHODS: Thirty-two (59.3±9.8 years old and 87% male myocardial infarction patients were studied. All had Q waves on the ECG and left ventricle ejection fraction of <50%. They underwent coronary and left ventricle angiographies and SPECT before (including 201Tl reinjection and after coronary artery bypass surgery (CABG. Improvement in perfusion observed after surgery was considered the gold standard for myocardial viability. RESULTS: Among 102 studied regions of the heart, there were 40 (39.2% areas of transient perfusion defects in the conventional protocol with 201Tl and 52 (51.0% after reinjection. Therefore, 12/62 (19.4% more viable regions were identified by reinjection. Using 99mTc-MIBI, only 14 (13.7% regions with transient defects were identified, all of which were seen also in 201Tl protocols. After surgery, 49 of a total of 93 regions analyzed (52.7% were viable. Sensitivity, specificity, accuracy, positive and negative prediction values were, respectively, 201Tl SPECT scans - 65.3%, 90.9%, 77.4%, 88.9% and 70.2%, reinjection protocol with 201Tl scans - 81.6%, 81.8%, 81.7%, 83.3% and 80.0%; 99mTc-MIBI SPECT scans - 20.4%, 90.9%, 53.8%, 71.4% and 50.6%. Logistic regression demonstrated that the reinjection protocol with 201Tl was the best predictor of viability (P<0.001. CONCLUSION: Our data suggest the election of 201Tl for viability studies, especially when using the reinjection protocol.

  14. Gated single photon emission computer tomography for the detection of silent myocardial ischemia

    Background: Asymptomatic patients with severe coronary atherosclerosis may have a normal resting electrocardiogram and stress test. Aim: To assess the yield of Gated Single Photon Emission Computer Tomography (SPECT) for the screening of silent myocardial ischemia in type 2 diabetic patients. Material and methods: Electrocardiogram, stress test and gated-SPECT were performed on 102 type 2 diabetic patients aged 60 ± 8 years without cardiovascular symptoms. All subjects were also subjected to a coronary angiography, whose results were used as gold standard. Results: Gated-SPECT showed myocardial ischemia on 26.5% of studied patients. The sensibility, specificity, accuracy, positive predictive value and negative predictive value were 92.3%, 96%, 95%, 88.8%, 97.3%, respectively. In four and six patients ischemia was detected on resting electrocardiogram and stress test, respectively. Eighty percent of patients with doubtful resting electrocardiogram results and 70% with a doubtful stress test had a silent myocardial ischemia detected by gated-SPECT. There was a good agreement between the results of gated-SPECT and coronary angiography (k =0.873). Conclusions: Gated-SPECT was an useful tool for the screening of silent myocardial ischemia

  15. Clinical usefulness of 201Tl SPECT in diagnosing nasopharyngeal tumor

    201Tl SPECT was performed on 54 patients suspected of nasopharyngeal tumor using a three-head rotating gamma camera and its clinical usefulness was evaluated. 201Tl accumulations were shown in 53 of the 54 patients (50 nasopharyngeal carcinoma, 1 malignant melanoma and 2 lymphoid hyperplasia) before treatment. In 48 of 50 patients with nasopharyngeal carcinoma, the effectiveness for treatment response could be assessed after treatment. 201Tl SPECT was concordant with MRI and CT in 26 patients (15 complete response (CR), 11 partial response (PR)), whereas it was discordant in 22 patients who showed CR in 201Tl SPECT but PR in MRI and CT. Follow-up MRI and 201Tl SPECT studies of 16 of these 22 patients from 6 to 33 months (mean 13 months) after treatment revealed that the tumor gradually decreased and finally vanished. Recurrent and metastatic lesions occurred in 8 patients from 9 to 69 months (mean 24 months) after treatment, and 201Tl SPECT could detect all 10 lesions in 8 patients. From the results obtained, it was concluded that 201Tl SPECT is very useful in the initial evaluation, in the assessment of treatment response and in detecting recurrent and metastatic lesions of nasopharyngeal tumor. (author)

  16. Gated single-photon emission tomography imaging protocol to evaluate myocardial stunning after exercise

    This study was designed to apply ECG-gating to stress myocardial perfusion single-photon emission tomography (SPET) for the evaluation of myocardial stunning after exercise. Technetium-99m sestamibi was selected as the perfusion agent and a rest/exercise 1-day protocol was employed. Fourteen patients without coronary stenosis and 33 patients with coronary stenosis were enrolled in the study. We carried out three data acquisitions with ECG-gating: a 15-min data acquisition starting 30 min after the rest injection (AC1), a 5-min acquisition starting 5 min after the stress injection (AC2) and a 15-min acquisition starting 20 min after the stress injection (AC3). Calculation of left ventricular ejection fraction (LVEF) values was performed by means of automatic determination of the endocardial surface for all gating intervals in the cardiac cycle. Measured global EF values in 14 patients without coronary stenosis were 52.3%±7.6% (AC1), 60.6%±8.9% (AC2) and 55.6%±5.6% (AC3), and those in 11 patients with severe ischaemia were 53.6%±8.0% (AC1), 45.6%±12.1% (AC2) and 49.7%±10.7%. The magnitude of the depression of post-stress LVEF relative to the rest LVEF correlated with the severity of ischaemia (r=0.594, P=0.002), and segments manifesting post-stress functional depression were associated with ischaemic segments showing reversible perfusion defects. Stress myocardial perfusion SPET with ECG-gating is a feasible method for the evaluation of myocardial stunning as well as exercise-induced ischaemia. (orig.)

  17. Standardization and decay scheme of sup 201 Tl

    Coursey, B.M.; Hoppes, D.D.; Hirschfeld, A.T. (National Inst. of Standards and Technology, Gaithersburg, MD (USA)); Judge, S.M.; Woods, D.H.; Woods, M.J. (National Physical Lab., Teddington (UK)); Funck, E.; Schrader, H. (Physikalisch-Technische Bundesanstalt, Braunschweig (Germany, F.R.)); Tuck, A.G. (Amersham International Ltd. (UK))

    1990-01-01

    An intercomparison exercise was conducted among three national standards laboratories and a commercial supplier to determine the degree of agreement between directly determined values of the activity concentration of a solution of {sup 201}Tl. The {gamma}-ray emission probabilities of {sup 201}Tl were also determined, providing an emission probability for the 167.4 keV {gamma} ray of 0.1000{plus minus}0.0006. (author).

  18. Analysis of coronary hemodynamics in exercise by 201Tl scintigraphy

    From our observation that initial distribution of 201Tl in tissue is mainly dependent on blood flow distribution, we designed the method to obtain the rates of change of coronary blood flow and coronary vascular resistance and applied it to the analysis of coronary hemodynamics in patients with ischemic heart disease during submaximal exercise. We measured the rates of change of cardiac output (Δ CO) and myocardial blood flow distribution (Δ Fract) in two occasions by the sequential two injections of Tl, and obtained the rate of change of coronary blood flow (Δ Flow) from Δ CO and Δ Fract. Using the rate of change of mean blood pressure, we calculated also the rate of change of coronary vascular resistance (Δ CVR). The initial components of histograms of the right ventricle by the first and second injections of Tl were fitted into gamma function curve. S1 and S2 were the areas bounded by the curve and baseline of the first and second injections, and then the cardiac output ratio was estimated by R x S1/S2, where R was the dose ratio measured by another camera system. The five min count rates on the myocardium by the first (H1) and second (H2) injections of Tl were calculated five min after the injection. H2 was approximately H1 x R in the same condition of Tl injection but H2 was not equal to H1 x R, when the Tl injection was done in the different loading condition. Therefore the rate of change of myocardial blood flow distribution was calculated as Δ Fract = (H1 x R - H2)/H2. With submaximal exercise the increases in Δ CO, Δ Fract and Δ Flow were smaller in patients with ischemic heart disease (IHD) than those in control subjects. In the patients with IHD, there was response of lesser degree in Δ Flow under increased myocardial oxygen demand, suggesting low coronary reserve in this condition. (author)

  19. Incidentally detected large diaphragmatic hernia in Tl-201 myocardial perfusion scintigraphy; no substantial effect on the study results

    Özdemir, Semra; Erselcan, Taner; Hasbek, Zekiye; Tandoğan, İzzet; GÜMÜŞ, CESUR

    2011-01-01

    AbstractA case of diaphragmatic hernia, detected incidentally by Thallium 201 (Tl-201) myocardial perfusion scintigraphy (MPS), was presented. We recognized a large photon deficient area in the right lung and middle mediastinum regions, also attenuating cardiac activity in the first 10 projections during the evaluation of stress and rest single-photon emission computed tomography (SPECT) projections of the subject. Computed tomography (CT) examination of the mass revealed a diaphragmatic hern...

  20. Thallium-201 single-photon emission tomography in the treatment follow-up of nasopharyngeal carcinoma

    In order to assess the usefulness of thallium-201 single-photon emission tomography (SPET) in the treatment follow-up of nasopharyngeal carcinoma (NPC), a total of 75 201Tl SPET studies were performed in 18 patients with histologically proven NPC. The findings were compared with those of magnetic resonance imaging (MRI) before and after therapy. Four patients received radiotherapy alone while the other 14 received concurrent chemo-radiotherapy. Treatment response was classified as complete (CR) or partial (PR) based on the findings of MRI and 201Tl SPET. Intense 201Tl uptake by the tumour was seen in all 18 patients before treatment. After treatment, MRI showed seven CRs and 11 PRs, whereas 201Tl SPET showed 13 CRs and five PRs. In 12 patients, the results of 201Tl SPET were in agreement with those of MRI. In six patients MRI showed PR but 201Tl showed CR. Follow-up (mean 10.6 months) MRI and 201Tl SPET studies of these six patients revealed that tumour gradually decreased and finally vanished in three patients. This preliminary study indicates that 201Tl SPET has potential in the assessment of early response to treatment of patients with NPC when compared with MRI. (orig.)

  1. 201Tl and 99Tcm-HMPAO SPECT imaging in brain lesions

    Eighty-five patients with three different types of brain lesions were included in the study. Twenty-five patients with malignant astrocytoma, either post-operatively (15 cases) or with recurrent tumour versus gliosis (10 cases), were studied using 201Tl SPECT (single photon emission computed tomography). Calculation of early delayed uptake and the retention index showed high early late uptake with low retention index in high grade astrocytoma versus a low mean value of early and delayed uptake with a high retention index in low grade glioma. Also, recurrent cases showed remarkable differences in early and delayed 201Tl uptake (P 201Tl SPECT (100%) versus 80% using computed tomography (CT) scanning. Furthermore, 30 patients with interictal epileptic fits were evaluated with 99Tcm-HMPAO (hexamethylpropylene amine oxime), electroencephalogram (EEG) and CT, with sensitivities of 80, 73.3 and 20%, respectively. The third group of 30 patients with different onset of cerebrovascular stroke was evaluated with 99Tcm-HMPAO. They showed larger lesions in both the acute phase (8 patients) and the subacute phase (12 patients) compared with CT scanning. Also, crossed cerebellar diaschiasis was seen in 50% of each group and 'luxury' perfusion in 30% of the subacute phase. Additional lesions with signs of cerebral atrophy in 75% of acute 50% of subacute phases were noted. A similar finding was noted for 99Tcm-HMPAO and CT scanning in ten patients in a chronic phase with no evidence of other lesions, cerebellar diaschiasis, or signs of cerebral atrophy. (author). 13 refs, 3 figs

  2. Sympathetic reinnervation following heart transplantation: a double-tracer study with 123I-MIBG and 201Tl

    Sympathetic reinnervation was evaluated in 15 patients 2-69 months after heart transplantation using a double-tracer technique with 123I-MIBG and 201Tl. Since MIBG is accumulated in the same manner as norepinephrine it may serve as a tracer of the integrity and function of the sympathetic nervous system. 201Tl was used for landmarking. Planar anterior imaging was performed 15 min and 4 h after i.v. injection of 220 MBq 123I-MIBG and 37 MBq 201Tl. Image quantitation was based on the ratio of myocardial to mediastinal MIBG-uptake. Cardiac regions of interest were defined according to the 201Tl uptake. There was no evidence of sympathetic reinnervation in 8 patients 2-34 months after transplantation. Increased MIBG-uptake could be observed in the anterior basal region in 6 long-term cardiac transplants (37-69 months). One patient with a 59-month-old transplanted heart did not reinnervate. Increased MIBG-uptake in the anterior basal region indicating partial sympathetic reinnervation could be shown in 40% of the investigated patients with an average organ age of 51 months. (orig.)

  3. Phantom evaluation of simultaneous thallium-201/technetium-99m acquisition in single-photon emission tomography

    This study investigated downscatter effects in cardiac single-photon emission tomographic studies with simultaneous thallium-201/technetium-99m acquisition, and evaluated a previously proposed subtraction technique for downscatter compensation. Ten studies were carried out with different defect sizes and locations and varying activity distributions using four energy windows: 70±10% keV, 140±10% keV, 100±10% KeV, and 103±16% keV. The subtraction technique used the 100- or 103-keV data to remove scattered 99mTc counts from the 70-keV data. The size and contrast of infarcts in the dual-isotope 70-keV image were artificially decreased compared to those in the 140-keV image, caused by scattered 99mTc counts that were comparable to the primary 201Tl counts in the 70-keV window. The subtraction technique produced larger defects and more heterogeneous activity in the myocardial wall in dual-isotope 70-keV images compared to the corresponding 201Tl-only images. These artifacts were caused by the markedly different spatial distributions of scattered 99mTc counts in the 100-keV (or 103-keV) window as compared with the 70-keV window. It is concluded that scattered 99mTc photons may cause overestimation of ischemia and myocardial viability in simultaneous dual-isotope patient studies. The proposed subtraction technique was inaccurate and produced image artifacts. Adequate downscatter compensation methods must be developed before applying simultaneous 201Tl/99mTc acquisition in clinical practice. (orig.). With 6 figs., 3 tabs

  4. Detection of myocardial infarction with dual energy CT myocardial iodine maps and perfusion myocardial single photon emission computed tomography scintigraphy: an experimental study in canine

    Objective: To investigate the feasibility and accuracy of dual energy CT myocardial iodine maps in detecting acute myocardial infarction in canine model. Methods: Myocardial ischemia model was made by ligaturing left anterior descending coronary arteries (LAD) after thoracotomy in six dogs, while another 3 dogs undergoing thoracotomy not ligaturing LAD as control group. Before and three hours after operation, dual-source CT (DSCT) was performed, followed by resting 99Tcm-MIBI single photon emission computed tomography myocardial perfusion imaging. Then, dogs were sacrificed, and the hearts were removed, triphenyketrazolium chloride staining and conventional HE staining were performed. CT number of non-ischemic and ischemic regions were measured and analyzed. The wall of the left ventricle in the short axis was divided into 17 segments, the segments of myocardial perfusion defect in DSCT myocardial iodine maps, SPECT, and pathology were determined. Student t test was used to analyze the difference of CT number between infarcted and non-infarcted myocardium. Kappa test was used for the accuracy of DSCT myocardial iodine maps and SPECT in detecting myocardial ischemia according to the pathological results. Results: No abnormal regions were detected using DSCT myocardial iodine maps in preoperative control and infarction group. After thoracotomy, partial sparse or defective perfusion was consistently noted in six dogs' apical anterior and partition wall in both DSCT myocardial iodine maps and SPECT. In the infarcted group, the attenuation of infarction region (34.75±16.66) HU was significantly decreased compared with preoperative measurements (123.18±15.38 ) HU (t=10.526, P<0.01); decreased perfusion in the infarcted region was also noted in the DSCT myocardial iodine maps and SPECT. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of DSCT myocardial iodine maps and SPECT were 85.0% (34/40), 84.1% (95/113), 65.4% (34

  5. Attenuation correction in pulmonary and myocardial single photon emission computed tomography

    The objective was to develop and validate methods for single photon emission computed tomography, SPECT, allowing quantitative physiologic and diagnostic studies of lung and heart. A method for correction of variable attenuation in SPECT, based on transmission measurements before administration of an isotope to the subject, was developed and evaluated. A protocol based upon geometrically well defined phantoms was developed. In a mosaic pattern phantom count rates were corrected from 39-43% to 101-110% of reference. In healthy subjects non-gravitational pulmonary perfusion gradients observed without attenuation correction were artefacts caused by attenuation. Pulmonary density in centre of right lung, obtained from the transmission measurement, was 0.28 ± 0.03 g/ml in normal subjects. Mean density was lower in large lungs compared to smaller ones. We also showed that regional ventilation/perfusion ratios could be measured with SPECT, using the readily available tracer 133Xe. Because of the low energy of 133Xe this relies heavily upon attenuation correction. A commercially available system for attenuation correction with simultaneous emission and transmission, considered to improve myocardial SPECT, performed erroneously. This could lead to clinical misjudgement. We considered that manufacturer-independent pre-clinical tests are required. In a test of two other commercial systems, based on different principles, an adapted variant of our initial protocol was proven useful. Only one of the systems provided correct emission count rates independently on phantom configuration. Errors in the other system were related to inadequate compensation of the influence of emission activity on the transmission study

  6. Attenuation correction in pulmonary and myocardial single photon emission computed tomography

    Almquist, H

    2000-01-01

    The objective was to develop and validate methods for single photon emission computed tomography, SPECT, allowing quantitative physiologic and diagnostic studies of lung and heart. A method for correction of variable attenuation in SPECT, based on transmission measurements before administration of an isotope to the subject, was developed and evaluated. A protocol based upon geometrically well defined phantoms was developed. In a mosaic pattern phantom count rates were corrected from 39-43% to 101-110% of reference. In healthy subjects non-gravitational pulmonary perfusion gradients observed without attenuation correctionwere artefacts caused by attenuation. Pulmonary density in centre of right lung, obtained from the transmission measurement, was 0.28 {+-} 0.03 g/ml in normal subjects. Mean density was lower in large lungs compared to smaller ones. We also showed that regional ventilation/perfusion ratios could be measured with SPECT, using the readily available tracer {sup 133}Xe. Because of the low energy of {sup 133}Xe this relies heavily upon attenuation correction. A commercially available system for attenuation correction with simultaneous emission and transmission, considered to improve myocardial SPECT, performed erroneously. This could lead to clinical misjudgement. We considered that manufacturer-independent pre-clinical tests are required. In a test of two other commercial systems, based on different principles, an adapted variant of our initial protocol was proven useful. Only one of the systems provided correct emission count rates independently on phantom configuration. Errors in the other system were related to inadequate compensation of the influence of emission activity on the transmission study.

  7. Study of 201Tl uptake by bone and bone marrow on 201Tl scintigraphy

    Thallium-201 (Tl-201) uptake in the bone and bone marrow was examined in a total of 93 patients with various diseases. Sternal uptake of Tl-201 was observed when patients had bone marrow abnormality especially associated with hematopoietic disease. It was associated with proliferation of immature cells and of various types of bone marrow cells, especially erythroblastic and plasma cells. Whole-body Tl-201 scanning showed a high uptake (82%) in the sternum, chest, lumbar vertebrae, and pelvis. Thallium-201 was definitively taken up by the sternum in polycythemia (5/41), hemolytic anemia (2/2), iron deficiency anemia (2/2), and multiple myeloma (2/5). For leukemia, Tl-201 uptake was slight or negative. Thallium-201 scanning proved useful in visualizing bone marrow abnormality, although careful interpretation of bone and bone marrow uptake is required. (Namekawa, K)

  8. Evaluating image denoising methods in myocardial perfusion single photon emission computed tomography (SPECT) imaging

    The statistical nature of single photon emission computed tomography (SPECT) imaging, due to the Poisson noise effect, results in the degradation of image quality, especially in the case of lesions of low signal-to-noise ratio (SNR). A variety of well-established single-scale denoising methods applied on projection raw images have been incorporated in SPECT imaging applications, while multi-scale denoising methods with promising performance have been proposed. In this paper, a comparative evaluation study is performed between a multi-scale platelet denoising method and the well-established Butterworth filter applied as a pre- and post-processing step on images reconstructed without and/or with attenuation correction. Quantitative evaluation was carried out employing (i) a cardiac phantom containing two different size cold defects, utilized in two experiments conducted to simulate conditions without and with photon attenuation from myocardial surrounding tissue and (ii) a pilot-verified clinical dataset of 15 patients with ischemic defects. Image noise, defect contrast, SNR and defect contrast-to-noise ratio (CNR) metrics were computed for both phantom and patient defects. In addition, an observer preference study was carried out for the clinical dataset, based on rankings from two nuclear medicine clinicians. Without photon attenuation conditions, denoising by platelet and Butterworth post-processing methods outperformed Butterworth pre-processing for large size defects, while for small size defects, as well as with photon attenuation conditions, all methods have demonstrated similar denoising performance. Under both attenuation conditions, the platelet method showed improved performance with respect to defect contrast, SNR and defect CNR in the case of images reconstructed without attenuation correction, however not statistically significant (p > 0.05). Quantitative as well as preference results obtained from clinical data showed similar performance of the

  9. Venous uptake of 201Tl as thallous chloride

    Thallium-201, injected as thallous chloride, has been found to adhere to or be taken up by the vein into which it is injected, permitting images to be obtained of human veins up to 4 h following injection. A digoxin-insensitive rat vein model also retained 201Tl but for shorter periods of time. 201Tl uptake is independent of the solution into which it is introduced, whether 5% dextrose or 0.9% sodium chloride. This technique permits multiple delayed views of normal veins to be obtained but is of uncertain value in the evaluation of thrombophlebitis of the calf because of rather poor resolution and high cost. (author)

  10. Serial evaluation of 123I-BMIPP/201Tl myocardial single-proton emission computed tomography after coronary stent implantation in ischemic heart disease. Association with recovery of left ventricular function

    Coronary stent implantation is often used to treat ischemic heart disease. However, few studies have evaluated myocardial viability with single-proton emission computed tomography (SPECT) and both thallium and β-methyl-iodophenyl-pentadecanoic acid (BMIPP) after coronary stent implantation. Forty patients (30 men and 10 women, 64.8±9.3 years old) who had undergone successful stent implantation were enrolled. Twenty-two patients had angina pectoris (AP) and 18 patients had acute myocardial infarction (AMI). We performed BMIPP and thallium SPECT immediately after coronary stent implantation and at 3 months follow-up and compared the results with left ventriculograms. Myocardial SPECT images were divided into 17 segments, after which defect scores (1 to 5) were assigned to each segment and summed to obtain a total defect score (TDS). Left ventriculograms were divided into 9 segments, each of which was given a wall motion score (WMS; 1 to 5). In patients with either AP or AMI, the TDS of BMIPP and thallium SPECT images were significantly better at 3 months follow-up than immediately after stent implantation. In patients with AP, improvements in TDS on BMIPP and thallium SPECT were not associated with improvements in WMS. In patients with AMI, improvements in TDS on BMIPP SPECT were correlated with improvements in WMS (r=0.69, p<0.01) and in left ventricular ejection fraction (r=0.70, p<0.01), and improvements in TDS on thallium SPECT were correlated with improvements in WMS (r=0.64, p<0.01) but were not associated with improvements in left ventricular ejection fraction. In conclusion, a decrease in BMIPP myocardial uptake in patients with AP suggests previous episodes of severe myocardial ischemia. Improvements in BMIPP uptake in patients with AMI may indicate recovery of left ventricular function. Coronary stent implantation for severe myocardial ischemia contributes to improvements in myocardial viability. (author)

  11. Comparison of positron tomography and scintigraphy with 201Tl for delineation of the myocardium

    Recent advances in nuclear medicine instrumentation have led to the development of improved positron-imaging systems which exceed in performance the earlier systems which were limited mainly by low count rate capability. This has led to renewed interest in positron imaging in general, primarily because such devices offer better resolution and higher sensitivity than conventional, mechanically collimated gamma cameras, as well as tomographic capability which may provide additional and more accurate information for the clinician. Furthermore, the unique capabilities of positrons for use in reconstructive imaging are beginning to be exploited. In the present report, results are presented from a preliminary study in which longitudinal tomographic myocardial images, produced with 81Rb as the positron-emitting label using the double camera coincidence system are compared with conventional myocardial images obtained with 201Tl and a gamma camera

  12. Role of myocardial perfusion single photon emission computed tomography in pediatric cardiology practice

    Sundaram P

    2009-01-01

    Full Text Available Diagnostic and prognostic power of myocardial perfusion imaging in patients with coronary artery disease has been demonstrated with planar imaging which was further improvised with addition of gated SPECT and newer Technetium labeled myocardial perfusion tracers like SestaMIBI, Tetrofosmin. Myocardial perfusion abnormalities at rest and after stress are considered to be the best predictors of cardiac event-free survival in adults with ischemic heart disease. This article highlights various myocardial perfusion imaging (MPIradiopharmaceuticals, exercise procedures, pharmacological stress protocols, indications for MPI and myocardial perfusion patterns in children with some of the common congenital and acquired heart diseases.

  13. Role of myocardial perfusion single photon emission computed tomography in pediatric cardiology practice

    Diagnostic and prognostic power of myocardial perfusion imaging in patients with coronary artery disease has been demonstrated with planar imaging which was further improvised with addition of gated SPECT and newer Technetium labeled myocardial perfusion tracers like SestaMIBI, Tetrofosmin. Myocardial perfusion abnormalities at rest and after stress are considered to be the best predictors of cardiac event–free survival in adults with ischemic heart disease. This article highlights various myocardial perfusion imaging (MPI) radiopharmaceuticals, exercise procedures, pharmacological stress protocols, indications for MPI and myocardial perfusion patterns in children with some of the common congenital and acquired heart diseases

  14. Single photon radionuclide computed tomography with Tomogscanner II, (1)

    The single photon radionuclide computed tomography (RCT) was examined in 214 patients with the Tomogscanner-II. The RCT of brain was superior to the conventional brain scan, especially in the detection of lesions at the base of brain or the postoperated condition. The blood pool RCT of brain depicted an arterio-venous malformation and a giant aneurysma at the base of brain. The RCT of cisternography was useful to understand the anatomical relationship of the activity. The RCT of cerebral blood perfusion was possible with a method of continuous infusion of sup(81m)Kr into an internal carotid artery. In the body study, the reconstructed image of the Tomogscanner was excellent. The area of myocardial infarction showed clear defect in the horse-shaped myocardial section image after injection of 4 mCi of 201TlCl. The RCT of liver was available to detect defects and evaluated the activity and size of spleen. The RCT of kidney, lung or bone also showed good image, respectively. The Tomogscanner-II gave very good images in clinical examination of body as well as brain. (author)

  15. Technetium-99m sestamibi single-photon emission tomography detects subclinical myocardial perfusion abnormalities in patients with systemic lupus erythematosus

    Schillaci, O. [Nuclear Medicine, University of l`Aquila (Italy); Lagana, B.; Gentile, R.; Tubani, L.; Baratta, L. [Department of Clinical Medicine, University ``La Sapienza``, Rome (Italy); Danieli, R.; Scopinaro, F. [Section of Nuclear Medicine, Department of Experimental Medicine and Pathology, University ``La Sapienza``, Rome (Italy)

    1999-07-01

    In patients with systemic lupus erythematosus, involvement of the cardiovascular system is the third leading cause of death. However, although autopsy studies have demonstrated a high incidence of abnormalities in both the myocardium and coronary vessels, clinical manifestations have been reported in only a small percentage of cases. The aim of this study was to evaluate myocardial perfusion in asymptomatic lupus patients using technetium-99m sestamibi single-photon emission tomography (SPET). Twenty-eight patients without overt cardiac involvement and risk factors were studied with {sup 99m}Tc-sestamibi SPET at rest and after dipyridamole infusion. Perfusion abnormalities were detected in 18 cases: six had persistent defects, three had reversible defects, seven had both persistent and reversible defects, and two showed rest defects which normalized on dipyridamole images (``reverse redistribution pattern``). Coronary angiography was performed in eight patients with positive {sup 99m}Tc-sestamibi SPET, and showed normal epicardial vessels in all the cases. These results indicate that {sup 99m}Tc-sestamibi SPET reveals a high prevalence (18 out of 28 patients in this study, i.e. 64%) of myocardial perfusion abnormalities in asymptomatic lupus patients, probably due to the primary immunological damage of this autoimmune disease. In conclusion, rest/dipyridamole {sup 99m}Tc-sestamibi SPET can be a useful non-invasive method to identify subclinical myocardial involvement in systemic lupus erythematosus, and patients potentially at risk of later cardiac events. (orig.) With 2 figs., 2 tabs., 21 refs.

  16. Technetium-99m sestamibi single-photon emission tomography detects subclinical myocardial perfusion abnormalities in patients with systemic lupus erythematosus

    In patients with systemic lupus erythematosus, involvement of the cardiovascular system is the third leading cause of death. However, although autopsy studies have demonstrated a high incidence of abnormalities in both the myocardium and coronary vessels, clinical manifestations have been reported in only a small percentage of cases. The aim of this study was to evaluate myocardial perfusion in asymptomatic lupus patients using technetium-99m sestamibi single-photon emission tomography (SPET). Twenty-eight patients without overt cardiac involvement and risk factors were studied with 99mTc-sestamibi SPET at rest and after dipyridamole infusion. Perfusion abnormalities were detected in 18 cases: six had persistent defects, three had reversible defects, seven had both persistent and reversible defects, and two showed rest defects which normalized on dipyridamole images (''reverse redistribution pattern''). Coronary angiography was performed in eight patients with positive 99mTc-sestamibi SPET, and showed normal epicardial vessels in all the cases. These results indicate that 99mTc-sestamibi SPET reveals a high prevalence (18 out of 28 patients in this study, i.e. 64%) of myocardial perfusion abnormalities in asymptomatic lupus patients, probably due to the primary immunological damage of this autoimmune disease. In conclusion, rest/dipyridamole 99mTc-sestamibi SPET can be a useful non-invasive method to identify subclinical myocardial involvement in systemic lupus erythematosus, and patients potentially at risk of later cardiac events. (orig.)

  17. Physiological basis for stress-induced myocardial stunning as assessed by gated single-photon emission computed tomography

    Postischemic myocardial stunning as assessed by gated single-photon emission computed tomography (SPECT) has been criticized for being a perfusion-associated artifact caused by false endocardial tracking. We hypothesized that if severe perfusion defects all cause false wall motion abnormality, they should be observed regardless of the underlying mechanisms of perfusion abnormality. We evaluated 132 patients with stress-induced perfusion defects of moderate severity or more after exercise (n=84) or adenosine triphosphate disodium (ATP) stress (n=48) were evaluated using gated 99mTc-sestamibi SPECT. Summed stress and difference scores were similar in the 2 groups. However, the overall incidence of post-stress stunning was 54% in the exercise group, but only 19% in the ATP group (p<0.0001). Furthermore, based on the severity of coronary artery stenosis in 43 patients with 1-vessel disease, the prevalence of post-stress stunning was 77% in patients with ≥99% coronary stenosis, 67% in those with 90% stenosis, and 29% in those with 75% stenosis after exercise stress, whereas it was 57% in those with ≥99% stenosis, 17% in those with 90% stenosis, and 0% in those with 75% stenosis after ATP stress (p=0.003). The predominant mechanism of post-stress wall motion abnormality observed by gated SPECT was thought to be severe myocardial ischemia, but not a perfusion-associated artifact. Thus, this scintigraphic finding was regarded as actual myocardial stunning. (author)

  18. Technetium-99m sestamibi and tetrofosmin myocardial single-photon emission tomography: can we use the same reference data base?

    The aim of this study was to compare technetium-99m labelled tetrofosmin and sestamibi myocardial perfusion single-photon emission tomography (SPET) with one common sestamibi reference file for bull's eye imaging, with quantitation of the extent and severity of perfusion defects. Twenty patients suspected or known to have coronary artery disease participated in the study. Patients first underwent routine sestamibi myocardial SPET over 2 days, receiving doses of 400-600 MBq at stress and 600-800 MBq at rest. Then within the same week a 1-day tetrofosmin myocardial SPET study was performed, with a dose of 300 MBq at stress, followed 2.5 h later by a dose of 750 MBq at rest. Bull's eye images were generated for visual evaluation. Black-out defects according to the Cequal software analysis were only recorded if they comprised more than 10 pixels in men and 20 in women. According to the Cequal program, extent score and severity scores were expressed as number of pixels and deviations below reference limits. Five patients had normal myocardial SPET imaging with both radiotracers, while 15 had reversible, irreversible or partially reversible defects. The concordance of the results was high. The only two significant differences were that one patient had a reversible defect which appeared to be located in different myocardial regions (LAD vs RCA), and another patient had a defect that was partially reversible with sestamibi but irreversible with tetrofosmin. The results showed very high correlation coefficients for the extent and severity scores (linear correlation coefficient values of 0.99 and 0.94, respectively). In conclusion, it appears that changing between sestamibi and tetrofosmin has little influence on the interpretation of bull's eye images from the data file of a common reference population using one of the tracers. (orig.). With 3 figs., 3 tabs

  19. Reverse redistribution phenomenon on rest 99mTc-tetrofosmin myocardial single photon emission computed tomography involves impaired left ventricular contraction in patients with acute myocardial infarction

    The purpose of this study was to investigate the clinical significance of the reverse redistribution (RR) phenomenon on technetium-99m (99mTc)-tetrofosmin myocardial single photon emission computed tomography (SPECT) performed at rest. Twenty-five patients underwent myocardial SPECT 3 weeks after the onset of acute myocardial infarction. Myocardial images were acquired at 40 min (early) and 4 h (delayed) after the injection of 740 MBq of 99mTc-tetrofosmin. The regional myocardial uptake of the tracer in 26 segments of the left ventricular (LV) wall was visually scored from 0 (no activity) to 3 (normal activity), and then the RR was defined as a decrease of more than 1 point in the activity score on the delayed image compared with that on the early image. Regions with an activity score of 3 on both the early and delayed images were defined as normal, and those with a score of 0 or 1 on the early image were considered to have a fixed defect. The regional myocardial 99mTc-tetrofosmin uptake and washout rate were also quantitatively assessed in each region. In addition, exercise stress electrocardiograph-gated SPECT with 99mTc-tetrofosmin was performed within 1 week of the rest study, and the percent count increase (%CI) during myocardial contraction in each corresponding region was studied. RR was observed in 18 of the 25 patients. The regional washout rate of 99mTc-tetrofosmin was significantly higher in the RR regions (45.0±3.8%) than in either the normal regions (36.4±4.1%, p99mTc-tetrofosmin SPECT have severely impaired LV wall contraction after exercise. (author)

  20. Quantification of myocardial infarct size by thallium-201 single-photon emission computed tomography: experimental validation in the dog

    To evaluate the potential advantages of thallium-201 (201T1) single-photon emission computerized tomography (SPECT) to assess myocardial infarct size in the experimental animal, six normal dogs and 14 dogs with 6 to 8 hr closed-chest coronary occlusion (eight left anterior descending and six left circumflex) were studied. Ten minutes after intravenous administration of 2 mCi of 201T1, 30 projections were obtained over 1800. The dogs were killed and their hearts sliced and stained by triphenyl tetrazolium chloride (TTC). Pathologic infarct size was calculated for each slice and for the entire left ventricular myocardium as percent weight. Tomograms were quantified by automatically generating maximum-count circumferential profiles, which were compared with normal limit profiles derived from the six normal dogs. Tomographic infarct size was defined as the percentage of circumferential points falling below normal for each tomogram. SPECT and TTC infarct size on 71 slices correlated highly (mean +/- SD 27.9 +/- 23.4% and 26.7 +/- 25.3%, respectively; r = .93, p less than .001, SEE = 9.4%). To determine SPECT infarct size as percent total left ventricular myocardial weight, infarct sizes from each slice were added to one another after each was multiplied by a coefficient that reflected the contribution of that slice to the total left ventricular weight. SPECT and TTC infarct size for the entire left ventricle correlated closely (mean +/- SD 20.5 +/- 7.6% and 19.3 +/- 8.3%, respectively; r = .86, p less than .001, SEE = 4.5%). It is concluded that 201T1 SPECT is a valid method for the noninvasive assessment of experimental myocardial infarct size

  1. Iodine-123-labelled fatty acids for myocardial single-photon emission tomography: current status and future perspectives

    Renewed interest in the clinical use of iodine-123-labelled fatty acids is currently primarily focused on the use of iodine-123-labelled 15-(p-iodophenyl)pentadecanoic acid (IPPA) and ''modified'' fatty acid analogues such as 15-(p-iodophenyl)-3-R,S-methylpentadecanoic acid (BMIPP) which show delayed myocardial clearance, thus permitting single-photon emission tomographic imaging. Interest in the use of BMIPP and similar agents results from the differences which have often been observed in various types of heart disease between regional myocardial uptake patterns of [123I]BMIPP and flow tracer distribution. Although the physiological basis is not completely understood, differences between regional fatty acid and flow tracer distribution may reflect alterations in important parameters of metabolism which can be useful for patient management or therapy planning. These tracers may also represent unique metabolic probes for correlation of energy substrate metabolism with regional myocardial viability. The two agents currently most widely used clinically are 123I-labelled IPPA and BMIPP. While [123I]IPPA is commercially available as a radiopharmaceutical in Europe (Cygne) and Canada (Nordion), multicenter trials are in progress in the United States as a prelude to approval for broad use. [123I]BMIPP was recently introduced as Cardiodine for commercial distribution in Japan (Nihon Medi-Physics, Inc.). [123I]BMIPP is also being used in clinical studies on an institutional approval basis at several institutions in Europe and the United States. In this review, the development of a variety of radioiodinated fatty acids is discussed. The results of clinical trials with [123I]IPPA and [123I]BMIPP are discussed in detail, as are the future prospects for fatty acid imaging. (orig.)

  2. A mechanism for myocardial uptake of /sup 201/Tl

    Although the kinetics of Tl have been studied extensively the mechanisms governing its intracellular distribution in myocardium are not fully understood. One possibility is that Tl distributes within the interstitial and intracellular spaces according to the electrochemical gradients established by the cell membrane potential (ΔPSI). If so, the equilibrium concentrations C/sub I/ (intracellular) and C/sub O/ (interstitial) will obey the second law of thermodynamics as expressed by the Nernst Equations. To test this hypothesis the authors used a preparation of beating fetal mouse hearts in an organ culture medium. The measured concentration ratio (mouse heat to medium), R, was measured as a function of time and was fit to the model R=0.323[1+(K/sub I//K/sub O/)(1-EXP(-K/sub O/t)], where K/sub I/ and K/sub O/ are the inward and outward rate constants for transport across the cell membrane. At equilibrium, conservation of tracer mass ensures that C/sub I//C/sub O/=0.323 K/sub I//K/sub O/, where 0.323 is the ratio of interstitial to intracellular volume. In the control state the model estimate of the equilibrium membrane potential was -87 mV; whereas, for graded tissue injury the magnitude of the membrane potential decreased in proportion to the severity of injury. These data, obtained without the confounding effect of blood flow, show that intracellular Tl uptake in the fetal mouse heart can be interpreted in terms of membrane potential. The results of this work can in principle be extended to the use of radiolabeled molecules and ECT for in vivo measurement of regional membrane potential

  3. Stress Tl-201 myocardial single photon emission computed tomography in diagnosing ischemic heart disease

    Using a dual-head rotating gamma camera system, stress SPECT and conventional planar imaging were performed for 138 patients while they were examined by symptom-limited graded bicycle ergometer exercise. All patients underwent selective coronary arteriography and left ventriculography, and 93 had myocardial infarction (MI), 30 had effort angina (EA) and 15 were normal (control). Sensitivities for detecting IHD (SPECT: planar = 96 %: 89 %, p < 0.01), individual coronary arterial lesions (left anterior descending artery = LAD, 84 %: 68 %, p < 0.005; left circumflex artery = LCX, 60 %: 47 % NS; right coronary artery = RCA, 88 %: 69 %, p < 0.01), multivessel disease (= LAD + LCX and/or RCA, 53 %: 31 %, p < 0.025), and three vessel disease (60 %: 13 %, p < 0.005) were significantly higher by SPECT than by planar imaging. In addition, detection of ventricular aneurysms by SPECT was possible with a reasonably high sensitivity (94 %) and specificity (84 %). Signs of aneurysm included 1) an extensive anterior permanent defect, 2) a large left ventricular cavity, and 3) widening of the angle composed by the septal and lateral walls toward the apex in transaxial images. Sensitivity for detecting IHD was significantly lower in patients without MI (i.e., EA) than in patients with MI (MI: EA = 100 %: 83 %, p < 0.005). Sensitivity for detecting individual coronary arterial lesions was lower in the absence than in the presence of MI (LAD; 77 %: 87 %, LCX; 38 %: 68 %, RCA; 71 %: 90 %, respectively), with multivessel disease than with single vessel disease, and with mild than with severe grade of stenosis. Sensitivity for detecting multivessel disease was lower in patients without MI than in those with MI (31 %: 61 %, respectively), and in anterior MI than in posteroinferior MI, or both MIs (36 %: 69 %: 100%, respectively). (J.P.N.)

  4. Clinical usefulness of {sup 201}Tl SPECT in diagnosing nasopharyngeal tumor

    Togawa, Takashi; Yui, Nobuharu; Hatano, Kazuo; Takeuchi, Yousuke; Hayasaki, Katsutake [Chiba Cancer Center (Japan); Omura, Ken [Tokyo Medical and Dental Univ. (Japan). Graduate School

    2003-03-01

    {sup 201}Tl SPECT was performed on 54 patients suspected of nasopharyngeal tumor using a three-head rotating gamma camera and its clinical usefulness was evaluated. {sup 201}Tl accumulations were shown in 53 of the 54 patients (50 nasopharyngeal carcinoma, 1 malignant melanoma and 2 lymphoid hyperplasia) before treatment. In 48 of 50 patients with nasopharyngeal carcinoma, the effectiveness for treatment response could be assessed after treatment. {sup 201}Tl SPECT was concordant with MRI and CT in 26 patients (15 complete response (CR), 11 partial response (PR)), whereas it was discordant in 22 patients who showed CR in {sup 201}Tl SPECT but PR in MRI and CT. Follow-up MRI and {sup 201}Tl SPECT studies of 16 of these 22 patients from 6 to 33 months (mean 13 months) after treatment revealed that the tumor gradually decreased and finally vanished. Recurrent and metastatic lesions occurred in 8 patients from 9 to 69 months (mean 24 months) after treatment, and {sup 201}Tl SPECT could detect all 10 lesions in 8 patients. From the results obtained, it was concluded that {sup 201}Tl SPECT is very useful in the initial evaluation, in the assessment of treatment response and in detecting recurrent and metastatic lesions of nasopharyngeal tumor. (author)

  5. ASSESSMENT OF MYOCARDIAL VIABILITY WITH CONTRASTENHANCED MAGNETIC RESONANCE IMAGING AND COMPARISON WITH SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHY

    Yi-ning Wang; Zheng-yu Jin; Zhu-hua Zhang; Ling-yan Kong; Li-bo Chen; Lu Zhou; Hong-yi Sun; Heng Zhang; Qi Miao

    2006-01-01

    Objective To compare contrast-enhanced magnetic resonance imaging (ceMRI) with nuclear metabolic imaging for the assessment of myocardial viability in patients with chronic ischemic heart disease.Methods Twenty patients with suspected chronic ischemic heart disease underwent ceMRI and technetium-99m sestamibi single-photon emission computed tomography (SPECT).Patients with positive SPECT results also underwent 18F-fluorodeoxyglucose (FDG) SPECT.In a 17-segment model,the segmental extent of hyperenhancement (SEH) by ceMRI was compared with segmental FDG and sestamibi uptake by SPECT.Correlation between the extent of hyperenhancement by ceMRI and left ventricular function was analyzed.Results Seven patients got negative results both in ceMRI and technetium-99m sestamibi SPECT.The rest 13 patients with positive results then underwent 18F-FDG SPECT.In 221 segments of 13 patients,SEH was (2.1±8.2)%,(25.0±13.7)%,and (57.7±23.6)% in segments with normal metabolism/perfusion,metabolism/perfusion mismatch,and matched defects,respectively,and there were significant differences between either two of them (all P<0.05).By receiver operating characteristic curve analysis,the area under the curve was 0.95 for the differentiation between viable and non-viable segments.At the cutoff value of 34%,SEH optimally differentiated viable from non-viable segments defined by SPECT.Using this threshold,the sensitivity and specificity of ceMRI to detect non-viable myocardium as defined by SPECT were 92% and 93%,respectively.Hyperenhancement size by ceMRI was correlated negatively with the left ventricular ejection fraction (r=-0.90,P<0.01) and positively with left ventricular volumes (r=0.62 for end-diastolic volume,r=0.75 for end-systolic volume,both P<0.05).Conclusion CeMRI allows assessment of myocardial viability with a high accuracy in patients with chronic ischemic heart disease.

  6. Postoperative myocardial infarction documented by technetium pyrophosphate scan using single-photon emission computed tomography: Significance of intraoperative myocardial ischemia and hemodynamic control

    Cheng, D.C.; Chung, F.; Burns, R.J.; Houston, P.L.; Feindel, C.M. (Toronto Hospital, Ontario (Canada))

    1989-12-01

    The aim of this prospective study was to document postoperative myocardial infarction (PMI) by technetium pyrophosphate scan using single-photon emission computed tomography (TcPPi-SPECT) in 28 patients undergoing elective coronary bypass grafting (CABG). The relationships of intraoperative electrocardiographic myocardial ischemia, hemodynamic responses, and pharmacological requirements to this incidence of PMI were correlated. Radionuclide cardioangiography and TcPPi-SPECT were performed 24 h preoperatively and 48 h postoperatively. A standard high-dose fentanyl anesthetic protocol was used. Twenty-five percent of elective CABG patients were complicated with PMI, as documented by TcPPi-SPECT with an infarcted mass of 38.0 +/- 5.5 g. No significant difference in demographic, preoperative right and left ventricular function, number of coronary vessels grafted, or aortic cross-clamp time was observed between the PMI and non-PMI groups. The distribution of patients using preoperative beta-adrenergic blocking drugs or calcium channel blocking drugs was found to have no correlation with the outcome of PMI. As well, no significant differences in hemodynamic changes or pharmacological requirements were observed in the PMI and non-PMI groups during prebypass or postbypass periods, indicating careful intraoperative control of hemodynamic indices did not prevent the outcome of PMI in these patients. However, the incidence of prebypass ischemia was 39.3% and significantly correlated with the outcome of positive TcPPi-SPECT, denoting a 3.9-fold increased risk of developing PMI. Prebypass ischemic changes in leads II and V5 were shown to correlate with increased CPK-MB release (P less than 0.05) and tends to occur more frequently with lateral myocardial infarction.

  7. Postoperative myocardial infarction documented by technetium pyrophosphate scan using single-photon emission computed tomography: Significance of intraoperative myocardial ischemia and hemodynamic control

    The aim of this prospective study was to document postoperative myocardial infarction (PMI) by technetium pyrophosphate scan using single-photon emission computed tomography (TcPPi-SPECT) in 28 patients undergoing elective coronary bypass grafting (CABG). The relationships of intraoperative electrocardiographic myocardial ischemia, hemodynamic responses, and pharmacological requirements to this incidence of PMI were correlated. Radionuclide cardioangiography and TcPPi-SPECT were performed 24 h preoperatively and 48 h postoperatively. A standard high-dose fentanyl anesthetic protocol was used. Twenty-five percent of elective CABG patients were complicated with PMI, as documented by TcPPi-SPECT with an infarcted mass of 38.0 +/- 5.5 g. No significant difference in demographic, preoperative right and left ventricular function, number of coronary vessels grafted, or aortic cross-clamp time was observed between the PMI and non-PMI groups. The distribution of patients using preoperative beta-adrenergic blocking drugs or calcium channel blocking drugs was found to have no correlation with the outcome of PMI. As well, no significant differences in hemodynamic changes or pharmacological requirements were observed in the PMI and non-PMI groups during prebypass or postbypass periods, indicating careful intraoperative control of hemodynamic indices did not prevent the outcome of PMI in these patients. However, the incidence of prebypass ischemia was 39.3% and significantly correlated with the outcome of positive TcPPi-SPECT, denoting a 3.9-fold increased risk of developing PMI. Prebypass ischemic changes in leads II and V5 were shown to correlate with increased CPK-MB release (P less than 0.05) and tends to occur more frequently with lateral myocardial infarction

  8. Non-invasive evaluation of myocardial reperfusion by transthoracic Doppler echocardiography and single-photon emission computed tomography in patients with anterior acute myocardial infarction

    Celutkiene Jelena

    2011-05-01

    Full Text Available Abstract Background The study was designed to evaluate whether the preserved coronary flow reserve (CFR 72 hours after reperfused acute myocardial infarction (AMI is associated with less microvascular dysfunction and is predictive of left ventricular (LV functional recovery and the final infarct size at follow-up. Methods In our study, CFR was assessed by transthoracic Doppler echocardiography (TDE in 44 patients after the successful percutaneous coronary intervention during the acute AMI phase. CFR was correlated with contractile reserve assessed by low-dose dobutamine echocardiography and with the total perfusion defect measured by single-photon emission computed tomography 72 hours after reperfusion and at 5 months follow-up. The ROC analysis was performed to determine test sensitivity and specificity based on CFR. Categorical data were compared by an χ2 analysis, continuous variables were analysed with the independent Student's t test. In order to analyse correlation between CFR and the parameters of LV function and perfusion, the Pearson correlation analysis was conducted. The linear regression analysis was used to assess the relationship between CFR and myocardial contractility as well as the final infarct size. Results We estimated the CFR cut-off value of 1.75 as providing the maximal accuracy to distinguish between patients with preserved and impaired CFR during the acute AMI phase (sensitivity 91.7%, specificity 75%. Wall motion score index was better in the subgroup with preserved CFR as compared to the subgroup with reduced CFR: 1.74 (0.29 vs. 1.89 (0.17 (p Conclusion The early measurement of CFR by TDE can be of high value for the assessment of successful reperfusion in AMI and can be used to predict LV functional recovery, myocardial viability and the final infarct size.

  9. Extraction chromatography in isotope production: application in the production of 67Ga and 201Tl

    Extraction chromatography was applied to the production of the radioisotopes 67Ga and 201Tl. 67Ga was produced by irradiation of natural zinc target with 24 MeV protons in a cyclotron. The separation of 67Ga was carried out by extraction chromatography from 6N HCL. 201Tl was produced in a similar way using lead as a precursor, and it was extracted using 4N HNO3 or HCL. (U.K.)

  10. Comparison of post-exercise and post-vasodilator stress myocardial stunning as assessed by electrocardiogram-gated single-photon emission computed tomography

    Exercise gated single-photon emission computed tomography (SPECT) using technetium-99m (99mTc)-sestamibi evaluates both myocardial perfusion during stress and wall motion >30 min after the stress, which has the potential to assess not only exercise-induced myocardial ischemia but also the development of myocardial stunning. To evaluate the incidence of post-stress myocardial stunning, as well as comparing the effects of different stress methods on the development of stunning, 179 consecutive patients with known or suspected coronary artery disease (CAD) underwent 99mTc-sestamibi SPECT with either exercise (n=135) or adenosine triphosphate disodium (ATP) (n=44). Electrocardiogram-gated SPECT images were acquired >30 min after the stress and again 4 h later, and perfusion and wall motion were evaluated. Post-stress myocardial stunning occurred in 24 patients (13%): 22 after exercise and 2 after ATP stress. The magnitude of the transient wall motion abnormality after exercise was greater in patients with severe ischemia, compared with those with mild-to-moderate ischemia (p99mTc-sestamibi gated SPECT, myocardial stunning is frequently observed after exercise and correlates with the severity of myocardial ischemia, but this does not occur with ATP, which is regarded as a specific marker for severe CAD. (author)

  11. Studies on the diagnosis of uterine body cancer using 201Tl-chloride

    201Tl scintigraphy was performed in 18 patients with cancer of uterine body, and the results were compared with histopathological findings. With six patients, 201Tl distribution in the pelvic cavity was registered in the minicomputer, and the time activity curve was plotted. Analysis of 201Tl distribution using ROI revealed that the radioactivity in the uterus was approximately 1.47 times as high as that in background. In the removed uterus, the radioactivity in the cancer was calculated to be approximately 1.9 times as high as that in the myometrium. In all 13 patients with Stage Ib or higher cancer, obvious activity in the uterus coinciding with the lesion was obtained shortly after the intravenous administration of 201Tl-Cl. Though accumulation of activity in the uterus was obtained in three of five patients with Stage Ia cancer, it was interpreted as false-positive, because myoma or adenomyosis was present in addition to cancer in these three patients, and such a complication seemed responsible for the positive result. The sensitivity, specificity and accuracy of 201Tl scintigraphy in diagnosing cancer of the uterine body were 86.7, 0 and 72.2%, respectively. These results suggest that 201Tl scintigraphy is a promising diagnostic aid for cancer of the uterine body. (author)

  12. Evaluation of acquisition time for calculating retention index of 201Tl lung tumor SPECT

    In 201Tl SPECT imaging for lung tumor, retention index has been known to be useful for the quantitative evaluation of 201Tl retention in the tumor. The value of retention index varies depending on the imaging time after 201Tl injection. We evaluated a variation of the retention index as a function of time after 201Tl injection, and determined optimum imaging timing for the calculation of the 201Tl retention index. A dynamic SPECT acquisition was performed over 40 min with 5 minutes for a SPECT image set. Four frames were summed to make a SPECT image set, and five SPECT acquisition sets were generated. Delayed image was acquired 2 hours after injection. Target to Non target (T/N) count ratios between one of the early image and the delayed image were calculated. The retention index was defined as (delayed T/N-early T/N) divided by early T/N. We found that 201Tl activity of normal lung tissue decreased slowly with time and the T/N ratio increased. Therefore, the retention index was significantly influenced by the starting time of acquisition. The retention index calculated by a data set with a starting time at 15 to 20 min after administration was stable. Fixed acquisition protocol should be performed for reliable calculation of the retention index. (author)

  13. Different thallium-201 single-photon emission tomographic patterns in benign and aggressive meningiomas

    Tedeschi, E. [Dipartimento di Diagnostica per Immagini, Centro CNR per la Medicina Nucleare, Napoli (Italy); Soricelli, A. [Dipartimento di Diagnostica per Immagini, Centro CNR per la Medicina Nucleare, Napoli (Italy); Brunetti, A. [Dipartimento di Diagnostica per Immagini, Centro CNR per la Medicina Nucleare, Napoli (Italy); Romano, M. [Dipartimento di Diagnostica per Immagini, Centro CNR per la Medicina Nucleare, Napoli (Italy); Bucciero, A. [Istituto di Neurochirurgia, Universita `Federico II`, Napoli (Italy); Iaconetta, G. [Istituto di Neurochirurgia, Universita `Federico II`, Napoli (Italy); Alfieri, A. [Istituto di Neurochirurgia, Universita `Federico II`, Napoli (Italy); Postiglione, A. [Dipartimento di Clinica Medica, Universita `Federico II`, Napoli (Italy); Salvatore, M. [Dipartimento di Diagnostica per Immagini, Centro CNR per la Medicina Nucleare, Napoli (Italy)

    1996-11-01

    To evaluate the possibility of preoperatively obtaining an index of aggressiveness for intracranial meningiomas, we prospectively studied 22 patients with computed tomographic or magnetic resonance imaging evidence of meningeal tumour, using single-photon emission tomography (SPET) of the brain and thallium-201 ({sup 201}Tl). On a brain-dedicated SPET scanner, a rapid acquisition protocol with early, short scans was started simultaneously with the intravenous administration of 111 MBq {sup 201}Tl, covering the initial intratumoral distribution of the tracer. Twenty minutes post injection, a delayed SPET scan was also obtained. On the reconstructed and attenuation-corrected images we calculated the {sup 201}Tl concentration in tumour and normal contralateral brain tissue, and compared intratumoral tracer concentration in the initial and the final part of the rapid acquisition protocol. Benign and malignant meningiomas were classified as such based on histological examination. In malignant lesions, the ratio of the {sup 201}Tl concentration at 2-4 min post injection to that at 14-16 min was found to be significantly higher than in non-aggressive neoplasms (mean{+-}1 SD: 1.14{+-}0.31 and 0.56{+-}0.13, respectively, P <0.01). Conversely, in the delayed scan, most lesions showed high tracer concentration, and the two groups could not be distinguished. In addition, three recurrent meningiomas displayed the same imaging behaviour as the malignant group, i.e. had similar {sup 201}Tl concentration values at 2-4 and at 14-16 min. Our findings suggest that the comparative assessment of intratumoral {sup 201}Tl concentration at 2-4 and at 14-16 min post injection could provide a fast, simple method to differentiate preoperatively intracranial meningiomas with different biological behaviour. (orig.). With 3 figs., 1 tab.

  14. Different thallium-201 single-photon emission tomographic patterns in benign and aggressive meningiomas

    To evaluate the possibility of preoperatively obtaining an index of aggressiveness for intracranial meningiomas, we prospectively studied 22 patients with computed tomographic or magnetic resonance imaging evidence of meningeal tumour, using single-photon emission tomography (SPET) of the brain and thallium-201 (201Tl). On a brain-dedicated SPET scanner, a rapid acquisition protocol with early, short scans was started simultaneously with the intravenous administration of 111 MBq 201Tl, covering the initial intratumoral distribution of the tracer. Twenty minutes post injection, a delayed SPET scan was also obtained. On the reconstructed and attenuation-corrected images we calculated the 201Tl concentration in tumour and normal contralateral brain tissue, and compared intratumoral tracer concentration in the initial and the final part of the rapid acquisition protocol. Benign and malignant meningiomas were classified as such based on histological examination. In malignant lesions, the ratio of the 201Tl concentration at 2-4 min post injection to that at 14-16 min was found to be significantly higher than in non-aggressive neoplasms (mean±1 SD: 1.14±0.31 and 0.56±0.13, respectively, P 201Tl concentration values at 2-4 and at 14-16 min. Our findings suggest that the comparative assessment of intratumoral 201Tl concentration at 2-4 and at 14-16 min post injection could provide a fast, simple method to differentiate preoperatively intracranial meningiomas with different biological behaviour. (orig.). With 3 figs., 1 tab

  15. Dual myocardial single photon emission computed tomography (SPECT) using thallium-201 and I-123-β-methyl-i-pentadecanoic acid in patients with Duchenne's progressive muscular dystrophy

    Dual single photon emission computed tomography (SPECT) was performed in 31 patients with Duchenne's progressive muscular dystrophy (DMD) using 123I-β-methyl pentadecanoic acid (BMIPP) for myocardial fatty acid metabolism and 201thallium (Tl)-chloride for myocardial perfusion. The left ventricle was divided into 9 segments, and accumulation of the radiotracers was assessed visually for each segment to calculate defect score for each tracer. There was some degree of decrease in myocardial accumulation of both tracers in all DMD patients. Reduced accumulation was most common at the apex (BMIPP: 67%, Tl: 63%), followed by the posterior wall, lateral wall, and anterior wall. On the other hand, reduced accumulation was less common at the septum. BMIPP showed a higher accumulation than Tl in all segments but the septum. When BMIPP defect score was larger than Tl defect score, BMIPP defect score tended to increase during 4 years follow-up (p Tl defect score revealed a slight fibrosis or normal myocardium. It can be concluded that the dual SPECT myocardial scintigraphy using BMIPP and Tl provides accurate information about disease progression of the heart in patients with DMD by detecting abnormalities of the myocardial metabolism of each substance, thereby enabling the assessment of left ventricular function. (author)

  16. Correlation of MIB-1 staining index and 201Tl-SPECT retention index in preoperative evaluation of malignancy of brain tumors

    MIB-1 staining provides a useful index of the malignancy of brain tumors. However, because of the difficulty of evaluating malignancy based on the preoperative imaging findings, we investigated the correlation between the 201Tl-single photon emission computed tomography (SPECT) retention index (RI) and MIB-1 staining index (MIB-1 SI) to determine the usefulness of RI for preoperative evaluation of the malignancy of brain tumors. The subjects of this study were 47 patients who underwent tumor removal surgery at our hospital in 2006 and 2007. The tumors consisted of 16 intraaxial tumors (all gliomas: 9 glioblastomas, 2 anaplastic astrocytomas, 2 anaplastic oligoastrocytomas, 1 oligodendroglioma, and 2 ependymomas), 8 other malignant brain tumors, and 23 extraaxial tumors (10 meningiomas, 7 pituitary adenomas, and 6 schwannomas). The mean RI and mean MIB-1 SI of the intraaxial tumors were 0.628% and 32.0%, respectively, and after MIB-1 SI was converted to the natural logarithm (log MIB-1 SI), Pearson's coefficient for the correlation between them was significant (r=0.752, P201Tl-SPECT RI values were useful as an index of malignancy. RI values may also be useful for evaluating apparently benign extraaxial tumors for possible malignancy. (author)

  17. Evaluating the sensitivity and specificity of 201Tl SPECT in intracranial tumoral pathology

    The aim of this study was to evaluate the sensitivity of SPECT with 201Tl in detecting the cerebral tumors. A hundred and forty nine explorations were carried out (107 SPECT in patients clinically suspected and/or cerebral tumor radiography, 42 SPECT in patients treated for cerebral tumor to evaluate the persistence of the tumoral tissue immediately post-operation, or the presence of a tumoral recurrence). The SPECTs were achieved 15 minutes after the IV injection of 185 MBq of 201Tl with a double head Elscint Helix HR camera with fan collimators. The reconstructions were obtained by retro-projection with a Metz 3.13 filter. As the brain normally do not capture 201Tl, any fixation of 201Tl was considered an positive examination. The final diagnosis was based either on the histology (n = 41) or on clinical evolution (n = 149). The pathologies recorded were: 33 glial tumors, 32 metastases (51 lesions), 14 meningiomas, 1 hypophyseal adenoma, 1 cranio-pharyngogioma, 1 malign lymphoma, 1 gr.4 neurinomas, 1 arachnoid cyst, 34 AVCs, 24 normal, 2 complete surgical extirpations, and 5 necroses after treatment. In our population the sensitivity of SPECT with 201Tl for the diagnosis of intracranial tumors was calculated to be 91.5% and the specificity, 98.5%. We have met a false positive (recent hemorrhagic AVC) and 7 false negatives (4 metastases of which 3 were under 1 cm and another largely necrotic, 3 patients presenting residual tumoral tissue immediately post-operation, presently in recurrence). These excellent results prove the utility of SPECT with 201Tl both for positive diagnosis of cerebral tumors and for evaluation of these tumors after treatment

  18. Experimental investigation of 201TlCl-scintigraphy in evaluating therapeutic effect of hyperthermia

    We investigated the usefulness of 201Tl-scintigraphy in the evaluation of therapeutic effect of hyperthermia. Satoh's experimental lung cancer tumors implanted in the right thighs of donryu rats were treated with hyperthermia using water bath. Tumors were heated at 44degC or 46degC for 15 min. 201Tl-scintigraphy was obtained before, immediately after and 24 hrs after treatment. Counts ratio of the tumor of the normal muscle (T/N ratio) was measured by gamma camera. We examined blood flow of the tumor, and relative tumor growth rate, and performed autoradiogram and histopathological examination of the tumor after 201Tl-scintigraphy. Immediately after hyperthermia, T/N ratio and blood flow of the tumor significantly decreased (p201TlCl in the tumor decreased diffusely. Histopathological finding showed congestion, thrombosis, and swelling of endothelial cells. These results suggest that the decrease in T/N ratio may be caused by the vascular damage due to hyperthermia. The T/N ratio recovered 24 hrs after hyperthermia but was still lower than that for the control. Autoradiogram showed that 201TlCl greatly accumulated in viable tumor tissue but was hardly seen in the necrotic tumor tissue. These results suggest that the decrease in T/N ratio may be caused by increase of necrotic areas. The T/N ratio 24 hrs after hyperthermia correlated (r=0.83) with relative tumor growth rate on 7th day after hyperthermia and, therefore, can be used as an indicator of relative tumor growth rate. 201Tl-scintigraphy can be useful for prediction of therapeutic effect of hyperthermia. (author)

  19. 201Tl brain SPECT in differentiating central nervous system lymphoma from toxoplasmosis in AIDS patients

    In AIDS patients, toxoplasmosis and lymphoma are the leading causes of CNS mass lesions. It is important to make the correct diagnosis expeditiously, since the two diseases require markedly different treatments and have different prognoses. In general, CT and MR imaging have failed to provide specific distinguishing characteristics to differentiate CNS lymphoma from toxoplasmosis, and it is difficult to differentiate these entities clinically. We performed 201Tl brain SPECT in order to differentiate two diseases. Counts ratio of a lesion to the normal brain (L/N ratio) was elevated in patients of lymphoma compared in patients of toxoplasmosis. 201Tl brain SPECT is useful to differentiate CNS lymphoma from toxoplasmosis. (author)

  20. 201Tl-SPECT, 1H-MRS, and MIB-1 labeling index of central neurocytomas: three case reports

    Background: The proliferative activity and metabolic features of three central neurocytomas were investigated using the findings of thallium-201 single photon emission computed tomography (201Tl-SPECT) and proton magnetic resonance spectroscopy (1H-MRS), and the MIB-1 labeling index (MIB-1 LI). Method: The early and delayed 201TI indices were calculated as the ratio of tumor to normal brain tissue uptake by 201TI-SPECT. In vivo single-voxel 1H-MRS was performed with echo time of 272 msec to evaluate the metabolites including choline (Cho), N-acetyl aspartate (NAA) and creatine/phosphocreatine (Cre). An external standard reference was used to semiquantitate each metabolite. MIB-1 LI was determined in the surgical specimens. Findings: The MIB-l LI was 0.5 %, 1.2 %, and 7.5 % in an atypical central neurocytoma without intraventricular extension. Significant 201TI uptake was observed on delayed images in all three central neurocytomas. 1H-MRS showed the high Cho peaks relative to the NAA and Cre peak. The signal at 3.55 ppm, which may be due to inositol or glycine, was observed in one central neurocytoma. Interpretation: Both 201TI-SPECT and 1H-MRS did not reflect the proliferative potential of central neurocytomas. (author)

  1. Quantification of left ventricular size on exercise thallium-201 single-photon emission tomography

    The purposes of this study were to determine whether quantification of the left ventricular size on exercise thallium-201 single-photon emission tomography (SPET) correlates with echocardiographic measurements, whether the quantification reflects the severity of coronary artery disease, and whether it can provide supplementary information regarding the severity of coronary artery disease. In 42 control subjects and 110 patients who underwent coronary angiography, we performed exercise 201Tl SPET and quantified six non-regional markers: Lung 201Tl uptake on an initial planar image (Lung/Heart), left ventricular width on a tomogram (Width), change in the Width from the initial to delayed tomograms (ΔWidth), count ratio of the left ventricular cavity to the myocardium (C/M), count ratio of the lung to the myocardium (L/M), and count ratio of the lung to the left ventricular cavity (L/C). In 76 patients, furthermore, the Width was compared with echocardiographic measurements. The Width correlated with echocardiographic measurements (P201Tl SPET correlated with echocardiogrpahic measurements and reflected the severity of coronary artery disease, but may be replaced with quantitation of the lung 201Tl uptake. (orig.)

  2. Comparison of flow capacities of arterial and venous grafts for coronary artery bypass grafting: evaluation with exercise thallium-201 single-photon emission tomography

    Stress thallium-201 tomography was performed to compare the flow capacities of arterial and saphenous vein grafts in patients with coronary artery bypass grafting (CABG). One hundred and seven consecutive patients (95 male and 12 female; mean age 58±9.1 years) underwent exercise-redistribution 201Tl myocardial single-photon emission tomography 4-5 weeks after CABG. When a reversible perfusion defect was present in the area covered by a patent bypass graft, the flow capacity of the graft was defined as insufficient. Of all 285 grafts, 211 were considered as complete bypass. Reversible perfusion defects were present in 29 (27%) of 108 myocardial areas supplied by patent arterial grafts but in only 5 (5%) of 103 myocardial areas supplied by patent saphenous vein grafts (P<0.0001). In the LAD area reversible defects were observed in 22 of 82 areas covered by arterial grafts, in contrast to only 1 of 29 areas covered by venous grafts (P<0.01); in the RCA area reversible defects were observed in 7 of 17 and 4 of 41 areas respectively (P<0.01). There was no difference between the native coronary artery stenosis bypassed by patent arterial and venous grafts (88%±12% vs 86%±14% respectively, P=0.27). In conclusion, flow capacities during peak myocardial demand were more frequently insufficient in arterial bypass grafts than in saphenous vein grafts. (orig.)

  3. Myocardial metabolic, hemodynamic, and electrocardiographic significance of reversible thallium-201 abnormalities in hypertrophic cardiomyopathy

    Exercise-induced abnormalities during thallium-201 scintigraphy that normalize at rest frequently occur in patients with hypertrophic cardiomyopathy. However, it is not known whether these abnormalities are indicative of myocardial ischemia. Fifty patients with hypertrophic cardiomyopathy underwent exercise 201Tl scintigraphy and, during the same week, measurement of myocardial lactate metabolism and hemodynamics during pacing stress. Thirty-seven patients (74%) had one or more 201Tl abnormalities that completely normalized after 3 hours of rest; 26 had regional myocardial 201Tl defects, and 26 had apparent left ventricular cavity dilatation with exercise, with 15 having coexistence of these abnormal findings. Of the 37 patients with reversible 201Tl abnormalities, 27 (73%) had metabolic evidence of myocardial ischemia during rapid atrial pacing compared with four of 13 patients (31%) with normal 201Tl scans (p less than 0.01). Eleven patients had apparent cavity dilatation as their only 201Tl abnormality; their mean postpacing left ventricular end-diastolic pressure was significantly higher than that of the 13 patients with normal 201Tl studies (33 +/- 5 versus 21 +/- 10 mm Hg, p less than 0.001). There was no correlation between the angiographic presence of systolic septal or epicardial coronary arterial compression and the presence or distribution of 201Tl abnormalities. Patients with ischemic ST segment responses to exercise had an 80% prevalence rate of reversible 201Tl abnormalities and a 70% prevalence rate of pacing-induced ischemia. However, 69% of patients with nonischemic ST segment responses had reversible 201Tl abnormalities, and 55% had pacing-induced ischemia. Reversible 201Tl abnormalities during exercise stress are markers of myocardial ischemia in hypertrophic cardiomyopathy and most likely identify relatively underperfused myocardium

  4. Comparison of 180° and 360° Arc Data Acquisition to Measure Scintigraphic Parameters from Gated Single Photon Emission Computed Tomography Myocardial Perfusion Imaging: Is There Any Difference?

    Javadi, Hamid; Mahmoud-Pashazadeh, Ali; Mogharrabi, Mehdi; Iranpour, Darioush; Amini, Abdollatif; Pourbehi, Mohammadreza; Akbarzadeh, Mehdi; Nabipour, Iraj; Assadi, Majid

    2016-01-01

    Objective: The aim of the current study was to compare 180° and 360° data collection modes to measure end diastolic volume (EDV), end systolic volume (ESV) and ejection fraction (EF) values of the cardiac system by gated myocardial perfusion tomography. Methods: Thirty-three patients underwent gated myocardial perfusion tomography. Single photon emission computed tomography data of patients’ heart were acquired by 180°, 45° left posterior oblique to 45° right anterior oblique, and 360° to obtain EDV, ESV, EF and cardiac volume changes (V1, V2, V3, V4, V5, V6, V7 and V8) throughout each cardiac cycle. Results: Results of the current study indicated that there were no significant differences between 180° and 360° angular sampling in terms of measuring EDV, ESV and EF in myocardial perfusion imaging. Cardiac volume change patterns during a cardiac cycle were also similar in 360° and 180° scans. We also observed that there was no difference in EDV, ESV and EF values between the group with stress induced by exercise and the group with stress imposed by dipyridamole. Conclusion: As there is no difference between 180°and 360° cardiac scanning in terms of EDV, ESV and EF, half-orbit scan is recommended to study these cardiac system parameters because it offers more comfort to patients and a shorter scanning time.

  5. Comparison of 180° and 360° Arc Data Acquisition to Measure Scintigraphic Parameters from Gated Single Photon Emission Computed Tomography Myocardial Perfusion Imaging: Is There Any Difference?

    Hamid Javadi

    2016-02-01

    Full Text Available Objective: The aim of the current study was to compare 180° and 360° data collection modes to measure end diastolic volume (EDV, end systolic volume (ESV and ejection fraction (EF values of the cardiac system by gated myocardial perfusion tomography. Methods: Thirty-three patients underwent gated myocardial perfusion tomography. Single photon emission computed tomography data of patients’ heart were acquired by 180°, 45° left posterior oblique to 45° right anterior oblique, and 360° to obtain EDV, ESV, EF and cardiac volume changes (V1, V2, V3, V4, V5, V6, V7 and V8 throughout each cardiac cycle. Results: Results of the current study indicated that there were no significant differences between 180° and 360° angular sampling in terms of measuring EDV, ESV and EF in myocardial perfusion imaging. Cardiac volume change patterns during a cardiac cycle were also similar in 360° and 180° scans. We also observed that there was no difference in EDV, ESV and EF values between the group with stress induced by exercise and the group with stress imposed by dipyridamole. Conclusion: As there is no difference between 180°and 360° cardiac scanning in terms of EDV, ESV and EF, half-orbit scan is recommended to study these cardiac system parameters because it offers more comfort to patients and a shorter scanning time.

  6. Effects of CT-based attenuation correction of rat microSPECT images on relative myocardial perfusion and quantitative tracer uptake

    Purpose: Our goal in this work was to investigate the impact of CT-based attenuation correction on measurements of rat myocardial perfusion with 99mTc and 201Tl single photon emission computed tomography (SPECT). Methods: Eight male Sprague-Dawley rats were injected with 99mTc-tetrofosmin and scanned in a small animal pinhole SPECT/CT scanner. Scans were repeated weekly over a period of 5 weeks. Eight additional rats were injected with 201Tl and also scanned following a similar protocol. The images were reconstructed with and without attenuation correction, and the relative perfusion was analyzed with the commercial cardiac analysis software. The absolute uptake of 99mTc in the heart was also quantified with and without attenuation correction. Results: For 99mTc imaging, relative segmental perfusion changed by up to +2.1%/−1.8% as a result of attenuation correction. Relative changes of +3.6%/−1.0% were observed for the 201Tl images. Interscan and inter-rat reproducibilities of relative segmental perfusion were 2.7% and 3.9%, respectively, for the uncorrected 99mTc scans, and 3.6% and 4.3%, respectively, for the 201Tl scans, and were not significantly affected by attenuation correction for either tracer. Attenuation correction also significantly increased the measured absolute uptake of tetrofosmin and significantly altered the relationship between the rat weight and tracer uptake. Conclusions: Our results show that attenuation correction has a small but statistically significant impact on the relative perfusion measurements in some segments of the heart and does not adversely affect reproducibility. Attenuation correction had a small but statistically significant impact on measured absolute tracer uptake

  7. Determination of thallium content in 201Tl processing waste by UV-spectrophotometry

    Thallium-201 is a radioisotope widely used for visualization of heart or cardiovascular diagnosis. It is generally produced by means of 203Tl(p,3n)201Pb -->201Tl reaction using enriched 203Tl (more than 95%) as target material. Since the enriched 203Tl is very expensive, the recovery of 203Tl from 201Tl-processing waste is very important. For this reason, a high accuracy and good precision method for Tl measurement is required. Having a single absorbance maximum at 214 nm which is stable up 24 hours post preparation, it is expected that Tl can be quantitatively determined by spectrophotometry in the UV region. The chemical matrices in the 201Tl-processing waste were separated by hydroxide precipitation, stipping extraction and charcoal adsorption techniques. The linearity of the absorbance standard curve is given by regression line A = 0.0013 + 0.0223C with C is concentration in mg/dm3. The regression coefficient was found to be 0.9999. Evaluation using simulated waste solutions and 201Tl-processing waste samples showed that both the accuracy and the precision, in terms of repeatability, of the measurement were high. (author)

  8. Studies on portal systemic circulation by oral administration of 201Tl enclosed enteric coated capsule

    Thallium-201 enclosed enteric coated capsule was prepared and administered orally to evaluate portal systemic circulation in 11 control subjects and 31 patients with various liver diseases by investigating scintigraphic appearance and the heart-to-liver uptake ratio (H/L ratio). In 10 patients with liver cirrhosis and one with chronic hepatitis, the results of H/L ratio were compared to those obtained by 201Tl per-rectal administration. 1. It was fundamentally confirmed that 201Tl enclosed enteric coated capsule was not broken down in the artificial gastric juice, but nearly completely melted 15 minutes after soaking in the artificial intestinal juice. 2. Clinical study was successfully completed in 36 out of 42 cases (86 %). Unsuccessful cases were found in 2 with capsule collapse in the stomach and 4 with its poor moving to the duodenum. 3. In control subjects the liver was clearly visualized and the mean value of H/L ratio was 0.32 which is lower than that of 201Tl per-rectal administration previously reported. H/L ratio in patients with chronic and acute hepatitis was nearly equal to that in control subjects. H/L ratio in patients with liver cirrhosis was slightly higher than that in control subjects, but there was no significant difference between them. In cases with esophageal varices, H/L ratio was not so high compared to that in control subjects. Out of 7 patients showing high H/L ratio more than 0.8 in 201Tl per-rectal administration, only one showed similar high ratio (1.07) in oral administration of 201Tl enclosed enteric coated capsule. In this case the shunting from superior mesenteric vein to inferior vena cava connection was confirmed. From these results, it was considered that the shunting volume of superior mesenteric vein through esophageal varices is small. 4. A possibility of a new administration of radioisotope with enteric coated capsule was emphasized. (author)

  9. Single Photon Emission Computed Tomography (SPECT)

    ... Tools & Resources Stroke More Single Photon Emission Computed Tomography (SPECT) Updated:Sep 11,2015 What is a ... Heart Attack Myocardial Perfusion Imaging (MPI) Positron Emission Tomography (PET) Radionuclide Ventriculography, Radionuclide Angiography, MUGA Scan Heart ...

  10. Effects of exercise training on myocardial fatty acid metabolism in rats with depressed cardiac function induced by transient ischemia

    The effects of exercise training on metabolic and functional recovery after myocardial transient ischemia were investigated in a rat model. Male Wistar Kyoto rats were subjected either to a 30-min left coronary artery occlusion followed by reperfusion or to a sham operation. At 4 weeks after operation, the rats were randomly assigned either to sedentary conditions or to exercise training for 6 weeks. In the ischemic rats, pinhole SPECT (single photon emission computed tomography) imaging with thallium-201 (201Tl) and 123I-(ρ-iodophenyl)-3-R,S-methylpentadecanoic acid (BMIPP) showed a reduction of both myocardial perfusion and fatty acid metabolism in the risk zone of the left ventricle (LV). The LV was dilated and the ejection fraction was decreased after ischemic injury. The severity score showed a significant decrease on both 201Tl and BMIPP (201Tl, from 19.9±2.7 to 17.0±2.2, p<0.05; BMIPP, from 21.5±2.4 to 18.6±1.9, p<0.05) after exercise training in the ischemic trained rats, but did not change significantly in their sedentary counterparts. Plasma levels of free fatty acids normalized in the ischemic trained rats, but elevated in the ischemic sedentary rats (0.53±0.05 vs 0.73±0.06 mmol/L, p<0.05). Furthermore, the trained rats had a significant increase in LV stroke volume (0.25±0.02 vs 0.21±0.01 ml/beat, p<0.05) and adaptive cardiac hypertrophy. These findings demonstrate that adaptive improvements in myocardial perfusion, fatty-acid metabolism and LV function were induced by exercise training after transient ischemia. (author)

  11. Application of transmission scan-based attenuation compensation to scatter-corrected thallium-201 myocardial single-photon emission tomographic images

    A practical method for scatter and attenuation compensation was employed in thallium-201 myocardial single-photon emission tomography (SPET or ECT) with the triple-energy-window (TEW) technique and an iterative attenuation correction method by using a measured attenuation map. The map was reconstructed from technetium-99m transmission CT (TCT) data. A dual-headed SPET gamma camera system equipped with parallel-hole collimators was used for ECT/TCT data acquisition and a new type of external source named ''sheet line source'' was designed for TCT data acquisition. This sheet line source was composed of a narrow long fluoroplastic tube embedded in a rectangular acrylic board. After injection of 99mTc solution into the tube by an automatic injector, the board was attached in front of the collimator surface of one of the two detectors. After acquiring emission and transmission data separately or simultaneously, we eliminated scattered photons in the transmission and emission data with the TEW method, and reconstructed both images. Then, the effect of attenuation in the scatter-corrected ECT images was compensated with Chang's iterative method by using measured attenuation maps. Our method was validated by several phantom studies and clinical cardiac studies. The method offered improved homogeneity in distribution of myocardial activity and accurate measurements of myocardial tracer uptake. We conclude that the above correction method is feasible because a new type of 99mTc external source may not produce truncation in TCT images and is cost-effective and easy to prepare in clinical situations. (orig.)

  12. False-positive defects in technetium-99m sestamibi myocardial single-photon emission tomography in healthy athletes with left ventricular hypertrophy

    Exercise ECG and myocardial single-photon emission tomography (SPET) are fundamental in the non-invasive evaluation of patients suspected of having coronary artery disease (CAD). The purpose of the present study was to investigate the influence of physiological left ventricular hypertrophy (LVH) on myocardial sestamibi SPET in healthy young and old athletes. Eighteen young male elite athletes (ten rowers, five power/weight lifters and three triathletes) and 14 well-trained elderly rowers were studied. All underwent a bicycle test as part of a 2-day sestamibi SPET protocol. Attenuation correction was not performed. The studies were evaluated visually and quantitatively analysed by the CEqual program with its reference files and with a file from a local non-athletic age-matched population. Echocardiographic LVH was an inclusion criterion in the young athletes. Exercise ECG was normal in all subjects. In at least three of the young athletes a reversible defect was observed by visual analysis. On quantitative analysis one-third of the young athletes had ''significant'' (>10 pixels) defects compared with both the local reference base and the CEqual reference population. Nearly all defects were found in the anterior or inferior wall. The remaining subjects, including all old rowers, had normal SPET findings. Anterior and inferior wall defects are so common in healthy athletes with physiological LVH that the specificity of myocardial SPET, in contrast to exercise ECG, seems to be too low for evaluation of chest pain in this group. The mechanism of anterior and inferior defects may be related to hot spots (papillary muscles?) in the lateral wall. The specificity of SPET is maintained in athletes without LVH. (orig.)

  13. Prognostic value of post-ischemic stunning as assessed by gated myocardial perfusion single-photon emission computed tomography. A subanalysis of the J-ACCESS study

    To determine the prognostic value of post-ischemic stunning, the Japanese assessment of cardiac event and survival study by quantitative gated myocardial single-photon emission computed tomography (SPECT) (J-ACCESS) study was reevaluated. Of the 4,031 patients of the J-ACCESS, the present study evaluated 1,089 who completed gated SPECT both after stress and at rest. To assess post-ischemic stunning, the following measurements (left ventricular volumes after stress minus volumes at rest) were made: Δend-systolic volume (ΔESV), Δend-diastolic volume (ΔEDV) and Δejection fraction (ΔEF). Myocardial stunning defined either as ΔESV ≥5 ml, ΔEDV ≥5 ml or ΔEF ≤-5% was observed in 21%, 22%, or 26%, respectively. During a 3-year follow-up, 101 cardiac events occurred. Kaplan-Meier survival estimation indicated worse event-free survival rates in patients with dilated ESV, dilated EDV, left ventricular ejection fraction (LVEF) ≤45% ΔESV ≥5 ml or ΔEDV ≥5 ml than in those without, whereas ΔEF ≤-5% did not predict events. Multivariate analysis demonstrated that LVEF ≤45% was the independent predictor for cardiac events. Nevertheless, ΔEDV ≥5 ml was also an independent parameter, in addition to LVEF ≤45%, to predict the combined endpoint of cardiac death, myocardial infarction, and revascularization, but excluding heart failure. These results indicate that post-ischemic stunning, as assessed by gated SPECT, is a marker for poor prognosis, particularly for ischemic cardiac events. (author)

  14. Assessment of prognostic value of semiquantitative parameters on gated single photon emission computed tomography myocardial perfusion scintigraphy in a large middle eastern population

    Coronary artery disease is the leading cause of mortality worldwide. The goal of this study is to determine the prognostic value of semiquantitative parameters of electrocardiogram-gated single photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI) in a large Middle Eastern (Iranian) population. This study was a prospective study including all patients referred to our center for myocardial perfusion scan. The patients were followed annually up to 24 months and their survival information was collected. From 1148 patients, 473 (41.2%) men and 675 (58.8%) women, 40.6% had normal MPI, 13.3% near normal and 46.1% abnormal MPI. After follow-up of 929 patients, 97.4% of patients were alive, and 2.6% succumbed to cardiac deaths. Abnormal ejection fraction was related with cardiac events (P = 0.001), but neither transient ischemic dilation (TID) (P = 0.09) nor lung/heart ratio (P = 0.92) showed such relationship. Association between summed difference score (SDS) and soft cardiac events (P < 0.001) was significant. Summed motion score (SMS) and summed thickening score (STS) showed a significant relation with hard cardiac events, including myocardial infarction and cardiac death (P < 0.001 and P = 0.001, respectively). Totally, risk of all cardiac events was significantly higher in abnormal MPI group than normal group (P < 0.001, 0.02, and 0.025, respectively). No significant relationship was found between TID and total cardiac events (P = 0.478). Semiquantitative variables derived from gated SPECT MPI have independent prognostic value. Rate of total cardiac events is higher in patients with higher summed stress score and SDS. Total and hard cardiac events are higher in upper scores of functional parameters (SMS and STS). Total cardiac events are higher in patients with lower left ventricular ejection fraction

  15. A partial defect in technetium-99m pyrophosphate image suggesting cardiac rupture following acute myocardial infarction

    We present the case of a 70-year-old woman with acute myocardial infarction who died of cardiac rupture on the 2nd hospital day. Dual isotope single photon emission tomography (SPET) using thallium-201 chloride and technetium-99m pyrophosphate (PYP) perforemd on the 2nd hospital day showed a large perfusion defect in the anteroseptal wall on 201Tl image and a increased accumulation on 99mTc-PYP image in the anterior area consistent with a partial defect. Autopsy performed 1 h after death revealed a tear in the left ventricular anterior wall consistent with the defect on the 99mTc-PYP image. We propose that the finding of a partial defect in 99mTc-PYP is an interesting finding which may be associated with cardiac rupture following acute myocardial infarction. (orig.)

  16. 201Tl+-labelled Prussian blue nanoparticles as contrast agents for SPECT scintigraphy

    Perrier, M.; Busson, M.; Massasso, G.; Long, J.; Boudousq, V.; Pouget, J.-P.; Peyrottes, S.; Perigaud, Ch.; Porredon-Guarch, C.; de Lapuente, J.; Borras, M.; Larionova, J.; Guari, Y.

    2014-10-01

    Prussian blue (PB) and its analogues on the nanometric scale are exciting nano-objects that combine the advantages of molecular-based materials and nanochemistry. Herein, we demonstrate that ultra-small PB nanoparticles of 2-3 nm can be easily labelled with radioactive 201Tl+ to obtain new nanoprobes as radiotracers for 201-thallium-based imaging.Prussian blue (PB) and its analogues on the nanometric scale are exciting nano-objects that combine the advantages of molecular-based materials and nanochemistry. Herein, we demonstrate that ultra-small PB nanoparticles of 2-3 nm can be easily labelled with radioactive 201Tl+ to obtain new nanoprobes as radiotracers for 201-thallium-based imaging. Electronic supplementary information (ESI) available: Experimental details and procedures, toxicological data, PXRD, TEM images, kinetics and adsorption isotherms, SPECT/CT images, Tl+ captation profiles. See DOI: 10.1039/c4nr03044c

  17. Contamination and radiation exposure from 201Tl in patients undergoing dialysis after a nuclear medicine study

    Our institution is a major kidney research and transplant center. Hemodialysis patients that are scheduled for renal transplant are given a 201Tl stress test. Possible radiation exposure and contamination are of concern to attending personnel. We investigated this situation and found measurable activity in the effluent of patients receiving dialysis but no significant contamination of equipment. We determined that dialysis personnel received minimal radiation exposure

  18. Diagnosis of pancreatic cancer using 201Tl-chloride and a three-head rotating gamma camera SPECT system

    201Tl SPECT was performed on 17 patients with pancreatic cancer or chronic pancreatitis using a three-head rotating gamma camera SPECT system. In 7 of 10 patients with pancreatic cancer, the lesions were clearly delineated by 201Tl SPECT. Whereas the lesion of 30 mm in diameter was visualized, a large tumor of 80 mm in diameter could not be visualized. Namely, it was thought that 201Tl uptake by pancreatic cancer might be well correlated with tumor blood flow and/or its histological subtype rather than with tumor size. In 5 of 7 patients with chronic pancreatitis, no uptake by the pancreas was shown. The sensitivity, specificity, and accuracy in diagnosing pancreatic cancer by 201Tl SPECT were 70%, 71%, and 71%, respectively. The present results obtained by 201Tl SPECT were thought satisfactory enough to evaluate pancreatic cancer under the present conditions where there was no useful imaging agent for visualizing pancreatic cancer by SPECT. 201Tl SPECT is expected to be a new diagnostic tool for investigation of pancreatic tumorous lesion. (author)

  19. Difference in 201TlCl accumulation mechanism in brain tumors. A comparison of their Na+-K+ ATPase activities

    The accumulation levels of 201TlCl and Na+ -K+ ATPase activity in tumor tissue were compared among glioblastoma, benign glioma and meningioma to study the difference in the mechanism of 201TlCl accumulation. The subjects were 19 cases comprised of 6 glioblastoma, 2 oligodendroglioma, 1 fibrillary astrocytoma, 1 pilocytic astrocytoma and 9 meningioma. Preoperative 201TlCl SPECT was performed in all the cases, and Thallium Index (TL index) was calculated by a ratio of 201TlCl in the tumor area and the contralateral area. In addition, cell membrane was extracted from the tumor tissue collected intraoperatively to determine Na+ -K+ ATPase activity. No statistically significant difference in TL index was noted between the glioblastoma group (6.97±2.67) and the meningioma group (5.87±1.99). This fact showed that there was no difference in the accumulation level of 201TlCl between the two groups. On the other hand, the glioblastoma group indicated a higher value of Na+ -K+ ATPase activity (49.13±43.76 μmole/hour/mg protein) than the meningioma group (7.73±13.84 μmol/hour/mg protein) (p+ -K+ ATPase activity in 201TlCl accumulation in glioblastoma and the influences of other accumulation mechanism than Na+ -K+ ATPase activity such as the volume of intratumoral vascular bed in meningioma. (author)

  20. Quantitative evaluation of myocardial single-photon emission tomographic imaging: application to the measurement of perfusion defect size and severity

    A new method is described for precise quantitative analysis of the relative three-dimensional distribution of myocardial tracers. The system uses a 360 elliptical sampling of radial slices to create activity profiles. These are then positioned onto a common centre at the same angular coordinates as the corresponding radial slice reconstruction planes to generate a two-dimensional polar summary display. Abnormal distribution is then identified by automatic comparison of the patient polar map with the threshold of a normal database defined on a pixel by pixel basis as the normal mean -2.5 SD. Our stress and rest databases currently comprise 34 and 24 studies for sestamibi and tetrofosmin respectively. The present method differs from currently available software in two major respects. Calculation of defect extent takes into account the surface distortion resulting from planar projection by using pixel by pixel weighted factors but it is otherwise overestimated as a result of the limited resolution of the imaging system. Integrating defect severity and extent, our hypoperfusion index appeared to accurately estimate the true defect size in our phantom model (r=0.993). The reproducibility of analysis was 6.24% in phantom studies and 3.10% in patient studies including repeated acquisitions. Applied to a well-documented population of 80 patients, this method resulted in an 86% sensitivity and a 78% specificity for overall coronary artery disease detection with reference to the angiographic data. (orig.). With 14 figs., 2 tabs

  1. Significance of exercise-induced ST segment depression in patients with myocardial infarction involving the left circumflex artery. Evaluation by exercise thallium-201 myocardial single photon emission computed tomography

    The significance of exercise-induced ST segment depression in patients with left circumflex artery involvement was investigated by comparing exercise electrocardiography with exercise thallium-201 single photon emission computed tomography (Tl-SPECT) and the wall motion estimated by left ventriculography. Tl-SPECT and exercise electrocardiography were simultaneously performed in 51 patients with left circumflex artery involvement (angina pectoris 30, myocardial infarction 21). In patients with myocardial infarction, exercise-induced ST depression was frequently found in the V2, V3 and V4 leads. In patients with angina pectoris, ST depression was frequently found in the II, III, aVF, V5 and V6 leads. There was no obvious difference in the leads of ST depression in patients with myocardial infarction with ischemia and without ischemia on Tl-SPECT images. In patients with myocardial infarction, the lateral wall motion of the infarcted area evaluated by left ventriculography was more significantly impaired in the patients with ST depression than without ST depression (p<0.01). Exercise-induced ST depression in the precordial leads possibly reflects wall motion abnormality rather than ischemia in the lateral infarcted myocardium. (author)

  2. Increased accuracy of single photon emission computed tomography (SPECT myocardial perfusion scintigraphy using iterative reconstruction of images

    Stević Miloš

    2016-01-01

    Full Text Available Background/Aim. Filtered back projection (FBP is a common way of processing myocardial perfusion imaging (MPI studies. There are artifacts in FBP which can cause falsepositive results. Iterative reconstruction (IR is developed to reduce false positive findings in MPI studies. The aim of this study was to evaluate the difference in the number of false positive findings in MPI studies, between FBP and IR processing. Methods. We examined 107 patients with angina pectoris with MPI and coronary angiography (CAG, 77 man and 30 woman, aged 32−82. MPI studies were processed with FBP and with IR. Positive finding at MPI was visualization of the perfusion defect. Positive finding at CAG was stenosis of coronary artery. Perfusion defect at MPI without coronary artery stenosis at CAG was considered like false positive. The results were statistically analyzed with bivariate correlation, and with one sample t-test. Results. There were 20.6% normal, and 79.4% pathologic findings at FBP, 30.8% normal and 69.2% pathologic with IR and 37.4% normal and 62.6% pathologic at CAG. FBP produced 19 false-positive findings, at IR 11 false positive findings. The correlation between FBP and CAG was 0.658 (p < 0.01 and between IR and CAG 0.784 (p < 0.01. The number of false positive findings at MPI with IR was significantly lower than at FBP (p < 0.01. Conclusion. Our study shows that IR processing MPI scintigraphy has less number of false positive findings, therefore it is our choice for processing MPI studies.

  3. Transient ischemic stunning of the myocardium in stress thallium-201 gated SPET myocardial perfusion imaging: segmental analysis of myocardial perfusion, wall motion and wall thickening changes

    Prolonged and persistent myocardial stunning has recently been demonstrated using technetium-99m sestamibi gated single-photon emission tomography (SPET) myocardial perfusion imaging post exercise or pharmacological stress test. In this study, we investigated the early postischemic transient myocardial stunning on early and delayed poststress thallium-201 gated SPET myocardial perfusion imaging using segmental wall motion (WM) and wall thickening (WT) analysis. A total of 1,680 segments from 84 patients' studies (53 men and 31 women, mean age 60 years) were evaluated on both early and delayed thallium-201 gated SPET treadmill exercise (59) or dobutamine stress (25) myocardial perfusion imaging. Semiquantitative analysis of perfusion, WM and WT in all segments was performed by two observers. Segments were classified according to changes in WM and WT between early and delayed images into normal, fixed abnormality, or improved abnormality (transient stunning), and were further classified according to changes in perfusion into normal, fixed defects, or ischemic. There were significant correlations between perfusion and WM, perfusion and WT, and WM and WT segmental scores on both early and delayed images. Transient stunning was seen significantly (P201Tl myocardial perfusion imaging using WM and WT was comparable, and results correlated well with the myocardial perfusion assessment. Early transient myocardial stunning was frequently observed in ischemic segments and was related to the severity of myocardial ischemia. (orig.)

  4. Initial multicentre experience of high-speed myocardial perfusion imaging: comparison between high-speed and conventional single-photon emission computed tomography with angiographic validation

    High-speed (HS) single-photon emission computed tomography (SPECT) with a recently developed solid-state camera shows comparable myocardial perfusion abnormalities to those seen in conventional SPECT. We aimed to compare HS and conventional SPECT images from multiple centres with coronary angiographic findings. The study included 50 patients who had sequential conventional SPECT and HS SPECT myocardial perfusion studies and coronary angiography within 3 months. Stress and rest perfusion images were visually analysed and scored semiquantitatively using a 17-segment model by two experienced blinded readers. Global and coronary territorial summed stress scores (SSS) and summed rest scores (SRS) were calculated. Global SSS ≥3 or coronary territorial SSS ≥2 was considered abnormal. In addition the total perfusion deficit (TPD) was automatically derived. TPD >5 % and coronary territorial TPD ≥3 % were defined as abnormal. Coronary angiograms were analysed for site and severity of coronary stenosis; ≥50 % was considered significant. Of the 50 patients, 13 (26 %) had no stenosis, 22 (44 %) had single-vessel disease, 6 (12 %) had double-vessel disease and 9 (18 %) had triple-vessel disease. There was a good linear correlation between the visual global SSS and SRS (Spearman's ρ 0.897 and 0.866, respectively; p < 0.001). In relation to coronary angiography, the sensitivities, specificities and accuracies of HS SPECT and conventional SPECT by visual assessment were 92 % (35/38), 83 % (10/12) and 90 % (45/50) vs. 84 % (32/38), 50 % (6/12) and 76 % (38/50), respectively (p < 0.001). The sensitivities, specificities and accuracies of HS SPECT and conventional SPECT in relation to automated TPD assessment were 89 % (31/35), 57 % (8/14) and 80 % (39/49) vs. 86 % (31/36), 77 % (10/13) and 84 % (41/49), respectively. HS SPECT allows fast acquisition of myocardial perfusion images that correlate well with angiographic findings with overall accuracy by visual assessment better

  5. Initial multicentre experience of high-speed myocardial perfusion imaging: comparison between high-speed and conventional single-photon emission computed tomography with angiographic validation

    Neill, Johanne [University College London Hospital, Institute of Nuclear Medicine, London (United Kingdom); The Prince Charles Hospital, Brisbane (Australia); Prvulovich, Elizabeth M.; Bomanji, Jamshed B. [University College London Hospital, Institute of Nuclear Medicine, London (United Kingdom); Fish, Matthews B. [Sacred Heart Medical Center (SHMC), Springfield, OR (United States); Berman, Daniel S.; Slomka, Piotr J. [Cedars-Sinai Medical Center, Los Angeles, CA (United States); Sharir, Tali [Procardia Maccabi Healthcare Services (PMHS), Tel Aviv (Israel); Martin, William H. [Vanderbilt University Medical Center (VUMC), Nashville, TN (United States); DiCarli, Marcelo F. [Brigham and Women' s Hospital (BWH), Boston, MA (United States); Ziffer, Jack A. [Baptist Hospital of Miami (BHM), Miami, FL (United States); Shiti, Dalia [Spectrum-Dynamics, Caesarea (Israel); Ben-Haim, Simona [University College London Hospital, Institute of Nuclear Medicine, London (United Kingdom); Chaim Sheba Medical Center, Department of Nuclear Medicine, Tel-Hashomer (Israel)

    2013-07-15

    High-speed (HS) single-photon emission computed tomography (SPECT) with a recently developed solid-state camera shows comparable myocardial perfusion abnormalities to those seen in conventional SPECT. We aimed to compare HS and conventional SPECT images from multiple centres with coronary angiographic findings. The study included 50 patients who had sequential conventional SPECT and HS SPECT myocardial perfusion studies and coronary angiography within 3 months. Stress and rest perfusion images were visually analysed and scored semiquantitatively using a 17-segment model by two experienced blinded readers. Global and coronary territorial summed stress scores (SSS) and summed rest scores (SRS) were calculated. Global SSS {>=}3 or coronary territorial SSS {>=}2 was considered abnormal. In addition the total perfusion deficit (TPD) was automatically derived. TPD >5 % and coronary territorial TPD {>=}3 % were defined as abnormal. Coronary angiograms were analysed for site and severity of coronary stenosis; {>=}50 % was considered significant. Of the 50 patients, 13 (26 %) had no stenosis, 22 (44 %) had single-vessel disease, 6 (12 %) had double-vessel disease and 9 (18 %) had triple-vessel disease. There was a good linear correlation between the visual global SSS and SRS (Spearman's {rho} 0.897 and 0.866, respectively; p < 0.001). In relation to coronary angiography, the sensitivities, specificities and accuracies of HS SPECT and conventional SPECT by visual assessment were 92 % (35/38), 83 % (10/12) and 90 % (45/50) vs. 84 % (32/38), 50 % (6/12) and 76 % (38/50), respectively (p < 0.001). The sensitivities, specificities and accuracies of HS SPECT and conventional SPECT in relation to automated TPD assessment were 89 % (31/35), 57 % (8/14) and 80 % (39/49) vs. 86 % (31/36), 77 % (10/13) and 84 % (41/49), respectively. HS SPECT allows fast acquisition of myocardial perfusion images that correlate well with angiographic findings with overall accuracy by visual

  6. Myocardial perfusion assessed by contrast echocardiography and single photon emission computed tomography in the evaluation of patients with acute chest pain and normal electrocardiogram

    Aim : Evaluation of diagnostic accuracy of myocardial contrast echocardiography (MCE) in comparison with single-photon emission computed tomography (SPECT) for the detection of myocardial ischemia in patients with acute chest pain. Material and Methods : Eighteen patients (pts) with chest pain lasting ≥30 minutes, occurring within 6 hours of emergency room presentation and a normal or no diagnostic electrocardiogram were studied. Pts underwent rest MCE and SPECT. For both exams myocardial perfusion was assessed in the same 7 segments (apical, anterior, inferior, anteroseptal, inferoseptal, lateral and posterior) of left ventricle. A total of 126 segments were analyzed. Images were classified as positive for ischemia if they had a perfusion defect. Coronary angiography was performed if MCE or SPECT images were classified as positive for ischemia or by clinical indication. Otherwise the patients underwent stress SPECT. Significant coronary artery disease (CAD) was defined as ≥70% stenosis in a major coronary artery or its branches. Final diagnosis of an acute coronary event (ACE) was established in the presence of positive findings in MCE or SPECT in addition to significant CAD in the corresponding territory. Kappa statistics were calculated to evaluate the concordance between MCE and SPECT. κ values of ≤0.4, >0.4 and >0.7 indicate fair, good and excellent agreement, respectively. Results: Thirteen out of 18 pts underwent coronary angiography (seven pts had positive findings on SPECT, 2 on MCE, 2 on both exams and 1 had clinical indication). Significant CAD was detected on six. Five pts underwent stress SPECT and no perfusion defect was detected. Therefore, six pts (33.3%) had an ACE and 12 (66.6%) had not. There were no statistical differences between groups according to age, gender, duration of pain, free pain interval, presence of risk factors and antecedents. Concordance between MCE and SPECT for evaluation of perfusion defects showed a ? coefficient of 0

  7. Correlation of myocardial perfusion single photon emission computed tomography with coronary artery calcium score in coronary artery disease- An Indian perspective

    Full text: Objectives: The consequences of atherosclerosis can be detected by coronary artery calcium score (CACS) and stress induced myocardial ischemia on myocardial perfusion single photon emission computed tomography (MPS). We assessed the relationship between stress induced myocardial ischemia on (MPS) and magnitude of CACS by 64 slice computed tomography (CT) in patients undergoing both tests. Methods: Our study included 59 patients with no earlier history of coronary artery disease (CAD) of both sexes (males-47, females-12) in age group of 34-69 years. Our patients were referred by cardiologists after they underwent CACS. Of these 37 patients (63%) presented with symptoms which included chest pain (non-anginal, anginal, atypical) presence or absence of shortness of breath, and rest (37%) were asymptomatic. For each patient coronary risk factors were noted. All these patients underwent CACS and rest and stress MPS one-day protocol with Tc99m sestamibi within 7 days. According to CACS and symptoms, patients were divided into four groups, group A - asymptomatic 100 n=13, group D - symptomatic >100 (n=11). The incidence of inducible ischemia in MPS was compared to the magnitude of CACS abnormality. Results: There were 21 patients (36%) with ischemic MPS. According to groups, group A - 11%(n=1), groupB- 38%(n=10), groupC- 30%(n=4) and group D- 54%(n=6) had ischemic MPS. From the above we observed that incidence of ischemic MPS is more with increasing CACS. And also it is noted that it is more frequent in patients who presented with symptoms irrespective of CACS who are at short-term risk. In negative MPS, CACS may be useful in long term risk stratification in finding out subclinical atherosclerosis. Conclusion: The general perception is that the CACS is a good tool for long-term risk stratification but it may be applicable to those patients with no significant risk factors. When there are risk factors MPS is a better indicator for risk stratification for CAD

  8. Clinical usefulness of {sup 18}FDG-PET in primary lung cancer. Comparison with {sup 201}Tl-SPECT

    Nishikawa, Takahiro [Kanazawa Medical Univ., Uchinada, Ishikawa (Japan)

    1997-03-01

    Forty patients with pulmonary nodular lesions had PET imaging performed. Within a week, all patients were investigated with the triple-headed SPECT system and by CT. The PET and SPECT images were compared qualitatively and quantitatively. For quantitative analysis, ROIs were selected in areas of the tumor showing the highest tracer accumulation and in the normal areas of contralateral lung. The tumor to nontumor activity ratio (T/N ratio) was calculated. In thirty-three patients with primary lung cancer, the sensitivity of {sup 18}FDG-PFT, {sup 201}Tl-SPECT were 93.6%, 84.8%, respectively. In the detection of lung cancer, {sup 18}FDG-PET provided a higher sensitivity than {sup 201}Tl-SPECT. Neither techniques visualized any lesion in two patients who had bronchioloalveolar carcinoma. Among the patients showing increased tracer accumulation, the T/N ratio was significantly higher with {sup 18}FDG-PET than with {sup 201}Tl-SPECT. However, there was significant positive correlation between the {sup 18}FDG T/N ratio and the {sup 201}Tl delayed ratio. We assessed the association between cell differentiation and {sup 18}FDG or {sup 201}Tl uptake in 17 patients with adenocarcinoma of the lung. Only {sup 18}FDG uptake might be associated with cell differentiation of adenocarcinoma. Thirty patients with pulmonary nodular lesion underwent an operation and the results of {sup 18}FDG-PET, {sup 201}Tl-SPECT were compared between malignant and benign nodules in {sup 18}FDG uptake and {sup 201}Tl uptake. {sup 18}FDG uptake and {sup 201}Tl uptake showed no significant differences in malignant nodules or benign nodules. Twenty-one patients underwent thoracotomy and the results of {sup 18}FDG-PET, {sup 201}Tl-SPECT and CT were compared with the pathological findings of the mediastinal lymph nodes. In the detection of mediastinal lymph node metastasis from lung cancer, sensitivity and specificity were 33.3% and 77.8% for CT, 33.3% and 94.4% for {sup 201}Tl SPECT and 66.7% and 88

  9. An experimental animal model of chronic myocardial hibernation: comparative study of cine-MR, myocardial single photon emission computed tomography and pathology

    Objective: To establish the chronic low-flow myocardial hibernation animal model in pigs, and to assess the diagnostic value for myocardial hibernation by using various imaging methods. Methods: A total of 13 miniswine (30-40 kg) were used. All animals underwent general anesthesia and orotracheal intubation while the animals were mechanically ventilated. Under sterile conditions, left ventriculography and coronary angiography were performed by introduction of catheter into the right femoral artery. Further, a left anterolateral thoracotomy was performed in the third intercostal space. The proximal LCX was dissected free to allow placement of an ameroid constrictor. More than 1 month later, left ventriculography and coronary angiography were performed again, followed by cine-MRI at rest and during stress with low-dose of dobutamine (5μg·kg-1·min-1), respectively. Traditional and/or breath-hold cine-MRI were used to evaluate regional left ventricular wall motion, corresponding to basal, midventricular and apical short-axis tomograms. Regional wall motion score index (WMSI) was calculated. At the same time 99mTc-MIBI myocardial SPECT was performed at rest and during nitroglycerin administration, respectively. All animals were finally sacrificed for pathological examination. Triphenyl tetrazolium chloride (TTC) staining was used to assess the myocardial infarction. Electron microscopy was used to identify myocardial cellular changes characteristic of hibernating myocardium. Results: Three pigs died during surgery or within two weeks after surgery. One pig died of anesthesia during SPECT examination, 1 pig suffered from aneurysm, and another one pig showed negative findings. The other 7 pigs were found with hypokinetic (n=4) or akinetic (n=3) myocardial regions related to stenosed LCX (70%-99%). Resting cine-MRI demonstrated decreased regional motion of the lateral and posteroinferior walls (ischemic regions) of the left ventricle (n=7), compared with the nonischemic

  10. Single photon emission computed tomography (SPECT)

    The functional state of organs can be imaged by their accumulation of single photon emitter like 99mTc (γ-ray energy 140 keV), 201Tl (73 keV) and 201I (159 keV) with computed tomography. The emitted γ-ray is collimated to reach the NaI (Tl) detector for specifying its direction, which is called as the scintillation camera or gamma camera. The camera rotating around the patient gives the SPECT images. The NaI (Tl) detector is suitable for converting 60-300 keV γ-ray to fluorescence through the photoelectric effect. Photomultiplier receiving the fluorescence outputs X/Y signals for the emitting position and Z signal (energy) separately, giving imaging data. 3D images can be re-constructed by either method of the filtered back projection or maximum likelihood-expectation maximization. For quantitative reconstruction, correction of γ-ray absorption in water, of scattering and of collimator opening is necessary. Recently, semiconductor-detectors like CdZnTe and CdTe are being utilized in place of NaI for better resolution, which will reduce the size of the camera. Further, a camera with coincidence circuit for positron has appeared and will be applicable for both SPECT and PET. Compton camera having 2-step detectors without collimator is now under development. (N.I.)

  11. Effect of eating on thallium myocardial imaging

    Wilson, R.A.; Sullivan, P.J.; Okada, R.D.; Boucher, C.A.; Morris, C.; Pohost, G.M.; Strauss, H.W.

    1986-02-01

    To determine if eating between initial and delayed thallium images alters the appearance of the delayed thallium scan, a prospective study was performed; 184 subjects sent for routine thallium imaging were randomized into two groups, those who ate a meal high in carbohydrates between initial and delayed thallium myocardial images (n = 106), and those who fasted (n = 78). The /sup 201/Tl images were interpreted in blinded fashion for global myocardial and pulmonary clearance of /sup 201/Tl myocardial defects. The eating group had a significantly lower incidence of transient myocardial defects compared to the noneating group (7 percent vs 18 percent, respectively; p less than 0.05). The time between initial and delayed images and the incidence of exercise-induced ischemic ST-segment depression or pathologic Q waves on the electrocardiogram were not significantly different between the two groups. These data suggest that eating a high-carbohydrate meal between initial and delayed /sup 201/Tl images causes increased /sup 201/Tl myocardial clearance rates and may alter /sup 201/Tl myocardial redistribution over time.

  12. Effect of eating on thallium myocardial imaging

    To determine if eating between initial and delayed thallium images alters the appearance of the delayed thallium scan, a prospective study was performed; 184 subjects sent for routine thallium imaging were randomized into two groups, those who ate a meal high in carbohydrates between initial and delayed thallium myocardial images (n = 106), and those who fasted (n = 78). The 201Tl images were interpreted in blinded fashion for global myocardial and pulmonary clearance of 201Tl myocardial defects. The eating group had a significantly lower incidence of transient myocardial defects compared to the noneating group (7 percent vs 18 percent, respectively; p less than 0.05). The time between initial and delayed images and the incidence of exercise-induced ischemic ST-segment depression or pathologic Q waves on the electrocardiogram were not significantly different between the two groups. These data suggest that eating a high-carbohydrate meal between initial and delayed 201Tl images causes increased 201Tl myocardial clearance rates and may alter 201Tl myocardial redistribution over time

  13. Activity determination of a 201Tl solution by 4πβ-γ and sum-peak coincidence methods

    201Tl is used in nuclear medicine in cardiac imaging for evaluating the injury level in cardiac muscle at rest and exercise. In this work the activity concentration of a 201Tl radioactive solution has been absolutely determined using the 4πβ-γ coincidence and sum-peak coincidence methods. The presence of 202Tl radioactive impurity that imposes some difficult in the activity measurements was taken into account in the measurements. In the sum-peak method a planar germanium detector was used. The half-lives were evaluated by the reference source method and the results obtained were (3.033 ± 0.004) d and (12.320 ± 0.163) d, respectively, for 201Tl and 202Tl. (author)

  14. Single-photon imaging

    Seitz, Peter

    2011-01-01

    The acquisition and interpretation of images is a central capability in almost all scientific and technological domains. In particular, the acquisition of electromagnetic radiation, in the form of visible light, UV, infrared, X-ray, etc. is of enormous practical importance. The ultimate sensitivity in electronic imaging is the detection of individual photons. With this book, the first comprehensive review of all aspects of single-photon electronic imaging has been created. Topics include theoretical basics, semiconductor fabrication, single-photon detection principles, imager design and applications of different spectral domains. Today, the solid-state fabrication capabilities for several types of image sensors has advanced to a point, where uncoooled single-photon electronic imaging will soon become a consumer product. This book is giving a specialist´s view from different domains to the forthcoming “single-photon imaging” revolution. The various aspects of single-photon imaging are treated by internati...

  15. Therapeutic effects of coenzyme Q10 on dilated cardiomyopathy. Assessment by 123I-BMIPP myocardial single photon emission computed tomography (SPECT). A multicenter trial in Osaka University Medical School Group

    To evaluate therapeutic effects of Coenzyme Q10 (CoQ10), 15 patients with dilated cardiomyopathy were investigated by 123I-BMIPP myocardial single photon emission computed tomography (SPECT). The BMIPP defect score was determined semiquantitatively by using representative short and long axial SPECT images. Mean BMIPP defect score with CoQ10 treatment was significantly low, 7.7±6.1 compared to 12.7±7.4 without CoQ10 treatment. On the other hand, in 8 patients of dilated cardiomyopathy, % fractional shortening using echocardiography was not different before and after CoQ10 treatment. In conclusion, 123I-BMIPP myocardial SPECT was proved to be sensitive to evaluate the therapeutic effects of CoQ10, which improve myocardial mitochondrial function, in the cases of dilated cardiomyopathy. (author)

  16. Estimation of internal radiation due to the administration of 201Tl

    Today, radioactive pharmaceuticals are widely used for the purpose of diagnosis in the field of nuclear medicine, bringing many bits of useful informations. On the other hand, radiation is known to be bionegative, having possibility of inducing stochastic effects such as cancers and genetic effects even in the relatively low dose region together with non-stochastic effects which could result from radiation exposure higher than threshold value. The author has published a series of papers with regard to the estimation of radiation exposures for medical use based on three principles of justification, optimization and limitation. In this paper, radiation dose by a radiation worker due to 201Tl administration for the diagnosis of a cardiac disease was evaluated based on the measurement of concentration of radioactive isotope excreted in urine over 1 month. Internal radiation dose due to the administration of 111 MBq (3 mCi) 201Tl was estimated to be 6.1 mSv (610 mrem) which agreed well with the result reported by H.L. Atkins (1977) and exceeded the occupational exposure (approximately 60 mrem over 12 years). The author suggested the importance of reducing medical exposure. (author)

  17. Preparation and evaluation of [201Tl](III)-DTPA complex for cell labeling

    Due to interesting physical properties and wide availability of 201Tl as a SPECT radionuclide, the incorporation of this nuclide into DTPA for cell labeling was targeted. Thallium-201 (T1/2 = 3.04 d) in Tl+ form was converted to Tl3+ cation in the presence of O3/6M HCl and di-isopropyl ether, controlled by RTLC/gel electrophoresis methods. The final evaporated activity reacted with cDTPA in normal saline to yield [201Tl](III)DTPA at room temperature after 0.5 hour, followed by solid phase extraction purification using C18 Sep-Pak column (radiochemical yield >95%). Radiochemical purity of more than 99% was obtained using RTLC with specific activity of about 260 GBq/mmol. The stability of the tracer was checked in the final product in the presence of human serum at 37 deg C up to 3 days. The partition coefficient was also measured. The labeled compound was used in red blood cell (RBC) labeling. The cell uptake ratio was determined at 4, 25 and 37 deg C up to 3 hours. (author)

  18. Effect of thallium-201 blood levels on reversible myocardial defects

    To determine if 201Tl plasma blood levels correlate with the presence of reversible myocardial defects during exercise testing, 14 patients with stable coronary artery disease underwent two separate exercise 201Tl stress tests. Between initial and delayed imaging, on one test the patients drank an instant breakfast drink (eating) and on the other they drank an equivalent volume of water as a control (H2O). Thallium-201 imaging was performed immediately postexercise, immediately after eating/H2O and 210 min after eating/H2O. Between initial and immediate post eating/H2O images 201Tl reversible defects occurred in 27/38 regions in the H2O test versus 15/38 regions in the eating test (p = 0.02). Over this early time period, plasma 201Tl activity was significantly higher in the H2O test than eating test (p less than 0.05). In conclusion, early reversal of 201Tl defects may, in part, be the result of higher plasma 201Tl activity early after initial postexercise 201Tl imaging

  19. Detection of myocardial viability by means of Single Proton Emission Computed Tomography (Perfused SPECT) dual 201 Tl (rest of 15 minutes, 24 late hours and 24 hours reinjection) and gated-SPECT 99m Tc-SESTAMIBI in effort or stimulation of the coronary reserves

    The objective of this work was to determine if the images of SPECT 201 TI in rest of 15 minutes, 24 late hours and Gated-SPECT 99m Tc-SESTAMIBI in effort or stimulation of coronary reservation correlate with the study of 24 hours post reinjection of 201TI to determine the presence of having knitted viable myocardium. Material and methods: 29 patients were studied with coronary arterial illness (EAC) to who are carried out SPECT 201 TI in rest with images of 15 minutes, 24 late hours and 24 hours reinjection, by means of the administration of 201TI to dose of 130 MBq and reinjection with 37 MBq. and Gated-SPECT 99mTc-SESTAMIBI in effort or stimulation of coronary reservation, later to the administration of 1110 MBq. Results: 29 patients were included according to inclusion approaches and exclusion, of those which 22 (75.86%) they correspond at the masculine sex and 7 (24.13%) to the feminine one, with an average of 62.1 year-old age, 2320 segments myocardial were analysed so much it is phase post-effort as rest; they were diagnosed a total of 264 segments with heart attack, of which viability myocardium was observed in 174 segments. The statistical tests are analysis of frequencies. The non parametric test of Wilcoxon and Mann-Whitney. Conclusions: the viability myocardial at the 24 late hours and 24 hours reinjection was similar; significant difference exists between the study of 15 minutes and 24 hours reinjection, ischemic illness was also demonstrated in territories different to the heart attack area in the studies of 15 minutes, late 24 hours and 24 hours reinjection. (Author)

  20. The value of gallium-67 and thallium-201 whole-body and single-photon emission tomography images in dialysis-related β2-microglobulin amyloid

    The aim of this study was to investigate the value of gallium-67 and thallium-201 whole-body and single-photon emission tomography (SPET) images in long-term dialysis patients in whom dialysis-related β2-microglobulin amyloid (β2-MA) was clinically suspected. Twenty-three patients who had received dialysis for at least 10 years were included in the study. A technetium-99m methylene diphosphonate (MDP) whole-body scan was performed in all of the patients. If there was any MDP accumulation in the articular and/or peri-articular region, 67Ga and 201Tl whole-body and SPET images were then acquired. If any 67Ga and/or 201Tl uptake was observed, a CT-guided biopsy was done. In those patients who had articular and/or peri-articular uptake of 99mTc MDP, 67Ga and/or 201Tl and who were pathologically proven to have β2-MA, 99mTc MDP, 67Ga and 201Tl whole-body scans and SPET were carried out again, both 3 months and 1 year after initiation of treatment. This served to evaluate the therapeutic effect and allowed comparison with the clinical findings. Of the 23 patients, eight had abnormal 99mTc MDP uptake. Among these eight, six had intense 99mTc MDP, 67Ga and 201Tl uptake in the articular and peri-articular regions before medication. Three months after the start of treatment, there were very marked decreases in uptake on both the 67Ga and 201Tl scans but less obvious changes in uptake of 99mTc-MDP. In comparison with the other clinical manifestations such as limitation in range of motion, the more the painful disability improved, the less was the uptake on both 67Ga and 201Tl scans. There were virtually no differences in uptake pattern between the three scans of each radiopharmaceutical obtained for each patient in both 3 months and 1 year after initial of treatment. It is concluded that 99mTc-MDP whole-body bone scan can both detect active and pre-existing inactive deposits of β2-MA. 67Ga and 201Tl scans are helpful to differentiate active from inactive deposits of β2-MA

  1. Single photon quantum cryptography

    Beveratos, Alexios; Brouri, Rosa; Gacoin, Thierry; Villing, André; Poizat, Jean-Philippe; Grangier, Philippe

    2002-01-01

    We report the full implementation of a quantum cryptography protocol using a stream of single photon pulses generated by a stable and efficient source operating at room temperature. The single photon pulses are emitted on demand by a single nitrogen-vacancy (NV) color center in a diamond nanocrystal. The quantum bit error rate is less that 4.6% and the secure bit rate is 9500 bits/s. The overall performances of our system reaches a domain where single photons have a measurable advantage over ...

  2. Absorbed radiation to the nuclear medicine nurses from patients administered 201Tl and 99mTc- MIBI

    People who have administrated radiopharmaceuticals could be a source of radiation to their relatives, medical nurses, and people who have contact them. In this study, the dose rates at various distances of 5, 10,50 and 100 cm from 70 patients, who were administered diagnostic amounts of 201Tl -Chloride and 99mTc -MIBI, was measured using an ionization chamber. For determination of external radiation dose to the nurses the radiations in three deferent interval times have measured. The maximum values of external dose rates of 201Tl and 99mTc-MIBI were 11.2μSv/h ±2.3 and 43.1μSv/h ±11.9 respectively at 5 cm from the patients. Significant exposure from patients after injection of 99mTc -MIBI was limited on the day of administration. Departure doses rate of 201Tl fell gradually so by 3 days after administration was significant. Maximum and average absorbed dose of nuclear medicine staff for one 201Tl scan was 4.6 and 2.7μSv/h, and for 99mTc-MIBI was 18.1 and 9.8μSv/h in a working day. (author)

  3. Absorbed radiation to the nuclear medicine nurses from patients administered 201Tl and 99mTc- MIBI

    People who have administrated radiopharmaceuticals could be a source of radiation to their relatives, medical nurses, and people who have contact them. In this study, the dose rates at various distances of 5, 10,50 and 100cm from 70 patients, who were administered diagnostic amounts of 201Tl-Chloride and 99mTc-MIBI, was measured using an ionization chamber. For determination of external radiation dose to the nurses the radiations in three deferent interval times have measured. The maximum values of external dose rates of 201Tl and 99mTc- MIBI were 11.2μSv/h ±2.3 and 43.1μSv/h ±11.9 respectively at 5cm from the patients. Significant exposure from patients after injection of 99mTc-MIBI was limited on the day of administration. Departure doses rate of 201Tl fell gradually so by 3 days after administration was significant. Maximum and average absorbed dose of nuclear medicine staff for one 201Tl scan was 4.6 and 2.7μSv/h, and for 99mTc-MIBI was 18.1 and 9.8μSv/h in a working day. (author)

  4. Sympathetic reinnervation in cardiac transplants: 123I-MIBG and 201Tl/99mTc-MIBI scintigraphy

    The purpose was to evaluate cardiac sympathetic reinnervation and hemodynamic changes after orthotopic heart transplantation (TPL). We performed 24 serial or followup cardiac 123I-MIBG imaging and rest 201Tl/99mTc-MIBI dipyridamole stress gated myocardial perfusion SPECT (g-MPS) in 15 patients (M:F=10:5;mean ages=34.5±13.0 yr; idiopathic:rheumatic=14:1; one heart lung TPL)(10.80 ±11.88 (1-48) mo) after TPL 123I-MIBG imagings were performed in anterior position 15 minutes, 4 and 24 hours after i.v. injection of 148 MBq 123I MIBG. Image quantitation was based on the ratio of heart to mediastinal MIBG uptake (HMR) Compared to HMR on 15 min images (1.48 ± 0.28), neither four nor 24 hour delayed images (1.26 ± 0.23 vs. 1.06 ± 0.26: p<0.05, respectively, ANOVA) showed definite delayed localization of MIBG. 12 subjects with <13 (4.9 ±3.7) months after TPL had no visible 123I-MIBG uptake on early 15 min imaging however, 12 subjects with 13 to 48(28.6±12.8) months had visible cardiac 123I-MIBG uptake (HMR: 1.65±0.21 vs. 1.32±0.26; p=0.002). One-year followup 123I-MIBG scintigraphy in nine pts showed significantly increased HMR(1.40±0.31 to 1.61±0.16, p<0.05) but a plateau was reached at HMR value of 2.0, which was still lower than 3.0 in normal controls. Plasma NE was increased according to I-123 MIBG myocardial uptake. Annual G-MPS detected an allograft atherosclerosis in one pt and showed progressive normalization of tachycardia and significant deterioration of LVEF and cardiac indices according to severity of rejection. To dipyridamole stress, transplant heats showed significant subnormal hemodynamic responses. Partial sympathetic late reinnervation can occur <1 year after TPL, and reached a plateau of two-third of normal value. G-MPS seems to be a useful screening test for the detection of allograft atherosclerosis and rejection

  5. Comparisons of 131I, 201Tl and 99mTc activity measurements in activimeters

    The correct administration to a patient of the a priori established activity of the radiopharmaceutical is an important factor to ensure the confidence in the diagnosis or the therapy efficiency, keeping at the same time the human exposure as low as possible. National comparisons for the 131I, 201Tl and 99mTc activity measurements in activimeters have been organized for the first time with the aim of obtaining information about the quality of the administration of radiopharmaceuticals. In the comparison run participated ten Cuban Nuclear Medicine Departments and the laboratories involved in the production of that kind of compounds. The comparison results, shown in this paper, have facilitated the identification of the problems and to initiate preventive actions. Furthermore, these results reflect the need of establishing Quality Systems in Nuclear Medicine in Cuba

  6. Combined 201Tl and 67Ga brain SPECT in patients with suspected central nervous system lymphoma or germinoma. Clinical and economic value

    Surgical resection is costly and an unfavorable prognostic factor for primary central nervous system (CNS) lymphoma and germinoma patients. The purpose of this study was to assess the diagnostic and economic impact of combined 201Tl and 67Ga brain SPECT on the management of patients suspected of having CNS lymphoma or germinoma. Sequential 201Tl and 67Ga brain SPECT was performed in 40 patients with cranial tumors to assess the diagnostic and economic impact of combined 201Tl and 67Ga SPECT on the management of patients suspected of having CNS lymphoma or germinoma. All intracranial masses were pathologically confirmed. The final diagnoses of a total of 47 foci were: 11 non-Hodgkin's lymphomas in 10 patients, 3 germinomas in 2 patients, 10 glioblastomas in 9 patients, 10 cerebral metastases in 8 patients, 13 meningiomas in 11 patients. Decision-tree sensitivity analysis for pretest probability regarding expected cost saving was performed for introduction of the combined study. All but one focus of CNS lymphomas or germinomas (92.9%, 13/14) exhibited more intense uptake of 67Ga than of 201Tl (p201Tl than of 67Ga (p67Ga-positive and 201Tl-positive pattern with more intense uptake of 67Ga than 201Tl probably suggests CNS lymphoma or germinoma. This combination study appears to be cost-effective only in patients highly suspected of having CNS lymphoma or germinoma. (author)

  7. Single-photon imaging

    The acquisition and interpretation of images is a central capability in almost all scientific and technological domains. In particular, the acquisition of electromagnetic radiation, in the form of visible light, UV, infrared, X-ray, etc. is of enormous practical importance. The ultimate sensitivity in electronic imaging is the detection of individual photons. With this book, the first comprehensive review of all aspects of single-photon electronic imaging has been created. Topics include theoretical basics, semiconductor fabrication, single-photon detection principles, imager design and applications of different spectral domains. Today, the solid-state fabrication capabilities for several types of image sensors has advanced to a point, where uncooled single-photon electronic imaging will soon become a consumer product. This book is giving a specialist's view from different domains to the forthcoming ''single-photon imaging'' revolution. The various aspects of single-photon imaging are treated by internationally renowned, leading scientists and technologists who have all pioneered their respective fields. (orig.)

  8. Evaluation of myocardial viability using sequential dual-isotope single photon emission tomography imaging with rest Tl-201/stress Tc-99m tetrofosmin in the prediction of wall motion recovery after revascularization

    In patients with coronary artery disease (CAD), differentiation between severely ischemic but potentially viable myocardium and irreversibly infarcted tissue is clinically important, particularly when revascularization procedures are considered. Although thallium (Tl) cardiac imaging has been shown to be a good tool for investigating myocardial viability in CAD, this tracer shows physical limitations, such as a low photon energy and long half-life. We assessed the results of a rest Tl-201/stress Tc-99m tetrofosmin protocol in subjects with prior anterior myocardial infarction. All of the patients had an akinetic or dyskinetic area and more than 75% stenosis in the left anterior descending artery. All of the patients underwent revascularization after the examination. We evaluated the improvement in wall motion after revascularization using the centerline method with contrast left ventricular angiography. Fourteen patients showed reversible defects with the rest Tl-201/stress Tc-99m tetrofosmin protocol or in additional Tl-201 24 h redistribution images. All 14 patients showed a significant improvement in wall motion after revascularization. Dual-isotope rest Tl-201/stress Tc-99m tetrofosmin single photon emission tomography data, acquired separately, may give fast and complete information about myocardial perfusion during stress and at rest, and on about myocardial viability. (author)

  9. Study of the influence of 200Tl in the activity determination of 201Tl using activity meters

    Full text: At the Ezeiza Atomic Center every week 201TI is produced, controlled and dispensed for medical use and distributed to most medical centers in Argentine. To determine exact activity before dispensing and expedition we have studied the response of a reference activity meter working as ionization chamber, in presence of its main impurity: 200Tl (Eg: 368 keV,1206 keV and others; T 1/2: 26,1 hs), to be found in approximately 4% concentration at the end of production process. It will decrease in function of the decay of 201Tl. According to the Argentine Farmacopea it must be less than 2% on distribution and use. This study was carried out simultaneously on two samples of the same origin. One was measured directly in activity meter on the 201Tl scale and the other, quantitatively diluted, in a high resolution gamma spectrometry system with a GeHP detector, and the relationship 200Tl / 201Tl was determined. This procedure was carried out several times during ten days in order to follow the activity meter response according to the decay of both isotopes of Thallium and their proportion. After several measurements when considering that 200Tl is absent, a line was drawn following the half-life of 201Tl . So were obtained readings without 200Tl impurities as well as the difference with experimental values. Series of measurements were carried out to assure sufficient precision and a curve of correction factor was determined for the proportion of 200Tl/201Tl . This curve is used for the calibration of 201Tl before dispensing . Eventually when up to 4%200Tl could be present at the moment of dispensing and it would create errors about 9% in excess; it will be necessary to correct . The limit of 1,8 % of 200Tl is given by the Control Group of National Atomic Energy Commission (CNEA) at the moment of dispensing, because it will mean an error by excess of less than 3%, accepted by nuclear medicine centers. Theoretical ideas are presented about ionization chamber response

  10. Single photon emission computerized tomography

    In this thesis two single-photon emission tomographic techniques are presented: (a) longitudinal tomography with a rotating slanting-hole collimator, and (b) transversal tomography with a rotating gamma camera. These methods overcome the disadvantages of conventional scintigraphy. Both detection systems and the image construction methods are explained and comparisons with conventional scintigraphy are drawn. One chapter is dedicated to the determination of system parameters like spatial resolution, contrast, detector uniformity, and size of the object, by phantom studies. In separate chapters the results are presented of detection of tumors and metastases in the liver and the liver hilus; skeletal diseases; various pathological aberrations of the brain; and myocardial perfusion. The possible use of these two ect's for other organs and body areas is discussed in the last chapter. (Auth.)

  11. Dual myocardial single photon emission computed tomography (SPECT) using thallium-201 and I-123-{beta}-methyl-i-pentadecanoic acid in patients with Duchenne's progressive muscular dystrophy

    Shimoyama, Katsuya [Kyorin Univ., Mitaka, Tokyo (Japan). School of Medicine

    1999-10-01

    Dual single photon emission computed tomography (SPECT) was performed in 31 patients with Duchenne's progressive muscular dystrophy (DMD) using {sup 123}I-{beta}-methyl pentadecanoic acid (BMIPP) for myocardial fatty acid metabolism and {sup 201}thallium (Tl)-chloride for myocardial perfusion. The left ventricle was divided into 9 segments, and accumulation of the radiotracers was assessed visually for each segment to calculate defect score for each tracer. There was some degree of decrease in myocardial accumulation of both tracers in all DMD patients. Reduced accumulation was most common at the apex (BMIPP: 67%, Tl: 63%), followed by the posterior wall, lateral wall, and anterior wall. On the other hand, reduced accumulation was less common at the septum. BMIPP showed a higher accumulation than Tl in all segments but the septum. When BMIPP defect score was larger than Tl defect score, BMIPP defect score tended to increase during 4 years follow-up (p<0.042). However, when Tl defect score was larger than BMIPP defect score, an increase in Tl defect score was slight. A significant negative correlation was found between the sum of the BMIPP and Tl defect scores and the left ventricular ejection fraction (LVEF) (r=0.66, p<0.0001). According to the histo-pathological study of two autopsied hearts, severe myocardial fibrosis was seen in segments with fixed perfusion defect. In addition, the mismatched segments of BMIPP defect score > Tl defect score revealed a slight fibrosis or normal myocardium. It can be concluded that the dual SPECT myocardial scintigraphy using BMIPP and Tl provides accurate information about disease progression of the heart in patients with DMD by detecting abnormalities of the myocardial metabolism of each substance, thereby enabling the assessment of left ventricular function. (author)

  12. Excitation functions of reactions of production of radioisotopes 201Tl, 201Pb, 201Bi (experimental and theoretical data)

    The results of calculations of charged particle induced reactions for the production of neutron deficient radioisotopes 201Tl, 201Pb, 201Bi and concomitant ones are discussed. The excitation functions for reactions 202Hg(p,xn), 197Au(a,xn), 203,205Tl(p,xn), 203,205Tl(d,xn), 203,205Tl(p,pxn), 204Pb(p,xn), 204Pb(p,p3n), 206Pb(p,6n), 206Pb(p,p5n), 207Pb(p,7n), 207Pb(p,p6n), 208Pb(p,xn) and 208Pb(p,p7n) are calculated on the base of statistical model in energy range up to 80 MeV. For the most reactions producing 201Tl the data on the calculated and practical yields under optimum conditions are given and the main admixture levels are pointed out. 30 refs., 9 figs

  13. Diagnostic accuracy of 201Tl SPECT·MRI in brain diseases and inter-reader variance of diagnostic performance

    Fifteen-four studies of 201Tl brain tumor SPECT were independently interpreted by 9 nuclear medicine physicians with and without reference magnetic resonance images in 2 separate sessions to define an effect of referring images, and inter-observer variations. The physicians were requested to detect foci of abnormal deposits, and to discriminate whether they were malignant or not according to 5-grade scaling of subjective diagnostic confidence. Receiver-operating characteristics (ROC) analysis was performed. Mean sensitivity for presence of lesions (SFP), and sensitivity and specificity for malignancy of 201Tl SPECT were 84, and 53 and 55%, which were changed to 94 and 74 and 55% after referring to the MR images. The SFP was significantly improved (p201Tl brain tumor SPECT has moderate sensitivity and specificity for malignancy, which is not improved by addition of anatomical reference images, that additional MR images reduce inter-observer variation of confidence on lesion presence, and that SPECT localization of lesions has great inter-observer variations. (author)

  14. Development of [{sup 201}Tl](III)-DTPA-human polyclonal antibody complex for inflammation detection

    Jalilian, A.R.; Kamali-Dehghan, M.; Kamrani, Y.Y. [Nuclear Research Center for Agriculture and Medicine, Karaj (Iran). Cyclotron and Nuclear Medicine Dept.; Khorrami, A.; Tavakoli, M.B. [Medical Sciences Univ. of Isfahan (Iran). Medical Physics and Engineering Dept.

    2007-07-01

    Thallium-201 (T{sub 1/2}=3.04 d) in Tl{sup +} form was converted to Tl{sup 3+} cation in presence of O{sub 3} in 6 M HCl controlled by RTLC/gel electrophoresis methods and used in the labeling of human polyclonal antibody (HIgG) after conjugation with freshly prepared cyclic DTPA-dianhydride. The best results of the conjugation were obtained by the addition of 1 mL of a HIgG pharmaceutical solution (5 mg/ml, in phosphate buffer, pH=7) to a glass tube pre-coated with DTPA-dianhydride (0.01 mg) at 25 C with continuous mild stirring for 30 min. The final isotonic [{sup 201}Tl](III)-DTPA-HIgG complex was checked by radio-TLC using several solvent systems to ensure the formation of only one species followed by filtration through a 0.22 {mu} filter (specific activity= 33.7 TBq/mM, radiochemical purity >95%). Preliminary bio-distribution studies in normal and inflammation-bearing rats were performed. The target/skin and target/blood ratios were 4 and 6 after 28 h respectively, showing the selectivity of the radiopharmaceutical for the inflammatory lesions. (orig.)

  15. Adsorption kinetics of 201Tl and migration of 99mTc in natural soils

    The safety is very important in facilities where radioactive wastes are stored. One of the necessary characteristics of the site where these wastes will be disposed is the soil permeability, since a waterproof terrain avoids the diffusion and radionuclide transport in the leakages case. The objective of this work is to study the adsorption kinetics of 201Tl and the migration of 99mTc in natural soil samples. The adsorption kinetics was determined starting from the obtaining of the retention coefficient of the thallium (static method) at different contact times. The technetium diffusion was studied by means of the dynamic method with different soil particles sizes. The results showed that the thallium is totally adsorbed starting from 20 h of contact among this and the mean. On the other hand, the technetium is very mobile in the soil, since it was possible to extract the majority of the tracer with little solvent. Also, it was found that for each soil gram the double water will be needed to leach the technetium almost in its entirety. Moreover, influence exists of the particle size in the migration velocity from the radiotracer to the most mobile being in major sizes than 2 mm that in minor size. (Author)

  16. Repeatability and reproducibility of phase analysis of gated single-photon emission computed tomography myocardial perfusion imaging used to quantify cardiac dyssynchrony

    Trimble, Mark A.; Velazquez, Eric J.; Adams, George L.; Honeycutt, Emily F.; Pagnanelli, Robert A.; Barnhart, Huiman X.; Chen, Ji; Iskandrian, Ami E.; Garcia, Ernest V.; Borges-Neto, Salvador

    2010-01-01

    Background A novel method to quantify dyssynchrony has been developed using phase analysis of gated single-photon emission computed tomography perfusion imaging. We report on the effect of variability in image reconstruction on the phase analysis results (repeatability) and on the interobserver and intraobserver reproducibility of the technique. Methods Phase standard deviation (SD) and bandwidth are phase indices that quantify dyssynchrony. To evaluate repeatability, raw data sets were processed twice in 50 patients with left ventricular dysfunction and 50 normal controls. To determine the optimal processing method, two replicated phase analysis results were obtained using automated and manual base parameter placement. Reproducibility of the phase analysis was determined using the data from 20 patients. Results In normal controls, manual base parameter placement improves repeatability of the phase analysis as measured by the mean absolute difference between two reads for phase SD (12.0° vs. 1.2°, P< 0.0001) and bandwidth (33.7° vs. 3.6°, P< 0.0001). Repeatability is better for normal controls than for patients with left ventricular dysfunction for phase SD (1.2° vs. 6.0°, P < 0.0001) and bandwidth (3.6° vs. 26.5°, P < 0.0001). Reproducibility of the phase analysis is high as measured by the intraclass correlation coefficients for phase SD and bandwidth of 0.99 and 0.99 for the interobserver comparisons and 1.00 and 1.00 for the intraobserver comparisons. Conclusion A novel method to quantify dyssynchrony has been developed using gated single-photon emission computed tomography perfusion imaging. Manual base parameter placement reduces the effect that variability in image reconstruction has on phase analysis. A high degree of reproducibility of phase analysis is observed. PMID:18317303

  17. A higher prevalence of abnormal regional cerebral blood flow in patients with syndrome X and abnormal myocardial perfusion

    To test the hypothesis that syndrome X is a systemic vascular disorder, technetium-99m ethyl cysteinate dimer (Tc-99m ECD) brain single photon emission computed tomography (SPECT) was used to detect abnormal regional cerebral blood flow (rCBF) in 30 patients with syndrome X. These patients were separated into group 1, 20 patients with definite myocardial perfusion defects diagnosed by thallium-201 (Tl-201) myocardial perfusion SPECT; and group 2, 10 patients without any myocardial perfusion defects. Tc-99m ECD brain SPECT demonstrated hypoperfusion brain lesions in 95% (19/20) and 20% (2/10) of patients in groups 1 and 2, respectively. This difference in the cidence between the two groups was significant. In group 1 and 2 patients, parietal lobes were the most common hypoperfusion areas, while the cerebellum was the least common hypoperfusion area of the brain. Syndrome X is a systemic vascular disorder with a high incidence of hypoperfusion lesions of the brain based on the findings of Tc-99m ECD brain SPECT, and is usually coincident with myocardial defects based on the Tl-201 myocardial perfusion SPECT findings. (author)

  18. Serial changes in myocardial perfusion and function after successful percutaneous transluminal coronary angioplasty, examined by stress thallium-201 myocardial scintigraphic and stress radionuclide ventriculographic studies

    In order to study the early and late effects of percutaneous transluminal coronary angioplasty (PTCA), 201Tl myocardial perfusion scintigraphy and exercise 99mTc ventriculography were performed in 25 patients who successfully received PTCA. Before PTCA, reduced myocardial perfusion on stress 201Tl image was observed in all 25 patients, while abnormal regional wall motion during exercise was seen in 22 cases. On stress 201Tl images, reduced myocardial perfusion was demonstrated in 11 cases at 3-7 days after PTCA, but in none at 3 months after the procedure. On the other hand, abnormal exercise regional wall motion was not observed in any case after successful PTCA even in the early phase. When the patients were divided into two groups according to the presence or absence of perfusion abnormalities on stress 201Tl images in the early post-PTCA phase, no difference was seen in clinical and coronary angiographic findings, exercise tolerance, 201Tl uptake score, wall motion score or left ventricular ejection fraction before the procedure. Thus, abnormal myocardial perfusion without impairment of regional left ventricular wall motion is frequently seen in the early post-PTCA phase. But this finding does not necessarily indicate associated myocardial ischemia. (author)

  19. Prediction of Changes in Left Ventricular Ejection Fraction after Off-Pump Coronary Artery Bypass Grafting Surgery by Myocardial Perfusion Single-Photon Emission Computed Tomography

    Maryam Mirzaie

    2015-09-01

    Full Text Available Introduction: Left ventricular ejection fraction (LVEF is considered to be the single most important prognostic factor in patients with previous myocardial infarction. LVEF is not improved in all patients after coronary artery bypass grafting (CABG. This study aimed to assess the possibility of prediction of LVEF changes after CABG using myocardial perfusion gated signle photon emission computed tomography (GSPECT. Materials and Methods: Overall, 48 patients with mean LVEF of 30.2% (±4.7 underwent Echocardiography and GSPECT after injection of Tc-99m-MIBI at rest. Myocardial uptake was evaluated in 17 myocardial segments and was compared with age and gender matched normal data pool. The risks and benefits of CABG were explained to the patients and 16 cases (15 male and 1 female with the mean age of 61.1 years (±10.8 accepted to undergo off-pump CABG. All the patients were followed-up for at least six months and echocardiography and GSPECT were repeated at the end of follow up. Results: The mean LVEF was increased from of 31.1% (±3.5 to 34.5% (±3.6 after surgery (P

  20. Single photons on demand

    Quantum cryptography and information processing are set to benefit from developments in novel light sources that can emit photons one by one. Quantum mechanics has gained a reputation for making counter-intuitive predictions. But we rarely get the chance to witness these effects directly because, being humans, we are simply too big. Take light, for example. The light sources that are familiar to us, such as those used in lighting and imaging or in CD and DVD players, are so huge that they emit billions and billions of photons. But what if there was a light source that emitted just one photon at a time? Over the past few years, new types of light source that are able to emit photons one by one have been emerging from laboratories around the world. Pulses of light composed of a single photon correspond to power flows in the femtowatt range - a million billion times less than that of a table lamp. The driving force behind the development of these single-photon sources is a range of novel applications that take advantage of the quantum nature of light. Quantum states of superposed and entangled photons could lead the way to guaranteed-secure communication, to information processing with unprecedented speed and efficiency, and to new schemes for quantum teleportation. (U.K.)

  1. Evaluation of coronary artery disease using myocardial thallium-201 imaging with single photon emission computed tomography during adenosine induced coronary vasodilation

    Adenosine-loaded Tl-201 myocardial SPECT was performed in consecutive 55 patients with suspected ischemic heart disease. Among these patients, 22 had cuncurrently exercise Tl-201 myocardial SPECT imaging for comparison. Adenosine was intravenously injected at a dose of 0.14 mg/kg/min continuously for 6 min, and 3 min after the stard of injection Tl-201 was injected via the different vein. Myocardial SPECT images were acquired at 5 min and 3 hr after the completion of intravenous injection of adenosine. Perfusion defect and the presence or absence of redistribution (RD) were visually interpreted from the short- and long-axial tomograms. Relative Tl-201 regional uptake ratios were quantitatively determined. Decreased systolic arterial pressure, increased heart rate, and slightly increased rate-pressure product were observed with adenosine injection. Chest pain (13 patients), head-ache (7), ST depression (17), and A-V block II were also seen; however, these symptoms rapidly disappeared with the withdrawal of adenosine. The findings by adenosine loading were concordent with those by exercise loading (91% for perfusion defect and 86% for presence or absence of RD). According to segments, both loading tests were concordent in 90% for persusion and 89% for RD. Both adenosine- and exercise-loaded imagings correlated well with regional Tl uptake by segements, the lowest value of Tl-201 defect, and extent score of Tl-201 defect. Adenosine-loaded imaging had a sensitivity of 100%, a specificity of 88%, and an accuracy of 97% for detecting parenchymal coronary lesions in evaluable 39 patients. In evaluable 22 patients, the sensitivity, specificity, and accuracy were 100%, 83%, and 95% for adenosine-loaded imaging and 88%, 83%, and 86% for exercise-loaded imaging. Thus, adenosine-loaded Tl-201 myocardial SPECT may be a safety and useful method for diagnosing ischemic heart disease. (N.K.)

  2. Duke treadmill score (DTS) and gated single photon emission computed tomography-myocardial perfusion imaging (SPECT-MPI) in chest pain patient initial experience

    Background: Risk stratification of the patient with suspected or known coronary artery disease(CAD)by means of non-invasive testing are highly relevant in clinical cardiology for the selection of patient who require further diagnostic or therapeutic investigation. Aim: To predict severity of myocardial ischaemia by exercise tolerance test (ETT) determined duke treadmill score (DTS) and myocardial perfusion study. Material and methods: A total of 108 (92-men) patients presenting with Canadian cardiovascular society (CCS) class Mil severity of chest pain, mean age 49.88+8.44 yrs, were studied during October 2002-march 2003. All patient underwent ETT and SPECT-MPI scan using Tc-99m-tetrofosmin in one-day stress and rest protocol. Coronary angiogram (CAG) was done within six months of the perfusion study. After performing ETT, patients were categorized by DTS, myocardial perfusion studies were also stratified according to severity of perfusion defect. The angiographic findings (significant>50% stenosis) and perfusion defects in MPI were compared with the severity of DTS. Result: In high DTS group 91.66% patients had perfusion defect, whereas in intermediate and low risk group it was 60% and 40.90% respectively. In high DTS group 91.66% of patient had angiographically proven CAD, 58.33% of them had triple vessel disease (TVD) while in intermediate and low risk group angiographically proven CAD were 65% and 22.27% of whom TVD only in 15% and 0% respectively. Conclusion: The results of ETT using DTS score satisfactorily correlate with SPECT-MPI scanning in high DTS subsets of patients .So it is suggested that patient of high risk DTS could undergo CAG for further evaluation without radio-nuclide perfusion study. Intermediate and low risk needs myocardial perfusion imaging study to guide for further evaluation. (authors)

  3. Factors affecting accuracy of ventricular volume and ejection fraction measured by gated Tl-201 myocardial perfusion single photon emission computed tomography

    Systemic errors in the gated single photon emission computed tomography (SPECT) measurement of left ventricular (LV) end-diastolic volume (EDV), end-systolic volume (ESV) and ejection fraction (EF) may occur. We evaluated whether patient-related factors affected the accuracy of EDV, ESV, and EF measured by electrocardiogram-gated Tl-201 SPECT. A total of 518 patients without perfusion defects on Tl-201 SPECT or coronary artery disease were studied. EDV, ESV, and EF were measured from echocardiography and adenosine stress/redistribution gated Tl-201 SPECT using commercially available software packages (QGS and 4D-MSPECT). We identified factors affecting the accuracy of gated SPECT via multiple linear regression analysis of the differences between echocardiography and gated SPECT. Gated SPECT analyzed with QGS underestimated EDV and ESV, and overestimated EF, but 4D-MSPECT overestimated all those values (p<0.001). Independent variables that increased the difference in EDV between echocardiography and gated SPECT were decreasing LV end-diastolic wall thickness, decreasing body surface area, female sex and increasing EDV (p< 0.001). Those for ESV were decreasing LV end-systolic wall thickness, female sex, and decreasing ESV (p<0.001). Increasing end-systolic wall thickness, male sex and decreasing age were independent determinants associated with an increased difference in EF (p< 0.001). Adenosine stress SPECT showed significantly higher EDV and ESV values and a lower EF than did redistribution SPECT (p< 0.001). In determination of EF, QGS demonstrated a smaller bias than did 4D-MSPECT. However, in men with LV hypertrophy, 4D-MSPECT was superior to QGS. Systemic error by gated Tl-201 SPECT is determined by individual patient-characteristics

  4. Comparison between 360 and 180 data sampling in thallium-201 rest-redistribution single-photon emission tomography to predict functional recovery after revascularization

    Bax, J.J. [Department of Cardiology, Free University Hospital, Amsterdam (Netherlands); Visser, F.C. [Department of Cardiology, Free University Hospital, Amsterdam (Netherlands); Lingen, A. van [Department of Nuclear Medicine, Free University Hospital, Amsterdam (Netherlands); Sloof, G.W. [Department of Nuclear Medicine, Free University Hospital, Amsterdam (Netherlands); Cornel, J.H. [Department of Cardiology, Medical Center, Alkmaar (Netherlands); Visser, C.A. [Department of Cardiology, Free University Hospital, Amsterdam (Netherlands)

    1997-05-01

    The aim of this study was to perform a direct comparison between 180 and 360 data sampling in cardiac Tl-201 SPET to detect viable myocardium in patients undergoing revascularization; in order to allow optimal detection of viability a rest-redistribution protocol was used. The {sup 201}Tl results were compared with improvement of regional wall motion abnormalities after the revascularization, which was considered as the ``gold standard`` for myocardial viability. Thirty-two patients, scheduled for revascularization, underwent rest-redistribution {sup 201}Tl SPET, using a 360 arc. Raw data along a 180 arc (45 RAO to LPO) were selected from the original 360 data sets (both early an late {sup 201}Tl images). All SPET data were analysed semiquantitatively using circumferential profiles of the short-axis images; the data were displayed in polar maps. Criteria for viability included percentage {sup 201}Tl redistribution and percentage {sup 201}Tl activity on the late image. Regional wall motion was assessed with two-dimensional echocardiography before and 3 months after revascularization. The sensitivities of 360 and 180 imaging for the prediction of functional recovery were 82% and 89%, respectively, whereas the specificities were 51% and 55%, respectively. The diagnostic accuracy of 360 imaging was 62% and that of 180 imaging 67%. This study shows that 360 and 180 imaging have comparable diagnostic accuracy in the prediction of functional recovery after revascularization. With the newer dual-head gamma camera systems with each detector opposing each other, 360 imaging may be preferred. (orig./VHE). With 4 figs., 4 tabs.

  5. Prognostic value of myocardial perfusion single photon emission computed tomography for major adverse cardiac cerebrovascular and renal events in patients with chronic kidney disease: results from first year of follow-up of the Gunma-CKD SPECT multicenter study

    Patients with chronic kidney disease (CKD) have an increased risk of adverse cardio-cerebrovascular events. We examined whether stress myocardial perfusion single photon emission computed tomography (SPECT) provides reliable prognostic markers for these patients. In this multicenter, prospective cohort trial from the Gunma-CKD SPECT study protocol, patients with CKD [estimated glomerular filtration rate (eGFR) < 60 min/ml per 1.73 m2] undergoing stress 99mTc-tetrofosmin SPECT for suspected or possible ischemic heart disease were initially followed for 1 year, with the following study endpoints: primary, the occurrence of cardiac deaths (CDs), and secondary, major adverse cardiac, cerebrovascular, and renal events (MACCREs). The summed stress score (SSS), summed rest score, and summed difference score (SDS) were estimated with the standard 17-segment, 5-point scoring model. Left ventricular end-diastolic volume, end-systolic volume (ESV), and ejection fraction were measured using electrocardiogram-gated SPECT. During the first year of follow-up, 69 of 299 patients experienced MACCREs (CD, n = 7; non-fatal myocardial infarction, n = 3; hospitalization for heart failure, n = 13; cerebrovascular accident, n = 1; need for revascularization, n = 38; and renal failure, i.e., hemodialysis initiation, n = 7). ESV and SSS were associated with CDs (p < 0.05), and eGFR and SDS were associated with MACCREs (p < 0.05), in multivariate logistic analysis. Patients with high ESV and high SSS had a significantly higher CD rate during the first year than the other CKD patient subgroups (p < 0.05). Patients with low eGFR and high SDS had a significantly higher MACCRE rate than the other subgroups (p < 0.05). Myocardial perfusion SPECT can provide reliable prognostic markers for patients with CKD. (orig.)

  6. Prognostic value of myocardial perfusion single photon emission computed tomography for major adverse cardiac cerebrovascular and renal events in patients with chronic kidney disease: results from first year of follow-up of the Gunma-CKD SPECT multicenter study

    Kasama, Shu [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Cardiovascular Hospital of Central Japan (Kitakanto Cardiovascular Hospital), Department of Cardiovascular Medicine, Gunma (Japan); Toyama, Takuji [Department of Cardiovascular Medicine, Gunma Prefectural Cardiovascular Center, Maebashi (Japan); Sato, Makito [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Tatebayashi Kosei Hospital, Department of Internal Medicine, Gunma (Japan); Sano, Hirokazu [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Isesaki Municipal Hospital, Department of Cardiovascular Medicine, Isesaki (Japan); Ueda, Tetsuya [Fujioka General Hospital, Division of Cardiology, Fujioka (Japan); Sasaki, Toyoshi [Takasaki General Medical Center, Division of Cardiology, Takasaki (Japan); Nakahara, Takehiro; Kurabayashi, Masahiko [Gunma University Graduate School of Medicine, Department of Medicine and Biological Science (Cardiovascular Medicine), Maebashi, Gunma (Japan); Higuchi, Tetsuya; Tsushima, Yoshito [Gunma University Graduate School of Medicine, Department of Diagnostic Radiology and Nuclear Medicine, Maebashi (Japan)

    2016-02-15

    Patients with chronic kidney disease (CKD) have an increased risk of adverse cardio-cerebrovascular events. We examined whether stress myocardial perfusion single photon emission computed tomography (SPECT) provides reliable prognostic markers for these patients. In this multicenter, prospective cohort trial from the Gunma-CKD SPECT study protocol, patients with CKD [estimated glomerular filtration rate (eGFR) < 60 min/ml per 1.73 m{sup 2}] undergoing stress {sup 99m}Tc-tetrofosmin SPECT for suspected or possible ischemic heart disease were initially followed for 1 year, with the following study endpoints: primary, the occurrence of cardiac deaths (CDs), and secondary, major adverse cardiac, cerebrovascular, and renal events (MACCREs). The summed stress score (SSS), summed rest score, and summed difference score (SDS) were estimated with the standard 17-segment, 5-point scoring model. Left ventricular end-diastolic volume, end-systolic volume (ESV), and ejection fraction were measured using electrocardiogram-gated SPECT. During the first year of follow-up, 69 of 299 patients experienced MACCREs (CD, n = 7; non-fatal myocardial infarction, n = 3; hospitalization for heart failure, n = 13; cerebrovascular accident, n = 1; need for revascularization, n = 38; and renal failure, i.e., hemodialysis initiation, n = 7). ESV and SSS were associated with CDs (p < 0.05), and eGFR and SDS were associated with MACCREs (p < 0.05), in multivariate logistic analysis. Patients with high ESV and high SSS had a significantly higher CD rate during the first year than the other CKD patient subgroups (p < 0.05). Patients with low eGFR and high SDS had a significantly higher MACCRE rate than the other subgroups (p < 0.05). Myocardial perfusion SPECT can provide reliable prognostic markers for patients with CKD. (orig.)

  7. Impact of intracoronary injection of mononuclear bone marrow cells in acute myocardial infarction on left ventricular perfusion and function: a 6-month follow-up gated {sup 99m}Tc-MIBI single-photon emission computed tomography study

    Lipiec, Piotr [Medical University of Lodz, 2nd Department of Cardiology, Lodz (Poland); Medical University of Lodz, 2nd Department of Cardiology, Bieganski Hospital, Lodz (Poland); Krzeminska-Pakula, Maria; Plewka, Michal; Kasprzak, Jaroslaw D. [Medical University of Lodz, 2nd Department of Cardiology, Lodz (Poland); Kusmierek, Jacek; Plachcinska, Anna; Szuminski, Remigiusz [Medical University of Lodz, Department of Nuclear Medicine, Lodz (Poland); Robak, Tadeusz; Korycka, Anna [Medical University of Lodz, Department of Hematology, Lodz (Poland)

    2009-04-15

    We investigated the impact of intracoronary injection of autologous mononuclear bone marrow cells (BMC) in patients with acute ST elevation myocardial infarction (STEMI) on left ventricular volumes, global and regional systolic function and myocardial perfusion. The study included 39 patients with first anterior STEMI treated successfully with primary percutaneous coronary intervention. They were randomly assigned to the treatment group or the control group in a 2:1 ratio. The patients underwent baseline gated single-photon emission computed tomography (G-SPECT) 3-10 days after STEMI with quantitative and qualitative analysis of left ventricular perfusion and systolic function. On the following day, patients from the BMC treatment group were subjected to bone marrow aspiration, mononuclear BMC isolation and intracoronary injection. No placebo procedure was performed in the control group. G-SPECT was repeated 6 months after STEMI. Baseline and follow-up G-SPECT studies were available for 36 patients. At 6 months in the BMC group we observed a significantly enhanced improvement in the mean extent of the perfusion defect, the left ventricular perfusion score index, the infarct area perfusion score and the infarct area wall motion score index compared to the control group (p=0.01-0.04). However, the changes in left ventricular volume, ejection fraction and the left ventricular wall motion score index as well as the relative changes in the infarct area wall motion score index did not differ significantly between the groups. Intracoronary injection of autologous mononuclear BMC in patients with STEMI improves myocardial perfusion at 6 months. The benefit in infarct area systolic function is less pronounced and there is no apparent improvement of global left ventricular systolic function. (orig.)

  8. Differences between accumulation of 99mTc-MIBI and 201Tl-Thallous Chloride in tumour cells: Role of P-glycoprotein

    Both 99mTc-MIBI and 201Tl have been used for tumour imaging. It has recently been reported that 99mTc-MIBI is a substrate for P-glycoprotein (Pgp), a membrane pump which mediates multidrug resistance. It has been evaluated the role of Pgp in the cellular accumulation of 201TI by using sensitive and resistant strains of Chinese hamster ovary (CHO) fibroblasts (AuxB1 and CHRC5, respectively) grown in suspension culture. 201Tl accumulation was the same in sensitive and resistant cells, whereas 99mTc-MIBI accumulation was much lower in resistant cells than in sensitive ones. Down-modulation of Pgp with 100 μM verapamil did not alter cellular accumulation of 201Tl while it significantly increased 99mTc-MIBI accumulation in both types of cell. Similarly, 10 μM verapamil did not affect the rate of washout of 201Tl from preloaded cells, while 99mTc-MIBI washout was greatly reduced in the presence of verapamil. These results suggest that 201Tl will accumulate in both sensitive and resistant tumour cells, whereas 99mTc-MIBI will be extruded from resistant cells and therefore may be less useful for tumour detection when the tumour cells express high Pgp levels

  9. Intracellular binding site kinetics of 201 Tl binding compared to β-adrenergic analog receptors in dog myocardium

    It has been demonstrated with the multiple indicator dilution technique (MID) in an isolated dog heart preparation, that the permeation of thallium ions across the sarcolemma is about ten times larger compared to potassium ions (cellular permeability surface area product PSM 8.90 +- 4.60 vs. 0.65 +- 0.46 ml/min gsup(-1)). Similarly, the intracellular (IC) distribution space of Tlsup(+) is larger compared to that of Ksup(+). These properties may explain in part the rapid and large extraction of Tl in the myocardium. To explain the slow washout rate of Tl from the myocardium (T 1/2>600 sec determined with an on-line residue detection) we proposed a temporary binding of Tl to an IC protein. In experiments the permeation properties of 201 Tl were compared to 125 I-cyanopinodolol (I-CP) and 131 I metabenzylquanidin (I-MBG) by means of MID. The latter two substances act at the β-adrenergic receptor site. Both substances have a lower capillary permeability surface area product PSC of 0.43 +- 0.37 ml/min gsup(-1) compared to that of 201 Tl (1.37 +- 0.49 ml/min gsup(-1)). I-CP and I-MBG are sequestered extracellularly in contrast to Tl, which permeates intracellularly. However, the relation between time and instantaneous extraction during a single bolus passage of 201 Tl is very comparable to that of those receptor substances suggesting also a receptor-type kinetics for Tl with intracellular binding which may elucidate its prolonged washout. (Author)

  10. Nuclear cardiological investigations in patients classified as physically disabled following myocardial infarction

    110 patients classified as physically disabled as a consequence of myocardial infarction were reinvestigated by means of nuclear cardiological methods. Resting 201Tl perfusion scintigraphy showed a normal distribution of radioactivity, while radionuclide ventriculography revealed a normal left ventricular ejection fraction and a normokinetic left ventricle in 20 patients. The investigation of a further 19 patients demonstrated only minimal pathological changes. The results in 34 patients revealed severe myocardial damage, and in a further 19 cases the development of left ventricular aneurysm. The results clearly show the value of 201Tl scintigraphy and radionuclide ventriculography in assessments of the degree of physical disability after myocardial infarction. (author) 15 refs.; 3 tabs

  11. Assessment of resistance to paclitaxel of murine tumors by 99mTc-MIBI/201Tl dual-radionuclide imaging

    This study investigated P-glycoprotein (Pgp) expression by murine tumors with and without resistance to paclitaxel and the role of 99mTc-2-methoxyisobutylisonitrile (MIBI)/201Tl imaging in predicting the effect of paclitaxel. Antitumor effect of paclitaxel and biodistribution of the radiopharmaceuticals were evaluated in mice bearing four tumor types. Pgp expression did not correlate with the antitumor efficacy of paclitaxel. Although the absolute uptake of 99mTc-MIBI did not correlate with Pgp expression, 99mTc-MIBI could predict paclitaxel sensitivity by its higher uptake

  12. A two-dimensional extrapolation for the standardization of 201Tl by the 4πβ-τ coincidence method

    201TL has been standardized by 4πβ-τ coincidence measurements using one- and two-dimensional extrapolation. An analysis of the various contributions to the count rate of the β channel is made and it is shown that due to low-energy conversion electrons two-dimensional extrapolation is preferable. Several measurements have been performed under various conditions with a coincidence system consisting of a Ge detector or a NaI crystal for the detection of τ rays and a pressurized proportional counter for the detection of the x rays and Auger electrons from electron capture. (author)

  13. Two-dimensional extrapolation for the standardization of /sup 201/Tl by the 4. pi beta. -tau coincidence method

    Funck, E.

    1987-01-01

    /sup 201/TL has been standardized by 4..pi beta..-tau coincidence measurements using one- and two-dimensional extrapolation. An analysis of the various contributions to the count rate of the ..beta.. channel is made and it is shown that due to low-energy conversion electrons two-dimensional extrapolation is preferable. Several measurements have been performed under various conditions with a coincidence system consisting of a Ge detector or a NaI crystal for the detection of tau rays and a pressurized proportional counter for the detection of the x rays and Auger electrons from electron capture.

  14. Evaluation of the perfusion and contractile function of the myocardium using Karhunen-Loeve analysis in myocardial gated single photon emission computerized tomography

    Goal: we evaluated the diagnostic performance of the Karhunen-Loeve transform applied to myocardial gated SPECT. The previous studies showed that K.L.T. images characterize myocardial perfusion (K.L.0) and contractile function (K.L.1). Method and material: 99 mTc-g SPECT studies were performed in 101 patients (121 acquisitions) with suspected or known coronary artery disease. The images were evaluated using a five-point scoring system dividing the left ventricle into 11 segments. We compared the scores obtained by this semi-quantitative visual analysis of g SPECT and K.L.T. images. Results and discussion: the agreement for perfusion and thickening scores was 94 and 95% respectively. Quantitative evaluation of K.L.0 and K.L.1 images by univariate and multivariate analysis was performed in the left ventricular R.O.I.. Discriminant analysis characterized the acquisitions as normal or pathologic with a sensitivity of 95% and a specificity of 96% and positive and negative predictive values of 96 and 95%. These selection criteria were tested prospectively in 52 patients with similar results. K.L.T. generates a synthesis of left ventricular perfusion and kinetics. It facilitates discrimination between normal and pathological acquisitions with high predictive values. (authors)

  15. Myocardial technetium-99m sestamibi single-photon emission tomography as a prognostic tool in coronary artery disease: multivariate analysis in a long-term prospective study

    A prospective study was started in 1988 and at present 176 consecutive, and thus unselected, patients have been enrolled. All of them have been submitted to stress-rest MIBI SPET for the diagnosis or evaluation of CAD; 147 patients (121 males and 26 females, aged 53±9 years) have completed a surveillance period of at least 36 months following the scintigraphic study (range 36-60 months, mean 43). Sixty-one patients had a documented previous myocardial infarction. The mean pre-test likelihood of CAD was 44% in the patients without prior infarction. The main anamnestic, clinical, EKG and scintigraphic findings were evaluated and statistically correlated with the incidence of ensuing cardiac events using both univariate (chi-square test) and multivariate analysis (logistic regression model). Twenty-nine patients suffered from a cardiac event during the follow-up period (i.e. three cardiac deaths, six myocardial infarctions and 20 cases of unstable angina). Statistical multivariate analysis identified MIBI scan as the only highly significant and independent prognostic predictor. In detail, the most important scintigraphic parameters were the presence of a reversible defect and the extension of the stress perfusion defect. The presence of typical angina proved to be a slightly significant predictor, while no other examined parameter showed a significant correlation with a bad prognosis. In conclusion, MIBI SPET can be considered a useful tool in the risk stratification of CAD patients. (orig.). With 3 tabs

  16. Effect of imaging time on post stress left ventricular ejection fraction and volume measures by gated myocardial perfusion single photon emission computed tomography

    Bekir Taşdemir

    2010-12-01

    Full Text Available Objectives: Post-stress left ventricular ejection fraction (LVEF and LV volumes have incremental value in predicting cardiac death (CD in patients with coronary artery disease. In this study, we aimed to investigate the effect of imaging time after exercise on post-stress LVEF, end-diastolic volume (EDV and end-systolic volume (ESV calculated by cardiac quantification software program called Quantitative Gated SPECT (QGS-Cedars-Sinai.Materials and methods: This study was consisted of 36 patient referred to Nuclear Medicine Department from Cardiology Clinics because of chest pain in ‘Elazig Research and Training Hospital’ in 2008-2009. In all patients, ECG Gated (8-bin frame mode myocardial perfusion SPECT scintigraphy was performed 20 and 40 min later following 99mTc-Mibi injection during exercise. By means of the cardiac quantification software program called Quantitative Gated SPECT (QGS-Cedars-Sinai; LVEF, EDV and ESV were calculated. LVEF, EDV and ESV values obtained from initial and second acquisition were compared statistically.Results: There was no statistically significant difference between post-stress LVEF, EDV and ESV measures of initial and second acquisition (p>0.05.Conclusion: Left ventricular functional parameters after exercise are important for assess prognosis in patients with CAD. Post-stress LVEF, EDV and ESV measured on gated myocardial perfusion SPECT images within 20-40 min after completion of exercise give reproducible information. J Clin Exp Invest 2010; 1(3: 177-181

  17. Single-photon quadratic optomechanics

    Jie-Qiao Liao; Franco Nori

    2013-01-01

    We present exact analytical solutions to study the coherent interaction between a single photon and the mechanical motion of a membrane in quadratic optomechanics. We consider single-photon emission and scattering when the photon is initially inside the cavity and in the fields outside the cavity, respectively. Using our solutions, we calculate the single-photon emission and scattering spectra, and find relations between the spectral features and the system's inherent parameters, such as: the...

  18. Clinical significance of stress-induced ST segment changes in patients with previous myocardial infarction

    To explain the clinical significance of stress(st)-induced ST-segment (ST) changes postinfarction, 93 patients with previous myocardial infarction (MI) were performed st-201Tl myocardial single photon emission computed tomography (SPECT) and compared ST changes with SPECT, coronary arteriographic and left ventriculographic findings. 30 out of 93 cases (32%) had ST depression, 20 (21.5%) had ST elevation, 9 (10%) had both ST depression and elevation and remaining 34 (36.5 %) had no significant ST changes. In single vessel disease, ST depression were noted in 29% (12/42), while in multivessel disease, 53% (27/51). 35 out of 39 cases (90%) with ST depression had transient perfusion defect but no apparent relation was noted between location of ST depression on ECG and region of transient perfusion defect in SPECT. All of 28 cases with ST elevation were noted in anterior MI cases, and 26 out of these showed severe LV wall motion abnormality in contrast left ventriculography and broad anterior permanent defect in SPECT. Only 15 cases (54%) showed slight redistribution. Thus, we conclude that in patients with previous MI, st-induced ST depression seems to reflect myocardial ischemia and ST elevation possibly related abnormal LV wall motion. (author)

  19. Therapeutic effect of co-enzyme Q10 on idiopathic dilated cardiomyopathy: assessment by iodine-123 labelled 15-(p-iodophenyl)-3(R,S)-methylpentadecanoic acid myocardial single-photon emission tomography

    It has been reported that myocardial mitochondrial function can be improved by the administration of co-enzyme Q10 (CoQ10). Recently, iodine-123 labelled 15-(p-iodophenyl)-3-(R,S)-methylpentadecanoic acid (BMIPP) was developed for metabolic imaging using single-photon emission tomography (SPET). This study was conducted to determine whether the therapeutic effects of CoQ10 on idiopathic dilated cardiomyopathy can be evaluated by BMIPP myocardial SPET. Fifteen patients, comprising 14 men and one woman (mean age: 64±12 years), were examined. CoQ10 was administered at 30 mg/day for a period of 35.7±12.4 days. BMIPP myocardial SPET was carried out before and after CoQ10 treatment. The count ratio of the heart (H) to the upper mediastinum (M) (H/M ratio) was calculated using a region of interest method with anterior planar imaging. Representative short-axis tomograms were divided into 27 segments (three slices x nine segments). Each segmental score was analysed semiquantitatively using a four-point scoring system (normal=0, mild low uptake=1, severe low uptake=2, defect=3). The H/M ratio showed a significant improvement, from 2.39±0.39 to 2.54±0.47, after treatment (P<0.05). The BMIPP total defect score after CoQ10 treatment was significantly decreased to 10.1±4.3, compared to 13.9±4.5 without CoQ10 treatment (P<0.001). However, the percent fractional shortening measured using echocardiography was not significantly different before and after CoQ treatment (19.2±8.1 vs 19.7±7.1). BMIPP myocardial SPET was confirmed to be sensitive in evaluating the therapeutic effects of CoQ10 in patients with idiopathic dilated cardiomyopathy. This method is unique, since the therapeutic effects can be estimated from the perspective of metabolic SPET imaging. (orig.). With 5 figs., 1 tab

  20. Experimental study of hypoxic preconditioning on 99Tcm-MIBI and 201Tl kinetics in cultured neonatal rat cardio-myocytes

    Objective: To study the effect of hypoxic preconditioning (HPC) on 99Tcm-MIBI and 201Tl kinetics in cultured neonatal rat cardio-myocytes. Methods: The protection of HPC was assayed on the model of hypoxia/reoxygenation (H/R) of cultured neonatal rat cardio-myocytes and the Trypan blue exclusion method was used to assess cell viability. Normal, hypoxic preconditioning and hypoxia/reoxygenation cardio-myocytes groups were studied. By measuring the diffused and released radioactivity of myocytes in different time intervals, the effect of HPC on 99Tcm-MIBI and 201Tl uptake and clearance kinetics in the myocytes was observed in various conditions. Results: Compared with H/R, the number of viable cells after HPC [(75.31 +- 3.45)% vs (55.50 +- 3.13)%, P 99Tcm-MIBI and 201Tl to a plateau level with a half-time of 12.8 min and 6.5 min, respectively. HPC caused a significant increase in uptake of 99Tcm-MIBI [normal control, (4852 +- 491) counts·min-1·mg-1 protein to HPC group, (6103 +- 170) counts·min-1·mg-1 protein; P 201Tl uptake [normal control, (3190 +- 183) counts·min-1·mg-1 protein to HPC group, (2120 +- 202) counts·min-1·mg-1 protein; P 99Tcm-MIBI and 201Tl were both retarded. Conclusions: These results suggested that the neonatal rat cardio-myocytes after HPC offered more capacity to tolerate the H/R damage and HPC could influence the 99Tcm-MIBI and 201Tl uptake and clearance

  1. Difference in {sup 201}TlCl accumulation mechanism in brain tumors. A comparison of their Na{sup +}-K{sup +} ATPase activities

    Sugo, Nobuo; Kuroki, Takao; Nemoto, Masaaki; Mito, Toshiaki; Seiki, Yoshikatsu; Shibata, Iekado [Toho Univ., Tokyo (Japan). Omori Hospital

    2000-07-01

    The accumulation levels of {sup 201}TlCl and Na{sup +} -K{sup +} ATPase activity in tumor tissue were compared among glioblastoma, benign glioma and meningioma to study the difference in the mechanism of {sup 201}TlCl accumulation. The subjects were 19 cases comprised of 6 glioblastoma, 2 oligodendroglioma, 1 fibrillary astrocytoma, 1 pilocytic astrocytoma and 9 meningioma. Preoperative {sup 201}TlCl SPECT was performed in all the cases, and Thallium Index (TL index) was calculated by a ratio of {sup 201}TlCl in the tumor area and the contralateral area. In addition, cell membrane was extracted from the tumor tissue collected intraoperatively to determine Na{sup +} -K{sup +} ATPase activity. No statistically significant difference in TL index was noted between the glioblastoma group (6.97{+-}2.67) and the meningioma group (5.87{+-}1.99). This fact showed that there was no difference in the accumulation level of {sup 201}TlCl between the two groups. On the other hand, the glioblastoma group indicated a higher value of Na{sup +} -K{sup +} ATPase activity (49.13{+-}43.76 {mu}mole/hour/mg protein) than the meningioma group (7.73{+-}13.84 {mu}mol/hour/mg protein) (p<0.05, t test). These results suggested the involvement of Na{sup +} -K{sup +} ATPase activity in {sup 201}TlCl accumulation in glioblastoma and the influences of other accumulation mechanism than Na{sup +} -K{sup +} ATPase activity such as the volume of intratumoral vascular bed in meningioma. (author)

  2. Comparison of low-dose dobutamine stress echocardiography and single photon emission computed tomography and delayed contrast MRI in the diagnosis of myocardial viability: Meta-analysis

    Objective: To assess the diagnostic value of different imaging methods including low- dose dobutamine stress echocardiography, SPECT and contrast enhancement MRI with Meta-analysis in the diagnosis of myocardial viability. Methods: Articles published from 1998 to 2008 were searched in Cochrane library, Medline, Embase database, OVID database and CNKI for relevant English and Chinese articles. According to the criteria for diagnostic research published by Cochrane Method Group on screening and diagnostic tests, each article was critically screened and appraised, including the absolute numbers of true-positive, false-negative, tree-negative, and false-positive. Statistical analysis was performed employing Meta-test. Heterogeneity was tested, pooled weighted sensitivity and specificity and the corresponding 95% CI were calculated. Characteristic (SROC) curve was performed and the area under the curve was calculated. Finally, sensitivity analysis was performed. Results: Twenty-one of 438 retrieved articles were included, in which there were ten articles about Low-dose dobutamine stress echocardiography, and six articles about 99Tcm-MIBL/99Tcm-Tetrofosmin SPECT, and six articles about contrast enhancement MRI, and one of both 99Tcm-MIBL/99Tcm-tetrofosmin SPECT and contrast enhancement MRI. All groups had heterogeneity, and a random effects regression was developed. The pooled weighted sensitivity and specificity and area under SROC curve for low-dose dobutamine stress echocardiography to diagnose myocardial viability was 0.73(0.62-0.82)/0.82 (0.77-0.86) and 87.07% respectively. They were 0.82 (0.59-0.94)/ 0.77 (0.64-0.86) and 86.97% for 99Tcm-MIBI/99Tcm-Tetrofosmin SPECT respectively, while they were 0.94 (0.86-0.97)/0.75 (0.66-0.83) and 91.41% for contrast enhancement MRI respectively. Conclusion: As noninvasive testing technologies, low-dose dobutamine stress echocardiography and 99Tcm-MIBI/99Tcm-tetrofosmin SPECT and delayed contrast enhanced MRI allow the

  3. Standardization of 201Tl and 55Fe radionuclides in a 4 (PC)-NaI(Tl) coincidence system

    In the present work the procedure for the standardization of radionuclides using the 4π(PC)-NaI(Tl) coincidence system was developed. The radionuclides selected were 201Tl, used in nuclear medicine, and 55Fe primary standard source, used for x-ray spectrometers calibration. The 4π(PC)-NaI(Tl) is composed of a 4 proportional counter operated at 0.1MPa coupled to two NaI(Tl) crystals. The 201Tl decays by electron capture process followed by a prompt gamma-ray. The disintegration rate was determined by extrapolation technique using two methods: electronic discrimination and external absorbers. The radioactive sources were prepared in a 20 μg cm-2 thick Collodion film. The conventional electronic system was used. The observed events were registered by the TAC method. The 55Fe decays by electron capture process to the ground state of 55Mn, emitting x rays with around 6 keV. The standardization was obtained by the tracing method. This technique was applied using two radionuclides, which decay by electron capture process followed by a prompt gamma-ray, namely 51Cr and 54Mn, as tracers. Measurements with 1 and 2 aluminum foils, each 150 g cm-2 thick were carried out. The activity was obtained by extrapolation for zero thickness Al foil. The uncertainties were treated by means of matrix covariance methodology and takes into account all correlations involved. (author)

  4. 201-Tl production studies by 203-Tl(p,3n)201-Pb and 202-Hg(p,2n) nuclear reactions

    Birattari, C.; Bonardi, M.; Salomone, A. (Milan Univ. (Italy). Ist. di Fisica)

    Thallium 201 has been produced in the Milan university AVF cyclotron by a /sup 203/Tl(p,3n)/sup 201/Pb and /sup 202/Hg(p,2n) nuclear reactions. /sup 201/Tl//sup 201/Pb were separated radiochemically by the preparation of thallium as thallous iodide after complexation of the lead with EDTA. /sup 202/Hg and /sup 201/Tl were separated by washing the target and holder, to which the radiothallium adheres with 3HCl and adding NaOH. Quality control is by radiochromatography.

  5. Clinical study on myocardial imaging with β-methyl-p-(123I)-iodophenyl-pentadecanoic acid in patients with mitochondrial myopathy

    Myocardial imaging with β-methyl-p-(123I)-iodophenyl-pentadecanoic acid (123I-BMIPP), a new radiopharmaceutical designed to evaluate myocardial fatty acid metabolism, was performed in 7 patients with mitochondrial myopathy to detect their myocardial damages in comparison with 201Tl myocardial imaging. These patients were divided into 4 chronic progressive external ophthalmoplegia (CPEO) cases, 2 mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) cases and 1 myoclonus epilepsy with ragged-red fibers (MERRF). In visual assessment, we observed more myocardial segments with decreased uptake of 123I-BMIPP compared to 201Tl in MELAS cases than in CPEO cases. The mean myocardial uptake of 123I-BMIPP was higher than that of 201Tl in CPEO cases. On the other hand, in MELAS and MERRF cases, the mean myocardial uptake of 123I-BMIPP was lower than that of 201Tl. Abnormal findings suggesting myocardial damages were observed in echocardiogram and/or in electrocardiogram in MELAS and MERRF cases, while no such abnormal findings were observed in CPEO cases. Along with the previously reported experimental result that the impairment of rat myocardial mitochondria decreased myocardial uptake of 123I-BMIPP, these results suggest that 123I-BMIPP may be useful to detect myocardial damages in patients with mitochondrial myopathy. (author)

  6. Clinical study on myocardial imaging with. beta. -methyl-p-( sup 123 I)-iodophenyl-pentadecanoic acid in patients with mitochondrial myopathy

    Kihara, Koichi; Nakajo, Masayuki; Shono, Hirohisa (Kagoshima Univ. (Japan). Faculty of Medicine) (and others)

    1992-04-01

    Myocardial imaging with {beta}-methyl-p-({sup 123}I)-iodophenyl-pentadecanoic acid ({sup 123}I-BMIPP), a new radiopharmaceutical designed to evaluate myocardial fatty acid metabolism, was performed in 7 patients with mitochondrial myopathy to detect their myocardial damages in comparison with {sup 201}Tl myocardial imaging. These patients were divided into 4 chronic progressive external ophthalmoplegia (CPEO) cases, 2 mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) cases and 1 myoclonus epilepsy with ragged-red fibers (MERRF). In visual assessment, we observed more myocardial segments with decreased uptake of {sup 123}I-BMIPP compared to {sup 201}Tl in MELAS cases than in CPEO cases. The mean myocardial uptake of {sup 123}I-BMIPP was higher than that of {sup 201}Tl in CPEO cases. On the other hand, in MELAS and MERRF cases, the mean myocardial uptake of {sup 123}I-BMIPP was lower than that of {sup 201}Tl. Abnormal findings suggesting myocardial damages were observed in echocardiogram and/or in electrocardiogram in MELAS and MERRF cases, while no such abnormal findings were observed in CPEO cases. Along with the previously reported experimental result that the impairment of rat myocardial mitochondria decreased myocardial uptake of {sup 123}I-BMIPP, these results suggest that {sup 123}I-BMIPP may be useful to detect myocardial damages in patients with mitochondrial myopathy. (author)

  7. Thallium-201 stress-redistribution myocardial rotational tomography: development of criteria for visual interpretation

    Despite high sensitivity and specificity for overall detection of coronary artery disease (CAD), planar stress-redistribution thallium-201 (Tl-201) scintigraphy remains suboptimal in localizing disease, because of overlap of myocardial segments. Single photon emission computerized tomography (SPECT), by providing three-dimensional representation of myocardial Tl-201, offers promise for improved localization of CAD. In 50 consecutive patients (22 normal and 28 with CAD), who underwent SPECT stress-redistribution Tl-201 imaging, we systemically developed visual interpretive criteria for perfusion abnormality on SPECT. For overall detection of disease, the best criterion for abnormality was greater than or equal to 8 sectors of moderately decreased Tl-201 uptake. With this criterion, the true positive and true negative rates for overall detection of disease were 96% and 91%, respectively. The best criterion for significant defect in the anterior or posterior coronary circulation was greater than or equal to 3 sectors of moderately decreased Tl-201 uptake. With this criterion, the true positive and true negative rates for anterior circulation disease were 71% and 100%, respectively. With respect to posterior circulation disease, the true positive and true negative rates were 100% and 50%, respectively. Regarding identification of dual circulation disease, the true positive and true negative rates were 71% and 82%, respectively

  8. Single-photon decision maker

    Makoto Naruse; Martin Berthel; Aurélien Drezet; Serge Huant; Masashi Aono; Hirokazu Hori; Song-Ju Kim

    2015-01-01

    Decision making is critical in our daily lives and for society in general and is finding evermore practical applications in information and communication technologies. Herein, we demonstrate experimentally that single photons can be used to make decisions in uncertain, dynamically changing environments. Using a nitrogen-vacancy in a nanodiamond as a single-photon source, we demonstrate the decision-making capability by solving the multi-armed bandit problem. This capability is directly and im...

  9. Single-photon Sagnac interferometer

    Bertocchi, Guillaume; Alibart, Olivier; Ostrowsky, Daniel Barry; Tanzilli, Sébastien; Baldi, Pascal

    2006-01-01

    We present the first experimental demonstration of the optical Sagnac effect at the single-photon level. Using a high quality guided-wave heralded single- photon source at 1550 nm and a fibre optics setup, we obtain an interference pattern with net visibilities up to (99.2 $\\pm$ 0.4%). On the basis of this high visibility and the compactness of the setup, the interest of such a system for fibre optics gyroscope is discussed.

  10. Sympathetic reinnervation in cardiac transplants: {sup 123}I-MIBG and {sup 201}Tl/{sup 99m}Tc-MIBI scintigraphy

    Kim, J. H.; Oh, S. J.; Son, M. S.; Son, J. W.; Choi, I. S.; Shin, E. K.; Park, C. H. [Gachon Medical School, Gil Heart Cener, Inchon (Korea, Republic of)

    2000-07-01

    The purpose was to evaluate cardiac sympathetic reinnervation and hemodynamic changes after orthotopic heart transplantation (TPL). We performed 24 serial or followup cardiac 123I-MIBG imaging and rest 201Tl/99mTc-MIBI dipyridamole stress gated myocardial perfusion SPECT (g-MPS) in 15 patients (M:F=10:5;mean ages=34.5{+-}13.0 yr; idiopathic:rheumatic=14:1; one heart lung TPL)(10.80 {+-}11.88 (1-48) mo) after TPL 123I-MIBG imagings were performed in anterior position 15 minutes, 4 and 24 hours after i.v. injection of 148 MBq 123I MIBG. Image quantitation was based on the ratio of heart to mediastinal MIBG uptake (HMR) Compared to HMR on 15 min images (1.48 {+-} 0.28), neither four nor 24 hour delayed images (1.26 {+-} 0.23 vs. 1.06 {+-} 0.26: p<0.05, respectively, ANOVA) showed definite delayed localization of MIBG. 12 subjects with <13 (4.9 {+-}3.7) months after TPL had no visible 123I-MIBG uptake on early 15 min imaging however, 12 subjects with 13 to 48(28.6{+-}12.8) months had visible cardiac 123I-MIBG uptake (HMR: 1.65{+-}0.21 vs. 1.32{+-}0.26; p=0.002). One-year followup 123I-MIBG scintigraphy in nine pts showed significantly increased HMR(1.40{+-}0.31 to 1.61{+-}0.16, p<0.05) but a plateau was reached at HMR value of 2.0, which was still lower than 3.0 in normal controls. Plasma NE was increased according to I-123 MIBG myocardial uptake. Annual G-MPS detected an allograft atherosclerosis in one pt and showed progressive normalization of tachycardia and significant deterioration of LVEF and cardiac indices according to severity of rejection. To dipyridamole stress, transplant heats showed significant subnormal hemodynamic responses. Partial sympathetic late reinnervation can occur <1 year after TPL, and reached a plateau of two-third of normal value. G-MPS seems to be a useful screening test for the detection of allograft atherosclerosis and rejection.

  11. Assessment of myocardial viability by thallium-201 reinjection imaging with sublingual nitroglycerin

    Although thallium-201 (201Tl) reinjection imaging improves the detection of myocardial viability compared to standard 3-4 hr redistribution (RD) imaging, it still underestimates the extent of viable myocardium. We examined whether 201Tl reinjection SPECT with sublingual nitroglycerin (NTG) had a higher sensitivity for viability detection than reinjection alone. Eighty patients with coronary artery disease were studied, 38 of them with an old myocardial infarction. At the peak of exercise, 111 MBq of 201Tl was injected and the initial and the delayed SPECT images were obtained. Then, all patients were divided randomly into two groups, and in each group, SPECT data were obtained again after the injection of 37 MBq of 201Tl with (NTG(+) group) or without 0.6 mg of sublingual NTG (NTG(-) group). Among 50 segments showing fixed defects on the delayed image in the NTG(+) group, 21 (42%) were found to be reversible on the reinjection image, as compared to 16 of 51 (31%) in the NTG(-) group. Twenty-two of 44 (50%) segments showing incomplete RD were found to be reversible in the NTG(+) group, while 17 of 42 (41%) segments in the NTG(-) group. Moreover, the ratio of reversible segments seen in the reinjection images was significantly higher in the collateralized regions of the NTG(+) group than in those of the NTG(-) group (20/26 vs. 14/28, p201Tl reinjection SPECT with sublingual NTG improves the detection of ischemic but viable myocardium as compared to SPECT with reinjection alone. (author)

  12. Usefulness of thallium-201 myocardial scintigraphy during hyperventilation and accelerated exercise test in patients with vasospastic angina and nearly normal coronary artery

    The usefulness of thallium-201 (201Tl) myocardial scintigraphy was studied in 109 patients with vasospastic angina who had nearly normal coronary arteries (degree of stenosis 201Tl myocardial scintigraphy was compared between four groups, 34 patients performing graded bicycle ergometer exercise starting at a work load of 50 W with increments of 25 W every 3 min (Ergo(3) group), 14 patients performing hyperventilation for 5 min (HV(5) group), 31 patients performing bicycle ergometer exercise with increments of 25 W every 1 min after 5 min hyperventilation (HV(5)+Ergo(1) group), and 30 patients at rest (Rest group). The value of the visual redistribution rate on 201Tl myocardial scintigrams in the HV(5)+Ergo(l) group (65%) was higher than that in the patients of other groups (Ergo(3) 41%, HV(5) 43%, Rest 33%). However, there were no significant differences between the four groups. Stress 201Tl imaging after hyperventilation and accelerated exercise is useful to disclose ischemic evidence in about two thirds of patients with vasospastic angina and nearly normal coronary arteries, whereas about 40% of patients had visual redistribution on 201Tl myocardial scintigrams by performing standard procedures. (author)

  13. Kinetic analysis of 18F-fluorodihydrorotenone as a deposited myocardial flow tracer: Comparison to thallium-201.

    Marshall, Robert C.; Powers-Risius, Patricia; Reutter, Bryan W.; O' Neil, James P.; La Belle, Michael; Huesman, Ronald H.; VanBrocklin, Henry F.

    2004-03-01

    The goal of this investigation was to assess the accuracy of 18F-fluorodihydrorotenone (18F-FDHR) as a new deposited myocardial flow tracer and compare the results to those for 201Tl. Methods. The kinetics of these flow tracers were evaluated in 22 isolated, erythrocyte- and albumin-perfused rabbit hearts over a flow range encountered in patients. The two flow tracers plus a vascular reference tracer (131I-albumin) were introduced as a bolus through a port just above the aortic cannula. Myocardial extraction, retention, washout, and uptake parameters were computed from the venous outflow curves using the multiple indicator dilution technique and spectral analysis. Results. The mean initial extraction fractions of 18F-FDHR (0.85 +- 0.07) and 201Tl (0.87 +- 0.05) were not significantly different, although the initial extraction fraction for 18F-FDHR declined with flow (P < 0.0001), whereas the initial extraction fraction of 201Tl did not. Washout of 201Tl was faster (P < 0.001) and more affected by flow (P < 0.05) than 18F-FDHR washout. Except for initial extraction fraction, 18F-FDHR retention was greater (P < 0.001) and less affected by flow (P < 0.05) than 201Tl retention. Reflecting its superior retention, net uptake of 18F-FDHR was better correlated with flow than 201Tl uptake at both one and fifteen minutes after tracer introduction (P < 0.0001 for both comparisons). Conclusion. The superior correlation of 18F-FDHR uptake with flow indicates that it is a better flow tracer than 201Tl in the isolated rabbit heart. Compared to the other currently available positron-emitting flow tracers (82Rb, 13N-ammonia, and 15O-water), 18F-FDHR has the potential of providing excellent image resolution without the need for an on-site cyclotron.

  14. Single-photon decision maker

    Naruse, Makoto; Berthel, Martin; Drezet, Aurélien; Huant, Serge; Aono, Masashi; Hori, Hirokazu; Kim, Song-Ju

    2015-08-01

    Decision making is critical in our daily lives and for society in general and is finding evermore practical applications in information and communication technologies. Herein, we demonstrate experimentally that single photons can be used to make decisions in uncertain, dynamically changing environments. Using a nitrogen-vacancy in a nanodiamond as a single-photon source, we demonstrate the decision-making capability by solving the multi-armed bandit problem. This capability is directly and immediately associated with single-photon detection in the proposed architecture, leading to adequate and adaptive autonomous decision making. This study makes it possible to create systems that benefit from the quantum nature of light to perform practical and vital intelligent functions.

  15. Ramsey interference with single photons

    Clemmen, Stéphane; Ramelow, Sven; Gaeta, Alexander L

    2016-01-01

    Interferometry using discrete energy levels in nuclear, atomic or molecular systems is the foundation for a wide range of physical phenomena and enables powerful techniques such as nuclear magnetic resonance, electron spin resonance, Ramsey-based spectroscopy and laser/maser technology. It also plays a unique role in quantum information processing as qubits are realized as energy superposition states of single quantum systems. Here, we demonstrate quantum interference of different energy states of single quanta of light in full analogy to energy levels of atoms or nuclear spins and implement a Ramsey interferometer with single photons. We experimentally generate energy superposition states of a single photon and manipulate them with unitary transformations to realize arbitrary projective measurements, which allows for the realization a high-visibility single-photon Ramsey interferometer. Our approach opens the path for frequency-encoded photonic qubits in quantum information processing and quantum communicati...

  16. Nonlinear interaction between single photons.

    Guerreiro, T; Martin, A; Sanguinetti, B; Pelc, J S; Langrock, C; Fejer, M M; Gisin, N; Zbinden, H; Sangouard, N; Thew, R T

    2014-10-24

    Harnessing nonlinearities strong enough to allow single photons to interact with one another is not only a fascinating challenge but also central to numerous advanced applications in quantum information science. Here we report the nonlinear interaction between two single photons. Each photon is generated in independent parametric down-conversion sources. They are subsequently combined in a nonlinear waveguide where they are converted into a single photon of higher energy by the process of sum-frequency generation. Our approach results in the direct generation of photon triplets. More generally, it highlights the potential for quantum nonlinear optics with integrated devices and, as the photons are at telecom wavelengths, it opens the way towards novel applications in quantum communication such as device-independent quantum key distribution. PMID:25379916

  17. Clinical studies on the thallium-201 myocardial scintiphotography in the patients with ischemic heart diseases

    Thallium-201 (201Tl) myocardial scintiphotography was performed in 34 patients with myocardial infarction and 13 with angina pectoris. Changing pattern of 201Tl activity in various organs observed. Myocardial blood flow was calculated from the relation of these activities. The body surface radioactivity of 201Tl decreased rapidly in initial phase, it gradually slowed down then reached to plateau on the heart and the lungs, while it increased gradually on the liver and kidneys. In patients with congestive heart failure, blood clearance of 201Tl was delayed and radioactivity on the lung area was increased compared with normal case. MBF/CO (%) ratio was calculated by the following way. Soon after the injection of 201Tl, serial images including whole chest were taken one frame in each one second during 30 seconds. Total injected dose was calculated from the maximum radioactivity in the frame. Myocardial uptake was calculated by the anterior view subtracting the mediastinal activity as the background at 5 minutes after the injection. MBF/CO (%) ratio was calculated as the myocardial uptake divided by the activity of total injected dose. Its mean value were 3.49 +- 0.45% in normals, 2.84 +- 0.47% in myocardial infarction and 3.00 +- 0.37% in angina pectoris, respectively, which showed significant low values in the latter two groups. MBF (ml/min/m2) = MBF/CO (%) x Cardiac index (CI). The mean value of MBF was 100.4 +- 12.7 ml/min/m2 in normals, 80.5 +- 21.1 in myocardial infarction and 77.3 +- 15.4 in angina pectoris, respectively, showing also significant low values in the latter two groups. Especially, MBF was most significant low in the groups of myocardial infarction with high serum CPK values. (author)

  18. Reverse redistribution of thallium-201 represents a low-risk finding in thrombolysed patients following myocardial infarction

    The aim of the study was to evaluate the prevalence and clinical significance of reverse redistribution on thallium-201 imaging in post-myocardial infarction patients who have undergone thrombolytic therapy. Sixty-two patients aged 35-79 (mean 60) years with proven myocardial infarction who had undergone thrombolysis were studied 6 weeks post infarction. Standard stress and 4-h redistribution imaging was performed with 201Tl following treadmill exercise. Separate day rest injection of 201Tl was given after sublingual nitroglycerine; imaging was performed at 1 h. Planar images were acquired in three standard views and semiquantitative segmental analysis of the images was performed from the unprocessed images. All patients had radionuclide ventriculography for the assessment of left ventricular ejection fraction and wall motion abnormality. Thirty-three patients also had coronary angiography. 201Tl scintigraphy revealed fixed defects in 19 patients, reversible defects in 22, and reverse redistribution in 21. Those with reverse redistribution had a significantly higher exercise capacity (P 201Tl uptake in the region showing reverse redistribution, with rest injection of 201Tl following sublingual nitroglycerine, suggesting viable myocardium in that region. (orig./VHE)

  19. Adsorption kinetics of {sup 201}Tl and migration of {sup 99m}Tc in natural soils; Cinetica de adsorcion de {sup 201}Tl y migracion de {sup 99m}Tc en suelos naturales

    Rodriguez N, C. E. [Instituto Tecnologico de Toluca, Av. Tecnologico s/n, Fraccionamiento La Virgen, 52149 Metepec, Estado de Mexico (Mexico); Monroy G, F.; Fernandez R, E.; Anguiano A, J., E-mail: estefany_rodriguezn@hotmail.com [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2012-10-15

    The safety is very important in facilities where radioactive wastes are stored. One of the necessary characteristics of the site where these wastes will be disposed is the soil permeability, since a waterproof terrain avoids the diffusion and radionuclide transport in the leakages case. The objective of this work is to study the adsorption kinetics of {sup 201}Tl and the migration of {sup 99m}Tc in natural soil samples. The adsorption kinetics was determined starting from the obtaining of the retention coefficient of the thallium (static method) at different contact times. The technetium diffusion was studied by means of the dynamic method with different soil particles sizes. The results showed that the thallium is totally adsorbed starting from 20 h of contact among this and the mean. On the other hand, the technetium is very mobile in the soil, since it was possible to extract the majority of the tracer with little solvent. Also, it was found that for each soil gram the double water will be needed to leach the technetium almost in its entirety. Moreover, influence exists of the particle size in the migration velocity from the radiotracer to the most mobile being in major sizes than 2 mm that in minor size. (Author)

  20. Precordial ST-segment depression during acute inferior myocardial infarction: clinical, scintigraphic and angiographic correlations

    The cause and associated pathophysiology of precordial ST-segment depression during acute inferior myocardial infarction (IMI) are controversial. To investigate this problem, electrocardiographic findings in 48 consecutive patients with acute IMI were prospectively compared with results of coronary angiography, submaximal exercise thallium-201 (201Tl) scintigraphy and multigated blood pool imaging, all obtained 2 weeks after IMI, and with clinical follow-up at 3 months. Patients were classified according to the admission ECG obtained 3.3 +/- 3.1 hours after the onset of chest pain. Twenty-one patients (group A) had no or 201Tl perfusion abnormalities (p201Tl defects or wall motion abnormalities in anterior or septal segments

  1. Development of a computer-aided diagnosis system using fuzzy inference in 201TlCl exercise myocardial scintigraphy

    We have been working on the development of a computer-aided diagnosis system for images in nuclear medicine by using artificial neural networks. A physician's diagnosis of coronary artery disease in nuclear cardiology is performed not only on the basis of imaging data but also includes other factors such as measurement data from exercise scintigraphy. Therefore, we propose an expert system that uses fuzzy inference to estimate the number of abnormal vessels in cases of single- or multi-vessel disease (including normal vessels) of the coronary arteries. The main characteristic of this system is that it integrates information from various sources, including the physician's impressions. In this study, we investigated the system's clinical effectiveness. Results indicated a rate of agreement between the system's confidence level of inference and the physician's diagnosis of 62.2% and a rate of sensitivity of 83% for coronary artery disease. The computer made it possible to utilize vague factors such as a physician's assessment based on experience and intuition. These results demonstrate the usefulness of our proposed technique. (author)

  2. Teleportation using squeezed single photons

    Branczyk, Agata M.; Ralph, T. C.

    2008-01-01

    We present an analysis of squeezed single photon states as a resource for teleportation of coherent state qubits and propose proof-of-principle experiments for the demonstration of coherent state teleportation and entanglement swapping. We include an analysis of the squeezed vacuum as a simpler approximation to small-amplitude cat states. We also investigate the effects of imperfect sources and inefficient detection on the proposed experiments.

  3. Engineered Quantum Dot Single Photon Sources

    Buckley, Sonia; Vuckovic, Jelena

    2012-01-01

    Fast, high efficiency, and low error single photon sources are required for implementation of a number of quantum information processing applications. The fastest triggered single photon sources to date have been demonstrated using epitaxially grown semiconductor quantum dots (QDs), which can be conveniently integrated with optical microcavities. Recent advances in QD technology, including demonstrations of high temperature and telecommunications wavelength single photon emission, have made QD single photon sources more practical. Here we discuss the applications of single photon sources and their various requirements, before reviewing the progress made on a quantum dot platform in meeting these requirements.

  4. Reproducibility of gated myocardial perfusion SPECT for the assessment of myocardial function: comparison with thallium-201 and technetium-99m-MIBI

    We compared the reproducibility of 291Tl and 99mTc-sestamibi (MIBI) gated SPECT (g-SPECT) for the assessement of myocardial function. G-SPECT acquisition for the assessment of myocardial function was repeated in the same position in 34 patients who received 201Tl and in 31 who received 99mTc-MIBI . The quantification of enddiastolic volume (EDV), endsystolic volume (ESV) and ejection fraction (EF) on 201Tl and 99mTc-MIBI g-SPECT were processed independently using Cedars quantitative g-SPECT software. The reporducibility of the assessment of myocardial function on 201Tl g-SPECT was compared to that of 99mTc-MIBI g-SPECT. Correlation between the two measurements for volumes and EF was excellent by the repeated g-SPECT studies of 291Tl(r=0.928 to 0.986; p99mTc-MIBI (r=0.979 to 0.997; p99mTc-MIBI g-SPECT(EDV: 14.1 ml, ESV; 9.4 ml and EF: 5.5%) than by repeated 201Tl g-SPECT (EDV: 24.1 ml, ESV: 18.6 ml and EF: 10.3%). The root mean square (RMS) values of the coefficient of variation (CV) for volumes and EFs were smaller by repeated 99mTc-MIBI g-SPECT (EDV: 2.1 ml. ESV 2.7 ml and EF:2.3%) than by repeated 2'01TI g-SPECT (EDV: 3.2 ml, ESV: 3.5 ml and EF: 5.2%). 99mTc-MIBI provides more reproducible volumes and EF and 201Tl on repeated acquisition s-SPECT. 99mTc-MIBI g-SPECT is the preferable method for the clinical monitoring of myocardial function

  5. Quantification of leg muscle perfusion using thallium-201 single photon emission computed tomography

    The purpose of this study is to quantify leg muscle perfusion with 201Tl single photon emission computed tomography (SPECT). Six normal controls and 21 patients with peripheral arterial disease underwent this examination. Thallium-201 leg SPECT of both stress and redistribution was performed using a dual-headed digital gamma camera. Each slice of transverse images was normalized with pixels and whole-body counts. In normal controls, the activity of posterior tibial muscle components was significantly higher than that of anterior tibial muscle components (p less than 0.001). In 14 components, where patients had insignificant lesions, profile curves were normal in 10 (71%). In 62 components, where patients had arteriographically significant lesions, stress profile curves were abnormal in 57 (92%) compared with normal controls. Approximately, in half (28/62) components which had significant lesions, profile curves showed redistribution after 3 hr compared with normal redistribution curves. In three patients who underwent successful bypass graftings, the activity of each muscle component returned to a normal range

  6. Spectral compression of single photons

    Lavoie, Jonathan; Wright, Logan G; Fedrizzi, Alessandro; Resch, Kevin J

    2013-01-01

    Photons are critical to quantum technologies since they can be used for virtually all quantum information tasks: in quantum metrology, as the information carrier in photonic quantum computation, as a mediator in hybrid systems, and to establish long distance networks. The physical characteristics of photons in these applications differ drastically; spectral bandwidths span 12 orders of magnitude from 50 THz for quantum-optical coherence tomography to 50 Hz for certain quantum memories. Combining these technologies requires coherent interfaces that reversibly map centre frequencies and bandwidths of photons to avoid excessive loss. Here we demonstrate bandwidth compression of single photons by a factor 40 and tunability over a range 70 times that bandwidth via sum-frequency generation with chirped laser pulses. This constitutes a time-to-frequency interface for light capable of converting time-bin to colour entanglement and enables ultrafast timing measurements. It is a step toward arbitrary waveform generatio...

  7. Caffeine reduces dipyridamole-induced myocardial ischemia

    The mechanism of action of coronary vasodilation after dipyridamole may be based on inhibition of cellular uptake of circulating endogenous adenosine. Since caffeine has been reported to be a competitive antagonist of adenosine we studied the effect of caffeine on the outcome of dipiridamole-201Tl cardiac imaging in one patient. During caffeine abstinence dipyridamole induced myocardial ischemia with down-slope ST depressions on the ECG, and reversible perfusion defects on the scintigrams. When the test was repeated 1 wk later on similar conditions, but now shortly after infusion of caffeine (4 mg/kg), the ECG showed nodepressions, and the scintigrams only slight signs of ischemia. We conclude that when caffeine abstinence is not sufficient, the widespread use of coffee and related products may be responsible for false-negative findings in dipyridamole-201Tl cardiac imaging

  8. Comparison of myocardial thallium and β-methyl iodophenyl pentadecanoic acid (BMIPP) distribution in cardiomyopathy hamster

    The usefulness of fatty acid imaging in the detection of cardiomyopathy was evaluated by comparing thallium and BMIPP myocardial distribution in Bio 14.6 Syrian Hamster (25 week ages). Autoradiography was performed in 3 using 3.7 MBq (100 μCi) of 125I-BMIPP and 37 MBq (1 mCi) of 201TlCl. In vivo pin-hole imaging was performed in 3 using 37 MBq (1 mCi) of 123I-BMIPP and 37 MBq (1 mCi) of 201TlCl. In all cardiomyopathy hamsters, decreased uptake of BMIPP compared to that of thallium was demonstrated. These findings suggest dilated cardiomyopathy is associated with severe focal alternation in the substrate used for the performance of myocardial work. In conclusion, myocardial imaging using BMIPP may be useful for early detection of myocardial degeneration compared to thallium in patients with dilated cardiomyopathy. (author)

  9. Single photon response of photomultiplier tubes

    Beta or gamma rays, when directly incident on the window of an optically shielded photomultiplier tube, yield a typical single photon spectrum. The single photons are possibly generated in the glass window of the photomultiplier tube through excitation of atoms in glass by electrons. The coincidence resolving time has also been measured with a 60Co gamma source and a pair of optically shielded photomultiplier tubes detecting single photons. (orig.)

  10. [Thallium-201 myocardial perfusion imaging during adenosine-induced coronary vasodilation in patients with ischemic heart disease].

    Takeishi, Y; Chiba, J; Abe, S; Ikeda, K; Tonooka, I; Komatani, A; Takahashi, K; Nakagawa, Y; Shiraishi, T; Tomoike, H

    1992-09-01

    201Tl myocardial perfusion imaging during adenosine infusion was performed in consecutive 55 patients with suspected coronary artery disease. Adenosine was infused intravenously at a rate of 0.14 mg/kg/min for 6 minutes and a dose of 111 MBq of 201Tl was administered in a separate vein at the end of third minute of infusion. Myocardial SPECT imaging was begun 5 minutes and 3 hours after the end of adenosine infusion. For evaluating the presence of perfusion defects, 2 short axis images at the basal and apical levels and a vertical long axis image at the mid left ventricle were used. The regions with decreased 201Tl uptake were assessed semi-quantitatively. Adenosine infusion caused a slight reduction in systolic blood pressure and an increase in heart rate. The rate pressure products increased slightly (9314 +/- 2377 vs. 10360 +/- 2148, p < 0.001). Chest pain (24%) and headache (13%) were the frequent side effects. The second-degree atrioventricular block was developed in 11 of 55 (20%) patients. All symptoms and hemodynamic changes were well tolerated and disappeared within 1 or 2 minutes after discontinuing adenosine infusion. The sensitivity and specificity for the detection of patients with coronary artery disease were 100% (31/31) and 88% (7/8), respectively. 201Tl myocardial imaging during adenosine infusion was considered to be safe and useful for evaluating the patients with ischemic heart disease. PMID:1453559

  11. Evaluation of myocardial perfusion and ventricular shape in hypertrophic cardiomyopathy using 99mTc-tetrofosmin scintigraphy

    Hypertrophic cardiomyopathy (HCM) is known to have the impairment of myocardial perfusion as well as irregularly hypertrophic myocardium. To evaluate myocardial perfusion and ventricular shape in HCM, 99mTc-Tetrofosmin scintigraphy was performed after exercise (Ex) and at resting state (Re) in 10 patients with HCM and was compared with early image (Ea) and delayed image (De) of 201Tl scintigraphy performed after exercise. SPECT images of both 99mTc-Tetrofosmin and 201Tl scintigraphy were analyzed with five scaled visual scores set in 18 segments. The complete concordance ratio between 99mTc-Tetrofosmin (Ex and Re) and 201Tl(Ea and De) images in segmental analysis was 75%. Image quality of 99mTc-Tetrofosmin was seemed to be superior to that of 201Tl scintigraphy. In 9 patients with HCM, 99mTc-Tetrofosmin scintigraphy was performed under the ECG gating and the thickness of septal and free wall was measured. Good correlation was observed with the data by ultrasound cardiography (r=0.79, p99mTc-Tetrofosmin scintigraphy is useful for the evaluation of myocardial morphology as well as perfusion abnormality. (author)

  12. Using adaptive neuro-fuzzy inference system technique for crosstalk correction in simultaneous 99mTc/201Tl SPECT imaging: A Monte Carlo simulation study

    This work presents a simulation based study by Monte Carlo which uses two adaptive neuro-fuzzy inference systems (ANFIS) for cross talk compensation of simultaneous 99mTc/201Tl dual-radioisotope SPECT imaging. We have compared two neuro-fuzzy systems based on fuzzy c-means (FCM) and subtractive (SUB) clustering. Our approach incorporates eight energy-windows image acquisition from 28 keV to 156 keV and two main photo peaks of 201Tl (77±10% keV) and 99mTc (140±10% keV). The Geant4 application in emission tomography (GATE) is used as a Monte Carlo simulator for three cylindrical and a NURBS Based Cardiac Torso (NCAT) phantom study. Three separate acquisitions including two single-isotopes and one dual isotope were performed in this study. Cross talk and scatter corrected projections are reconstructed by an iterative ordered subsets expectation maximization (OSEM) algorithm which models the non-uniform attenuation in the projection/back-projection. ANFIS-FCM/SUB structures are tuned to create three to sixteen fuzzy rules for modeling the photon cross-talk of the two radioisotopes. Applying seven to nine fuzzy rules leads to a total improvement of the contrast and the bias comparatively. It is found that there is an out performance for the ANFIS-FCM due to its acceleration and accurate results

  13. Using adaptive neuro-fuzzy inference system technique for crosstalk correction in simultaneous 99mTc/201Tl SPECT imaging: A Monte Carlo simulation study

    Heidary, Saeed; Setayeshi, Saeed

    2015-01-01

    This work presents a simulation based study by Monte Carlo which uses two adaptive neuro-fuzzy inference systems (ANFIS) for cross talk compensation of simultaneous 99mTc/201Tl dual-radioisotope SPECT imaging. We have compared two neuro-fuzzy systems based on fuzzy c-means (FCM) and subtractive (SUB) clustering. Our approach incorporates eight energy-windows image acquisition from 28 keV to 156 keV and two main photo peaks of 201Tl (77±10% keV) and 99mTc (140±10% keV). The Geant4 application in emission tomography (GATE) is used as a Monte Carlo simulator for three cylindrical and a NURBS Based Cardiac Torso (NCAT) phantom study. Three separate acquisitions including two single-isotopes and one dual isotope were performed in this study. Cross talk and scatter corrected projections are reconstructed by an iterative ordered subsets expectation maximization (OSEM) algorithm which models the non-uniform attenuation in the projection/back-projection. ANFIS-FCM/SUB structures are tuned to create three to sixteen fuzzy rules for modeling the photon cross-talk of the two radioisotopes. Applying seven to nine fuzzy rules leads to a total improvement of the contrast and the bias comparatively. It is found that there is an out performance for the ANFIS-FCM due to its acceleration and accurate results.

  14. Using adaptive neuro-fuzzy inference system technique for crosstalk correction in simultaneous {sup 99m}Tc/{sup 201}Tl SPECT imaging: A Monte Carlo simulation study

    Heidary, Saeed, E-mail: saeedheidary@aut.ac.ir; Setayeshi, Saeed, E-mail: setayesh@aut.ac.ir

    2015-01-11

    This work presents a simulation based study by Monte Carlo which uses two adaptive neuro-fuzzy inference systems (ANFIS) for cross talk compensation of simultaneous {sup 99m}Tc/{sup 201}Tl dual-radioisotope SPECT imaging. We have compared two neuro-fuzzy systems based on fuzzy c-means (FCM) and subtractive (SUB) clustering. Our approach incorporates eight energy-windows image acquisition from 28 keV to 156 keV and two main photo peaks of {sup 201}Tl (77±10% keV) and {sup 99m}Tc (140±10% keV). The Geant4 application in emission tomography (GATE) is used as a Monte Carlo simulator for three cylindrical and a NURBS Based Cardiac Torso (NCAT) phantom study. Three separate acquisitions including two single-isotopes and one dual isotope were performed in this study. Cross talk and scatter corrected projections are reconstructed by an iterative ordered subsets expectation maximization (OSEM) algorithm which models the non-uniform attenuation in the projection/back-projection. ANFIS-FCM/SUB structures are tuned to create three to sixteen fuzzy rules for modeling the photon cross-talk of the two radioisotopes. Applying seven to nine fuzzy rules leads to a total improvement of the contrast and the bias comparatively. It is found that there is an out performance for the ANFIS-FCM due to its acceleration and accurate results.

  15. Single-photon emission tomography.

    Goffin, Karolien; van Laere, Koen

    2016-01-01

    Single-photon emission computed tomography (SPECT) is a functional nuclear imaging technique that allows visualization and quantification of different in vivo physiologic and pathologic features of brain neurobiology. It has been used for many years in diagnosis of several neurologic and psychiatric disorders. In this chapter, we discuss the current state-of-the-art of SPECT imaging of brain perfusion and dopamine transporter (DAT) imaging. Brain perfusion SPECT imaging plays an important role in the localization of the seizure onset zone in patients with refractory epilepsy. In cerebrovascular disease, it can be useful in determining the cerebrovascular reserve. After traumatic brain injury, SPECT has shown perfusion abnormalities despite normal morphology. In the context of organ donation, the diagnosis of brain death can be made with high accuracy. In neurodegeneration, while amyloid or (18)F-fluorodeoxyglucose positron emission tomography (FDG-PET) are the nuclear diagnostic tools of preference for early and differential diagnosis of dementia, perfusion SPECT imaging can be useful, albeit with slightly lower accuracy. SPECT imaging of the dopamine transporter system is widely available in Europe and Asia, but since recently also in the USA, and has been accepted as an important diagnostic tool in the early and differential diagnosis of parkinsonism in patients with unclear clinical features. The combination of perfusion SPECT (or FDG-PET) and DAT imaging provides differential diagnosis between idiopathic Parkinson's disease, Parkinson-plus syndromes, dementia with Lewy bodies, and essential tremor. PMID:27432669

  16. Clinical application of {sup 99m}Tc-tetrofosmin myocardial SPECT. A multicenter trial

    Nishimura, Tsunehiko [Osaka Univ. (Japan). Faculty of Medicine; Nobuyoshi, Masakiyo

    1995-09-01

    We performed a multicenter trial of {sup 99m}Tc-tetrofosmin myocardial SPECT for the assessment of acute thrombolysis, pre and post elective PTCA and myocardial viability in comparison with {sup 201}Tl myocardial SPECT. The participants consisted of 212 patients at 44 institutions and the study lasted for 10 months. In assessing acute thrombolysis, the perfusion defect from the acute to subacute phase was reduced by 25% and that from the subacute to chronic phase by 10%. The mean perfusion defect score at subacute and chronic phase was well correlated with regional wall motion. The mean defect score during the subacute phase could predict future wall motion abnormalities. In assessing pre and post PTCA, {sup 99m}Tc-tetrofosmin stress/rest myocardial SPECT could identify the changes of perfusion as in the case with successful PTCA and/or restenosis. In assessing the myocardial viability, {sup 99m}Tc-tetrofosmin rest myocardial SPECT was superior to {sup 201}Tl redistribution, and equal to {sup 201}Tl reinjection method. In summary, we concluded that {sup 99m}Tc-tetrofosmin is a powerful tool, with which to diagnose and manage patients with coronary artery diseases. (author).

  17. Use of myocardial perfusion imaging and estimation of associated radiation doses in Germany from 2005 to 2012

    Lindner, O.; Burchert, W. [University Hospital of the Ruhr University Bochum, Institute of Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North Rhine-Westphalia, Bad Oeynhausen (Germany); Bengel, F.M. [Hanover Medical School, Department of Nuclear Medicine, Hanover (Germany); Hacker, M. [Medical University of Vienna, Department of Biomedical Imaging and Image-guided Therapy, Division of Nuclear Medicine, Vienna (Austria); Schaefer, W. [Kliniken Maria Hilf GmbH, Clinic of Nuclear Medicine, Moenchengladbach (Germany); Collaboration: Working Group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine

    2014-05-15

    For several years the Working Group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine has been performing a regular survey to obtain information on technique, utilization and development of myocardial perfusion scintigraphy (MPS). Currently, data of six surveys from 2005 to 2012 are available. The aim of this paper is to deliver a general and comprehensive overview of all surveys documenting the course of patient doses over time and the development of the method. A one-page questionnaire with number of MPS patients, number of stress and rest MPS, referral structure and several technical issues was sent to all centres performing MPS in Germany and evaluated. With the data on protocol utilization, effective MPS patient doses were estimated. MPS per million population (pmp) varied between 2,380 and 2,770. In 2012, MPS pmp showed a slight increase for the first time. From 2005 to 2009 the angiography to MPS ratio increased from 3.4 to 4.4, and the revascularization to MPS ratio decreased from 0.66 to 0.53. In 2012, both indices demonstrated an opposite trend for the first time (4.1 and 0.55). A total of 108 centres participated in all surveys. They showed an increase in MPS patients of 4.0 % over the reporting period. In 2012, more than 50 % of the centres experienced no change or an increase in MPS numbers. The leading single competitor was MRI, followed by angiography and stress echocardiography. {sup 201}Tl studies have decreased since 2005 from 20 to 5 %. {sup 99m}Tc MPS studies showed a mild increase in 2-day protocols. In 2012, the average effective dose per patient was estimated at 7.4 mSv. Due to the decreasing use of {sup 201}Tl, a mild decline over the observation period can be documented. Dynamic exercise stress was the most common stress test and adenosine the leading pharmacological stress agent, with a growing percentage. In 2012, the regadenoson percentage was 9 %. Gated single photon emission computed tomography (SPECT) noted an

  18. Transplantation of progenitor cells after reperfused acute myocardial infarction: evaluation of perfusion and myocardial viability with FDG-PET and thallium SPECT

    Doebert, Natascha; Berner, Uwe; Menzel, Christian; Hamscho, Nadja; Gruenwald, Frank [Department of Nuclear Medicine, University of Frankfurt (Germany); Britten, Martina; Assmus, Birgit; Lehmann, Ralf; Schaechinger, Volker; Zeiher, Andreas M. [Department of Cardiology, University of Frankfurt (Germany); Dimmeler, Stefanie [Department of Molecular Cardiology, University of Frankfurt (Germany)

    2004-08-01

    Clinical outcome after myocardial infarction depends on the extent of irreversibly damaged myocardium. Implantation of bone marrow-/circulating blood-derived progenitor cells has been shown to improve contractile cardiac function after myocardial infarction in both experimental and initial clinical studies. In the present study, first observations of the effect of local intracoronary progenitor cell infusion on the regeneration of infarcted cardiac tissue after acute myocardial infarction was evaluated by means of {sup 18}F-fluorodeoxyglucose positron emission tomography (PET) and {sup 201}Tl single-photon emission computed tomography (SPECT). Twenty-six patients underwent intracoronary infusion of bone marrow-derived (BMCs) (15 patients) or circulating blood-derived endothelial progenitor cells (EPCs) (11 patients) 4{+-}2 days after acute myocardial infarction. Based on a left ventricular segmentation model (17 segments), mean signal intensities as a parameter of viability and perfusion in the infarct zone and non-infarct areas were calculated quantitatively by PET and SPECT at baseline and at 4 months of follow-up. Transplantation of progenitor cells was associated with a significant increase in the mean signal intensity (MSI) in the infarct zone from 54.5% (25th and 75th percentiles: 47.7%, 60.0%) to 58.0% (52.7%, 66.7%) on PET (P=0.013) and from 58.0% (49.5%, 63.0%) to 61.5% (52.5%, 70.2%) on SPECT (P=0.005). Global left ventricular ejection fraction (LVEF) increased from 53.5% (42.6%, 60.0%) to 58.0% (53.0%, 65.8%) (P<0.001). In the five patients without an increase in MSI on PET, LVEF changed from 60.0% (50.0%, 64.0%) to 72.0% (64.0%, 75.5%) at follow-up. PET and SPECT did not show any significant changes in MSI in the non-infarct areas [from 73% (68.5%, 76.2%) to 73% (69.7%, 78.0%) for PET and from 72.0% (66.5%, 77.6%) to 73.0% (67.5%, 78.2%) for SPECT]. There were no significant differences in myocardial viability and perfusion between BMC and EPC infusion

  19. False-negative dipyridamole-thallium-201 myocardial imaging after caffeine infusion

    The vasodilator effect of intravenously administered dipyridamole may be caused by an increase in endogenous plasma adenosine levels. The authors evaluated the effect of caffeine, an adenosine receptor antagonist, on the diagnostic results of dipyridamole-201Tl myocardial imaging in eight patients with coronary artery disease. Caffeine infusion significantly attenuated the dipyridamole-induced fall in blood pressure and the accompanied increase in heart rate. The infusion of dipyridamole alone resulted in chest pain and ST-segment depressions on the electrocardiogram in four patients, whereas none of these problems occurred when the tests were repeated after caffeine. In six of eight patients, caffeine was responsible for false-negative dipyridamole-201Tl tests. Semiquantitive scores of the dipyridamole-induced 201Tl perfusion defects were decreased by caffeine from 9.0 ± 0.9 to 2.0 ± 1.1 points (p less than 0.05). Computerized analysis revealed a caffeine-mediated reduction in the percent reversibility of the images from 46% ± 16% to 6% ± 10% (p less than 0.05). They conclude that the use of caffeinated products prior to dipyridamole-201Tl testing may be responsible for false-negative findings

  20. Iterative deconvolution of simultaneous 99mTc and 201Tl projection data measured on a CdZnTe-based cardiac SPECT scanner

    We present a method of correcting self-scatter and crosstalk effects in simultaneous technetium-99m/thallium-201 stress/rest myocardial perfusion (single photon emission computed tomography) SPECT scans. The method, which is in essence a hybrid between the triple energy window method and scatter modelling, is based on a model of spatial and spectral distribution of projection counts in several selected energy windows. The parameters of the model are determined from measurements of thin rod sources in air when no in-object scatter or attenuation effects are present. The model equations are solved using the iterative maximum likelihood expectation maximization algorithm in the projection space to find estimates of the primary photopeak counts of both radionuclides. The method has been developed particularly for a novel dedicated cardiac camera based on CdZnTe pixellated detectors, although it can also be adapted to a conventional scintillator camera. The method has been validated in anthropomorphic phantom experiments. Significant improvement in defect contrast has been observed with only moderate increase in image noise. The application of the method to patient data is illustrated.

  1. Uncommon and dynamic changes detected by 123I-15-(p-iodophenyl)-3-R,S-methylpentadecanoic acid myocardial single photon emission computed tomography in a stunned myocardium induced by coronary microvascular spasm.

    Zen, K; Ito, K; Hikosaka, T; Adachi, Y; Yoneyama, S; Katoh, S; Azuma, A; Sugihara, H; Nakagawa, M

    2000-08-01

    A 55-yr-old man underwent surgery. Soon after the procedure was finished, the patient complained of chest pain, and the electrocardiogram showed increase in the ST-segment in some leads. Emergency angiography showed normal coronary arteries, but there was asynergy in the left ventricle, and delayed filling of contrast medium was observed in the LCA. An intracoronary infusion of isosorbide dinitrate did not improve the delayed filling of contrast medium or ST segment increase in the electrocardiogram. Soon after nicorandil was injected into the LCA, the patient's symptoms, electrocardiogram, and delayed filling of contrast medium dramatically improved. On the second day, initial imaging by 123I-BMIPP myocardial SPECT showed a moderate increase in tracer uptake in the apico-anteroseptal region and a moderate decrease in tracer uptake in the lateral region, in which the first left ventriculography showed akinesis, and delayed imaging revealed a moderate increase in tracer uptake in the apical region and a high washout of 123I-BMIPP in the anteroseptal and lateral regions. On the sixth day, initial imaging by 123I-BMIPP myocardial SPECT showed a moderate decrease in tracer uptake in the apical and lateral regions and a mild decrease in tracer uptake in the anteroseptal region, and delayed imaging revealed a moderate increase in tracer uptake in the apical region and a high washout of 123I-BMIPP in the anteroseptal and lateral regions. By the 30th day, 123I-BMIPP myocardial SPECT had normalized. We consider that these dynamic changes in 123I-BMIPP myocardial SPECT imaging may reflect metabolic changes in fatty acids in the ischemic state, the size of the triacylglycerol pool, and the degree of turnover in the triacylglycerol pool. PMID:11023032

  2. Technetium-99m tetrofosmin for parathyroid scintigraphy: a direct comparison with {sup 99m}Tc-MIBI, {sup 201}Tl, MRI and US

    Wakamatsu, Hideyuki [Dept. of Radiology, Noguchi Thyroid Clinic and Hospital Foundation, Oita (Japan); Noguchi, Shiro; Yamashita, Hiroyuki [Dept. of Surgery, Noguchi Thyroid Clinic and Hospital Foundation, Oita (Japan); Yamashita, Hiroto [Dept. of Pathology, Noguchi Thyroid Clinic and Hospital Foundation, Oita (Japan); Tamura, Shozo; Jinnouchi, Seishi; Nagamachi, Shigeki; Futami, Shigemi [Dept. of Radiology, Miyazaki Medical College, Miyazaki (Japan)

    2001-12-01

    The aim of this study was to evaluate the efficacy and role of technetium-99m tetrofosmin for the detection of abnormal parathyroid glands to be referred for surgical treatment. Twenty-eight consecutive patients, including 25 primary and 3 secondary cases of hyperparathyroidism, were evaluated. {sup 99m}Tc-tetrofosmin/{sup 99m}Tc-pertechnetate subtraction scintigraphy (TF/Tc) was performed on all patients, and the results were directly compared with those of {sup 99m}Tc-methoxyisobutylisonitrile (MIBI)/{sup 99m}Tc-pertechnetate subtraction scintigraphy (MIBI/Tc), {sup 201}Tl/{sup 99m}Tc-pertechnetate subtraction scintigraphy (Tl/Tc), magnetic resonance imaging (MRI) and ultrasonography (US). In cases of single-gland disease, the sensitivities of TF/Tc, MIBI/Tc, Tl/Tc, MRI and US were 63.2%, 68.4%, 57.9%, 55.6% and 63.2%, respectively. In cases of multi-gland disease, the sensitivities of TF/Tc, MIBI/Tc, Tl/Tc, MRI and US were 41.7%, 41.7%, 37.5%, 58.3% and 54.2%, respectively. In cases of parathyroid adenoma, the sensitivities of TF/Tc, MIBI/Tc, Tl/Tc, MRI and US were 68.8%, 75.0%, 68.8%, 62.5% and 75.0%, respectively. In cases of parathyroid hyperplasia, the sensitivities of TF/Tc, MIBI/Tc, Tl/Tc, MRI and US were 40.7%, 40.7%, 33.3%, 53.8% and 48.1%, respectively. It is concluded that, for the detection of abnormal parathyroid glands, {sup 99m}Tc-tetrofosmin is as useful as {sup 99m}Tc-MIBI and is more useful than {sup 201}Tl. (orig.)

  3. Measurement of the healing ability of ischemic ulcers in the lower limbs in chronic arterial obstructive disease using 201Tl-Cl

    Evaluation of the healing ability of ischemic ulcers by a method involving measurement of the ulcer index (U. I.) and mean ulcer index of toes (mU. I.) using 201Tl-Cl before and after the treatment of chronic arterial obstructive disease accompanied by ischemic ulcer was studied. The lesions consisted of 56 ulcers in 41 limbs. Reactive hyperemia following avascularization stress was used for measurement, and U. I. was determined according to the method of Siegel et al. For cases with toe ulcers, the mU. I. was measured from plantar scintigrams, twice under stress and upon redistribution after 3 hours' rest. The following results were obtained. 1) The healing ability of the cases with a U. I. value of more than 1.4 was good, but even among cases with a pretreatment U. I. of 0.9 - 1.4, ulcer healing was also good in cases in which the U. I. was maintained above 1.4 as a result of various treatments. 2) Significant increases in U. I. were observed in the arterial reconstruction group after treatment, compared to the conservative treatment group and the lumbar sympathectomy group. 3) The healing ability was good in cases with an mU. I. of more than 1.2 at stress except for 2 ASO cases complicated by diabetes. 4) Although it was difficult to prognosticate the healing ability of cases with an mU. I. of less than 1.2 before treatment, healing ability could be evaluated after treatment on the basis of the appearance of significant increase in blood flow on stress in the ulcerated toes. 5) A stress index seemed to reflect the ischemic conditions in ulcerated toes in relation to stress. 6) U. I. and mU. I. measured using 201Tl-Cl were significantly correlated with the degree of inflammatory and reactive hyperemia in the floor of ulcers and in the ulcerated toes. (J.P.N.)

  4. Imaging of cocaine-induced global and regional myocardial ischemia

    Severe and often fatal cardiac complications have been reported in cocaine users with narrowed coronary arteries caused by atherosclerosis as well as in young adults with normal coronaries. The authors have found that in normal dogs cocaine induces severe temporary hypoperfusion of the left ventricle as indicated by a significantly lower 201Tl concentration compared to the baseline state. The most significant decrease in uptake occurred 5 min after injection and was more pronounced in the septal and apical segments. Following intravenous administration of cocaine, instead of gradual disappearance of 201Tl from the left ventricle, there was continuous increase in 201Tl concentration in the left ventricle. These imaging experiments indicate that the deleterious effects of cocaine on the heart are probably due to spasm of the coronaries and decreased myocardial perfusion. Since spasm of the large subpericardial vessels does not seem to explain the magnitude of the increased coronary resistance and decreased coronary flow after cocaine as described in the literature, it is suggested that microvascular spasm of smaller vessels plays a major role in the temporary decrease in perfusion. The data may also suggest that severe temporary myocardial ischemia is probably the initiating factor for the cardiac complications induced by cocaine

  5. Myocardial perfusion imaging for the detection of coronary heart disease

    A method of myocardial perfusion imaging using 201Tl is described. Thallium is able to substitute for potassium in biological systems including transport by the sodium--potassium ATP-ase system. The high extraction efficiency of the heart for 201Tl offers a method whereby a tracer may be administered intravenously and is concentrated to a significant degree by the heart. However, only about 3 to 4 percent of the dose administered lodges in the myocardium. Experiments with dogs indicated that the regional distribution of Tl in the heart reflects the regional distribution of blood flow. The goal is to develop a procedure that can detect those patients with significant disease prior to the onset of a catastrophic event and studies are being undertaken to improve the sensitivity of the method for the detection of smaller lesions in the myocardium

  6. Scintigraphic anatomy of coronary artery disease in digital thallium-201 myocardial images

    One hundred and eight patients with single and multiple vessel coronary artery disease confirmed by arteriography were evaluated by exercise thallium-201 (201Tl) myocardial scintigraphy to determine the scintigraphic appearances of specific coronary stenoses. In general proximal stenoses caused more widespread, but not necessarily more severe, myocardial tracer deficit, than distal stenoses. In particular, proximal dominant right coronary artery disease was specifically associated with extensive inferior wall tracer deficit in the anterior scintigram, whereas proximal left circumflex disease caused similar tracer depletion best visualised in the left lateral scintigram. A triad of uptake defects was caused by left anterior descending coronary artery disease; one of these defects called 'diagonal window tracer deficit' was the most useful scintigraphic sign distinguishing proximal from distal disease in the left anterior descending coronary artery. Certain scintigraphic patterns of 201Tl myocardial accumulation appear invaluable in the noninvasive localisation of stenoses within specific coronary arteries and thus may be useful in predicting life-threatening coronary artery disease which should be confirmed by definitive coronary arteriography. The digital 201Tl myocardial scintigram also provides an independent functional guide to the interpretation of coronary arteriograms and may be helpful in the planning of aortocoronary bypass graft surgery. (author)

  7. Bright Single Photon Emitter in Silicon Carbide

    Lienhard, Benjamin; Schroeder, Tim; Mouradian, Sara; Dolde, Florian; Trong Tran, Toan; Aharonovich, Igor; Englund, Dirk

    Efficient, on-demand, and robust single photon emitters are of central importance to many areas of quantum information processing. Over the past 10 years, color centers in solids have emerged as excellent single photon emitters. Color centers in diamond are among the most intensively studied single photon emitters, but recently silicon carbide (SiC) has also been demonstrated to be an excellent host material. In contrast to diamond, SiC is a technologically important material that is widely used in optoelectronics, high power electronics, and microelectromechanical systems. It is commercially available in sizes up to 6 inches and processes for device engineering are well developed. We report on a visible-spectrum single photon emitter in 4H-SiC. The emitter is photostable at both room and low temperatures, and it enables 2 million photons/second from unpatterned bulk SiC. We observe two classes of orthogonally polarized emitters, each of which has parallel absorption and emission dipole orientations. Low temperature measurements reveal a narrow zero phonon line with linewidth < 0.1 nm that accounts for more than 30% of the total photoluminescence spectrum. To our knowledge, this SiC color emitter is the brightest stable room-temperature single photon emitter ever observed.

  8. Factors affecting the myocardial activity acquired during exercise SPECT with a high-sensitivity cardiac CZT camera as compared with conventional Anger camera

    Injected doses are difficult to optimize for exercise SPECT since they depend on the myocardial fraction of injected activity (MFI) that is detected by the camera. The aim of this study was to analyse the factors affecting MFI determined using a cardiac CZT camera as compared with those determined using conventional Anger cameras. Factors affecting MFI were determined and compared in patients who had consecutive exercise SPECT acquisitions with 201Tl (84 patients) or 99mTc-sestamibi (87 patients) with an Anger or a CZT camera. A predictive model was validated in a group of patients routinely referred for 201Tl (78 patients) or 99mTc-sestamibi (80 patients) exercise CZT SPECT. The predictive model involved: (1) camera type, adjusted mean MFI being ninefold higher for CZT than for Anger SPECT, (2) tracer type, adjusted mean MFI being twofold higher for 201Tl than for 99mTc-sestamibi, and (3) logarithm of body weight. The CZT SPECT model led to a +1 ± 26 % error in the prediction of the actual MFI from the validation group. The mean MFI values estimated for CZT SPECT were more than twofold higher in patients with a body weight of 60 kg than in patients with a body weight of 120 kg (15.9 and 6.8 ppm for 99mTc-sestamibi and 30.5 and 13.1ppm for 201Tl, respectively), and for a 14-min acquisition of up to one million myocardial counts, the corresponding injected activities were only 80 and 186 MBq for 99mTc-sestamibi and 39 and 91 MBq for 201Tl, respectively. Myocardial activities acquired during exercise CZT SPECT are strongly influenced by body weight and tracer type, and are dramatically higher than those obtained using an Anger camera, allowing very low-dose protocols to be planned, especially for 99mTc-sestamibi and in non-obese subjects. (orig.)

  9. Detection of myocardial viability by means of Single Proton Emission Computed Tomography (Perfused SPECT) dual {sup 201} Tl (rest of 15 minutes, 24 late hours and 24 hours reinjection) and gated-SPECT {sup 99m} Tc-SESTAMIBI in effort or stimulation of the coronary reserves; Deteccion de viabilidad miocardica mediante tomografia por emision de foton unico (SPECT perfusorio) dual {sup 201} Talio (Reposo de 15 minutos, 24 horas tardio y 24 horas reinyeccion) y gated-SPECT {sup 99m} Tc-SESTAMIBI en esfuerzo o estimulo de reserva coronaria

    Mendoza V, R

    2004-07-01

    The objective of this work was to determine if the images of SPECT {sup 201} TI in rest of 15 minutes, 24 late hours and Gated-SPECT {sup 99m} Tc-SESTAMIBI in effort or stimulation of coronary reservation correlate with the study of 24 hours post reinjection of {sup 201}TI to determine the presence of having knitted viable myocardium. Material and methods: 29 patients were studied with coronary arterial illness (EAC) to who are carried out SPECT {sup 201} TI in rest with images of 15 minutes, 24 late hours and 24 hours reinjection, by means of the administration of {sup 201}TI to dose of 130 MBq and reinjection with 37 MBq. and Gated-SPECT {sup 99m}Tc-SESTAMIBI in effort or stimulation of coronary reservation, later to the administration of 1110 MBq. Results: 29 patients were included according to inclusion approaches and exclusion, of those which 22 (75.86%) they correspond at the masculine sex and 7 (24.13%) to the feminine one, with an average of 62.1 year-old age, 2320 segments myocardial were analysed so much it is phase post-effort as rest; they were diagnosed a total of 264 segments with heart attack, of which viability myocardium was observed in 174 segments. The statistical tests are analysis of frequencies. The non parametric test of Wilcoxon and Mann-Whitney. Conclusions: the viability myocardial at the 24 late hours and 24 hours reinjection was similar; significant difference exists between the study of 15 minutes and 24 hours reinjection, ischemic illness was also demonstrated in territories different to the heart attack area in the studies of 15 minutes, late 24 hours and 24 hours reinjection. (Author)

  10. Myocardial SPECT in children with sickle cell disease

    Aim: While cerebral and bones strokes are well documented in children with sickle cell disease (SCD), impairment of myocardial perfusion is an unknown complication. Conventional techniques such as exercise testing and echocardiography have a low sensitivity and specificity to detect myocardial ischemia in patients with SCD. The aim of this prospective study was to assess myocardial perfusion with 201Tl SPECT in children with SCD. Materials and Methods: Twenty-two patients, aged 12 ± 4 years, were included. Myocardial perfusion was assessed by 201Tl SPECT after stress and 3 hours later after reinjection on a single head gammacamera equipped with a LEAP collimator (64x64 matrix size format, 30 projections over 1800, 30 seconds per step). Left ventricular ejection fraction (LVEF) was assessed by equilibrium radionuclide angiography at rest on the same day. Results: Myocardial perfusion was impaired in 13/22 patients: 8 had reversible defects and 5 had fixed defects. The left ventricular cavity was dilated in 13/22 patients. The mean LVEF was 63 ± 9%. There was no relationship between myocardial perfusion and left ventricular dilation or function. Conclusion: Myocardial perfusion is frequently impaired in children with SCD. Treatment with hydroxyurea should be considered in SCD patients with perfusion defects

  11. Sympathetic reinnervation in cardiac transplants: 123I-MIBG and 201Tl/99mTc-MIBI scintigraphy

    Iodine-123 metaiodobenzylguanidine (123I-MIBG) is a norepinephrine (NE) analogue and taken up by myocardial sympathetic nerves. To determine whether cardiac sympathetic reinnervation occurs after orthotopic heart transplantation (TPL). We performed 24 serial or followup cardiac 123I-MIBG imaging and 201T1/99mTc-MIBI dipyridamole stress gated myocardial perfusion SPECT (g-MPS) in 15 pts(M : F =10 : 5; mean ages = 34.67±12.92 yr; idiopathic: rheumatic=14:1) (10.80±11.88 (1-48) mo) after TPL. 123I-MIBG imagins were performed in anterior position 15 minutes, 4 and 24 hours after i.v. injection of 148 MBq 123I MIBG. Image quantitation was based on the ratio of heart to mediastinal MIBG uptake (HMR). 12 subjects with 1 year after TPL whereas reinnervation is less likely to occur in pts with a pretransplantation diagnosis idiopathic cardiomyopathy

  12. Simple microcavity for single-photon generation.

    Plakhotnik, Taras

    2005-04-18

    A new design of an optical resonator for generation of single-photon pulses is proposed. The resonator is made of a cylindrical or spherical piece of a polymer squeezed between two flat dielectric mirrors. The mode characteristics of this resonator are calculated numerically. The numerical analysis is backed by a physical explanation. The decay time and the mode volume of the fundamental mode are sufficient for achieving more than 96% probability of generating a single-photon in a single-mode. The corresponding requirement for the reflectivity of the mirrors (~99.9%) and the losses in the polymer (100 dB/m) are quite modest. The resonator is suitable for single-photon generation based on optical pumping of a single quantum system such as an organic molecule, a diamond nanocrystal, or a semiconductor quantum dot if they are imbedded in the polymer. PMID:19495201

  13. Single photon from a single trapped atom

    Full text: A quantum treatment of the interaction between atoms and light usually begins with the simplest model system: a two-level atom interacting with a monochromatic light wave. Here we demonstrate an elegant experimental realization of this system using an optically trapped single rubidium atom illuminated by resonant light pulses. We observe Rabi oscillations, and show that this system can be used as a highly efficient triggered source of single photons with a well-defined polarisation. In contrast to other sources based on neutral atoms and trapped ions, no optical cavity is required. We achieved a flux of single photons of about 104 s-1 at the detector, and observe complete antibunching. This source has potential applications for distributed atom-atom entanglement using single photons. (author)

  14. Superconducting nanowire single-photon imager

    Zhao, Qing-Yuan; Calandri, Niccolò; Dane, Andrew E; McCaughan, Adam N; Bellei, Francesco; Wang, Hao-Zhu; Santavicca, Daniel F; Berggren, Karl K

    2016-01-01

    Detecting spatial and temporal information of individual photons is a crucial technology in today's quantum information science. Among the existing single-photon detectors, superconducting nanowire single-photon detectors (SNSPDs) have been demonstrated with a sub-50 ps timing jitter, near unity detection efficiency1, wide response spectrum from visible to infrared and ~10 ns reset time. However, to gain spatial sensitivity, multiple SNSPDs have to be integrated into an array, whose spatial and temporal resolutions are limited by the multiplexing circuit. Here, we add spatial sensitivity to a single nanowire while preserving the temporal resolution from an SNSPD, thereby turning an SNSPD into a superconducting nanowire single-photon imager (SNSPI). To achieve an SNSPI, we modify a nanowire's electrical behavior from a lumped inductor to a transmission line, where the signal velocity is slowed down to 0.02c (where c is the speed of light). Consequently, we are able to simultaneously read out the landing locati...

  15. What are single photons good for?

    Sangouard, Nicolas; Zbinden, Hugo

    2012-10-01

    In a long-held preconception, photons play a central role in present-day quantum technologies. But what are sources producing photons one by one good for precisely? Well, in opposition to what many suggest, we show that single-photon sources are not helpful for point to point quantum key distribution because faint laser pulses do the job comfortably. However, there is no doubt about the usefulness of sources producing single photons for future quantum technologies. In particular, we show how single-photon sources could become the seed of a revolution in the framework of quantum communication, making the security of quantum key distribution device-independent or extending quantum communication over many hundreds of kilometers. Hopefully, these promising applications will provide a guideline for researchers to develop more and more efficient sources, producing narrowband, pure and indistinguishable photons at appropriate wavelengths.

  16. What are single photons good for?

    Sangouard, Nicolas

    2012-01-01

    In a long-held preconception, photons play a central role in present-day quantum technologies. But what are sources producing photons one by one good for precisely? Well, in opposition to what many suggest, we show that single-photon sources are not helpful for point to point quantum key distribution because faint laser pulses do the job comfortably. However, there is no doubt about the usefulness of sources producing single photons for future quantum technologies. In particular, we show how single-photon sources could become the seed of a revolution in the framework of quantum communication, making the security of quantum key distribution device independent or extending quantum communication over many hundreds of kilometers. Hopefully, these promising applications will provide a guideline for researchers to develop more and more efficient sources, producing narrowband, pure and indistinguishable photons at appropriate wavelengths.

  17. Functional significance of coronary collateral circulation during dynamic exercise evaluated by thallium-201 myocardial scintigraphy.

    Wainwright, R J; Maisey, M N; Edwards, A. C.; Sowton, E

    1980-01-01

    Sixty-five patients with angiographically documented coronary artery disease were investigated by thallium-201 (201Tl) scintigraphy to determine the role of the collateral circulation during dynamic exercise. Fifty-three patients had complete proximal occlusion of at least one major coronary artery. One patient had total occlusion of all three major coronary arteries. Sixty-four collateral channels were identified, graded, and compared with corresponding regions of the myocardial scintigram. ...

  18. Assessment of myocardial fatty acid metabolism in patients with vasospastic angina using {sup 123}I-BMIPP myocardial SPECT

    Ito, Kazuki; Sugihara, Hiroki; Terada, Kouji [Kyoto Prefectural Univ. of Medicine (Japan)] [and others

    1995-10-01

    Myocardial perfusion and fatty acid metabolism may be unpaired in the patients of vasospastic angina (VSA), because abnormal regional wall motion of left ventricle has been shown in some cases of VSA without apparent history of myocardial infarction. To study the clinical utility of {sup 123}I-BMIPP scintigraphy in diagnosis of myocardial ischemia in VSA, both {sup 123}I-BMIPP (rest) and {sup 201}Tl (exercise) SPECT were performed in the 20 patients of VSA diagnosed by coronary angiography. Defect scores were calculated visually from the 17 segments of myocardial images and were compared with patient`s anginal history, period from last attack, numbers of attack, left ventricular (LV) ejection fraction and severity of regional LV wall motion abnormality. {sup 123}I-BMIPP SPECT images showed decreased tracer uptake in 14 cases of 20 (70%) VSA patients. Exercise {sup 201}Tl SPECT images showed decreased tracer uptake in 3 cases of 20 (15%) of patients. Severity of regional LV wall motion abnormality was correlated with defect score of BMIPP. Though total defect score of BMIPP did not correlate with patient`s anginal history, number of symptoms and LV ejection fraction, correlated inversely with period from last attack. It was suggested that {sup 123}I-BMIPP myocardial SPECT images in VSA patients showed `memories` of myocardial ischemic damages induced by vasospasm. In summary, {sup 123}I-BMIPP myocardial SPECT images could be a useful test for diagnosis and evaluation of VSA. (author).

  19. Quantitative assessment of lower limb ischemia of arterial occlusive disease utilizing leg scintigraphy by abdominal aortic infusion of {sup 201}Tl chloride

    Hirooka, Noriyuki [Wakayama Medical Univ. (Japan)

    2001-06-01

    We developed leg scintigraphy by abdominal aortic infusion of {sup 201}Tl (111 Mbq, which is equivalent dose in leg scintigraphy by intravenous injection) for diagnosis of ischemic leg. An evaluation of the image by this scintigraphy and a quantitative assessment of ischemic leg by time radioactivity curve (TAC) on calf was preformed among 36 limbs in 18 patients with intermittent claudication. These limbs were divided into 4 groups based on walking distance without calf pain as follows; Group 1 (5 limbs): asymptomatic, Group 2 (13 limbs); over 500 m and less than 1000 m, Group 3 (12 limbs); over 100 m and less than 500 m, Group 4 (6 limbs); less than 100 m. The image of supreme quality for diagnosis of leg ischemia was obtained in all subjects due to a lack of interference from background radioactivity. The relationship between each group and following 3 indicators; peak value, peak time and k value as washout rate obtained from TAC was evaluated. The peak value was 792.6{+-}78.6, 419.4{+-}42.3, 252.6{+-}32.7 and 77.0{+-}21.6 in G1, G2, G3 and G4, respectively (significant difference among each group). The peak time was 11.6{+-}0.6, 14.3{+-}1.2, 16.5{+-}0.85 and 18.6{+-}2.2 in G1, G2, G3 and G4, respectively (G1 vs G2 and G2 vs G3: significant difference, G3 vs G4: not significant). The k value was 1.89{+-}0.32, 1.35{+-}0.33, 0.91{+-}0.12 and 0.56{+-}0.11 in G1, G2, G3 and G4, respectively (significant difference among each group). The peak value is affected by the infused dose of Tl, but the k value is not affected by the dose and is constant indicator in a given leg. These results suggest that lower limb muscle scintigraphy using abdominal aortic infusion of {sup 201}Tl produces a clear image for diagnosis of ischemic leg and k value is one of useful indicators to evaluate the clinical grading of arterial occlusive disease of leg. (author)

  20. Single Photon Experiments and Quantum Complementarity

    Georgiev D. D.

    2007-04-01

    Full Text Available Single photon experiments have been used as one of the most striking illustrations of the apparently nonclassical nature of the quantum world. In this review we examine the mathematical basis of the principle of complementarity and explain why the Englert-Greenberger duality relation is not violated in the configurations of Unruh and of Afshar.

  1. Interactive Screen Experiments with Single Photons

    Bronner, Patrick; Strunz, Andreas; Silberhorn, Christine; Meyn, Jan-Peter

    2009-01-01

    Single photons are used for fundamental quantum physics experiments as well as for applications. Originally being a topic of advance courses, such experiments are increasingly a subject of undergraduate courses. We provide interactive screen experiments (ISE) for supporting the work in a real laboratory, and for students who do not have access to…

  2. Prognostic value of myocardial sympathetic activity in patients with asymptomatic myocardial infarction

    Narita, Michihiro; Kurihara, Tadashi; Sindoh, Takashi; Sawada, Yoshihiro [Sumitomo Hospital, Osaka (Japan)

    1999-04-01

    To clarify the significance of myocardial sympathetic activity in patients with asymptomatic myocardial infarction (MI), we performed {sup 123}I-metaiodobenzyl-guanidine (MIBG) and {sup 201}Tl imaging at rest. We calculated the ratio of cardiac uptake of the isotope to the total injected dose (%Uptake), percent washout of MIBG over 3 hours and the Uptake Ratio (UR, %Uptake of MIBG divided by %Uptake of {sup 201}Tl). We compared these indices with clinical findings, exercise stress-rest myocardial perfusion imaging with {sup 99}Tc-methoxy-2-isobutyl isonitrile, coronary angiography, echocardiography and neurohumoral findings. During the follow-up period of 19.9{+-}10.3 months in 32 patients, events (heart failure or cardiac death) developed in 10 (31%). In univariate analysis, diabetes mellitus, atrial fibrillation, left ventricular end-diastolic dimension (LVDd) greater than 54 mm, and the %Uptake of MIBG and UR differed significantly between event and event-free groups. Cox proportional hazard model showed that the UR was a predictor of events (p=0.0007). In patients with UR less than 0.58, the relative risk of events was 19.1 times greater than in patients with an UR greater than 0.58. UR was closely correlated to LVDd (r=-0.578, p=0.01) suggesting that myocardial sympathetic activity is related to LV remodeling after MI. MIBG imaging provides important information regarding the prognosis and the pathophysiologic process of asymptomatic MI. (author)

  3. Prognostic value of myocardial sympathetic activity in patients with asymptomatic myocardial infarction

    To clarify the significance of myocardial sympathetic activity in patients with asymptomatic myocardial infarction (MI), we performed 123I-metaiodobenzyl-guanidine (MIBG) and 201Tl imaging at rest. We calculated the ratio of cardiac uptake of the isotope to the total injected dose (%Uptake), percent washout of MIBG over 3 hours and the Uptake Ratio (UR, %Uptake of MIBG divided by %Uptake of 201Tl). We compared these indices with clinical findings, exercise stress-rest myocardial perfusion imaging with 99Tc-methoxy-2-isobutyl isonitrile, coronary angiography, echocardiography and neurohumoral findings. During the follow-up period of 19.9±10.3 months in 32 patients, events (heart failure or cardiac death) developed in 10 (31%). In univariate analysis, diabetes mellitus, atrial fibrillation, left ventricular end-diastolic dimension (LVDd) greater than 54 mm, and the %Uptake of MIBG and UR differed significantly between event and event-free groups. Cox proportional hazard model showed that the UR was a predictor of events (p=0.0007). In patients with UR less than 0.58, the relative risk of events was 19.1 times greater than in patients with an UR greater than 0.58. UR was closely correlated to LVDd (r=-0.578, p=0.01) suggesting that myocardial sympathetic activity is related to LV remodeling after MI. MIBG imaging provides important information regarding the prognosis and the pathophysiologic process of asymptomatic MI. (author)

  4. I-123-labelled heptadecanoic acid as myocardial imaging agent: comparison with thallium-201 and first-pass nuclear ventriculography

    Results of the use of 123I-iodoheptadecanoic acid (HA) as a myocardial imaging agent in eight patients and six normals are presented. It was shown that 123I-HA gave comparable results to the widely used radiopharmaceutical 201Tl. However the advantages of using 123I-HA are that the 159 KeV energy is better suited to the conventional gamma camera, it gives a lower radiation dose to the patient and has a lower cost per study. 123I-HA also has an important advantage in its potential for studying regional myocardial metabolic activity; in one patient, a defect due to ischaemia was seen at rest with 123I-HA but required stress to make it evident with 201Tl imaging. (U.K.)

  5. Usefulness of the {sup 201}TlCl exercise leg perfusion scintigraphy in arteriosclerosis obliterans (ASO). With evaluation of leg perfusion comparing before and after PTA

    Kijima, Tetsuji; Kumita, Shin-ichiro; Mizumura, Sunao; Kumazaki, Tatsuo [Nippon Medical School, Tokyo (Japan)

    1995-09-01

    Twenty-eight patients of arteriosclerosis obliterans (ASO) complaining of intermittent claudication or pain at rest underwent symptom limited exercise leg perfusion scintigraphy using {sup 201}TlCl (Tl). Regions of interest (ROI) were drawn around each buttocks, thighs, calves and feet in whole body image, and we calculated Lesion/Normal Index (LNI) which was the devided value of the average count per pixel of each ROI of the affected side by that of the normal side. The average LNI of the foot was 0.81 and was smaller than other regions (p<0.05). Other region except foot showed Tl high uptake in affected side in some cases. Fifteen patients were compared after percutaneous transluminal angioplasty (PTA) with before PTA, and LNI of the foot statistically improved after PTA (p<0.005). The period suffering from disease of the group of Tl hight uptake in the affected leg was statistically shorter than that of the group of Tl non-high uptake (p<0.05). We supposed that the Tl uptake of the foot reflects ischemia of the leg sensitively, and high uptake of Tl in affected leg is concerned with compensatory change of microcirculation of ischemic leg in subacute period. This scintigraphy was thought to be useful to detect the ASO and to evaluate the effect of PTA, and was able to avail diagnosis and observation of the course of ASO patient. (author).

  6. Examination concerning dissociation of left ventricular volume calculation value based on difference of analytical algorithm and perfusion tracer in gated myocardial SPECT

    According to improvement of SPECT system, ECG-gated SPECT with 201TlCl have been applied to the left ventricular volumetry. In this study 24 patients without ischemia demonstrated by stress (99mTc-TF) and rest (201TlCl) dual-isotope ECG-gated myocardial SPECT were enrolled. To evaluate left ventricular volumetry using 201Tl ECG-gated SPECT data, the left ventricular end diastolic volumes (EDV) were compared between Quantitative Gated SPECT (QGS) and Emory Cardiac Toolbox (ECT) as well as between dual-isotopes based on the same ECG-gated data. The EDV values with 99mTc data (EDVTc) using QGS were well correlated with those using ECT (r=0.96, pTc (r=0.98, p201Tl (EDVTl) (r=0.93, pTl compared with EDVTc. In contrast, EDVTl were significantly higher than EDVTc in ECT performance. The QGS errors subtracting EDVTl from EDVTc were more evident according to the left ventricular volume increase. On the other hand, ECT error showed no tendency associated with the left ventricular volume. From these results, a careful strategy for selection of tracers and softwares should be necessary to assessment of quantitative values derived from ECG-gated SPECT data because of interaction with softwares, tracers, and subjects. (author)

  7. Sympathetic reinnervation in cardiac transplants: 123I-MIBG and 201Tl/99mTc-MIBI scintigraphy

    Kim, J. H.; Oh, S. J.; Son, M. S.; Son, J. W.; Koh, K. K.; Choi, I. S.; Shin, E. K.; Park, K. Y. [Gachon Medical College, Gil Heart Center, Inchon (Korea, Republic of)

    1998-07-01

    Iodine-123 metaiodobenzylguanidine (123I-MIBG) is a norepinephrine (NE) analogue and taken up by myocardial sympathetic nerves. To determine whether cardiac sympathetic reinnervation occurs after orthotopic heart transplantation (TPL). We performed 24 serial or followup cardiac 123I-MIBG imaging and 201T1/99mTc-MIBI dipyridamole stress gated myocardial perfusion SPECT (g-MPS) in 15 pts(M : F =10 : 5; mean ages = 34.67{+-}12.92 yr; idiopathic: rheumatic=14:1) (10.80{+-}11.88 (1-48) mo) after TPL. 123I-MIBG imagins were performed in anterior position 15 minutes, 4 and 24 hours after i.v. injection of 148 MBq 123I MIBG. Image quantitation was based on the ratio of heart to mediastinal MIBG uptake (HMR). 12 subjects with < 13 (4.91{+-}3.67) months after TPL had no visible 123I-MIBG uptake on early 15 min imaging however, 12 subjects with 13 to 48(28.58{+-}12.77) months had visible cardiac 123I-MIBG uptake (HMR: 1.65 {+-}0.21 vs. 1.32{+-}0.26 p=0.002). Correlation was found between plasma NE concentration and HMR ( r=0.80: p<0.05). Compared to HMR on 15 min images (1.48{+-}0.28), neither four nor 24 hour delayed images (1.26{+-}0.23 vs. 1.06{+-}0.10 : p<0.05, respectively, ANOVA) showed definite delayed localization of MIBG. To dipyridamole stress, transplant hearts showed significant subnormal hemodynamic responses of HR, s-BP, d-BP, and rate pressure product (90.9{+-}14.9 to 102.2{+-}15.3, 136.5{+-}17.3 to 124.9{+-}13.3, 83.3{+-}12.5 to 74.7{+-}15.6, 123.2{+-}19.4 to 127.4{+-}21.8 p<0.05, respectively). One-year followup 123I-MIBG scintigraphy in nine pts showed increased HMR (1.50{+-}0,37 to 1.61{+-}0.15, p=ns) but couldnt reach the statistical significance. Out of nine followup patients, five showed increased HMR but four didnt. gMPS performed at post-TPL 48 months in one patient complaining vague chest pain whose HMR value 1.73 to 1.62 showed an apicoanterior wall reversible perfusion defect which confirmed as 90% distal left anterior descending artery stenosis by

  8. Optimized Heralding Schemes for Single Photons

    Huang, Yu-Ping; Kumar, Prem

    2011-01-01

    A major obstacle to a practical, heralded source of single photons is the fundamental trade-off between high heralding efficiency and high production rate. To overcome this difficulty, we propose applying sequential spectral and temporal filtering on the signal photons before they are detected for heralding. Based on a multimode theory that takes into account the effect of simultaneous multiple photon-pair emission, we find that these filters can be optimized to yield both a high heralding efficiency and a high production rate. While the optimization conditions vary depending on the underlying photon-pair spectral correlations, all correlation profiles can lead to similarly high performance levels when optimized filters are employed. This suggests that a better strategy for improving the performance of heralded single-photon sources is to adopt an appropriate measurement scheme for the signal photons, rather than tailoring the properties of the photon-pair generation medium.

  9. Gated Mode Superconducting Nanowire Single Photon Detectors

    Akhlaghi, Mohsen K

    2011-01-01

    Single Photon Detectors (SPD) are fundamental to quantum optics and quantum information. Superconducting Nanowire SPDs (SNSPD) [1] provide high performance in terms of quantum efficiency (QE), dark count rate (DCR) and timing jitter [2], but have limited maximum count rate (MCR) when operated as a free-running mode (FM) detector [3, 4]. However, high count rates are needed for many applications like quantum computing [5] and communication [6], and laser ranging [7]. Here we report the first operation of SNSPDs in a gated mode (GM) that exploits a single photon triggered latching phenomenon to detect photons. We demonstrate operation of a large active area single element GM-SNSPD at 625MHz, one order of magnitude faster than its FM counterpart. Contrary to FM-SNSPDs, the MCR in GM can be pushed to GHz range without a compromise on the active area or QE, while reducing the DCR.

  10. T-shaped single-photon router.

    Lu, Jing; Wang, Z H; Zhou, Lan

    2015-09-01

    We study the transport properties of a single photon scattered by a two-level system (TLS) in a T-shaped waveguide, which is made of two coupled-resonator waveguides (CRWs)- an infinite CRW and a semi-infinite CRW. The spontaneous emission of the TLS directs single photons from one CRW to the other. Although the transfer rate is different for the wave incident from different CRWs, due to the boundary breaking the translational symmetry, the boundary can enhance the transfer rate found in Phys. Rev. Lett. 111, 103604 (2013) and Phys. Rev. A 89, 013805 (2014), as the transfer rate could be unity for the wave incident from the semi-infinite CRW. PMID:26368401

  11. Advantages of gated silicon single photon detectors

    Legré, Matthieu; Lunghi, Tommaso; Stucki, Damien; Zbinden, Hugo

    2013-05-01

    We present gated silicon single photon detectors based on two commercially available avalanche photodiodes (APDs) and one customised APD from ID Quantique SA. This customised APD is used in a commercially available device called id110. A brief comparison of the two commercial APDs is presented. Then, the charge persistence effect of all of those detectors that occurs just after a strong illumination is shown and discussed.

  12. Superconducting Nanowire Single Photon Detector on Diamond

    Atikian, Haig A; Salim, A Jafari; Burek, Michael J; Choy, Jennifer T; Majedi, A Hamed; Loncar, Marko

    2014-01-01

    Superconducting nanowire single photon detectors (SNSPDs) are fabricated directly on diamond substrates and their optical and electrical properties are characterized. Dark count performance and photon count rates are measured at varying temperatures for 1310nm and 632nm photons. The procedure to prepare diamond substrate surfaces suitable for the deposition and patterning of thin film superconducting layers is reported. Using this approach, diamond substrates with less than 300pm RMS surface roughness are obtained.

  13. Continuous variable teleportation of single photon states

    Ide, Toshiki; Hofmann, Holger Friedrich; Kobayashi, Takayoshi; Furusawa, Akira

    2001-01-01

    The properties of continuous-variable teleportation of single-photon states are investigated. The output state is different from the input state due to the nonmaximal entanglement in the Einstein-Podolsky-Rosen beams. The photon statistics of the teleportation output are determined and the correlation between the field information b obtained in the teleportation process and the change in photon number is discussed. The results of the output photon statistics are applied to the transmission of...

  14. Diamond-based single-photon emitters

    The exploitation of emerging quantum technologies requires efficient fabrication of key building blocks. Sources of single photons are extremely important across many applications as they can serve as vectors for quantum information-thereby allowing long-range (perhaps even global-scale) quantum states to be made and manipulated for tasks such as quantum communication or distributed quantum computation. At the single-emitter level, quantum sources also afford new possibilities in terms of nanoscopy and bio-marking. Color centers in diamond are prominent candidates to generate and manipulate quantum states of light, as they are a photostable solid-state source of single photons at room temperature. In this review, we discuss the state of the art of diamond-based single-photon emitters and highlight their fabrication methodologies. We present the experimental techniques used to characterize the quantum emitters and discuss their photophysical properties. We outline a number of applications including quantum key distribution, bio-marking and sub-diffraction imaging, where diamond-based single emitters are playing a crucial role. We conclude with a discussion of the main challenges and perspectives for employing diamond emitters in quantum information processing.

  15. Potential and limitation of myocardial perfusion scintigraphy for detection of viability

    Scintigraphic detection of myocardial viability is required for treatment planning and prognostication in patients with contractile dysfunction. There are four pathophysiological entities of dysfunction in coronary artery disease; one of them, ''hibernating'' myocardium, cannot be differentiated from scar or necrosis by mere perfusion imaging. Due to the determinants of delayed activity distribution after 201Tl injection, optimized imaging protocols using this tracer allow for adequate differentiation in many instants. Differentiation between ''stunned'' and ''hibernating'' myocardium or scar is achieved with all perfusion indicators actually available. Though 201Tl imaging with optimized protocols is almost as efficacious in viability detection as 18F-FDG positron emission tomography, the latter actually remains the reference method particularly in patients with severe left ventricular dysfunction at coronary occlusions. (orig.)

  16. The (F) utility of the thallium-201 quantitative lung/myocardial ratio in the detection of coronary artery disease

    Exercise-induced increases in pulmonary uptake of thallium-201 (201Tl) have been associated with exercise-induced myocardial dysfunction. To evaluate this phenomenon more replicably, a quantitative semi-automated computer program was used to generate, from anterior exercise and delayed views, lung-myocardial ratios (LMR) of 201Tl uptake in 78 patients [40 normal, 38 with coronary artery disease (CAD)]. Patients with CAD had a significantly higher mean exercise lung myocardial ratio (EXLMR) than normals (30.8 vs. 27.3; P=85% of an age-adjusted maximal heart rate), the EXLMRs of CAD patients were significantly higher than those of normals (29.7 vs. 25.5; P=0.003). However, this difference between CAD and normal patients was not apparent in a patient subgroup with submaximal exercise levels (201Tl scans lacking visually defined perfusion defects (visually normal), an elevated LMR detected 60% of CAD cases with 81% specificity. A considerably elevated EXLMR in patients achieving adequate exercise should suggest the presence of CAD, even if there are no visually apparent cardiac perfusion defects. With submaximal exercise, however, the EXLMR is not a useful discriminator between CAD patients and normals. (orig.)

  17. 131I, 99mTc, 67Ga, 201Tl: evaluation of dose calibrators in nuclear medicine services of Porto Alegre City over a period of 5 years

    A programme for the comparison of activity measurements of radionuclides, administered to patients in Nuclear Medicine Services with the purpose of diagnosis or therapy, is being conducted under the coordination of the Radioprotection and Dosimetry Institute of the Brazilian Nuclear Energy Commission. All Nuclear Medicine Services in Brazil are required to employ dose calibrators, also known as activity meters, to measure the activity of solutions containing radionuclides prior to the administration of these radiopharmaceuticals to patients for the purpose of either diagnosis or treatment of illnesses. It is important, however, to measure with accuracy the activity of the administered radiopharmaceuticals to ensure images with the desired quality without submitting patients to unnecessary or insufficient radiation exposures. In the present work, measurements of the activity of samples of 131I, 99mTc, 67Ga and 201Tl, employing 5 ml radioactive samples in penicillin flasks, were conducted in the dose calibrators of the Nuclear Medicine Services of the city of Porto Alegre, from 2004 until 2008. The performance of the dose calibrators was evaluated by means of the Ratio R, obtained by dividing the mean value of the measurements obtained in each Nuclear Medicine Services, by the mean reference value measured for each of the radioactive samples in an activity meter previously calibrated by Radioprotection and Dosimetry Institute. Values of R between 0,90 and 1,10 are considered to be in accordance with the requirements specified in the Brazilian Regulation. The results were analysed to evaluate the compliance with the applicable regulation and were also compared to data available in the literature and obtained in other Brazilian cities and regions. The performance of the activity meters in Porto Alegre is shown to be very good, which contributes to ensure the radiological protection of patients submitted to diagnosis or therapy with radiopharmaceuticals. (author)

  18. Extraosseous accumulation of bone scanning agents in malignant brain tumors. Comparison to semi-quantitative evaluation with 99mTc SPECT/201Tl SPECT and histological findings

    Although 201Tl chloride (Tl) SPECT has been used in the differential diagnosis between recurrence of malignant brain tumor and necrosis after treatment, it is not generally recognized as a definite modality to distinguish them. We conducted a preliminary study using Tl SPECT and 99mTc-MDP or 99mTc-HMDP (Tc) SPECT because it has been said that extraosseous accumulation was caused by calcium deposits in necrotic tissues. In our study, for the purposes of clarifying the mechanism of extraosseous uptake and the correlation between extraosseous accumulation of bone-scanning agent and tumor viability in malignant brain tumors, we compared whether Tc uptake was correlated with the histopathological findings and further performed semi-quantitative evaluation between Tc SPECT and Tl SPECT. The correlation coefficients between the ratio of tumor to normal skull count obtained from Tc SPECT (Tc-T/N) and those of tumor to normal brain count (T/N) and to normal scalp count (T/S) both obtained from Tl SPECT were calculated. Using contrast enhanced CT (CE-CT) or contrast enhanced MRI (CE-MRI), 8 of 10 cases showed intensely ring-enhanced tumor with necrotic lesion. Histopathologically, 7 of 8 cases whose tumor had been resected before treatment had necrosis with increased vascularity or bleeding. Of the remaining 2 cases one case, malignant lymphoma had only hypervascularity by biopsy, while the other one was excluded for resection after treatment. Three of these 8 cases whose CE-CT or CE-MRI showed necrotic lesions exhibited Tc and Tl accumulations in the area corresponding to necrosis. In contrast, 2 showed no Tc nor Tl uptake. Tc-T/N had no significant correlation with any of early-, delayed-T/N or T/S. In conclusion, there was no significant correlation between Tc and Tl uptakes by malignant brain tumors in semi-quantitative evaluation. (author)

  19. Effect of long-term exercise training on regional myocardial perfusion changes in patients with coronary artery disease

    The effect of long-term exercise training on myocardial perfusion in coronary artery disease (CAD) patients was assessed using 201Tl exercise studies at a baseline (4 months after the onset of CAD) and at a 1-year or more follow-up in 58 patients with stable CAD. The subjects had been divided into a training group (n=35) participating in supervised exercise 2 times per week for the follow-up period, and the control group (n=23). There was an improvement in the myocardial perfusion on stress 201Tl scintigraphy in 20 of the 35 (57.1%) trained patients and in 3 of the 23 (13.0%) of the control patients. The number of 201Tl stress myocardial perfusion defect segments was significantly decreased after the cardiac rehabilitation training (231 to 153 segments), but showed no change in the control group (158 to 156 segments). In spite of no significant differences in the number of involved coronary arteries, it improved (12/17 patients: 70.6%) more in the patients who had trained for more than 2 years compared to the patients who had trained for less than 2 years. The exercise tolerance increased in 25 of the 35 training group patients (71.4%), and in only 3 of the 23 control group patients (13.0%). The peak double products increased from 20,131±6,010 to 28,370±5,600 in the training group, and showed no change in the control group (20,567±5,112 to 20,964±7,728). The results indicated that the long-term physical training increased exercise tolerance and the double products of CAD patients. In addition, the training resulted in improved cardiac perfusion as evidenced by 201Tl scintigraphy. The findings suggest that exercise training is an advisable and effective treatment for patients with CAD. (K.H.)

  20. Superconducting nanowire single photon detector on diamond

    Superconducting nanowire single photon detectors are fabricated directly on diamond substrates and their optical and electrical properties are characterized. Dark count performance and photon count rates are measured at varying temperatures for 1310 nm and 632 nm photons. A multi-step diamond surface polishing procedure is reported, involving iterative reactive ion etching and mechanical polishing to create a suitable diamond surface for the deposition and patterning of thin film superconducting layers. Using this approach, diamond substrates with less than 300 pm Root Mean Square surface roughness are obtained

  1. Single-Photon Detection at Telecom Wavelengths

    SUN Zhi-Bin; MA Hai-Qiang; LEI Ming; WANG Di; LIU Zhao-Jie; YANG Han-Dong; WU Ling-An; ZHAI Guang-Jie; FENG Ji

    2007-01-01

    A single-photon detector based on an InGaAs avalanche photodiode has been developed for use at telecom wavelengths. A suitable delay and sampling gate modulation circuit are used to prevent positive and negative transient pulses from influencing the detection of true photon induced avalanches. A monostable trigger circuit eliminates the influence of avalanche peak jitter, and a dead time modulation feedback control circuit decreases the afterpulsing. From performance tests we find that at the optimum operation point, the quantum efficiency is 12% and the dark count rate 1.5 × 10-6 ns-1, with a detection rate of 500 kHz.

  2. Superconducting nanowire single photon detector on diamond

    Atikian, Haig A.; Burek, Michael J.; Choy, Jennifer T.; Lončar, Marko, E-mail: loncar@seas.harvard.edu [School of Engineering and Applied Sciences, Harvard University, 33 Oxford Street, Cambridge, Massachusetts 02138 (United States); Eftekharian, Amin; Jafari Salim, A.; Hamed Majedi, A. [University of Waterloo, 200 University Ave West, Waterloo, Ontario N2L 3G1 (Canada); Institute for Quantum Computing, University of Waterloo, 200 University Ave West, Waterloo, Ontario N2L 3G1 (Canada)

    2014-03-24

    Superconducting nanowire single photon detectors are fabricated directly on diamond substrates and their optical and electrical properties are characterized. Dark count performance and photon count rates are measured at varying temperatures for 1310 nm and 632 nm photons. A multi-step diamond surface polishing procedure is reported, involving iterative reactive ion etching and mechanical polishing to create a suitable diamond surface for the deposition and patterning of thin film superconducting layers. Using this approach, diamond substrates with less than 300 pm Root Mean Square surface roughness are obtained.

  3. Purification of a single photon nonlinearity

    Snijders, H; Norman, J; Bakker, M P; Gossard, A; Bowers, J E; van Exter, M P; Bouwmeester, D; Löffler, W

    2016-01-01

    We show that the lifetime-reduced fidelity of a semiconductor quantum dot-cavity single photon nonlinearity can be restored by polarization pre- and postselection. This is realized with a polarization degenerate microcavity in the weak coupling regime, where an output polarizer enables quantum interference of the two orthogonally polarized transmission amplitudes. This allows us to transform incident coherent light into a stream of strongly correlated photons with a second-order correlation function of g2(0)~40, larger than previous experimental results even in the strong-coupling regime. This purification technique might also be useful to improve the fidelity of quantum dot based logic gates.

  4. A search for single photons at PETRA

    A search for single photons, produced in e+e- collisions together with particles interacting only weakly with matter, has been performed using the CELLO detector operating at the PETRA storage ring. From the absence of any signal, an upper limit is set at 15 (90% CL) on the number of light neutrino species, and lower limits on various supersymmetric particle masses are derived. For massless photinos, mass degenerate scalar partners of the left- and right-handed electrons are excluded below 37.7 GeV/c2 (90% CL). (orig.)

  5. Dipyridamole and exercise SPET provide different estimates of myocardial ischaemic areas: role of the severity of coronary stenoses and of the increase in heart rate during exercise

    In patients unable to perform a maximal exercise test, dipyridamole single-photon emission tomography (SPET) has a higher capacity than exercise SPET to detect coronary artery disease (CAD). However, in patients with myocardial ischaemia who are able to perform a maximal exercise test, it is not known whether these two tests may be equally used to assess the areas of myocardial ischaemia. This study was aimed at comparing the results provided by dipyridamole and exercise SPET in CAD patients with documented exercise myocardial ischaemia. Forty CAD patients who had undergone exercise thallium-201 SPET and who had myocardial ischaemia documented by an unequivocally positive exercise test underwent an additional 201Tl SPET study after dipyridamole infusion and low-level (40 W) exercise. The extent of defects was compared between the two tests and predictors of discrepant results were sought among data from exercise testing and coronary angiography. The extent of SPET defects was equivalent between the two tests in only 11 patients (28%), larger defects being observed with exercise in 18 [average difference: 12%±5% of left ventricle (LV)] and with dipyridamole in 11 (average difference: 15%±11% of LV). The best independent predictors of discrepancies between the two tests were: (1) increase in heart rate at exercise SPET, with defects being smaller at exercise than after dipyridamole in none of the patients with an increase >60 bpm (0/14), but in 42% of the others (11/26; P=0.004); and (2) an ischaemic territory related to a <70% coronary stenosis, for which SPET defects were always induced at exercise (10/10) but in only 30% (3/10) with dipyridamole (P=0.0004). Exercise and dipyridamole SPET provide different estimates of myocardial ischaemic areas. Dipyridamole allows the unmasking of perfusion abnormalities in patients who have low increases in heart rate at exercise SPET. However, dipyridamole is also much less efficient at inducing perfusion abnormalities in the

  6. Nuclear myocardial perfusion imaging using thallium-201 with a novel multifocal collimator SPECT/CT: IQ-SPECT versus conventional protocols in normal subjects

    Matsuo, Shinro; Nakajima, Kenichi; Onoguchi, Masahisa; Wakabayashi, Hiroshi; Okuda, Koichi; Kinuya, Seigo

    2015-01-01

    Objective A novel multifocal collimator, IQ-SPECT (Siemens) consists of SMARTZOOM, cardio-centric and 3D iterative SPECT reconstruction and makes it possible to perform MPI scans in a short time. The aims are to delineate the normal uptake in thallium-201 (201Tl) SPECT in each acquisition method and to compare the distribution between new and conventional protocol, especially in patients with normal imaging. Methods Forty patients (eight women, mean age of 75 years) who underwent myocardial p...

  7. Multidimensional time-correlated single photon counting

    Becker, Wolfgang; Bergmann, Axel

    2006-10-01

    Time-correlated single photon counting (TCSPC) is based on the detection of single photons of a periodic light signal, measurement of the detection time of the photons, and the build-up of the photon distribution versus the time in the signal period. TCSPC achieves a near ideal counting efficiency and transit-time-spread-limited time resolution for a given detector. The drawback of traditional TCSPC is the low count rate, long acquisition time, and the fact that the technique is one-dimensional, i.e. limited to the recording of the pulse shape of light signals. We present an advanced TCSPC technique featuring multi-dimensional photon acquisition and a count rate close to the capability of currently available detectors. The technique is able to acquire photon distributions versus wavelength, spatial coordinates, and the time on the ps scale, and to record fast changes in the fluorescence lifetime and fluorescence intensity of a sample. Biomedical applications of advanced TCSPC techniques are time-domain optical tomography, recording of transient phenomena in biological systems, spectrally resolved fluorescence lifetime imaging, FRET experiments in living cells, and the investigation of dye-protein complexes by fluorescence correlation spectroscopy. We demonstrate the potential of the technique for selected applications.

  8. Tumour-like thallium-201 accumulation in brain infarcts, an unexpected finding on single-photon emission tomography

    In the present study our purpose was to investigate whether or not foci of 201Tl accumulation occur in reperfused areas with sustained morphological integrity indicated by computed tomography (CT) scans not showing hypodensity in the acute or sub-acute period. In 16 stroke patients with possible cortical embolic infarction, dual 201Tl and technetium-99m hexamethylpropylene amine oxime (99mTc-HMPAO) SPET was performed in both the acute and the subacute period. 99mTc-HMPAO SPET was performed to detect reperfusion. Follow-up CT scans from the same period were also available. In five cases 99mTc-HMPAO SPET ruled out reperfusion and 201Tl SPET was also negative. In four cases 99mTc-HMPAO studies indicated reperfusion early in the acute phase (24-72 h), and comparative CT, without showing hypodensity in the acute or subacute period, also favoured the possibility of sustained metabolic activity. In these cases 201Tl SPET was negative in both the acute and the subacute period. In seven cases CT already showed necrosis in 99mTc-HMPAO hypoperfused areas in the acute period, with negative results on corresponding 201Tl SPET. Later reperfusion occurred in the subacute period (8-14 days) as indicated by 99mTc-HMPAO SPET, at which time an unexpected focal accumulation of 201Tl was detected. (orig./MG)

  9. Imaging of brain tumors in AIDS patients by means of dual-isotope thallium-201 and technetium-99m sestamibi single-photon emission tomography

    Our aim was to evaluate the use of dual-isotope thallium-201 (Tl) and technetium-99m sestamibi (sestamibi) simultaneous acquisition in brain single-photon emission tomography (SPET) for the differentiation between brain lymphoma and benign central nervous system (CNS) lesions in AIDS patients. Thirty-six consecutive patients with enhancing mass lesions on magnetic resonance (MR) imaging were included in the study. SPET of the brain was performed to obtain simultaneous Tl and sestamibi images. Regions-of-interest were drawn around the lesion and on the contralateral side to calculate uptake ratios. The final diagnosis was reached by pathologic findings in 17 patients and clinical and/or MR follow-up in 19 patients. Of the 36 patients, 11 had brain lymphoma, 1 glioblastoma multiforme, 15 toxoplasmosis and 9 other benign CNS lesions. Correlation between SPET and the final diagnosis revealed in 10 true-positive, 23 true-negative, 1 false-positive and 2 false-negative studies. All patients with toxoplasmosis had negative scans. A patient with a purulent infection had positive scans. Tl and sestamibi scans were concordant in every lesion. The same lesions that took up Tl were also visualized with sestamibi. However, sestamibi scans showed higher lesion-to-normal tissue uptake ratios (3.7±1.8) compared with those of Tl (2.3±0.8, P<0.002). Simultaneous acquisition of Tl and sestamibi can help differentiate CNS lymphoma from benign brain lesions in AIDS patients. (orig.)

  10. Clinical study on the time courses of serum myosin light chain I levels in patients with acute myocardial infarction

    Changes of serum myosin light chain I (Myosin LCI) concentrations and creatine kinase (CK) activities were serially measured in 23 patients with acute myocardial infarction. Intracoronary thrombolysis was performed in 14 patients (ICT group) while the remaining 9 patients were treated in the conventional manner (non ICT group). The relationships between the maximum levels of serum Myosin LCI or CK and a myocardial infarct size index or left ventricular function were evaluated in 18 patients. The myocardial infarct size index was determined by 201Tl myocardial scintigrams performed in the chronic phase. Multiple peaks of Myosin LCI were observed in 64% (9/14) of the ICT group and the first peak in 6 of these patients appeared much earlier in the same time as CK peak than in the non-ICT group, while multiple peaks were seen only in one case in the non-ICT group. The infarct size index by 201Tl myocardial SPECT correlated with maximum Myosin LCI levels (r=0.88, p<0.001, n=10) and CK activities (r=0.67, p<0.05, n=10). These results indicate that the measurement of serum Myosin LCI is very useful for estimating the extent of myocardial damage and suggest that myocardial degeneration occurs at a very early phase of myocardial infarction. (author)

  11. Prognostic value of normal myocardial perfusion images using technetium-99m based compounds

    Full text: The prognostic value of 201Tl myocardial perfusion imaging is well established. The purpose of this study was to describe the clinical outcome of patients with known or suspected ischemic heart disease and a normal myocardial perfusion scan using 99mTc labelled agents (Sestamibi/Tetrofosmin). Fifty-three patients (29 males, 24 females, mean age 51.58 years) with known or suspected coronary artery disease (CAD) were stressed (3 with dipyridamole and 50 with bicycle ergometer) and gated SPECT myocardial perfusion scan obtained with triple head gamma camera. All patients had normal myocardial perfusion and wall motion. Patients were followed up for 21-24 months and follow up data was obtained from telephone interview. Cardiac events were defined as, hard events (myocardial infarct, unstable angina, death) or soft events (angioplasty or other revascularization). ST segment depression occurred in 11 (20.75%), 6 (11.32%) had pre-test angiographically significant CAD, 4 (7.55%) were studied post CABG and 3 (5.6%) patients had a normal post scan angiography. Cardiac events occurred in none of the patients. Our study confirms the benign outcome of patients with normal myocardial perfusion scan using 99mTc labelled agents, even in patients with angiographically significant CAD, consistent with prior observation for 201Tl cardiac imaging. The lesser number of patients who underwent coronary angiography following a normal perfusion scan shows the determination by treating physicians, that no further evaluation was necessary

  12. Circuit electromechanics with single photon strong coupling

    In circuit electromechanics, the coupling strength is usually very small. Here, replacing the capacitor in circuit electromechanics by a superconducting flux qubit, we show that the coupling among the qubit and the two resonators can induce effective electromechanical coupling which can attain the strong coupling regime at the single photon level with feasible experimental parameters. We use dispersive couplings among two resonators and the qubit while the qubit is also driven by an external classical field. These couplings form a three-wave mixing configuration among the three elements where the qubit degree of freedom can be adiabatically eliminated, and thus results in the enhanced coupling between the two resonators. Therefore, our work constitutes the first step towards studying quantum nonlinear effect in circuit electromechanics

  13. Noiseless Conditional Teleportation of a Single Photon.

    Fuwa, Maria; Toba, Shunsuke; Takeda, Shuntaro; Marek, Petr; Mišta, Ladislav; Filip, Radim; van Loock, Peter; Yoshikawa, Jun-Ichi; Furusawa, Akira

    2014-11-28

    We experimentally demonstrate the noiseless teleportation of a single photon by conditioning on quadrature Bell measurement results near the origin in phase space and thereby circumventing the photon loss that otherwise occurs even in optimal gain-tuned continuous-variable quantum teleportation. In general, thanks to this loss suppression, the noiseless conditional teleportation can preserve the negativity of the Wigner function for an arbitrary pure input state and an arbitrary pure entangled resource state. In our experiment, the positive value of the Wigner function at the origin for the unconditional output state, W(0,0)=0.015±0.001, becomes clearly negative after conditioning, W(0,0)=-0.025±0.005, illustrating the advantage of noiseless conditional teleportation. PMID:25494071

  14. Circuit electromechanics with single photon strong coupling

    Xue, Zheng-Yuan, E-mail: zyxue@scnu.edu.cn; Yang, Li-Na [Guangdong Provincial Key Laboratory of Quantum Engineering and Quantum Materials, and School of Physics and Telecommunication Engineering, South China Normal University, Guangzhou 510006 (China); Zhou, Jian, E-mail: jianzhou8627@163.com [Department of Electronic Communication Engineering, Anhui Xinhua University, Hefei 230088 (China); Guangdong Provincial Key Laboratory of Quantum Engineering and Quantum Materials, and School of Physics and Telecommunication Engineering, South China Normal University, Guangzhou 510006 (China)

    2015-07-13

    In circuit electromechanics, the coupling strength is usually very small. Here, replacing the capacitor in circuit electromechanics by a superconducting flux qubit, we show that the coupling among the qubit and the two resonators can induce effective electromechanical coupling which can attain the strong coupling regime at the single photon level with feasible experimental parameters. We use dispersive couplings among two resonators and the qubit while the qubit is also driven by an external classical field. These couplings form a three-wave mixing configuration among the three elements where the qubit degree of freedom can be adiabatically eliminated, and thus results in the enhanced coupling between the two resonators. Therefore, our work constitutes the first step towards studying quantum nonlinear effect in circuit electromechanics.

  15. Single-photon indistinguishability: influence of phonons

    Nielsen, Per Kær; Lodahl, Peter; Jauho, Antti-Pekka;

    2012-01-01

    indistinguishability, absent in the approximate theories. The maximum arises due to virtual processes in the highly non-Markovian short-time regime, which dominate the decoherence for small QD-cavity coupling, and phonon-mediated real transitions between the upper and lower polariton branches in the long-time regime......Recent years have demonstrated that the interaction with phonons plays an important role in semiconductor based cavity QED systems [2], consisting of a quantum dot (QD) coupled to a single cavity mode [Fig. 1(a)], where the phonon interaction is the main decoherence mechanism. Avoiding decoherence...... effects is important in linear optical quantum computing [1], where a device emitting fully coherent indistinguishable single photons on demand, is the essential ingredient. In this contribution we present a numerically exact simulation of the effect of phonons on the degree of indistinguishability of...

  16. Atomic metasurfaces for manipulation of single photons

    Zhou, Ming; Kats, Mikhail; Yu, Zongfu

    2016-01-01

    Metasurfaces are an emerging platform for the manipulation of light on a two-dimensional plane. Existing metasurfaces comprise arrays of optical resonators such as plasmonic antennas or high-index nanoparticles. In this letter, we describe a new type of metasurface based on electronic transitions in two-level systems (TLSs). Specifically, we investigated a sheet of rubidium (Rb) atoms, whose energy levels can be tuned with structured illumination from a control laser, which enables dynamically tunable single-photon steering. These metasurface elements are lossless and orders of magnitude smaller than conventional optical resonators, which allows for the overlapping of multiple metasurfaces in a single plane, enabling multi-band operation. We demonstrate that atomic metasurfaces can be passive optical elements, and can also be utilized for beaming of spontaneously emitted photons. Though conceptually similar to conventional metasurfaces, the use of TLSs, which are inherently Fermionic, will lead to numerous ne...

  17. Validation of a short-scan-time imaging protocol for thallium-201 myocardial SPECT with a multifocal collimator

    IQ-SPECT (Siemens AG, Munich, Germany) is a highly sensitive single-photon-emission computed tomography (SPECT) myocardial perfusion imaging (MPI) system that uses a multifocal collimator. We searched for a suitable protocol for short-time imaging by IQ-SPECT in thallium-201 (Tl-201) MPI by evaluating phantom images and also by comparing human IQ-SPECT images with conventional SPECT images as reference standards. We assessed the image quality using the normalized mean square error (NMSE) and drew up count profiles in Tl-201 SPECT images acquired with IQ-SPECT in a phantom study. We also performed Tl-201 stress myocardial SPECT/CT in 21 patients and compared delayed images acquired by using IQ-SPECT with 36 or 17 views per head with images obtained by using conventional SPECT. The NMSE of SPECT images from IQ-SPECT with 36 views was approximately one-fifth of that with 17 views. The myocardial count profile of images with 17 views was lower than those of images with 36 or 104 views in some regions. Defect scores were significantly lower, and image quality scores higher, in images from conventional SPECT than in those from IQ-SPECT with 17 views. Defect scores and image quality scores were equivalent in images from conventional SPECT and those from IQ-SPECT with 36 views. Agreement with the results of conventional SPECT in terms of coronary artery territory-based defect judgment was the best in IQ-SPECT with 36 views with computed tomography-derived attenuation correction (CTAC): the kappa values for IQ-SPECT with 36 views were 0.76 (without CTAC) and 0.83 (with CTAC), and those for IQ-SPECT with 17 views were 0.62 (without CTAC) and 0.59 (with CTAC). The difference in quantitative tracer uptake between conventional SPECT images and IQ-SPECT images was significantly greater for IQ-SPECT images with 17 views than for those with 36 views. Scanning with 36 views per head with CTAC may be appropriate for Tl-201 MPI using IQ-SPECT, because it provides images equivalent to

  18. Same day injections of Tc-99m methoxy isobutyl isonitrile (hexamibi) for myocardial tomographic imaging: Comparison between rest-stress and stress-rest injection sequences

    It has been shown that both rest and stress 99mTc-hexamibi myocardial perfusion imaging can be performed on the same day using two different doses injected within few h (the first one at rest followed by a second at stress). In order to evaluate and compare 2 sequences (rest-stress and stress-rest) of 99mTc-hexamibi injections performed the same day, 18 patients with either abnormal 201Tl myocardial scan or abnormal coronary angiography were studied with 2 99mTc-hexamibi injections protocols. The rest-stress study was performed as follows: 7 mCi 99mTc-hexamibi was injected at rest. Single photon emission computed tomography (SPECT) was performed 60 min later. Immediately after the rest study, patients were injected at peak stress with 25 mCi 99mTc-hexamibi. Tomographic imaging was repeated 1 h later. Patients were submitted to the stress-rest protocol within 3 days. Tomographic imaging was done 1 h after a 7 mCi injection at stress. This study was followed by an injection of 25 mCi 99mTc-hexamibi at rest, a tomographic study was performed 60 min later. Myocardial sections were reconstructed in horizontal long, vertical long, and short axes. Data analysis also included polar map representation. A total of 324 segments were interpreted blind by 3 observers, there was an agreement in 283/324 (87.3%) segments between the 2 protocols. However, 24 segments (7.4%) judged ischemic on rest-stress were called scars on stress-rest. In three patients, myocardial segments were judged normal on the rest image of the rest-stress protocol while they were found abnormal (false positive images) on the stress-rest sequence. Stress images from both protocols were judged similar in 17 patients. In conclusion, when using a short time interval (less than 2 h) between two 99mTc-hexamibi injections, it is preferable to do a rest-stress sequence since the rest image performed initially represents a true rest study, which is not necessarily the case with the stress-rest sequence. (orig.)

  19. On Chip Manipulation of Single Photons from a Diamond Defect

    Kennard, J E; Marseglia, L; Aharonovich, I; Castelletto, S; Patton, B R; Politi, A; Matthews, J C F; Sinclair, A G; Gibson, B C; Prawer, S; Rarity, J G; O'Brien, J L

    2013-01-01

    Operating reconfigurable quantum circuits with single photon sources is a key goal of photonic quantum information science and technology. We use an integrated waveguide device comprising of directional couplers and a reconfigurable thermal phase controller to manipulate single photons emitted from a chromium related colour centre in diamond. Observation of both a wave-like interference pattern and particle-like sub-Poissionian autocorrelation functions demonstrates coherent manipulation of single photons emitted from the chromium related centre and verifies wave particle duality.

  20. Incremental predictive value of myocardial scintigraphy with {sup 123}I-BMIPP in patients with acute myocardial infarction treated with primary percutaneous coronary intervention

    Nanasato, Mamoru; Hirayama, Haruo [Nagoya Daini Red Cross Hospital, Cardiovascular Center, Nagoya (Japan); Ando, Akitada; Isobe, Satoshi; Nonokawa, Makoto; Murohara, Toyoaki [Nagoya University Graduate School of Medicine, Department of Cardiology, Nagoya (Japan); Kinoshita, Yoshimi; Nanbu, Ichiro [Nagoya Daini Red Cross Hospital, Department of Radiology, Nagoya (Japan); Yokota, Mitsuhiro [Nagoya University Graduate School of Medicine, Cardiovascular Division, Department of Clinical Pathophysiology, Nagoya (Japan)

    2004-11-01

    It is unclear whether {sup 123}I-labelled {beta}-methyl iodophenyl pentadecanoic acid ({sup 123}I-BMIPP) myocardial scintigraphy adds further predictive value for future cardiac events compared with the variables obtained during cardiac catheterisation in patients with acute myocardial infarction (AMI) treated with primary percutaneous coronary intervention (PCI). We therefore investigated whether {sup 123}I-BMIPP imaging in patients with AMI treated by primary PCI was useful in predicting future cardiac events. One hundred and fifty-nine patients with AMI who were treated with primary PCI and underwent left ventriculography (LVG) on admission underwent {sup 201}Tl and {sup 123}I-BMIPP myocardial scintigraphy. Scintigrams were visually classified, and the total defect score (TDS) was calculated. Major adverse cardiac events (MACE) were defined as cardiac death including sudden death, congestive heart failure and recurrence of acute coronary syndrome. Patients were followed up for a mean of 34.5 months (12-63 months). Twenty-six patients had MACE. Kaplan-Meier analysis indicated that patients with the top 50% of {sup 123}I-BMIPP TDSs had a significantly higher rate of MACE (P=0.007). Patients with mismatch between {sup 201}Tl and {sup 123}I-BMIPP images also had significantly more MACE (P=0.02). In the prediction of MACE, the global chi-square value was 5.2 (P=0.001) based on LVEF (<45%) and the number of diseased vessels (two or three). Adding {sup 123}I-BMIPP TDS and the mismatch improved the global chi-square value ({chi}{sup 2}=7.2) Myocardial scintigraphy using {sup 201}Tl and {sup 123}I-BMIPP predicts future cardiac events in patients with AMI treated with primary PCI, and provides additional predictive value compared with the variables obtained with cardiac catheterisation alone. (orig.)

  1. Comparison of an adaptive neuro-fuzzy inference system and an artificial neural network in the cross-talk correction of simultaneous 99 m Tc / 201Tl SPECT imaging using a GATE Monte-Carlo simulation

    Heidary, Saeed; Setayeshi, Saeed; Ghannadi-Maragheh, Mohammad

    2014-09-01

    The aim of this study is to compare the adaptive neuro-fuzzy inference system (ANFIS) and the artificial neural network (ANN) to estimate the cross-talk contamination of 99 m Tc / 201 Tl image acquisition in the 201 Tl energy window (77 ± 15% keV). GATE (Geant4 Application in Emission and Tomography) is employed due to its ability to simulate multiple radioactive sources concurrently. Two kinds of phantoms, including two digital and one physical phantom, are used. In the real and the simulation studies, data acquisition is carried out using eight energy windows. The ANN and the ANFIS are prepared in MATLAB, and the GATE results are used as a training data set. Three indications are evaluated and compared. The ANFIS method yields better outcomes for two indications (Spearman's rank correlation coefficient and contrast) and the two phantom results in each category. The maximum image biasing, which is the third indication, is found to be 6% more than that for the ANN.

  2. Generation and Detection of Infrared Single Photons and their Applications

    ZENG He-ping; WU Guang; WU E; PAN Hai-feng; ZHOU Chun-yuan; WU E.,F.Treussart; J.-F.Roch

    2006-01-01

    Unbreakable secret communication has been a dream from ancient time.It is quantum physics that gives us hope to turn this wizardly dream into reality.The rapid development of quantum cryptography may put an end to the history of eavesdropping.This will be largely due to the advanced techniques related to single quanta,especially infrared single photons.In this paper,we report on our research works on single-photon control for quantum cryptography,ranging from single-photon generation to single-photon detection and their applications.

  3. Myocardial scintigraphy in the diagnosis of myocardial contusion

    To assess the clinical value of a new fatty acid imaging tracer, 123I-β-methyl iodophenyl pentadecanoic acid (BMIPP), I-BMIPP and thallium-201 (Tl) dual imaging was performed at rest in fifteen patients with mild blunt chest trauma (mean AIS thoracic 1.4±0.51, mean ISS 6.47±3.50, mean RTS 7.69±0.43). All patients were prospectively evaluated on the basis of serial electrocardiograms (ECG) and cardiac enzyme studies (total CPK). Tl and BMIPP dual scintigrams were performed within 10 days following admission. SPECT images were divided into seven segments, and the segmental images were visually scored according to tracer uptake on a 3 (severely decreased tracer uptake) to 0 (normal) scale. Nine patients had scintigraphic defects and were considered to have a myocardial contusion. ECG findings, AIS, ISS, and CPK levels failed to distinguish between scintigraphically positive patients and scintigraphically negative patients. Five of the 14 hypoperfused segments on BMIPP imaging, showed normal Tl uptake, one showed lower BMIPP uptake than Tl, and the remaining eight showed similar distribution of both tracers. The mismatch between tracer uptake on BMIPP images and Tl images was thought to reflect impaired myocardial fatty acid metabolism. Thus, mild blunt chest trauma results in a higher frequency of traumatic myocardial injury than previously recognized, and BMIPP is a promising radio-pharmaceutical for evaluating impaired myocardial fatty acid metabolism in patients with myocardial contusion. (author)

  4. Quantum Information Processing with Single Photons

    Lim, Y L

    2005-01-01

    Photons are natural carriers of quantum information due to their ease of distribution and long lifetime. This thesis concerns various related aspects of quantum information processing with single photons. Firstly, we demonstrate N-photon entanglement generation through a generalised N X N symmetric beam splitter known as the Bell multiport. A wide variety of 4-photon entangled states as well as the N-photon W-state can be generated with an unexpected non-monotonic decreasing probability of success with N. We also show how the same setup can be used to generate multiatom entanglement. A further study of multiports also leads us to a multiparticle generalisation of the Hong-Ou-Mandel dip which holds for all Bell multiports of even number of input ports. Next, we demonstrate a generalised linear optics based photon filter that has a constant success probability regardless of the number of photons involved. This filter has the highest reported success probability and is interferometrically robust. Finally, we dem...

  5. Quantum Communication with Continuum Single-Photon Pulses

    Rios, F. F. S.; Ramos, R. V.

    2014-01-01

    In this work, we analyze the behavior of continuum single-photon pulses in some quantum communication schemes. In particular, we consider the single-photon interference in a Mach-Zenhder interferometer, the HOM interference and the quantum bit commitment protocol.

  6. Single-photon imaging in complementary metal oxide semiconductor processes

    Charbon, E.

    2014-01-01

    This paper describes the basics of single-photon counting in complementary metal oxide semiconductors, through single-photon avalanche diodes (SPADs), and the making of miniaturized pixels with photon-counting capability based on SPADs. Some applications, which may take advantage of SPAD image senso

  7. Single-photon absorber based on strongly interacting Rydberg atoms

    Tresp, Christoph; Mirgorodskiy, Ivan; Gorniaczyk, Hannes; Paris-Mandoki, Asaf; Hofferberth, Sebastian

    2016-01-01

    Removing exactly one photon from an arbitrary input pulse is an elementary operation in quantum optics and enables applications in quantum information processing and quantum simulation. Here we demonstrate a deterministic single-photon absorber based on the saturation of an optically thick free-space medium by a single photon due to Rydberg blockade. Single-photon subtraction adds a new component to the Rydberg quantum optics toolbox, which already contains photonic logic building-blocks such as single-photon sources, switches, transistors, and conditional $\\pi$-phase shifts. Our approach is scalable to multiple cascaded absorbers, essential for preparation of non-classical light states for quantum information and metrology applications, and, in combination with the single-photon transistor, high-fidelity number-resolved photon detection.

  8. On improving single photon sources via linear optics and photodetection

    Berry, D W; Sanders, B C; Knight, P L; Berry, Dominic W.; Scheel, Stefan; Sanders, Barry C.; Knight, Peter L.

    2004-01-01

    In practice, single photons are generated as a mixture of vacuum with a single photon with weights 1-p and p, respectively; here we are concerned with increasing p by directing multiple copies of the single photon-vacuum mixture into a linear optic device and applying photodetection on some outputs to conditionally prepare single photon states with larger p. We prove that it is impossible, under certain conditions, to increase p via linear optics and conditional preparation based on photodetection, and we also establish a class of photodetection events for which p can be improved. In addition we prove that it is not possible to obtain perfect (p=1) single photon states via this method from imperfect (p<1) inputs.

  9. Hypoxia-induced alteration of tracer accumulation in cultured cancer cells and xenografts in mice: implications for pre-therapeutic prediction of treatment outcomes with 99mTc-sestamibi, 201Tl chloride and 99mTc-HL91

    Weak visualization of tumours in pre-therapeutic scintigrams with technetium-99m sestamibi (MIBI) is likely a predictive sign of unfavourable tumour response to radiotherapy and chemotherapy. However, factors relating to this scintigraphic finding are not well understood. The presence of hypoxic tumour cells is one of the major reasons for therapeutic failure; consequently, we attempted to determine whether oxygenation status affects 99mTc-MIBI accumulation in tumour cells. LS180 human colon cancer and T24 human bladder cancer cells were incubated in air or N2 gas at 37 C. Cellular uptake of 99mTc-MIBI was subsequently determined at 15, 60 and 120 min. Uptake of thallium-201 chloride was also assessed. Uptake of 99mTc-HL91 was assessed as a hypoxic marker. Accumulation of the tracers in LS180 xenografts was observed in mice treated with 5 mg/kg hydralazine and compared with that in untreated mice. pO2 in the medium and tumours was measured with O2 microelectrodes. N2 gas flow gradually reduced pO2 in the cell suspension to 1-2 mmHg in 60 min. Cellular uptake of 99mTc-MIBI in LS180 cells decreased by approximately 30% in N2 gas in comparison to that in air throughout the study. Hypoxia had a more prominent influence on 201Tl uptake, which displayed a reduction of approximately 60% in N2 gas at 120 min, than on 99mTc-MIBI uptake. On the other hand, N2 gas induced an increase of 170% in 99mTc-HL91 uptake at 120 min, indicating the hypoxic condition of cells. The results of in vitro assays employing the T24 cell line were similar to those obtained with the LS180 cell line. Hydralazine treatment markedly reduced 99mTc-MIBI and 201Tl accumulation in LS180 xenografts; moreover, intratumoural pO2 decreased from 14.5±6.6 mmHg to 7.6±6.2 mmHg. 99mTc-HL91 accumulation in xenografts was markedly increased by hydralazine. In conclusion, hypoxia reduced accumulation of 99mTc-MIBI and 201Tl in tumour cells. Accordingly, hypoxia may be an important factor in terms of the

  10. Photon Statistics of Single-Photon Quantum States in Real Single Photon Detection

    李刚; 李园; 王军民; 彭堃墀; 张天才

    2004-01-01

    @@ Single photon detection (SPD) with high quantum efficiency has been widely used for measurement of different quantum states with different photon distributions.Based on the direct single SPD and double-SPD of HBT configuration, we discuss the effect of a real SPD on the photon statistics measurement and it shows that the measured photon distributions for different quantum states are corrected in different forms.The results are confirmed by experiment with the strongly attenuated coherent light and thermal light.This system can be used to characterize the photon statistics of the fluorescence light from single atom or single molecular.

  11. An integral gated mode single photon detector at telecom wavelengths

    We demonstrate an integral gated mode single photon detector at telecom wavelengths. The charge number of an avalanche pulse rather than the peak current is monitored for single photon detection. The transient spikes in conventional gated mode operation are cancelled completely by integrating, which enables one to effectively improve the performance of single photon detector with the same avalanche photodiode. This method achieved a detection efficiency of 29.9% at the dark count probability per gate equal to 5.57 x 10-6/gate (1.11 x 10-6 ns-1) at 1550 nm

  12. Limitations on building single-photon-resolution detection devices

    Kok, P

    2003-01-01

    Single-photon resolution (SPR) detectors can tell the difference between incoming wave packets of n and n+1 photons. Such devices are especially important for linear optical quantum computing with projective measurements. However, in this paper I show that it is impossible to construct a photodetector with single-photon resolution when we are restricted to single-photon sources, linear optical elements and projective measurements with standard (non-photon-number discriminating) photodetectors. These devices include SPR detectors that sometimes fail to distinguish one- and two-photon inputs, but at the same time indicate this failure.

  13. Quantum Overloading Cryptography Using Single-Photon Nonlocality

    TAN Yong-Gang; CAI Qing-Yu; SHI Ting-Yun

    2007-01-01

    @@ Using the single-photon nonlocality, we propose a quantum novel overloading cryptography scheme, in which a single photon carries two bits information in one-way quantum channel. Two commutative modes of the single photon, the polarization mode and the spatial mode, are used to encode secret information. Strict time windows are set to detect the impersonation attack. The spatial mode which denotes the existence of photons is noncommutative with the phase of the photon, so that our scheme is secure against photon-number-splitting attack. Our protocol may be secure against individual attack.

  14. Excitation functions and yields of proton induced reactions at intermediate energies leading to important diagnostics radioisotopes of 52Fe, 77Br, 82Rb, 97Ru, 111In, 123I, 127Xe, 128Cs, 178Ta and 201Tl

    This report describes investigations of the excitation functions of the proton induced reactions on 14 targets (Mn, Co, Br, Rb, 99Tc, 113Cd, 114Cd, Cd, I, Cs, Ta, 206,207,208Pb) leading directly or indirectly to the formation of radionuclides 52Fe, 77Br, 82Rb, 97Ru, 111In, 123I, 127Xe, 128Cs, 178Ta and 201Tl frequently used in diagnostic procedures of nuclear medicine. The measurements of the excitation functions were made over a wide proton energy range from the reaction threshold up to 100 MeV using the stacked foil (or pellet) technique. Small energy steps were used to allow for accurate determination of the structure of excitation functions. For 97Ru, 111In and 127Xe formation with protons, new reaction channels and targets were used and data concerning this method are published for the first time. The data for 52Fe, 77Br, 82Rb, 123I, 128Cs and 201Tl obtained in the present work for the Ep=70-100 MeV region are also published for the first time. The measured excitation functions for the formation of desired (and undesired) radionuclides (altogether 28 excitation functions) are compared with the theoretical ones calculated on the basis of a hybrid model of nuclear reactions in the form of the Overlaid Alice computer code. In order to determine the contribution of the competitive reaction channels to the purity of the produced, desired radionuclide, the excitation functions of the accompanying reactions were also calculated. The 122 calculated excitation functions for the possible contaminant are given in the present work. The comparison of experimental excitation functions with the results of model calculations showed satisfactory agreement, especially if one considers, that no parameter adjustment for individual reaction products was undertaken. From the measured excitation functions the production yields for 28 radionuclides mentioned above have been determined (author). 262 refs, 65 figs, 34 tabs

  15. Simultaneous dual-radionuclide myocardial perfusion imaging with a solid-state dedicated cardiac camera

    We compared simultaneous dual-radionuclide (DR) stress and rest myocardial perfusion imaging (MPI) with a novel solid-state cardiac camera and a conventional SPECT camera with separate stress and rest acquisitions. Of 27 consecutive patients recruited, 24 (64.5±11.8 years of age, 16 men) were injected with 74 MBq of 201Tl (rest) and 250 MBq 99mTc-MIBI (stress). Conventional MPI acquisition times for stress and rest are 21 min and 16 min, respectively. Rest 201Tl for 6 min and simultaneous DR 15-min list mode gated scans were performed on a D-SPECT cardiac scanner. In 11 patients DR D-SPECT was performed first and in 13 patients conventional stress 99mTc-MIBI SPECT imaging was performed followed by DR D-SPECT. The DR D-SPECT data were processed using a spill-over and scatter correction method. DR D-SPECT images were compared with rest 201Tl D-SPECT and with conventional SPECT images by visual analysis employing the 17-segment model and a five-point scale (0 normal, 4 absent) to calculate the summed stress and rest scores. Image quality was assessed on a four-point scale (1 poor, 4 very good) and gut activity was assessed on a four-point scale (0 none, 3 high). Conventional MPI studies were abnormal at stress in 17 patients and at rest in 9 patients. In the 17 abnormal stress studies DR D-SPECT MPI showed 113 abnormal segments and conventional MPI showed 93 abnormal segments. In the nine abnormal rest studies DR D-SPECT showed 45 abnormal segments and conventional MPI showed 48 abnormal segments. The summed stress and rest scores on conventional SPECT and DR D-SPECT were highly correlated (r=0.9790 and 0.9694, respectively). The summed scores of rest 201Tl D-SPECT and DR-DSPECT were also highly correlated (r=0.9968, p201Tl D-SPECT acquisition. (orig.)

  16. Comparison between stress myocardial perfusion SPECT recorded with cadmium-zinc-telluride and Anger cameras in various study protocols

    The results of stress myocardial perfusion SPECT could be enhanced by new cadmium-zinc-telluride (CZT) cameras, although differences compared to the results with conventional Anger cameras remain poorly known for most study protocols. This study was aimed at comparing the results of CZT and Anger SPECT according to various study protocols while taking into account the influence of obesity. The study population, which was from three different institutions equipped with identical CZT cameras, comprised 276 patients referred for study using protocols involving 201Tl (n = 120) or 99mTc-sestamibi injected at low dose at stress (99mTc-Low; stress/rest 1-day protocol; n = 110) or at high dose at stress (99mTc-High; rest/stress 1-day or 2-day protocol; n = 46). Each Anger SPECT scan was followed by a high-speed CZT SPECT scan (2 to 4 min). Agreement rates between CZT and Anger SPECT were good irrespective of the study protocol (for abnormal SPECT, 201Tl 92 %, 99mTc-Low 86 %, 99mTc-High 98 %), although quality scores were much higher for CZT SPECT with all study protocols. Overall correlations were high for the extent of myocardial infarction (r = 0.80) and a little lower for ischaemic areas (r = 0.72), the latter being larger on Anger SPECT (p 201Tl or 99mTc-Low group and in whom stress myocardial counts were particularly low with Anger SPECT (228 ± 101 kcounts) and dramatically enhanced with CZT SPECT (+279 ± 251 %). Concordance between the results of CZT and Anger SPECT is good regardless of study protocol and especially when excluding obese patients who have low-count Anger SPECT and for whom myocardial counts are dramatically enhanced on CZT SPECT. (orig.)

  17. Comparison between stress myocardial perfusion SPECT recorded with cadmium-zinc-telluride and Anger cameras in various study protocols

    Verger, Antoine; Karcher, Gilles [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); INSERM U947, Nancy (France); Nancyclotep Experimental Imaging Platform, Nancy (France); Djaballah, Wassila [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); INSERM U947, Nancy (France); Fourquet, Nicolas [Clinique Pasteur, Toulouse (France); Rouzet, Francois; Le Guludec, Dominique [AP-HP, Hopital Bichat, Department of Nuclear Medicine, Paris (France); INSERM U 773 Inserm and Denis Diderot University, Paris (France); Koehl, Gregoire; Roch, Veronique [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); Nancyclotep Experimental Imaging Platform, Nancy (France); Imbert, Laetitia [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); Nancyclotep Experimental Imaging Platform, Nancy (France); Centre Alexis Vautrin, Department of Radiotherapy, Vandoeuvre (France); Poussier, Sylvain [INSERM U947, Nancy (France); Nancyclotep Experimental Imaging Platform, Nancy (France); Fay, Renaud [INSERM, Centre d' Investigation Clinique CIC-P 9501, Nancy (France); Marie, Pierre-Yves [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); Nancyclotep Experimental Imaging Platform, Nancy (France); INSERM U961, Nancy (France); Hopital de Brabois, CHU-Nancy, Medecine Nucleaire, Vandoeuvre-les-Nancy (France)

    2013-03-15

    The results of stress myocardial perfusion SPECT could be enhanced by new cadmium-zinc-telluride (CZT) cameras, although differences compared to the results with conventional Anger cameras remain poorly known for most study protocols. This study was aimed at comparing the results of CZT and Anger SPECT according to various study protocols while taking into account the influence of obesity. The study population, which was from three different institutions equipped with identical CZT cameras, comprised 276 patients referred for study using protocols involving {sup 201}Tl (n = 120) or {sup 99m}Tc-sestamibi injected at low dose at stress ({sup 99m}Tc-Low; stress/rest 1-day protocol; n = 110) or at high dose at stress ({sup 99m}Tc-High; rest/stress 1-day or 2-day protocol; n = 46). Each Anger SPECT scan was followed by a high-speed CZT SPECT scan (2 to 4 min). Agreement rates between CZT and Anger SPECT were good irrespective of the study protocol (for abnormal SPECT, {sup 201}Tl 92 %, {sup 99m}Tc-Low 86 %, {sup 99m}Tc-High 98 %), although quality scores were much higher for CZT SPECT with all study protocols. Overall correlations were high for the extent of myocardial infarction (r = 0.80) and a little lower for ischaemic areas (r = 0.72), the latter being larger on Anger SPECT (p < 0.001). This larger extent was mainly observed in 50 obese patients who were in the {sup 201}Tl or {sup 99m}Tc-Low group and in whom stress myocardial counts were particularly low with Anger SPECT (228 {+-} 101 kcounts) and dramatically enhanced with CZT SPECT (+279 {+-} 251 %). Concordance between the results of CZT and Anger SPECT is good regardless of study protocol and especially when excluding obese patients who have low-count Anger SPECT and for whom myocardial counts are dramatically enhanced on CZT SPECT. (orig.)

  18. Quantum teleportation of a single-photon wave packet

    Molotkov, S. N.

    1998-01-01

    A quantum teleportation scheme based on the EPR-pair entangled with respect to the ``energy+time'' variables is proposed. Teleportation of the multimode state of a single-photon wave packet is considered.

  19. Continuous variable teleportation of single photon states (Proceedings version)

    Ide, Toshiki; Hofmann, Holger F.; Kobayashi, Takayoshi; Furusawa, Akira

    2001-01-01

    We investigate the changes to a single photon state caused by the non-maximal entanglement in continuous variable quantum teleportation. It is shown that the teleportation measurement introduces field coherence in the output.

  20. Correction of ultraviolet single photon counting image distortion

    Xinghua Zhang; Baosheng Zhao; Zhenhua Miao; Wei Li; Xiangping Zhu; Yong'an Liu; Wei Zou

    2008-01-01

    Single photon counting imaging technology has been widely used in space environment detection, astronomy observation, nuclear physics, and ultraweak bioluminescence. However, the distortion of the single photon counting image will badly affect the measurement results. Therefore, the correction of distortion for single photon counting image is very significant. Ultraviolet single photon imaging system with wedge and strip anode is introduced and the influence factor leading to image distortion is analyzed. To correct original distorted image, three different image correction methods, namely, the physical correction, the global correction, and the local correction, are applied. In addition, two parameters, i.e, the position index and the linearity index, are defined to evaluate the performance of the three methods. The results suggest that the correction methods can improve the quality of the initial image without losing gray information of each counting light spot. And the local correction can provide the best visual inspections and performance evaluation among the three methods.

  1. Controllable single photon stimulation of retinal rod cells

    Phan, Nam Mai; Bessarab, Dmitri A; Krivitsky, Leonid A

    2013-01-01

    Retinal rod cells are commonly assumed to be sensitive to single photons [1, 2, 3]. Light sources used in prior experiments exhibit unavoidable fluctuations in the number of emitted photons [4]. This leaves doubt about the exact number of photons used to stimulate the rod cell. In this letter, we interface rod cells of Xenopus laevis with a light source based on Spontaneous Parametric Down Conversion (SPDC) [5], which provides one photon at a time. Precise control of generation of single photons and directional delivery enables us to provide unambiguous proof of single photon sensitivity of rod cells without relying on the statistical assumptions. Quantum correlations between single photons in the SPDC enable us to determine quantum efficiency of the rod cell without pre-calibrated reference detectors [6, 7, 8]. These results provide the path for exploiting resources offered by quantum optics in generation and manipulation of light in visual studies. From a more general perspective, this method offers the ult...

  2. Single-photon spectroscopy of a single molecule

    Rezus, Y L A; Lettow, R; Renn, A; Zumofen, G; Goetzinger, S; Sandoghdar, V

    2011-01-01

    Exploring the interaction of light and matter at the ultimate limit of single photons and single emitters is of great interest both from a fundamental point of view and for emerging applications in quantum engineering. However, the difficulty of generating single photons with specific wavelengths, bandwidths and brightness as well as the weak interaction probability of a single photon with an optical emitter pose a formidable challenge toward this goal. Here, we demonstrate a general approach based on the creation of single photons from a single emitter and their use for performing spectroscopy on a second emitter situated at a distance. Although we used organic molecules as emitters, our strategy is readily extendable to other material systems such as quantum dots and color centers. Our work ushers in a new line of experiments that provide access to the coherent and nonlinear couplings of few emitters and few propagating photons.

  3. Category theoretic analysis of single-photon decision maker

    Kim, Makoto Naruse Song-Ju; Berthel, Martin; Drezet, Aurélien; Huant, Serge; Hori, Hirokazu

    2016-01-01

    Decision making is a vital function in the era of artificial intelligence; however, its physical realizations and their theoretical fundamentals are not yet known. In our former study [Sci. Rep. 5, 513253 (2015)], we demonstrated that single photons can be used to make decisions in uncertain, dynamically changing environments. The multi-armed bandit problem was successfully solved using the dual probabilistic and particle attributes of single photons. Herein, we present the category theoretic foundation of the single-photon-based decision making, including quantitative analysis that agrees well with the experimental results. The category theoretic model unveils complex interdependencies of the entities of the subject matter in the most simplified manner, including a dynamically changing environment. In particular, the octahedral structure in triangulated categories provides a clear understanding of the underlying mechanisms of the single-photon decision maker. This is the first demonstration of a category the...

  4. Creation of multiple identical single photon emitters in diamond

    Rogers, Lachlan J; Marseglia, Luca; Müller, Christoph; Naydenov, Boris; Schauffert, Hardy; Kranz, C; Teraji, T; Isoya, Junichi; McGuinness, Liam P; Jelezko, Fedor

    2013-01-01

    Emitters of indistinguishable single photons are crucial for the growing field of quantum technologies. To realize scalability and increase the complexity of quantum optics technologies, multiple independent yet identical single photon emitters are also required. However typical solid-state single photon sources are dissimilar, necessitating the use of electrical feedback or optical cavities to improve spectral overlap between distinct emitters. Here, we present controllable growth of bright silicon-vacancy (SiV-) centres in bulk diamond which intrinsically show almost identical emission (spectral overlap of up to 83%) and near transform-limited excitation linewidths. We measure the photo-physical properties of defects at room and cryogenic temperatures, and demonstrate incorporation into a solid immersion lens (SIL). Our results have impact upon the application of single photon sources for quantum optics and cryptography, and the production of next generation fluorophores for bio-imaging.

  5. A Versatile Source of Single Photons for Quantum Information Processing

    Förtsch, Michael; Wittmann, Christoffer; Strekalov, Dmitry; Aiello, Andrea; Chekhova, Maria V; Silberhorn, Christine; Leuchs, Gerd; Marquardt, Christoph

    2012-01-01

    The quantum state of a single photon stands amongst the most fundamental and intriguing manifestations of quantum physics. At the same time single photons and pairs of single photons are important building blocks in the fields of linear optical based quantum computation and quantum repeater infrastructure. These fields possess enormous potential and much scientific and technological progress has been made in developing individual components, like quantum memories and photon sources using various physical implementations. However, further progress suffers from the lack of compatibility between these different components. Ultimately, one aims for a versatile source of single photons and photon pairs in order to overcome this hurdle of incompatibility. Such a photon source should allow for tuning of the spectral properties (wide wavelength range and narrow bandwidth) to address different implementations while retaining high efficiency. In addition, it should be able to bridge different wavelength regimes to make...

  6. Single-photon quantum router with multiple output ports.

    Yan, Wei-Bin; Fan, Heng

    2014-01-01

    The routing capability is a requisite in quantum network. Although the quantum routing of signals has been investigated in various systems both in theory and experiment, the general form of quantum routing with many output terminals still needs to be explored. Here we propose a scheme to achieve the multi-channel quantum routing of the single photons in a waveguide-emitter system. The channels are composed by the waveguides and are connected by intermediate two-level emitters. By adjusting the intermediate emitters, the output channels of the input single photons can be controlled. This is demonstrated in the cases of one output channel, two output channels and the generic N output channels. The results show that the multi-channel quantum routing of single photons can be well achieved in the proposed system. This offers a scheme for the experimental realization of general quantum routing of single photons. PMID:24769619

  7. Influence of respiratory gating, image filtering, and animal positioning on high-resolution electrocardiography-gated murine cardiac single-photon emission computed tomography

    Wu, Chao; Vaissier, Pieter E. B.; Vastenhouw, Brendan; de Jong, Johan R.; Slart, Riemer H. J. A.; Beekman, Freek J.

    2015-01-01

    Cardiac parameters obtained from single-photon emission computed tomographic (SPECT) images can be affected by respiratory motion, image filtering, and animal positioning. We investigated the influence of these factors on ultra-high-resolution murine myocardial perfusion SPECT. Five mice were inject

  8. Single photon, spin, and charge manipulation of diamond quantum register

    Single-photon sources that provide non-classical light states on demand have a broad range of application in quantum communication, quantum computing, and metrology. Recently, significant progresses have been shown in semiconductor quantum-dots. However, a major obstacle is the requirement of cryogenic temperatures. Here we show the realization of a stable room temperature electrically driven single-photon source based on a single NV centre in a diode structure. (author)

  9. Quasi-secure quantum dialogue using single photons

    2007-01-01

    A quasi-secure quantum dialogue protocol using single photons was proposed. Different from the previous entanglement-based protocols, the present protocol uses batches of single photons which run back and forth between the two parties. A round run for each photon makes the two parties each obtain a classical bit of information. So the efficiency of information transmission can be increased. The present scheme is practical and well within the present-day technology.

  10. Continuous monitoring can improve single-photon probability

    Raghunathan, Shesha; Brun, Todd

    2010-01-01

    An engineering technique using continuous quantum measurement together with a change detection algorithm is proposed to improve the probability of single photon emission for a quantum-dot based single-photon source. The technique involves continuous monitoring of the emitter, integrating the measured signal, and a simple change detection circuit to decide when to stop pumping. The idea is to pump just long enough such that the emitter $+$ cavity system is in a state that can emit at most one ...

  11. Single photon laser altimeter data processing, analysis and experimental validation

    Vacek, Michael; Peca, Marek; Michalek, Vojtech; Prochazka, Ivan

    2015-10-01

    Spaceborne laser altimeters are common instruments on-board the rendezvous spacecraft. This manuscript deals with the altimeters using a single photon approach, which belongs to the family of time-of-flight range measurements. Moreover, the single photon receiver part of the altimeter may be utilized as an Earth-to-spacecraft link enabling one-way ranging, time transfer and data transfer. The single photon altimeters evaluate actual altitude through the repetitive detections of single photons of the reflected laser pulses. We propose the single photon altimeter signal processing and data mining algorithm based on the Poisson statistic filter (histogram method) and the modified Kalman filter, providing all common altimetry products (altitude, slope, background photon flux and albedo). The Kalman filter is extended for the background noise filtering, the varying slope adaptation and the non-causal extension for an abrupt slope change. Moreover, the algorithm partially removes the major drawback of a single photon altitude reading, namely that the photon detection measurement statistics must be gathered. The developed algorithm deduces the actual altitude on the basis of a single photon detection; thus, being optimal in the sense that each detected signal photon carrying altitude information is tracked and no altitude information is lost. The algorithm was tested on the simulated datasets and partially cross-probed with the experimental data collected using the developed single photon altimeter breadboard based on the microchip laser with the pulse energy on the order of microjoule and the repetition rate of several kilohertz. We demonstrated that such an altimeter configuration may be utilized for landing or hovering a small body (asteroid, comet).

  12. Photon statistics characterization of a single photon source

    Alleaume, Romain; Treussart, Francois; Courty, Jean-Michel; Roch, Jean-Francois

    2003-01-01

    n a recent experiment, we reported the time-domain intensity noise measurement of a single photon source relying on single molecule fluorescence control. In this article we present data processing, starting from photocount timestamps. The theoretical analytical expression of the time-dependent Mandel parameter Q(T) of an intermittent single photon source is derived from ONOFF dynamics . Finally, source intensity noise analysis using the Mandel parameter is quantitatively compared to the usual...

  13. Multiboson Correlation Interferometry with arbitrary single-photon pure states

    Tamma, Vincenzo; Laibacher, Simon

    2014-01-01

    We provide a compact full description of multiboson correlation measurements of arbitrary order N in passive linear interferometers with arbitrary input single-photon pure states. This allows us to physically analyze the novel problem of multiboson correlation sampling at the output of random linear interferometers. Our results also describe general multiboson correlation landscapes for an arbitrary number of input single photons and arbitrary interferometers. In particular, we use two differ...

  14. Higgs boson decays into single photon plus unparticle

    The decay of the standard model Higgs boson into a single photon and a vector unparticle through a one-loop process is studied. For an intermediate-mass Higgs boson, this single photon plus unparticle mode can have a branching ratio comparable with the two-photon discovery mode. The emitted photon has a continuous energy spectrum encoding the nature of the recoil unparticle. It can be measured in precision studies of the Higgs boson after its discovery.

  15. Factors affecting the myocardial activity acquired during exercise SPECT with a high-sensitivity cardiac CZT camera as compared with conventional Anger camera

    Verger, Antoine; Karcher, Gilles [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); INSERM U947 and Universite de Lorraine, Nancy (France); Nancyclotep experimental imaging platform, Nancy (France); Imbert, Laetitia [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); Nancyclotep experimental imaging platform, Nancy (France); Centre Alexis Vautrin, Department of Radiotherapy, Vandoeuvre (France); Yagdigul, Yalcine; Roch, Veronique [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); Nancyclotep experimental imaging platform, Nancy (France); Fay, Renaud [INSERM, Centre d' Investigation Clinique CIC-P 9501, Nancy (France); Djaballah, Wassila [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); INSERM U947 and Universite de Lorraine, Nancy (France); Rouzet, Francois; Le Guludec, Dominique [AP-HP, Hopital Bichat, Department of Nuclear Medicine, Paris (France); INSERM U 773 and Denis Diderot University, Paris (France); Fourquet, Nicolas [Clinique Pasteur, Toulouse (France); Poussier, Sylvain [INSERM U947 and Universite de Lorraine, Nancy (France); Nancyclotep experimental imaging platform, Nancy (France); Marie, Pierre-Yves [CHU-Nancy, Department of Nuclear Medicine, Nancy (France); Nancyclotep experimental imaging platform, Nancy (France); INSERM U1116 and Universite de Lorraine, Nancy (France); CHU-Nancy, Allee du Morvan, Medecine Nucleaire, Hopital de Brabois, Vandoeuvre-les-Nancy (France)

    2014-03-15

    Injected doses are difficult to optimize for exercise SPECT since they depend on the myocardial fraction of injected activity (MFI) that is detected by the camera. The aim of this study was to analyse the factors affecting MFI determined using a cardiac CZT camera as compared with those determined using conventional Anger cameras. Factors affecting MFI were determined and compared in patients who had consecutive exercise SPECT acquisitions with {sup 201}Tl (84 patients) or {sup 99m}Tc-sestamibi (87 patients) with an Anger or a CZT camera. A predictive model was validated in a group of patients routinely referred for {sup 201}Tl (78 patients) or {sup 99m}Tc-sestamibi (80 patients) exercise CZT SPECT. The predictive model involved: (1) camera type, adjusted mean MFI being ninefold higher for CZT than for Anger SPECT, (2) tracer type, adjusted mean MFI being twofold higher for {sup 201}Tl than for {sup 99m}Tc-sestamibi, and (3) logarithm of body weight. The CZT SPECT model led to a +1 ± 26 % error in the prediction of the actual MFI from the validation group. The mean MFI values estimated for CZT SPECT were more than twofold higher in patients with a body weight of 60 kg than in patients with a body weight of 120 kg (15.9 and 6.8 ppm for {sup 99m}Tc-sestamibi and 30.5 and 13.1ppm for {sup 201}Tl, respectively), and for a 14-min acquisition of up to one million myocardial counts, the corresponding injected activities were only 80 and 186 MBq for {sup 99m}Tc-sestamibi and 39 and 91 MBq for {sup 201}Tl, respectively. Myocardial activities acquired during exercise CZT SPECT are strongly influenced by body weight and tracer type, and are dramatically higher than those obtained using an Anger camera, allowing very low-dose protocols to be planned, especially for {sup 99m}Tc-sestamibi and in non-obese subjects. (orig.)

  16. Experimental generation of single photons via active multiplexing

    An on-demand single-photon source is a fundamental building block in quantum science and technology. We experimentally demonstrate the proof of concept for a scheme to generate on-demand single photons via actively multiplexing several heralded photons probabilistically produced from pulsed spontaneous parametric down-conversions (SPDCs). By utilizing a four-photon-pair source, an active feed-forward technique, and an ultrafast single-photon router, we show a fourfold enhancement of the output photon rate. Simultaneously, we maintain the quality of the output single-photon states, confirmed by correlation measurements. We also experimentally verify, via Hong-Ou-Mandel interference, that the router does not affect the indistinguishability of the single photons. Furthermore, we give numerical simulations, which indicate that photons based on multiplexing of four SPDC sources can outperform the heralding based on highly advanced photon-number-resolving detectors. Our results show a route for on-demand single-photon generation and the practical realization of scalable linear optical quantum-information processing.

  17. Radio-isotopic myocardial study

    The non invasive study of the myocardium with radio-isotopes is effected either with radio-elements labeling on recently infarcted myocardium, such as PYP Tc 99m, or after I.V. injection of Tl 201 extracted by normal myocardium or after I.V. injection of radio-element which study the myocardial metabolism. The fixation of PYP Tc 99m, bordering that of calcium, appears 24 hours after the onset of the myocardial infarction; then it reduces and disappears a week later; its persistency gives evidence of an evolution to ventricular anevrism. The relatively low sensitivity and specificity of this test should induce to reserve if for precise cases. 201 Tl realizes a map of the myocardial flow because this radio-isotope reflects with damping the variations of coronary flow. The scintigraphy is made either after stress test or after I.V. injection of dipyridamole, and the sensitivity and specificity of the test is better than electrocardiographic exercise stress test. The predictive value of the test for a patient highly depends of the prevalence of the coronary disease for this patient; however the results of Tl scintigraphy are far from an ideal test; quantitative or semi-quantitative analysis of the image compared to the analogical image seems to improve sensitivity for detection of coronary disease. After myocardial infarction, its best use is to detect a left anterior descending stenosis after posterior or inferior infarction. Among the possible radio-elements of myocardial metabolism, scintigraphy with fatty acids opens interesting prospects for the study of the myocardial clearance of the radio-isotope, that reflects the global or regional myocardial metabolism

  18. Imaging of brain tumors in AIDS patients by means of dual-isotope thallium-201 and technetium-99m sestamibi single-photon emission tomography

    De La Pena, R.C.; Ketonen, L.; Villanueva-Meyer, J. [Dept. of Radiology, Univ. of Texas, Galveston (United States)

    1998-10-01

    Our aim was to evaluate the use of dual-isotope thallium-201 (Tl) and technetium-99m sestamibi (sestamibi) simultaneous acquisition in brain single-photon emission tomography (SPET) for the differentiation between brain lymphoma and benign central nervous system (CNS) lesions in AIDS patients. Thirty-six consecutive patients with enhancing mass lesions on magnetic resonance (MR) imaging were included in the study. SPET of the brain was performed to obtain simultaneous Tl and sestamibi images. Regions-of-interest were drawn around the lesion and on the contralateral side to calculate uptake ratios. The final diagnosis was reached by pathologic findings in 17 patients and clinical and/or MR follow-up in 19 patients. Of the 36 patients, 11 had brain lymphoma, 1 glioblastoma multiforme, 15 toxoplasmosis and 9 other benign CNS lesions. Correlation between SPET and the final diagnosis revealed in 10 true-positive, 23 true-negative, 1 false-positive and 2 false-negative studies. All patients with toxoplasmosis had negative scans. A patient with a purulent infection had positive scans. Tl and sestamibi scans were concordant in every lesion. The same lesions that took up Tl were also visualized with sestamibi. However, sestamibi scans showed higher lesion-to-normal tissue uptake ratios (3.7{+-}1.8) compared with those of Tl (2.3{+-}0.8, P<0.002). Simultaneous acquisition of Tl and sestamibi can help differentiate CNS lymphoma from benign brain lesions in AIDS patients. (orig.) With 2 figs., 2 tabs., 34 refs.

  19. Plasmonic nanoantenna based triggered single-photon source

    Straubel, J.; Filter, R.; Rockstuhl, C.; Słowik, K.

    2016-05-01

    Highly integrated single-photon sources are key components in future quantum-optical circuits. Whereas the probabilistic generation of single photons can routinely be done by now, their triggered generation is a much greater challenge. Here, we describe the triggered generation of single photons in a hybrid plasmonic device. It consists of a lambda-type quantum emitter coupled to a multimode optical nanoantenna. For moderate interaction strengths between the subsystems, the description of the quantum optical evolution can be simplified by an adiabatic elimination of the electromagnetic fields of the nanoantenna modes. This leads to an insightful analysis of the emitter's dynamics, entails the opportunity to understand the physics of the device, and to identify parameter regimes for a desired operation. Even though the approach presented in this work is general, we consider a simple exemplary design of a plasmonic nanoantenna, made of two silver nanorods, suitable for triggered generation of single photons. The investigated device realizes single photons, triggered, potentially at high rates, and using low device volumes.

  20. Witnessing trustworthy single-photon entanglement with local homodyne measurements.

    Morin, Olivier; Bancal, Jean-Daniel; Ho, Melvyn; Sekatski, Pavel; D'Auria, Virginia; Gisin, Nicolas; Laurat, Julien; Sangouard, Nicolas

    2013-03-29

    Single-photon entangled states, i.e., states describing two optical paths sharing a single photon, constitute the simplest form of entanglement. Yet they provide a valuable resource in quantum information science. Specifically, they lie at the heart of quantum networks, as they can be used for quantum teleportation, swapped, and purified with linear optics. The main drawback of such entanglement is the difficulty in measuring it. Here, we present and experimentally test an entanglement witness allowing one to say whether a given state is path entangled and also that entanglement lies in the subspace, where the optical paths are each filled with one photon at most, i.e., refers to single-photon entanglement. It uses local homodyning only and relies on no assumption about the Hilbert space dimension of the measured system. Our work provides a simple and trustworthy method for verifying the proper functioning of future quantum networks. PMID:23581297

  1. Single perylene diimide dendrimers as single-photon sources

    Single-molecule fluorescence spectroscopy was performed on a number of perylene diimide multichromophores with different dendritic geometries, with the particular goal of characterizing their performance as single-photon sources at room temperature. The quality of the different perylene diimide-containing dendrimers as single-photon sources was evaluated by determining the Mandel parameter. Values similar to ones reported previously for perylene monoimide dendrimers were found. The different arrangements of the chromophores in the different dendrimers do not noticeably affect their efficiency as single-photon emitters. Due to the formation of oxygen-enhanced long dark states, anaerobic conditions are found to be the best for optimizing their performance, which is in contrast with the case for perylene monoimide containing dendrimers

  2. Single Photon Avalanche Diodes: Towards the Large Bidimensional Arrays

    Emilio Sciacca

    2008-08-01

    Full Text Available Single photon detection is one of the most challenging goals of photonics. In recent years, the study of ultra-fast and/or low-intensity phenomena has received renewed attention from the academic and industrial communities. Intense research activity has been focused on bio-imaging applications, bio-luminescence, bio-scattering methods, and, more in general, on several applications requiring high speed operation and high timing resolution. In this paper we present design and characterization of bi-dimensional arrays of a next generation of single photon avalanche diodes (SPADs. Single photon sensitivity, dark noise, afterpulsing and timing resolution of the single SPAD have been examined in several experimental conditions. Moreover, the effects arising from their integration and the readout mode have also been deeply investigated.

  3. Single-photon observables and preparation uncertainty relations

    We propose a procedure to define all single-photon observables in a consistent and unified picture based on operational approach to quantum mechanics. We identify the suppression of zero-helicity states as a projection from an extended Hilbert space onto the physical single-photon Hilbert space. We show that all single-photon observables are in general described by positive-operator valued measures (POVMs), obtained by applying this projection to opportune projection-valued measures (PVMs) defined on the extended Hilbert space. The POVMs associated to momentum and helicity reduce to PVMs, unlike those associated to position and spin. This fact reflects the intrinsic unsharpness of these observables. We apply this formalism to study the preparation uncertainty relations for position and momentum and to compute the probability distribution of spin, for a broad class of Gaussian states. Results show quantitatively the enhancement of the statistical character of the theory. (paper)

  4. Jitter analysis of a superconducting nanowire single photon detector

    Lixing You

    2013-07-01

    Full Text Available Jitter is one of the key parameters for a superconducting nanowire single photon detector (SNSPD. Using an optimized time-correlated single photon counting system for jitter measurement, we extensively studied the dependence of system jitter on the bias current and working temperature. The signal-to-noise ratio of the single-photon-response pulse was proven to be an important factor in system jitter. The final system jitter was reduced to 18 ps by using a high-critical-current SNSPD, which showed an intrinsic SNSPD jitter of 15 ps. A laser ranging experiment using a 15-ps SNSPD achieved a record depth resolution of 3 mm at a wavelength of 1550 nm.

  5. Photonic wires and trumpets for ultrabright single photon sources

    Gérard, Jean-Michel; Claudon, Julien; Bleuse, Joël;

    2013-01-01

    Photonic wires have recently demonstrated very attractive assets in the field of high-efficiency single photon sources. After presenting the basics of spontaneous emission control in photonic wires, we compare the two possible tapering strategies that can be applied to their output end so as to...... tailor their radiation diagram in the far-field. We highlight the novel “photonic trumpet” geometry, which provides a clean Gaussian beam, and is much less sensitive to fabrication imperfections than the more common needle-like taper geometry. S4Ps based on a single QD in a PW with integrated bottom...... mirror and tapered tip display jointly a record-high efficiency (0.75±0.1 photon per pulse) and excellent single photon purity. Beyond single photon sources, photonic wires and trumpets appear as a very attractive resource for solid-state quantum optics experiments....

  6. Study of narrowband single photon emitters in polycrystalline diamond films

    Sandstrom, Russell G.; Shimoni, Olga; Martin, Aiden A.; Aharonovich, Igor, E-mail: igor.aharonovich@uts.edu.au [School of Physics and Advanced Materials, University of Technology, Sydney, P.O. Box 123, Broadway, New South Wales 2007 (Australia)

    2014-11-03

    Quantum information processing and integrated nanophotonics require robust generation of single photon emitters on demand. In this work, we demonstrate that diamond films grown on a silicon substrate by microwave plasma chemical vapor deposition can host bright, narrowband single photon emitters in the visible—near infra-red spectral range. The emitters possess fast lifetime (∼several ns), absolute photostability, and exhibit full polarization at excitation and emission. Pulsed and continuous laser excitations confirm their quantum behaviour at room temperature, while low temperature spectroscopy is performed to investigate inhomogeneous broadening. Our results advance the knowledge of solid state single photon sources and open pathways for their practical implementation in quantum communication and quantum information processing.

  7. Superconducting single photon detectors integrated with diamond nanophotonic circuits

    Rath, Patrik; Ferrari, Simone; Sproll, Fabian; Lewes-Malandrakis, Georgia; Brink, Dietmar; Ilin, Konstantin; Siegel, Michael; Nebel, Christoph; Pernice, Wolfram

    2015-01-01

    Photonic quantum technologies promise to repeat the success of integrated nanophotonic circuits in non-classical applications. Using linear optical elements, quantum optical computations can be performed with integrated optical circuits and thus allow for overcoming existing limitations in terms of scalability. Besides passive optical devices for realizing photonic quantum gates, active elements such as single photon sources and single photon detectors are essential ingredients for future optical quantum circuits. Material systems which allow for the monolithic integration of all components are particularly attractive, including III-V semiconductors, silicon and also diamond. Here we demonstrate nanophotonic integrated circuits made from high quality polycrystalline diamond thin films in combination with on-chip single photon detectors. Using superconducting nanowires coupled evanescently to travelling waves we achieve high detection efficiencies up to 66 % combined with low dark count rates and timing resolu...

  8. Single photon frequency up-conversion and its applications

    Optical frequency up-conversion is a technique, based on sum frequency generation in a non-linear optical medium, in which signal light from one frequency (wavelength) is converted to another frequency. By using this technique, near infrared light can be converted to light in the visible or near visible range and therefore detected by commercially available visible detectors with high efficiency and low noise. The National Institute of Standards and Technology (NIST) has adapted the frequency up-conversion technique to develop highly efficient and sensitive single photon detectors and a spectrometer for use at telecommunication wavelengths. The NIST team used these single photon up-conversion detectors and spectrometer in a variety of pioneering research projects including the implementation of a quantum key distribution system; the demonstration of a detector with a temporal resolution beyond the jitter limitation of commercial single photon detectors; the characterization of an entangled photon pair source, including a direct spectrum measurement for photons generated in spontaneous parametric down-conversion; the characterization of single photons from quantum dots including the measurement of carrier lifetime with escalated high accuracy and the demonstration of the converted quantum dot photons preserving their non-classical features; the observation of 2nd, 3rd and 4th order temporal correlations of near infrared single photons from coherent and pseudo-thermal sources following frequency up-conversion; a study on the time-resolving measurement capability of the detectors using a short pulse pump and; evaluating the modulation of a single photon wave packet for better interfacing of independent sources. In this article, we will present an overview of the frequency up-conversion technique, introduce its applications in quantum information systems and discuss its unique features and prospects for the future.

  9. Interferometric Quantum-Nondemolition Single-Photon Detectors

    Kok, Peter; Lee, Hwang; Dowling, Jonathan

    2007-01-01

    Two interferometric quantum-nondemolition (QND) devices have been proposed: (1) a polarization-independent device and (2) a polarization-preserving device. The prolarization-independent device works on an input state of up to two photons, whereas the polarization-preserving device works on a superposition of vacuum and single- photon states. The overall function of the device would be to probabilistically generate a unique detector output only when its input electromagnetic mode was populated by a single photon, in which case its output mode would also be populated by a single photon. Like other QND devices, the proposed devices are potentially useful for a variety of applications, including such areas of NASA interest as quantum computing, quantum communication, detection of gravity waves, as well as pedagogical demonstrations of the quantum nature of light. Many protocols in quantum computation and quantum communication require the possibility of detecting a photon without destroying it. The only prior single- photon-detecting QND device is based on quantum electrodynamics in a resonant cavity and, as such, it depends on the photon frequency. Moreover, the prior device can distinguish only between one photon and no photon. The proposed interferometric QND devices would not depend on frequency and could distinguish between (a) one photon and (b) zero or two photons. The first proposed device is depicted schematically in Figure 1. The input electromagnetic mode would be a superposition of a zero-, a one-, and a two-photon quantum state. The overall function of the device would be to probabilistically generate a unique detector output only when its input electromagnetic mode was populated by a single photon, in which case its output mode also would be populated by a single photon.

  10. Computed tomography angiography and perfusion to assess coronary artery stenosis causing perfusion defects by single photon emission computed tomography

    Rochitte, Carlos E; George, Richard T; Chen, Marcus Y;

    2014-01-01

    AIMS: To evaluate the diagnostic power of integrating the results of computed tomography angiography (CTA) and CT myocardial perfusion (CTP) to identify coronary artery disease (CAD) defined as a flow limiting coronary artery stenosis causing a perfusion defect by single photon emission computed...... emission computed tomography (SPECT/MPI). Sixteen centres enroled 381 patients who underwent combined CTA-CTP and SPECT/MPI prior to conventional coronary angiography. All four image modalities were analysed in blinded independent core laboratories. The prevalence of obstructive CAD defined by combined ICA...... tomography (SPECT). METHODS AND RESULTS: We conducted a multicentre study to evaluate the accuracy of integrated CTA-CTP for the identification of patients with flow-limiting CAD defined by ≥50% stenosis by invasive coronary angiography (ICA) with a corresponding perfusion deficit on stress single photon...

  11. Single-photon interference experiment for high schools

    Bondani, Maria

    2014-07-01

    We follow the reductio ad absurdum reasoning described in the book "Sneaking a Look at God's Cards" by Giancarlo Ghirardi to demonstrate the wave-particle duality of light in a Mach-Zehnder interferometric setup analog to the conventional Young double-slit experiment. We aim at showing the double nature of light by measuring the existence of interference fringes down to the single-photon level. The setup includes a strongly attenuated laser, polarizing beam splitters, half-waveplates, polarizers and single-photon detectors.

  12. Photon statistics characterization of a single-photon source

    In a recent experiment, we reported the time-domain intensity noise measurement of a single-photon source relying on single-molecule fluorescence control. In this paper, we present data processing starting from photocount timestamps. The theoretical analytical expression of the time-dependent Mandel parameter Q(T) of an intermittent single-photon source is derived from ON↔OFF dynamics. Finally, source intensity noise analysis, using the Mandel parameter, is quantitatively compared with the usual approach relying on the time autocorrelation function, both methods yielding the same molecular dynamical parameters

  13. Investigation of Hamamatsu H8500 phototubes as single photon detectors

    Montgomery, R.A. [INFN Laboratori Nazionali di Frascati, Via Enrico Fermi, 40, 00044 Frascati (Italy); Hoek, M. [Institut für Kernphysik, Johannes Gutenberg-Universität Mainz, Johann-Joachim-Becher-Weg 45, D 55128 Mainz (Germany); Lucherini, V.; Mirazita, M.; Orlandi, A.; Anefalos Pereira, S.; Pisano, S. [INFN Laboratori Nazionali di Frascati, Via Enrico Fermi, 40, 00044 Frascati (Italy); Rossi, P. [INFN Laboratori Nazionali di Frascati, Via Enrico Fermi, 40, 00044 Frascati (Italy); Jefferson Laboratory, Thomas Jefferson National Accelerator Facility, 12000 Jefferson Avenue, Newport News, VA 23606 (United States); Viticchiè, A. [INFN Laboratori Nazionali di Frascati, Via Enrico Fermi, 40, 00044 Frascati (Italy); Witchger, A. [Department of Physics, Duquesne University, 317 Fisher Hall, Pittsburgh, PA 15282 (United States)

    2015-08-01

    We have investigated the response of a significant sample of Hamamatsu H8500 MultiAnode PhotoMultiplier Tubes (MAPMTs) as single photon detectors, in view of their use in a ring imaging Cherenkov counter for the CLAS12 spectrometer at the Thomas Jefferson National Accelerator Facility. For this, a laser working at 407.2 nm wavelength was employed. The sample is divided equally into standard window type, with a spectral response in the visible light region, and UV-enhanced window type MAPMTs. The studies confirm the suitability of these MAPMTs for single photon detection in such a Cherenkov imaging application.

  14. Investigation of Hamamatsu H8500 phototubes as single photon detectors

    Hoek, M; Mirazita, M; Montgomery, R A; Orlandi, A; Pereira, S Anefalos; Pisano, S; Rossi, P; Viticchiè, A; Witchger, A

    2014-01-01

    We have investigated the response of a significant sample of Hamamatsu H8500 MultiAnode PhotoMultiplier Tubes (MAPMTs) as single photon detectors, in view of their use in a ring imaging Cherenkov counter for the CLAS12 spectrometer at the Thomas Jefferson National Accelerator Facility. For this, a laser working at 407.2nm wavelength was employed. The sample is divided equally into standard window type, with a spectral response in the visible light region, and UV-enhanced window type MAPMTs. The studies confirm the suitability of these MAPMTs for single photon detection in such a Cherenkov imaging application.

  15. Assessment of myocardial viability using Tl-201 SPECT at rest to predict the reversibility of left ventricular wall motion abnormalities; Vitalitaetsdiagnostik mit der {sup 210}Tl-SPECT in Ruhe zur Vorhersage der Reversibilitaet linksventrikulaerer Wandbewegungsstoerungen

    Schulz, G.; Koch, K.C. [Universitaetsklinikum der RWTH Aachen (Germany). Klinik fuer Nuklearmedizin, Medizinische Klinik; Vom Dahl, J. [Universitaetsklinikum der RWTH Aachen (Germany). Klinik fuer Nuklearmedizin, Medizinische Klinik; Kleinhans, E.; Kaiser, H.J.; Verhasselt, S.; Messmer, B.J. [Universitaetsklinikum der RWTH Aachen (Germany). Klinik fuer Thorax-, Herz- und Gefaesschirurgie; Hanrath, P. [Universitaetsklinikum der RWTH Aachen (Germany). Klinik fuer Nuklearmedizin, Medizinische Klinik; Buell, U.

    1996-12-01

    19 patients with advanced coronary artery disease and regional wall motion abnormalities were examined at rest with Tl-201 SPECT (acquisition 15 minutes and 3 hours post injection), successfully revascularized, proven by a second coronary angiography three month after revascularisation. Wall motion was again evaluated by cineventriculography. Results: The preoperative a- or dyskinetic segments were best separated by the minimal relative Tl-201 uptake in the defect 3 hrs p.i. in (i) postinterventionally improved wall motion (Tl-201 uptake 67{+-}14%, viable) and in (ii) without recovery (Tl-201 uptake 46{+-}12%, p<0.001, non viable). A threshold at a Tl-201 uptake of more than 50% yielded a positive predictive value of 0.73 and a negative predictive value of 0.86. If the segments with wall motion abnormalities (hypokinetic included) were evaluated as one group, no such threshold was obtained: All segments which occured a Tl-201 uptake of more than 80% showed a functional recovery, wall motion did not improve in any segment with a Tl-201 uptake of less than 40%. In the present study a considerable influence of the defect localisation with regard to the posterior wall was not observed. The values of Tl-201 redistribution under resting condition were not useful to predict functional recovery. Conclusion: Tl-201 SPECT in rest predicts preoperatively the reversibility in regions with severe wall motion abnormalities only and indicates myocardial viability in these cases. Thus, the method is basicly useful to determine myocardial viability. In hypokinetic segments, however, a wide range of TL-201 uptake values exists without definite evidence to functional recovery. (orig./MG) [Deutsch] Eingeschlossen wurden 19 Patienten mit angiographisch gesicherter koronarer Herzkrankheit und regionalen Wandbewegungsstoerungen, die praeoperativ einer {sup 201}Tl-SPECT (Acquisition 15 min und 3 h p.i.) unterzogen, erfolgreich revaskularisiert und drei Monate nach Revaskularisation

  16. Deterministic teleportation using single-photon entanglement as a resource

    Björk, Gunnar; Laghaout, Amine; Andersen, Ulrik L.

    2012-01-01

    We outline a proof that teleportation with a single particle is, in principle, just as reliable as with two particles. We thereby hope to dispel the skepticism surrounding single-photon entanglement as a valid resource in quantum information. A deterministic Bell-state analyzer is proposed which...

  17. Quantum interference of independently generated telecom-band single photons

    We report on high-visibility quantum interference of independently generated telecom O-band (1310 nm) single photons using standard single-mode fibers. The experimental data are shown to agree well with the results of simulations using a comprehensive quantum multimode theory without the need for any fitting parameter

  18. Quantum interference of independently generated telecom-band single photons

    Patel, Monika [Center for Photonic Communication and Computing, Department of Physics and Astronomy, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208-3112 (United States); Altepeter, Joseph B.; Huang, Yu-Ping; Oza, Neal N. [Center for Photonic Communication and Computing, Department of Electrical Engineering and Computer Science, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208-3118 (United States); Kumar, Prem [Center for Photonic Communication and Computing, Department of Physics and Astronomy, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208-3112, USA and Center for Photonic Communication and Computing, Department of Electrical Engineering (United States)

    2014-12-04

    We report on high-visibility quantum interference of independently generated telecom O-band (1310 nm) single photons using standard single-mode fibers. The experimental data are shown to agree well with the results of simulations using a comprehensive quantum multimode theory without the need for any fitting parameter.

  19. Transform-limited single photons from a single quantum dot

    Kuhlmann, Andreas V.; Prechtel, Jonathan H.; Houel, Julien; Ludwig, Arne; Reuter, Dirk; Wieck, Andreas D.; Warburton, Richard J.

    2015-09-01

    Developing a quantum photonics network requires a source of very-high-fidelity single photons. An outstanding challenge is to produce a transform-limited single-photon emitter to guarantee that single photons emitted far apart in the time domain are truly indistinguishable. This is particularly difficult in the solid-state as the complex environment is the source of noise over a wide bandwidth. A quantum dot is a robust, fast, bright and narrow-linewidth emitter of single photons; layer-by-layer growth and subsequent nano-fabrication allow the electronic and photonic states to be engineered. This represents a set of features not shared by any other emitter but transform-limited linewidths have been elusive. Here, we report transform-limited linewidths measured on second timescales, primarily on the neutral exciton but also on the charged exciton close to saturation. The key feature is control of the nuclear spins, which dominate the exciton dephasing via the Overhauser field.

  20. Quantum cryptography based on realistic "single-photon" source

    Peřina, Jan; Haderka, Ondřej; Soubusta, Jan

    Rochester: Optical Society of America, 2004 - (Bigelow, N.; Eberly, J.; Stroud, C.; Walmsley, I.), --- [International Conference on Quantum Information. Rochester (US), 10.06.2003-13.06.2003] R&D Projects: GA MŠk(CZ) LN00A015 Keywords : quantum cryptography * single-photon source Subject RIV: BH - Optics, Masers, Lasers

  1. Programming Single-Photon Wavefronts for Quantum Authentication

    Pinkse, P.W.H.; Huisman, T.J.; Huisman, S.R.; Wolterink, T.A.W.; Mosk, A.P.

    2014-01-01

    We demonstrate the ability to program the wavefront of single-photon states produced by spontaneous parametric down conversion into complex two-dimensional patterns with a spatial light modulator for application in quantum authentication and quantum communication. © 2014 OSA

  2. Single photon emission computed tomography (SPECT): Fundamentals, technique, clinical applications

    The fundamentals of SPECT (Single Photon Emission Computed Tomography) are presented, and the requirements on rotating SPECT systems are listed. SPECT with a rotating gamma camera has found general acceptance as an imaging method in nuclear medicine. Compared with conventional, two-dimensional imaging techniques, SPECT offers higher contrast and three-dimensional transversal, sagittal, coronal or oblique sectional images. (orig./MG)

  3. High brightness single photon sources based on photonic wires

    Claudon, J.; Bleuse, J.; Bazin, M.;

    2009-01-01

    We present a novel single-photon-source based on the emission of a semiconductor quantum dot embedded in a single-mode photonic wire. This geometry ensures a very large coupling (> 95%) of the spontaneous emission to the guided mode. Numerical simulations show that a photon collection efficiency as...

  4. Potential of semiconductor nanowires for single photon sources

    Harmand, J.-C.; Liu, L.; Patriarche, G.; Tchernycheva, M.; Akopian, N.; Perinetti, U.; Zwiller, V.

    2009-01-01

    The catalyst-assisted growth of semiconductor nanowires heterostructures offers a very flexible way to design and fabricate single photon emitters. The nanowires can be positioned by organizing the catalyst prior to growth. Single quantum dots can be formed in the core of single nanowires which can

  5. Single-photon production at the CERN ISR

    A measurement of single photon production from p-p collisions at ISR energies is presented. A signal comparable to single π0 production is found at large p/sub T/. A study of associated particles favors production dominated by the first-order QCD process of gluon-valence quark production q g → q γ

  6. Localised excitation of a single photon source by a nanowaveguide

    Geng, Wei; Manceau, Mathieu; Rahbany, Nancy; Sallet, Vincent; de Vittorio, Massimo; Carbone, Luigi; Glorieux, Quentin; Bramati, Alberto; Couteau, Christophe

    2016-01-01

    Nowadays, integrated photonics is a key technology in quantum information processing (QIP) but achieving all-optical buses for quantum networks with efficient integration of single photon emitters remains a challenge. Photonic crystals and cavities are good candidates but do not tackle how to effectively address a nanoscale emitter. Using a nanowire nanowaveguide, we realise an hybrid nanodevice which locally excites a single photon source (SPS). The nanowire acts as a passive or active sub-wavelength waveguide to excite the quantum emitter. Our results show that localised excitation of a SPS is possible and is compared with free-space excitation. Our proof of principle experiment presents an absolute addressing efficiency ηa ~ 10-4 only ~50% lower than the one using free-space optics. This important step demonstrates that sufficient guided light in a nanowaveguide made of a semiconductor nanowire is achievable to excite a single photon source. We accomplish a hybrid system offering great potentials for electrically driven SPSs and efficient single photon collection and detection, opening the way for optimum absorption/emission of nanoscale emitters. We also discuss how to improve the addressing efficiency of a dipolar nanoscale emitter with our system.

  7. Single-photon source engineering using a Modal Method

    Gregersen, Niels

    Solid-state sources of single indistinguishable photons are of great interest for quantum information applications. The semiconductor quantum dot embedded in a host material represents an attractive platform to realize such a single-photon source (SPS). A near-unity efficiency, defined as the num...... photonic nanowire SPSs...

  8. Thallium-201 myocardial imaging in children with heart disease

    201-TlCl myocardial imaging studies were performed to evaluate systolic pressure of right ventricle on 107 patients including 89 patients with congenital cardiac disease, patients with primary pulmonary hypertension and 13 patients with history of MCLS with the age range of 2 months to 17 years. The congenital cardiac disease group included 30 patients with tetralogy of Fallot, 8 patients with pulmonary stenosis (included 1 patient with double chambered right ventricle), 20 patients with ventricular septal defect, 10 patients with patent ductus arteriosus, 9 patients with atrial septal defect and 12 patients with complete transposition of greate arteries. None of the patients with history of MCLS had coronary involvement. 50 μCi/kg of 201-TlCl was infused intravenously and after 15 minutes the images were obtained from 5 directions (anterior, LAO 30, LAO 45, LAO 60 and lateral). The angle was determined to demonstrate the intraventricular septum and ventricular free walls cleary separated. The image of end-diastolic phase was obtained with ECG syncronized gated method from that direction. The ROI (region of interest) was defined as a slice line by drawing two lines perpendicular to the septum and the counts of the left and right ventricular free wall (Cl and Cr) were analized to evaluate the pressure of right ventricle. The pressure of ventricles were obtained by cardiac catheterization performed at the same time with myocardial imaging. The ratio of Cl and Cr (Cr/Cl) had good correlation with the ratio of peak systolic pressure of left ventricle and right ventricle (regression equation Y=0.84X+0.08, r=0.87). In each congenital heart disease group, very good corelation was also demonstrated (Y=1.46X-0.30, r=0.96 in PS ; Y=0.70X0.20, r=0.91 in VSD ; Y=0.86X+0.15, r=0.78 in ASD and Y=0.72X+0.24, r=0.80 in PDA). Thus 201-TlCl myocardial imaging was useful method to evaluate right ventricular pressure noninvasively in congenital cardiac disease. (author)

  9. Evaluation of left ventricular hypertrophy using thallium-201 myocardial scintigraphy, echocardiography and vectorcardiography

    Thallium-201 (201Tl) myocardial scintigraphy was performed in 40 patients with left ventricular hypertrophy(LVH). Twelve out of 40 patients had pressure overloading (Aortic stenosis: 5, Hypertension: 7), 14 patients had volume overloading (Aortic regurgitation: 9, Mitral regurgitation: 5) and 14 had idiopathic cardiomyopathy (Hypertrophic type (HCM): 8, Congestive type (CCM): 6), respectively. LV area, LV uptake index and Wall uptake ratio were calculated from left anterior oblique view of 201Tl myocardial images. These three indices of both pressure overloading and volume overloading were significantly higher than those of controls. The degree of LVH was indicated by both LV area and LV uptake index. LV area was significantly larger in volume overloading than in pressure overloading. In idiopathic cardiomyopathy, these three indices of HCM and LV area and LV uptake index of CCM were significantly increased compared with those of controls. LV area of CCM was significantly larger than that of HCM, while Wall uptake ratio of HCM was significantly higher than that of CCM. LV uptake index and Wall uptake ratio of HCM became higher according as left ventricular cavity became smaller. LV area of CCM became larger in proportion as left ventricular cavity became larger and as left ventricular wall thickness became thinner. (author)

  10. Multiple-Event, Single-Photon Counting Imaging Sensor

    Zheng, Xinyu; Cunningham, Thomas J.; Sun, Chao; Wang, Kang L.

    2011-01-01

    The single-photon counting imaging sensor is typically an array of silicon Geiger-mode avalanche photodiodes that are monolithically integrated with CMOS (complementary metal oxide semiconductor) readout, signal processing, and addressing circuits located in each pixel and the peripheral area of the chip. The major problem is its single-event method for photon count number registration. A single-event single-photon counting imaging array only allows registration of up to one photon count in each of its pixels during a frame time, i.e., the interval between two successive pixel reset operations. Since the frame time can t be too short, this will lead to very low dynamic range and make the sensor merely useful for very low flux environments. The second problem of the prior technique is a limited fill factor resulting from consumption of chip area by the monolithically integrated CMOS readout in pixels. The resulting low photon collection efficiency will substantially ruin any benefit gained from the very sensitive single-photon counting detection. The single-photon counting imaging sensor developed in this work has a novel multiple-event architecture, which allows each of its pixels to register as more than one million (or more) photon-counting events during a frame time. Because of a consequently boosted dynamic range, the imaging array of the invention is capable of performing single-photon counting under ultra-low light through high-flux environments. On the other hand, since the multiple-event architecture is implemented in a hybrid structure, back-illumination and close-to-unity fill factor can be realized, and maximized quantum efficiency can also be achieved in the detector array.

  11. The relationship between clinical stage, prognosis and myocardial damage in patients with Duchenne-type muscular dystrophy. Five-year follow-up study

    The evaluation of myocardial damage by [123I]15-(p-iodophenyl)-3-(R,S)-methylpentadecanoic acid (BMIPP) imaging, which represents free fatty acid metabolism, has not been reported in patients with Duchenne-type muscular dystrophy (DMD). To date, the relationship between clinical stage, prognosis and myocardial damage has not been evaluated by radionuclear cardiac imaging. The main goal of this study was to elucidate the relationship of quantitative indices of myocardial damage obtained by radionuclear cardiac imaging ([201Tl] and [123I]BMIPP) to clinical stage and incidence of severe cardiac events in patients with Duchenne-type muscular dystrophy (DMD). The study population consisted of 28 male patients with DMD. The average age at the beginning of observation was 19.1±7.4 yrs. Nuclear tomographic imaging was performed using [201Tl] and [123I]BMIPP. The mid-ventricular short axial slices were classified into four anatomical regions, and the normalized count data in these areas (TL, BM) were obtained. The endpoint was the occurrence of heart failure during the follow up period. Thirteen cases of heart failure occurred during the 5-year follow-up period, including three cases with cardiac death due to congestive heart failure. Clinical staging correlated directly with TL (p=0.0118) and BM (p=0.0401) in the whole left ventricle. In regional TL analysis, an association was observed only in the septum (p=0.0151), and in the anterior (p=0.0361) region. The only discrepancy between the tracer parameters (TL-BM) in the septum was observed with the radionuclear cardiac values, which exhibited a relationship with cardiac events (p=0.0124). This discordance, TL201Tl] in this area was representative of the clinical stage, and TL-BM correlated well with the prognosis. (author)

  12. All-Optical Routing of Single Photons by a One-Atom Switch Controlled by a Single Photon

    Shomroni, Itay; Lovsky, Yulia; Bechler, Orel; Guendelman, Gabriel; Dayan, Barak

    2014-01-01

    The prospect of quantum networks, in which quantum information is carried by single photons in photonic circuits, has long been the driving force behind the effort to achieve all-optical routing of single photons. Here we realize the most basic unit of such a photonic circuit: a single-photon activated switch, capable of routing a photon from any of its two inputs to any of its two outputs. Our device is based on a single 87Rb atom coupled to a fiber-coupled, chip-based microresonator, and is completely all-optical, requiring no other fields beside the in-fiber single-photon pulses. Nonclassical statistics of the control pulse confirm that a single reflected photon toggles the switch from high reflection (65%) to high transmission (90%), with average of ~1.5 control photons per switching event (~3 including linear losses). The fact that the control and target photons are both in-fiber and practically identical makes this scheme compatible with scalable architectures for quantum information processing.

  13. Interfering Heralded Single Photons from Two Separate Silicon Nanowires Pumped at Different Wavelengths

    Xiang Zhang

    2016-08-01

    Full Text Available Practical quantum photonic applications require on-demand single photon sources. As one possible solution, active temporal and wavelength multiplexing has been proposed to build an on-demand single photon source. In this scheme, heralded single photons are generated from different pump wavelengths in many temporal modes. However, the indistinguishability of these heralded single photons has not yet been experimentally confirmed. In this work, we achieve 88% ± 8% Hong–Ou–Mandel quantum interference visibility from heralded single photons generated from two separate silicon nanowires pumped at different wavelengths. This demonstrates that active temporal and wavelength multiplexing could generate indistinguishable heralded single photons.

  14. Evaluation of branched chain fatty acid, BMIPP (. beta. -methyl-. omega. -(p-iodophenyl)-pentadecanoic acid) for the myocardial imaging. Basic experiment

    Kawamura, Yasuaki; Morishita, Takeshi; Yamazaki, Junichi and others

    1988-11-01

    Iodine-123 labeled branched chain fatty acid BMIPP (/sup ..beta../-methyl-..omega..-(p-iodophenyl)-pentadecanoic acid) was evaluated for the myocardial imaging experimentally. /sup 123/I-BMIPP was accumulated in the heart at 2 - 4 minutes after injection and retention in the heart was remarkable at 30 minutes. In the acute canine infarction model, infarcted area was recognized as a defect. Furthermore, in comparison between /sup 123/I-BMIPP and /sup 201/Tl-Cl, discrepancy between these images was recognized in the ischemic and infarcted area. BMIPP is of use in not only cardiomyopathy and hypertension, but ischemic heart desease.

  15. Directional emission of single photons from small atomic samples

    Miroshnychenko, Yevhen; V. Poulsen, Uffe; Mølmer, Klaus

    2013-01-01

    We provide a formalism to describe deterministic emission of single photons with tailored spatial and temporal profiles from a regular array of multi-level atoms. We assume that a single collective excitation is initially shared by all the atoms in a metastable atomic state, and that this state i...... coupled by a classical laser field to an optically excited state which rapidly decays to the ground atomic state. Our model accounts for the different field polarization components via re-absorption and emission of light by the Zeeman manifold of optically excited states.......We provide a formalism to describe deterministic emission of single photons with tailored spatial and temporal profiles from a regular array of multi-level atoms. We assume that a single collective excitation is initially shared by all the atoms in a metastable atomic state, and that this state is...

  16. Localization of Narrowband Single Photon Emitters in Nanodiamonds.

    Bray, Kerem; Sandstrom, Russell; Elbadawi, Christopher; Fischer, Martin; Schreck, Matthias; Shimoni, Olga; Lobo, Charlene; Toth, Milos; Aharonovich, Igor

    2016-03-23

    Diamond nanocrystals that host room temperature narrowband single photon emitters are highly sought after for applications in nanophotonics and bioimaging. However, current understanding of the origin of these emitters is extremely limited. In this work, we demonstrate that the narrowband emitters are point defects localized at extended morphological defects in individual nanodiamonds. In particular, we show that nanocrystals with defects such as twin boundaries and secondary nucleation sites exhibit narrowband emission that is absent from pristine individual nanocrystals grown under the same conditions. Critically, we prove that the narrowband emission lines vanish when extended defects are removed deterministically using highly localized electron beam induced etching. Our results enhance the current understanding of single photon emitters in diamond and are directly relevant to fabrication of novel quantum optics devices and sensors. PMID:26937848

  17. Quantum computing with distant single photon sources with insurance

    Lim, Y L; Kwek, L C; Lim, Yuan Liang; Beige, Almut; Kwek, Leong Chuan

    2004-01-01

    We demonstrate the possibility to perform quantum computations using only single photon sources, linear optics elements and photon detectors. In contrast to common linear optics quantum computing proposals, the described scheme can be operated with insurance without relying on highly entangled ancilla photons. Universality is achieved by employing the properties of certain single photon sources, namely the fact that it is possible to encode the logical qubit within the state of a source as well as in the state of the generated photon. The proposed Ising gate allows to build cluster states for one-way quantum computing. Furthermore we describe the implementation of the quantum parity filter, enabling teleportation with insurance, and the generation of multiphoton entanglement on demand.

  18. Hyperbolic Metamaterial Nano-Resonators Make Poor Single Photon Sources

    Axelrod, Simon; Wong, Herman M K; Helmy, Amr S; Hughes, Stephen

    2016-01-01

    We study the optical properties of quantum dipole emitters coupled to hyperbolic metamaterial nano-resonators using a semi-analytical quasinormal mode approach. We show that coupling to metamaterial nano-resonators can lead to significant Purcell enhancements that are nearly an order of magnitude larger than those of plasmonic resonators with comparable geometry. However, the associated single photon output $\\beta$-factors are extremely low (around 10%), far smaller than those of comparable sized metallic resonators (70%). Using a quasinormal mode expansion of the photon Green function, we describe how the low $\\beta$-factors are due to increased Ohmic quenching arising from redshifted resonances, larger quality factors and stronger confinement of light within the metal. In contrast to current wisdom, these results suggest that hyperbolic metamaterial nano-structures make poor choices for single photon sources.

  19. Demonstration of the angular uncertainty principle for single photons

    We present an experimental demonstration of a form of the angular uncertainty principle for single photons. Producing light from type I down-conversion, we use spatial light modulators to perform measurements on signal and idler photons. By measuring states in the angle and orbital angular momentum basis, we demonstrate the uncertainty relation of Franke-Arnold et al (2004 New J. Phys. 6 103). We consider two manifestations of the uncertainty relation. In the first we herald the presence of a photon by detection of its paired partner and demonstrate the uncertainty relation on this single photon. In the second, we perform orbital angular momentum measurements on one photon and angular measurements on its correlated partner exploring, in this way, the uncertainty relation through non-local measurements

  20. Quantum private query based on single-photon interference

    Xu, Sheng-Wei; Sun, Ying; Lin, Song

    2016-08-01

    Quantum private query (QPQ) has become a research hotspot recently. Specially, the quantum key distribution (QKD)-based QPQ attracts lots of attention because of its practicality. Various such kind of QPQ protocols have been proposed based on different technologies of quantum communications. Single-photon interference is one of such technologies, on which the famous QKD protocol GV95 is just based. In this paper, we propose two QPQ protocols based on single-photon interference. The first one is simpler and easier to realize, and the second one is loss tolerant and flexible, and more practical than the first one. Furthermore, we analyze both the user privacy and the database privacy in the proposed protocols.

  1. Video recording true single-photon double-slit interference

    Aspden, Reuben S; Spalding, Gabriel C

    2016-01-01

    As normally used, no commercially available camera has a low-enough dark noise to directly produce video recordings of double-slit interference at the photon-by-photon level, because readout noise significantly contaminates or overwhelms the signal. In this work, noise levels are significantly reduced by turning on the camera only when the presence of a photon has been heralded by the arrival, at an independent detector, of a time-correlated photon produced via parametric down-conversion. This triggering scheme provides the improvement required for direct video imaging of Young's double-slit experiment with single photons, allowing clarified versions of this foundational demonstration. Further, we introduce variations on this experiment aimed at promoting discussion of the role spatial coherence plays in such a measurement. We also emphasize complementary aspects of single-photon measurement, where imaging yields (transverse) position information, while diffraction yields the transverse momentum, and highligh...

  2. Hybrid photonic circuit for multiplexed heralded single photons

    Meany, Thomas; Collins, Matthew J; Clark, Alex S; Williams, Robert J; Eggleton, Benjamin J; Steel, M J; Withford, Michael J; Alibart, Olivier; Tanzilli, Sébastien

    2014-01-01

    A key resource for quantum optics experiments is an on-demand source of single and multiple photon states at telecommunication wavelengths. This letter presents a heralded single photon source based on a hybrid technology approach, combining high efficiency periodically poled lithium niobate waveguides, low-loss laser inscribed circuits, and fast (>1 MHz) fibre coupled electro-optic switches. Hybrid interfacing different platforms is a promising route to exploiting the advantages of existing technology and has permitted the demonstration of the multiplexing of four identical sources of single photons to one output. Since this is an integrated technology, it provides scalability and can immediately leverage any improvements in transmission, detection and photon production efficiencies.

  3. Localization of narrowband single photon emitters in nanodiamonds

    Bray, Kerem; Elbadawi, Christopher; Fischer, Martin; Schreck, Matthias; Shimoni, Olga; Lobo, Charlene; Toth, Milos; Aharonovich, Igor

    2016-01-01

    Diamond nanocrystals that host room temperature narrowband single photon emitters are highly sought after for applications in nanophotonics and bio-imaging. However, current understanding of the origin of these emitters is extremely limited. In this work we demonstrate that the narrowband emitters are point defects localized at extended morphological defects in individual nanodiamonds. In particular, we show that nanocrystals with defects such as twin boundaries and secondary nucleation sites exhibit narrowband emission that is absent from pristine individual nanocrystals grown under the same conditions. Critically, we prove that the narrowband emission lines vanish when extended defects are removed deterministically using highly localized electron beam induced etching. Our results enhance the current understanding of single photon emitters in diamond, and are directly relevant to fabrication of novel quantum optics devices and sensors.

  4. Authenticated Quantum Key Distribution with Collective Detection using Single Photons

    Huang, Wei; Xu, Bing-Jie; Duan, Ji-Tong; Liu, Bin; Su, Qi; He, Yuan-Hang; Jia, Heng-Yue

    2016-05-01

    We present two authenticated quantum key distribution (AQKD) protocols by utilizing the idea of collective (eavesdropping) detection. One is a two-party AQKD protocol, the other is a multiparty AQKD protocol with star network topology. In these protocols, the classical channels need not be assumed to be authenticated and the single photons are used as the quantum information carriers. To achieve mutual identity authentication and establish a random key in each of the proposed protocols, only one participant should be capable of preparing and measuring single photons, and the main quantum ability that the rest of the participants should have is just performing certain unitary operations. Security analysis shows that these protocols are free from various kinds of attacks, especially the impersonation attack and the man-in-the-middle (MITM) attack.

  5. Quantum private query based on single-photon interference

    Xu, Sheng-Wei; Sun, Ying; Lin, Song

    2016-05-01

    Quantum private query (QPQ) has become a research hotspot recently. Specially, the quantum key distribution (QKD)-based QPQ attracts lots of attention because of its practicality. Various such kind of QPQ protocols have been proposed based on different technologies of quantum communications. Single-photon interference is one of such technologies, on which the famous QKD protocol GV95 is just based. In this paper, we propose two QPQ protocols based on single-photon interference. The first one is simpler and easier to realize, and the second one is loss tolerant and flexible, and more practical than the first one. Furthermore, we analyze both the user privacy and the database privacy in the proposed protocols.

  6. Nanoantenna enhancement for telecom-wavelength superconducting single photon detectors

    Heath, Robert M; Drysdale, Timothy D; Miki, Shigehito; Giannini, Vincenzo; Maier, Stefan A; Hadfield, Robert H

    2015-01-01

    Superconducting nanowire single photon detectors are rapidly emerging as a key infrared photon-counting technology. Two front-side-coupled silver dipole nanoantennas, simulated to have resonances at 1480 nm and 1525 nm, were fabricated in a two-step process. An enhancement of 50% to 130% in the system detection efficiency was observed when illuminating the antennas. This offers a pathway to increasing absorption into superconducting nanowires, creating larger active areas, and achieving more efficient detection at longer wavelengths.

  7. Telecom-wavelength single-photon sources for quantum communications

    This paper describes the progress towards the realization of efficient single-photon sources based on semiconductor quantum dots (QDs), for application in quantum key distribution and, more generally, quantum communications. We describe the epitaxial growth of QD arrays with low areal density and emitting in the telecom wavelength range, the nanofabrication of single-QD structures and devices, and their optical and electro-optical characterization. The potential for integration with monolithic microcavities is also discussed

  8. Single-photon ultrashort-lived radionuclides: symposium proceedings

    Paras, P.; Thiessen, J.W. (eds.)

    1985-01-01

    The purpose was to define the current role and state-of-the-art regarding the development, clinical applications, and usefulness of generator-produced single-photon ultrashort-lived radionuclides (SPUSLR's) and to predict their future impact on medicine. Special emphasis was placed on the generator production of iridium-191, gold-195, and krypton-81. This report contains expanded summaries of the included papers. (ACR)

  9. Engineering single photon emitters by ion implantation in diamond

    Naydenov, B.; Kolesov, R.; Batalov, A.; Meijer, J; Pezzagna, S.; Rogalla, D.; Jelezko, F.; Wrachtrup, J.

    2009-01-01

    Diamond provides unique technological platform for quantum technologies including quantum computing and communication. Controlled fabrication of optically active defects is a key element for such quantum toolkit. Here we report the production of single color centers emitting in the blue spectral region by high energy implantation of carbon ions. We demonstrate that single implanted defects show sub-poissonian statistics of the emitted photons and can be explored as single photon source in qua...

  10. Single Photon Emission Tomography Imaging in Parkinsonian Disorders: A Review

    Acton, Paul D.; P. David Mozley

    2000-01-01

    Parkinsonian symptoms are associated with a number of neurodegenerative disorders, such as Parkinson’s disease, multiple system atrophy and progressive supranuclear palsy. Pathological evidence has shown clearly that these disorders are associated with a loss of neurons, particularly in the nigrostriatal dopaminergic pathway. Positron emission tomography (PET) and single photon emission tomography (SPECT) now are able to visualise and quantify changes in cerebral blood flow, glucose metabolis...

  11. Clinical results of quantitative single photon emission tomography

    In addition to the traditional skills of pattern recognition in the interpretation of images, it is necessary to add quantitative techniques, particularly in difficult problems, to determine normal and abnormal variation. Single photon emission tomography, SPET, overcomes the problems of tissue background and superficial tissue overlying a suspect lesion. Nevertheless, the goal of absolute quantitation is important in the solution to several clinical problems. The use and success of quantitative SPET in the liver, heart, adrenal and pituitary glands are reviewed. (author)

  12. Superconducting nanowire single photon detectors for quantum information and communications

    Wang, Zhen; Miki, Shigehito; Fujiwara, Mikio

    2010-01-01

    Superconducting nanowire single photon detectors (SNSPD or SSPD) are highly promising devices in the growing field of quantum information and communications technology. We have developed a practical SSPD system with our superconducting thin films and devices fabrication, optical coupling packaging, and cryogenic technology. The SSPD system consists of six-channel SSPD devices and a compact Gifford-McMahon (GM) cryocooler, and can operate continuously on 100 V ac power without the need for any...

  13. QUANTUM KEY DISTRIBUTION WITH REALISTIC HERALDED SINGLE-PHOTON SOURCES

    Lasota, Mikolaj; Demkowicz-Dobrzanski, Rafal; Banaszek, Konrad

    2013-01-01

    We analyze theoretically performance of four-state quantum key distribution protocols implemented with a realistic heralded single-photon source. The analysis assumes a noisy model for the detector heralding generation of individual photons via spontaneous parametric down-conversion, including dark counts and imperfect photon number resolution. We identify characteristics of the heralding detector that defines the attainable cryptographic key rate and the maximum secure distance. Approximate ...

  14. Single photon detection with self-quenching multiplication

    Zheng, Xinyu (Inventor); Cunningham, Thomas J. (Inventor); Pain, Bedabrata (Inventor)

    2011-01-01

    A photoelectronic device and an avalanche self-quenching process for a photoelectronic device are described. The photoelectronic device comprises a nanoscale semiconductor multiplication region and a nanoscale doped semiconductor quenching structure including a depletion region and an undepletion region. The photoelectronic device can act as a single photon detector or a single carrier multiplier. The avalanche self-quenching process allows electrical field reduction in the multiplication region by movement of the multiplication carriers, thus quenching the avalanche.

  15. Fabrication and test of Superconducting Single Photon Detectors

    We report here on the state of our fabrication process for Superconducting Single Photon Detectors (SSPDs). We have fabricated submicrometer SSPD structures by electron beam lithography using very thin (10 nm) NbN films deposited by DC-magnetron sputtering on different substrates and at room substrate temperature. The structures show a fast optical response (risetime <500 ps limited by readout electronics) and interesting self-resetting features

  16. Optimised quantum hacking of superconducting nanowire single-photon detectors

    Tanner, Michael G.; Makarov, Vadim; Hadfield, Robert H.

    2013-01-01

    We explore bright-light control of superconducting nanowire single-photon detectors (SNSPDs) in the shunted configuration (a practical measure to avoid latching). In an experiment, we simulate an illumination pattern the SNSPD would receive in a typical quantum key distribution system under hacking attack. We show that it effectively blinds and controls the SNSPD. The transient blinding illumination lasts for a fraction of a microsecond and produces several deterministic fake clicks during th...

  17. Advanced active quenching circuits for single-photon avalanche photodiodes

    Stipčević, M.; Christensen, B. G.; Kwiat, P. G.; Gauthier, D. J.

    2016-05-01

    Commercial photon-counting modules, often based on actively quenched solid-state avalanche photodiode sensors, are used in wide variety of applications. Manufacturers characterize their detectors by specifying a small set of parameters, such as detection efficiency, dead time, dark counts rate, afterpulsing probability and single photon arrival time resolution (jitter), however they usually do not specify the conditions under which these parameters are constant or present a sufficient description. In this work, we present an in-depth analysis of the active quenching process and identify intrinsic limitations and engineering challenges. Based on that, we investigate the range of validity of the typical parameters used by two commercial detectors. We identify an additional set of imperfections that must be specified in order to sufficiently characterize the behavior of single-photon counting detectors in realistic applications. The additional imperfections include rate-dependence of the dead time, jitter, detection delay shift, and "twilighting." Also, the temporal distribution of afterpulsing and various artifacts of the electronics are important. We find that these additional non-ideal behaviors can lead to unexpected effects or strong deterioration of the system's performance. Specifically, we discuss implications of these new findings in a few applications in which single-photon detectors play a major role: the security of a quantum cryptographic protocol, the quality of single-photon-based random number generators and a few other applications. Finally, we describe an example of an optimized avalanche quenching circuit for a high-rate quantum key distribution system based on time-bin entangled photons.

  18. Automated characterization of single-photon avalanche photodiode

    Aina Mardhiyah M. Ghazali; Audun Nystad Bugge; Sebastien Sauge; Vadim Makarov

    2012-01-01

    We report an automated characterization of a single-photon detector based on commercial silicon avalanche photodiode (PerkinElmer C30902SH). The photodiode is characterized by I-V curves at different illumination levels (darkness, 10 pW and 10 µW), dark count rate and photon detection efficiency at different bias voltages. The automated characterization routine is implemented in C++ running on a Linux computer. ABSTRAK: Kami melaporkan pencirian pengesan foton tunggal secara automatik b...

  19. Secure authentication of classical messages with single photons

    This paper proposes a scheme for secure authentication of classical messages with single photons and a hashed function. The security analysis of this scheme is also given, which shows that anyone cannot forge valid message authentication codes (MACs). In addition, the lengths of the authentication key and the MACs are invariable and shorter, in comparison with those presented authentication schemes. Moreover, quantum data storage and entanglement are not required in this scheme. Therefore, this scheme is more efficient and economical. (general)

  20. Coherence measures for heralded single-photon sources

    Bocquillon, E.; Couteau, C.; Razavi, M.; Laflamme, R.; Weihs, G.

    2008-01-01

    Single-photon sources (SPSs) are mainly characterized by the minimum value of their second-order coherence function, viz. their $g^{(2)}$ function. A precise measurement of $g^{(2)}$ may, however, require high time-resolution devices, in whose absence, only time-averaged measurements are accessible. These time-averaged measures, standing alone, do not carry sufficient information for proper characterization of SPSs. Here, we develop a theory, corroborated by an experiment, that allows us to s...

  1. Single-Photon Emission Computed Tomography in Neurotherapeutics

    Devous, Michael D.

    2005-01-01

    Summary: The measurement of regional cerebral blood flow (rCBF) by single-photon emission computed tomography (SPECT) is a powerful clinical and research tool. There are several clinical applications now documented, a substantial number under active investigation, and a larger number yet to be studied. Standards regarding patient imaging environment and image presentation are becoming established. This article reviews key aspects of SPECT functional brain imaging in clinical practice, with a ...

  2. Dynamic single photon emission computed tomography of Tl-201 with exercise loading

    Single photon emission computed tomography (SPECT) with Tl-201 has been reported to provide accurate means for diagnosis of coronary artery disease (CAD). The purpose of this study is to examine the serial changes in regional myocardial activity of Tl-201 injected during exercise loading in CAD using a multidetector SPECT system. Four cases without coronary stenosis (N) and 17 patients with CAD including 9 cases with prior myocardial infarction (MI) were studied. Tl-201 was injected during submaximal exercise loading with a bicycle ergometer. Serial dynamic SPECT scan was performed every 5 min until 30 min after injection, followed by additional 3 scans for 10 min at 1 hr, 2 hr and 3 hr after injection. These SPECT images were corrected for the acquisition time, but no corrections were made for photon attenuation and scattering. N revealed uniform distribution throughout the study, and rapid washout was observed from the early period in 3/4 cases (10 to 24 % for initial 25 min). CAD showed various patterns of abnormal distribution and washout. In addition, the changes in regional distribution of Tl-201 were observed during the early period. These preliminary results indicate the significance of the early washout during the 30 min after injection of Tl-201, and careful consideration should be taken in calculating the washout rate by a conventional SPECT system with a rotating gamma camera. (author)

  3. Coherent single-photon absorption by single emitters coupled to 1D nanophotonic waveguides

    Chen, Yuntian; Wubs, Martijn; Mørk, Jesper;

    2012-01-01

    We have derived an efficient model that allows calculating the dynamical single-photon absorption of an emitter coupled to a waveguide. We suggest a novel and simple structure that leads to strong single-photon absorption.......We have derived an efficient model that allows calculating the dynamical single-photon absorption of an emitter coupled to a waveguide. We suggest a novel and simple structure that leads to strong single-photon absorption....

  4. Evaluation of the perfusion and contractile function of the myocardium using Karhunen-Loeve analysis in myocardial gated single photon emission computerized tomography; Evaluation de la perfusion et de la fonction contractile du myocarde a l'aide de l'analyse de Karhunen-Loeve en tomographie d'emission monophotonique myocardique synchronisee a l'ECG

    Berthout, P. [Clinique Saint-Vincent, Service de Medecine Nucleaire, 25 - Besancon (France); Sabbah, R.; Comas, L.; Verdenet, J.; Blagosklonov, O.; Cardot, J.C.; Baud, M. [Hopital Jean-Minjoz, Service de Medecine Nucleaire, 25 - Besancon (France)

    2007-12-15

    Goal: we evaluated the diagnostic performance of the Karhunen-Loeve transform applied to myocardial gated SPECT. The previous studies showed that K.L.T. images characterize myocardial perfusion (K.L.0) and contractile function (K.L.1). Method and material: 99 mTc-g SPECT studies were performed in 101 patients (121 acquisitions) with suspected or known coronary artery disease. The images were evaluated using a five-point scoring system dividing the left ventricle into 11 segments. We compared the scores obtained by this semi-quantitative visual analysis of g SPECT and K.L.T. images. Results and discussion: the agreement for perfusion and thickening scores was 94 and 95% respectively. Quantitative evaluation of K.L.0 and K.L.1 images by univariate and multivariate analysis was performed in the left ventricular R.O.I.. Discriminant analysis characterized the acquisitions as normal or pathologic with a sensitivity of 95% and a specificity of 96% and positive and negative predictive values of 96 and 95%. These selection criteria were tested prospectively in 52 patients with similar results. K.L.T. generates a synthesis of left ventricular perfusion and kinetics. It facilitates discrimination between normal and pathological acquisitions with high predictive values. (authors)

  5. A preliminary feasibility study of simultaneous dual-isotope imaging with a solid-state dedicated cardiac camera for evaluating myocardial perfusion and fatty acid metabolism.

    Ko, Toshiyuki; Utanohara, Yuko; Suzuki, Yasuhiro; Kurihara, Makiko; Iguchi, Nobuo; Umemura, Jun; Sumiyoshi, Tetsuya; Tomoike, Hitonobu

    2016-01-01

    Simultaneous dual-isotope SPECT imaging with 201Tl and (123)I-β-methyl-p-iodophenylpentadecanoic acid (BMIPP) is used to study the perfusion-metabolism mismatch. It predicts post-ischemic functional recovery by detecting stunned myocardium. On the other hand, (99m)Tc-MIBI is another radioisotope widely used in myocardial perfusion imaging because of its better image quality and lower radiation exposure than 201Tl. However, since the photopeak energies of (99m)Tc and (123)I are very similar, crosstalk hampers the simultaneous use of these two radioisotopes. To overcome this problem, we conducted simultaneous dual-isotope imaging study using the D-SPECT scanner (Spectrum-Dynamics, Israel) which has a novel detector design and excellent energy resolution. We first conducted a basic experiment using cardiac phantom to simulate the condition of normal perfusion and impaired fatty acid metabolism. Subsequently, we prospectively recruited 30 consecutive patients who underwent successful percutaneous coronary intervention for acute myocardial infarction, and performed (99m)Tc-MIBI/(123)I-BMIPP dual-isotope imaging within 5 days after reperfusion. Images were interpreted by two experienced cardiovascular radiologists to identify the infarcted and stunned areas based on the coronary artery territories. As a result, cardiac phantom experiment revealed no significant crosstalk between (99m)Tc and (123)I. In the subsequent clinical study, (99m)Tc-MIBI/(123)I-BMIPP dual-isotope imaging in all participant yielded excellent image quality and detected infarcted and stunned areas correctly when compared with coronary angiographic findings. Furthermore, we were able to reduce radiation exposure to significantly approximately one-eighth. In conclusion, we successfully demonstrated the practical application of simultaneous assessment of myocardial perfusion and fatty acid metabolism by (99m)Tc-MIBI and (123)I-BMIPP using a D-SPECT cardiac scanner. Compared with conventional (201)Tl

  6. Detection of myocardial lesions by dipyridamole thallium-201 scintigraphy in patients with rheumatoid arthritis

    Momose, Shigeki [Saint Marianna Univ., Kawasaki, Kanagawa (Japan). School of Medicine

    1995-06-01

    Dipyridamole thallium-201 (Tl) scintigraphic studies to evaluate microcirculation of the heart were performed in 54 patients with rheumatoid arthritis (RA) who had neither cardiac complaints nor myocardial damages on ECG. Twenty seven of 54 RA patients showed some perfusion defects in this study. The values of ESR, CRP and rheumatoid factors of IgM and IgG classes were significantly higher in these patients with perfusion defect compared with those in the rest of RA patients with normal perfusion. The scintigraphic perfusion defects improved relating with the reduction of inflammatory activities of RA. The histological specimens of heart in 12 RA autopsy cases were reviewed to study the etiology of these perfusion defects. In 7 of 12 cases, microvasculitis and microthrombosis were observed without any macroscopic findings compatible with myocardial infarction. Our results suggest that RA patients have frequently microcirculatory disturbances in the heart due to microvasculitis without any clinical symptoms of ECG changes. (author).

  7. Myocardial perfusion and left ventricular function early after successful PTCA in 1-vessel coronary artery diseases

    Myocardial perfusion (201Tl-ECT) and contractile function (99mTc-ventriculography) were studied during exercise and rest 3 to 6 days after PTCA in 20 patients (11 with stable and 9 with unstable angina pectoris). All patients had single vessel disease and no previous myocardial infarction. During exercise after PTCA the ejection fraction increased for 3 to 5% and no regional wall motion abnormalities, ST-segment depression or perfusion defects occurred (with exception in one patient with very early restenosis). Therefore, perfusion and wall motion were completely normalized at test and during exercise within days after technically successful PTCA even in patients with previously unstable angina pectoris. Pathological stress test results after this time should thus be attributed to other causes e.g. early restenosis, multivessel disease, false positive tests) and are not due to the specific situation early after PTCA. (orig.)

  8. Preparation and evaluation of technetium-99m labeled cardiac glycoside derivatives as potential myocardial imaging agent

    Misra, Mridula; Sarkar, H.S.; Chatterjee, Mita; Banerjee, Somenath

    1988-01-01

    Three cardiac glycosides, two natural, cymarin and convallotoxin and one synthetic, strophanthidin-..beta..-D-glucoside were converted to their thiosemicarbazone and subsequently radiolabeled with sup(99m)Tc by chelation. The resulting radioactive chelate complexes were evaluated in animals to determine the suitability of this class of compounds for myocardial imaging. It was observed from the animal biodistribution data of the three radioactive compounds that there was a considerable variation in the heart to non-target organ uptake ratio. A possible explanation of this variation was offered in the light of their lipophilic character, protein binding ability and affinity towards non-target receptors. It is anticipated that this study may help to develop a sup(99m)Tc-cardiac glycoside complex with better distribution characteristics, and such a compound may offer a suitable alternative to /sup 201/Tl, which is at present used for myocardial imaging.

  9. Scintigraphic evaluation of regional myocardial sympathetic activity in patients with hypertrophic cardiomyopathy. Comparison between asymmetrical hypertrophic cardiomyopathy and apical hypertrophy

    Using 123I-MIBG (metaiodobenzylguanidine) and 201Tl imagings, an examination concerning the relation between the hypertrophic region and its sympathetic nervous function was done. Subjects were 12 normal adults (4 males and 8 females, mean age 61.3 yr), 13 patients with asymmetrical hypertrophic cardiomyopathy (10 males and 3 females, 63.9 yr) and 13 patients with apical hypertrophy (9 males and 4 females, 67.2 yr). The SPECT apparatus was Toshiba two-gated gamma camera GCA 7200A. At 20 min and 3 hr after intravenous injection of 111 MBq of 123I-MIBG, myocardial SPECT and planar images were obtained with collimator LEHR under following conditions: photoelectric peak 159 KeV, window width 20%, matrix size 64 x 64 (256 x 256 for the planar image), step angle 6deg, 40 sec/step and 180deg for 1 camera. In another day, 201Tl SPECT and planar imagings were performed 10 min after intravenous injection of 111 MBq of 201Tl for the photoelectric peak 72 KeV under similar conditions to above. SPECT images were reconstructed using Butterworth filter and Shepp and Logan filter. Images were examined for the defect score, myocardium/mediastinum ratio, whole heart washout rate and regional washout rate. In the asymmetrical hypertrophic myopathy, abnormal sympathetic nerve function was recognized on the regions regardless of their disease severity while in the apical hypertrophy, abnormality was restricted on the apical region. Therefore, the two diseases were found different from each other from the aspect of sympathetic nerve functions. (K.H.)

  10. Clinical studies on myocardial perfusion imaging in patients with right ventricular overload

    Patients with heart disease which had been clinically diagnosed underwent 201Tl myocardial perfusion imaging. The thickness of right ventricular wall measured from original images was directly proportional to systolic pressure of the right ventricle measured by cardiac catheterization, and 201Tl activity in the right ventricle was more directly proportional to systolic pressure of the right ventricle. Imaging patterns of various diseases were also described. Images of patients with hypertrophic cardiomyopathy revealed that right ventricular wall was thin and right ventricular cavity was small, but the thickness of septal wall and left ventricular wall were maximal. Images of patients with mitral insufficiency revealed that the thickness of right ventricular wall, septal wall, and left ventricular wall was medium, and the right ventricular cavity was smaller than the left ventricular cavity. Images of patients with congestive cardiomyopathy and congestive cardiac failure showed that enlargement of both ventricular cavities was disproportionate to the thickness of each wall. Images of patients with arterial septal defect revealed that the thickness of each wall was comparatively normal, the right ventricular cavity was maximal, and the left ventricular cavity was minimal. Images of patients with primary pulmonary hypertention, pulmonary stenosis and tetralogy of Fallot in whom pressure overload was recognized revealed severe thickenings of right ventricular wall, moderate enlargement of the right ventricle, small left ventricle, and thin left ventricular wall. (Tsunoda, M.)

  11. Clinical estimation of acute myocardial infarct size with /sup 99m/technetium pyrophosphate scintigraphy

    We evaluated scintigraphic techniques in estimating infarct size. In 26 patients with acute transmural myocardial infarction, /sup 99m/Technetium pyrophosphate (TcPYP) infarct scintigraphy, gated cardiac blood pool scintigraphy and 201-Thallium (201-Tl) perfusion scintigraphy were performed. Invasive hemodynamic measurements were obtained and serial venous blood specimens taken for measurement of total and MB creatine phosphokinase (CPK). Infarct size was estimated from the area of abnormal TcPYP uptake, the extent of reduced 101-Tl uptake, the percentage of abnormally contracting segments, and serial enzyme measurements. Left ventricular ejection fraction (LVEF) and stroke work index (LVSWI) were calculated. TcPYP infarct area was associated with the extent of reduced 201-Tl uptake (r = 0.66), the percentage of abnormally contracting segments (r = 0.64), and with both LVSWI (r = 0.73) and LVEF (r = -0.58). TcPYP infarct area did not correlate with cumulative total or MB-CPK release or the integrated total CPK-time curve, nor did the enzyme estimates of infarct size correlate with LVSWI or LVEF. Variable perfusion of infarcts of different sizes may explain the lack of correlation between TcPYP infarct area and enzyme estimates of infarct size. A combination of anatomic and functional indices derived from scintigraphic and hemodynamic measurements may provide the best assessment of infarct size

  12. All-optical tailoring of single-photon spectra in a quantum-dot microcavity system

    Breddermann, Dominik; Binder, Rolf; Zrenner, Artur; Schumacher, Stefan

    2016-01-01

    Semiconductor quantum-dot cavity systems are promising sources for solid-state based on-demand generation of single photons for quantum communication. Commonly, the spectral characteristics of the emitted single photon are fixed by system properties such as electronic transition energies and spectral properties of the cavity. In the present work we study single-photon generation from the quantum-dot biexciton through a partly stimulated non-degenerate two-photon emission. We show that frequency and linewidth of the single photon can be fully controlled by the stimulating laser pulse, ultimately allowing for efficient all-optical spectral shaping of the single photon.

  13. Single photon detector tests for the LHC synchrotron light diagnostics

    A synchrotron light detector using a Single-Photon Avalanche Detector (SPAD) is planned for the LHC longitudinal diagnostics monitor, an application which requires high count rate, low noise and good time resolution. SPAD detectors have been developed at Milan Polytechnic with active quenching circuits. Initial tests of these detectors and currently available commercial time-to-digital data acquisition equipment were made at the ESRF. We present the results of those tests, an estimation of the performance that can be expected for the LHC case and an analysis of the difficulties, constraints and potential of this type of detector. (authors)

  14. Engineering single photon emitters by ion implantation in diamond.

    Naydenov, B; Kolesov, R; Batalov, A; Meijer, J; Pezzagna, S; Rogalla, D; Jelezko, F; Wrachtrup, J

    2009-11-01

    Diamond provides unique technological platform for quantum technologies including quantum computing and communication. Controlled fabrication of optically active defects is a key element for such quantum toolkit. Here we report the production of single color centers emitting in the blue spectral region by high energy implantation of carbon ions. We demonstrate that single implanted defects show sub-poissonian statistics of the emitted photons and can be explored as single photon source in quantum cryptography. Strong zero phonon line at 470.5 nm allows unambiguous identification of this defect as interstitial-related TR12 color center. PMID:19956415

  15. Quasi free mechanism in single photon double ionization of helium

    Double ionization of Helium by a single photon is widely believed to proceed through two mechanisms: knock-off (TS1) or shake-off, with the last one dominating at high photon energies. A new mechanism, termed ''Quasi Free Mechanism'' (QFM) was predicted 35 years ago by Amusia and coworkers, but escaped experimental observation till today. Here we provide the first proof of this mechanism using 800 eV photons from the Advanced Light Source. Fragments (electrons and ions) were measured in coincidence using momentum spectroscopy (COLTRIMS). He(2+) ions with zero momentum were found - the fingerprint for the QFM.

  16. Single-Photon Imaging and Efficient Coupling to Single Plasmons

    Celebrano, M; Kukura, P; Agio, M; Renn, A; Goetzinger, S; Sandoghdar, V

    2009-01-01

    We demonstrate strong coupling of single photons emitted by individual molecules at cryogenic and ambient conditions to individual nanoparticles. We provide images obtained both in transmission and reflection, where an efficiency greater than 55% was achieved in converting incident narrow-band photons to plasmon-polaritons (plasmons) of a silver nanoparticle. Our work paves the way to spectroscopy and microscopy of nano-objects with sub-shot noise beams of light and to triggered generation of single plasmons and electrons in a well-controlled manner.

  17. Total teleportation of a single-photon state

    Humble, Travis S.; Bennink, Ryan S.; Grice, Warren P.

    2008-08-01

    Recent demonstrations of teleportation have transferred quantum information encoded into either polarization or fieldquadrature degrees of freedom (DOFs), but an outstanding question is how to simultaneously teleport quantum information encoded into multiple DOFs. We describe how the transverse-spatial, spectral and polarization states of a single photon can be simultaneously teleported using a pair of multimode, polarization-entangled photons derived from spontaneous parametric down-conversion. Furthermore, when the initial photon pair is maximally entangled in the spatial, spectral, and polarization DOFs then the photon's full quantum state can be reliably teleported using a Bell-state measurement based on sum-frequency generation.

  18. Total teleportation of a single-photon state

    Humble, Travis S [ORNL; Bennink, Ryan S [ORNL; Grice, Warren P [ORNL

    2008-01-01

    Recent demonstrations of teleportation have transferred quantum information encoded into either polarization or field-quadrature degrees of freedom (DOFs), but an outstanding question is how to simultaneously teleport quantum information encoded into multiple DOFs. We describe how the transverse-spatial, spectral and polarization states of a single photon can be simultaneously teleported using a pair of multimode, polarization-entangled photons derived from spontaneous parametric down-conversion. Furthermore, when the initial photon pair is maximally entangled in the spatial, spectral, and polarization DOFs then the photon s full quantum state can be reliably teleported using a Bell-state measurement based on sum-frequency generation.

  19. Deterministic Single-Phonon Source Triggered by a Single Photon

    Söllner, Immo; Midolo, Leonardo; Lodahl, Peter

    2016-06-01

    We propose a scheme that enables the deterministic generation of single phonons at gigahertz frequencies triggered by single photons in the near infrared. This process is mediated by a quantum dot embedded on chip in an optomechanical circuit, which allows for the simultaneous control of the relevant photonic and phononic frequencies. We devise new optomechanical circuit elements that constitute the necessary building blocks for the proposed scheme and are readily implementable within the current state-of-the-art of nanofabrication. This will open new avenues for implementing quantum functionalities based on phonons as an on-chip quantum bus.

  20. Multi-group dynamic quantum secret sharing with single photons

    Liu, Hongwei; Ma, Haiqiang; Wei, Kejin; Yang, Xiuqing; Qu, Wenxiu; Dou, Tianqi; Chen, Yitian; Li, Ruixue; Zhu, Wu

    2016-07-01

    In this letter, we propose a novel scheme for the realization of single-photon dynamic quantum secret sharing between a boss and three dynamic agent groups. In our system, the boss can not only choose one of these three groups to share the secret with, but also can share two sets of independent keys with two groups without redistribution. Furthermore, the security of communication is enhanced by using a control mode. Compared with previous schemes, our scheme is more flexible and will contribute to a practical application.

  1. Optimised quantum hacking of superconducting nanowire single-photon detectors

    Tanner, Michael G.; Makarov, Vadim; Hadfield, Robert H.

    2014-03-01

    We explore bright-light control of superconducting nanowire single-photon detectors (SNSPDs) in the shunted configuration (a practical measure to avoid latching). In an experiment, we simulate an illumination pattern the SNSPD would receive in a typical quantum key distribution system under hacking attack. We show that it effectively blinds and controls the SNSPD. The transient blinding illumination lasts for a fraction of a microsecond and produces several deterministic fake clicks during this time. This attack does not lead to elevated timing jitter in the spoofed output pulse, and hence does not introduce significant errors. Five different SNSPD chip designs were tested. We consider possible countermeasures to this attack.

  2. Deterministic Single-Phonon Source Triggered by a Single Photon

    Söllner, Immo; Lodahl, Peter

    2016-01-01

    We propose a scheme that enables the deterministic generation of single phonons at GHz frequencies triggered by single photons in the near infrared. This process is mediated by a quantum dot embedded on-chip in an opto-mechanical circuit, which allows for the simultaneous control of the relevant photonic and phononic frequencies. We devise new opto-mechanical circuit elements that constitute the necessary building blocks for the proposed scheme and are readily implementable within the current state-of-the-art of nano-fabrication. This will open new avenues for implementing quantum functionalities based on phonons as an on-chip quantum bus.

  3. High bit rate germanium single photon detectors for 1310nm

    Seamons, J. A.; Carroll, M. S.

    2008-04-01

    There is increasing interest in development of high speed, low noise and readily fieldable near infrared (NIR) single photon detectors. InGaAs/InP Avalanche photodiodes (APD) operated in Geiger mode (GM) are a leading choice for NIR due to their preeminence in optical networking. After-pulsing is, however, a primary challenge to operating InGaAs/InP single photon detectors at high frequencies1. After-pulsing is the effect of charge being released from traps that trigger false ("dark") counts. To overcome this problem, hold-off times between detection windows are used to allow the traps to discharge to suppress after-pulsing. The hold-off time represents, however, an upper limit on detection frequency that shows degradation beginning at frequencies of ~100 kHz in InGaAs/InP. Alternatively, germanium (Ge) single photon avalanche photodiodes (SPAD) have been reported to have more than an order of magnitude smaller charge trap densities than InGaAs/InP SPADs2, which allowed them to be successfully operated with passive quenching2 (i.e., no gated hold off times necessary), which is not possible with InGaAs/InP SPADs, indicating a much weaker dark count dependence on hold-off time consistent with fewer charge traps. Despite these encouraging results suggesting a possible higher operating frequency limit for Ge SPADs, little has been reported on Ge SPAD performance at high frequencies presumably because previous work with Ge SPADs has been discouraged by a strong demand to work at 1550 nm. NIR SPADs require cooling, which in the case of Ge SPADs dramatically reduces the quantum efficiency of the Ge at 1550 nm. Recently, however, advantages to working at 1310 nm have been suggested which combined with a need to increase quantum bit rates for quantum key distribution (QKD) motivates examination of Ge detectors performance at very high detection rates where InGaAs/InP does not perform as well. Presented in this paper are measurements of a commercially available Ge APD

  4. Quantum Secure Direct Communication with Authentication Expansion Using Single Photons

    In this paper we propose two quantum secure direct communication (QSDC) protocols with authentication. The authentication key expansion method is introduced to improve the life of the keys with security. In the first scheme, the third party, called Trent is introduced to authenticate the users that participate in the communication. He sends the polarized photons in blocks to authenticate communication parties Alice and Bob using the authentication keys. In the communication process, polarized single photons are used to serve as the carriers, which transmit the secret messages directly. The second QSDC process with authentication between two parties is also discussed.

  5. Secure authentication of classical messages with single photons

    Wang Tian-Yin; Wen Qiao-Yan; Zhu Fu-Chen

    2009-01-01

    This paper proposes a scheme for secure authentication of classical messages with single photons and a hashed function.The security analysis of this scheme is also given,which shows that anyone cannot forge valid message authentication codes (MACs).In addition,the lengths of the authentication key and the MACs are invariable and shorter,in comparison with those presented authentication schemes.Moreover,quantum data storage and entanglement are not required in this scheme.Therefore,this scheme is more efficient and economical.

  6. Strong Single-Photon Coupling in Superconducting Quantum Magnetomechanics

    Via, Guillem; Kirchmair, Gerhard; Romero-Isart, Oriol

    2015-04-01

    We show that the inductive coupling between the quantum mechanical motion of a superconducting microcantilever and a flux-dependent microwave quantum circuit can attain the strong single-photon nanomechanical coupling regime with feasible experimental parameters. We propose to use a superconducting strip, which is in the Meissner state, at the tip of a cantilever. A pickup coil collects the flux generated by the sheet currents induced by an external quadrupole magnetic field centered at the strip location. The position-dependent magnetic response of the superconducting strip, enhanced by both diamagnetism and demagnetizing effects, leads to a strong magnetomechanical coupling to quantum circuits.

  7. Improved photon counting efficiency calibration using superconducting single photon detectors

    Gan, Haiyong; Xu, Nan; Li, Jianwei; Sun, Ruoduan; Feng, Guojin; Wang, Yanfei; Ma, Chong; Lin, Yandong; Zhang, Labao; Kang, Lin; Chen, Jian; Wu, Peiheng

    2015-10-01

    The quantum efficiency of photon counters can be measured with standard uncertainty below 1% level using correlated photon pairs generated through spontaneous parametric down-conversion process. Normally a laser in UV, blue or green wavelength range with sufficient photon energy is applied to produce energy and momentum conserved photon pairs in two channels with desired wavelengths for calibration. One channel is used as the heralding trigger, and the other is used for the calibration of the detector under test. A superconducting nanowire single photon detector with advantages such as high photon counting speed (responsivity (UV to near infrared) is used as the trigger detector, enabling correlated photons calibration capabilities into shortwave visible range. For a 355nm single longitudinal mode pump laser, when a superconducting nanowire single photon detector is used as the trigger detector at 1064nm and 1560nm in the near infrared range, the photon counting efficiency calibration capabilities can be realized at 532nm and 460nm. The quantum efficiency measurement on photon counters such as photomultiplier tubes and avalanche photodiodes can be then further extended in a wide wavelength range (e.g. 400-1000nm) using a flat spectral photon flux source to meet the calibration demands in cutting edge low light applications such as time resolved fluorescence and nonlinear optical spectroscopy, super resolution microscopy, deep space observation, and so on.

  8. Molecular single photon double K-shell ionization

    Penent, F., E-mail: francis.penent@upmc.fr [UPMC, Université Paris 06, LCPMR, 11 rue P. et M. Curie, 75231 Paris Cedex 05 (France); CNRS, LCPMR (UMR 7614), 11 rue P. et M. Curie, 75231 Paris Cedex 05 (France); Nakano, M. [Photon Factory, Institute of Materials Structure Science, Oho, Tsukuba 305-0801 (Japan); Department of Chemistry, Tokyo Institute of Technology, O-okayama, Tokyo 152-8551 (Japan); Tashiro, M. [Institute for Molecular Science, Okazaki 444-8585 (Japan); Grozdanov, T.P. [Institute of Physics, University of Belgrade, Pregrevica 118, 11080 Belgrade (Serbia); Žitnik, M. [Jožef Stefan Institute, P.O. Box 3000, SI-1001 Ljubljana (Slovenia); Carniato, S.; Selles, P.; Andric, L.; Lablanquie, P.; Palaudoux, J. [UPMC, Université Paris 06, LCPMR, 11 rue P. et M. Curie, 75231 Paris Cedex 05 (France); CNRS, LCPMR (UMR 7614), 11 rue P. et M. Curie, 75231 Paris Cedex 05 (France); Shigemasa, E.; Iwayama, H. [Institute for Molecular Science, Okazaki 444-8585 (Japan); Hikosaka, Y.; Soejima, K. [Department of Environmental Science, Niigata University, Niigata 950-2181 (Japan); Suzuki, I.H. [Photon Factory, Institute of Materials Structure Science, Oho, Tsukuba 305-0801 (Japan); Kouchi, N. [Department of Chemistry, Tokyo Institute of Technology, O-okayama, Tokyo 152-8551 (Japan); Ito, K. [Photon Factory, Institute of Materials Structure Science, Oho, Tsukuba 305-0801 (Japan)

    2014-10-15

    We have studied single photon double K-shell ionization of small molecules (N{sub 2}, CO, C{sub 2}H{sub 2n} (n = 1–3), …) and the Auger decay of the resulting double core hole (DCH) molecular ions thanks to multi-electron coincidence spectroscopy using a magnetic bottle time-of-flight spectrometer. The relative cross-sections for single-site (K{sup −2}) and two-site (K{sup −1}K{sup −1}) double K-shell ionization with respect to single K-shell (K{sup −1}) ionization have been measured that gives important information on the mechanisms of single photon double ionization. The spectroscopy of two-site (K{sup −1}K{sup −1}) DCH states in the C{sub 2}H{sub 2n} (n = 1–3) series shows important chemical shifts due to a strong dependence on the C-C bond length. In addition, the complete cascade Auger decay following single site (K{sup −2}) ionization has been obtained.

  9. Single-photon imaging in complementary metal oxide semiconductor processes.

    Charbon, E

    2014-03-28

    This paper describes the basics of single-photon counting in complementary metal oxide semiconductors, through single-photon avalanche diodes (SPADs), and the making of miniaturized pixels with photon-counting capability based on SPADs. Some applications, which may take advantage of SPAD image sensors, are outlined, such as fluorescence-based microscopy, three-dimensional time-of-flight imaging and biomedical imaging, to name just a few. The paper focuses on architectures that are best suited to those applications and the trade-offs they generate. In this context, architectures are described that efficiently collect the output of single pixels when designed in large arrays. Off-chip readout circuit requirements are described for a variety of applications in physics, medicine and the life sciences. Owing to the dynamic nature of SPADs, designs featuring a large number of SPADs require careful analysis of the target application for an optimal use of silicon real estate and of limited readout bandwidth. The paper also describes the main trade-offs involved in architecting such chips and the solutions adopted with focus on scalability and miniaturization. PMID:24567470

  10. Automated Characterization of Single-Photon Avalanche Photodiode

    Aina Mardhiyah M. Ghazali

    2012-01-01

    Full Text Available We report an automated characterization of a single-photon detector based on commercial silicon avalanche photodiode (PerkinElmer C30902SH. The photodiode is characterized by I-V curves at different illumination levels (darkness, 10 pW and 10 µW, dark count rate and photon detection efficiency at different bias voltages. The automated characterization routine is implemented in C++ running on a Linux computer. ABSTRAK: Kami melaporkan pencirian pengesan foton tunggal secara automatik berdasarkan kepada diod foto runtuhan silikon (silicon avalanche photodiode (PerkinElmer C30902SH komersial. Pencirian  diod foto adalah berdasarkan kepada plot arus-voltan (I-V pada tahap pencahayaan yang berbeza (kelam - tanpa cahaya, 10pW, dan 10µW, kadar bacaan latar belakang, kecekapan pengesanan foton pada voltan picuan yang berbeza. Pengaturcaraan C++ digunakan di dalam rutin pencirian automatik melalui komputer dengan sistem pengendalian LINUX.KEYWORDS: avalanche photodiode (APD; single photon detector; photon counting; experiment automation

  11. Thymic tuberculosis preoperatively evaluated with thallium-201 SPECT: two resected cases.

    Iwata, Takashi; Inoue, Kiyotoshi; Mizuguchi, Shinjiro; Tsukioka, Takuma; Morita, Ryuhei; Suehiro, Shigefumi

    2007-02-01

    We present 2 resected cases of thymic tuberculosis, which had been preoperatively diagnosed as invasive thymoma, using a thallium-201 ((201)Tl) single photon emission computed tomography ((201)Tl SPECT). [Patient 1] A 74-old-male with a 32-year history of steroid therapy for rheumatic arthritis was diagnosed with an anterior mediastinal tumor by routine chest CT scans after onset of myocardial infarction. [Patient 2] A 56-old-female with a 28-year history of diabetes mellitus presented with a dry cough. A chest CT demonstrated an anterior mediastinal tumor. Neither patient showed pulmonary infiltrations on chest x-ray. (201)Tl SPECT was undertaken for each patient. Abnormal findings could not be detected on a planar image of the scintigraphy; however, on SPECT images accumulations of (201)Tl were clearly detected in the anterior mediastinal mass and a thymoma was thus suspected in each case. Total thymectomy was carried out in each case and the mass then diagnosed as caseous granuloma in the thymus. Both patients are well without recurrence after operation. In patients with a (201)Tl SPECT positive anterior mediastinal tumor associated with an immunologically deficient status, and with negative findings in planar images on thallium scintigraphy, the possibility of thymic tuberculosis should be considered. PMID:17392671

  12. Comparative study of dobutamine stress electron-beam computed tomography and exercise thallium scintigraphy in the diagnosis of patients with suspected coronary artery disease

    To evaluate the diagnostic value of dobutamine stress electron-beam computed tomography (EBCT) as compared with exercise stress thallium-201 single-photon emission computed tomography (201Tl-SPECT) for the detection of myocardial ischemia, 10 patients with proven or suspected coronary artery disease underwent both tests. Nine of the 10 patients also underwent coronary angiography. EBCT images were analyzed objectively to evaluate systolic wall thickening and analyzed segmentally to determine the distribution of the coronary arteries. Dobutamine stress EBCT revealed the presence of ischemia in 59 segments, whereas exercise stress 201Tl-SPECT revealed ischemia in 51 segments (agreement=73%). The advantage of dobutamine stress EBCT was demonstrated in the inferior/posterior segments as compared with the results of exercise stress 201Tl-SPECT. The overall sensitivity for detecting ischemic regions supplied by coronary arteries with significant stenosis (diameter stenosis >50%) was 83% for dobutamine stress EBCT and 79% for exercise stress 201Tl-SPECT (p=NS), with specificities of 75% and 82% (p=NS). Thus, dobutamine stress EBCT presents a reasonable alternative to exercise stress 201Tl-SPECT for the objective assessment of patients with suspected coronary artery disease. (author)

  13. Thallium-201 myocardial imaging in children with heart disease. Quantitative assessment of right ventricular pressure

    Mitomori, Toshihiro; Ono, Yasuo; Kamiya, Tetsuro; Nishimura, Tsunehiko; Kozuka, Takahiro (National Cardiovascular Center, Suita, Osaka (Japan)); Kohata, Tohru; Tanimoto, Takeshi

    1985-02-01

    201-TlCl myocardial imaging studies were performed to evaluate systolic pressure of right ventricle on 107 patients including 89 patients with congenital cardiac disease, patients with primary pulmonary hypertension and 13 patients with history of MCLS with the age range of 2 months to 17 years. The congenital cardiac disease group included 30 patients with tetralogy of Fallot, 8 patients with pulmonary stenosis (included 1 patient with double chambered right ventricle), 20 patients with ventricular septal defect, 10 patients with patent ductus arteriosus, 9 patients with atrial septal defect and 12 patients with complete transposition of great arteries. None of the patients with history of MCLS had coronary involvement. 50 ..mu..Ci/kg of 201-TlCl was infused intravenously and after 15 minutes the images were obtained from 5 directions (anterior, LAO 30, LAO 45, LAO 60 and lateral). The angle was determined to demonstrate the intraventricular septum and ventricular free walls cleary separated. The image of end-diastolic phase was obtained with ECG synchronized gated method from that direction. The ROI (region of interest) was defined as a slice line by drawing two lines perpendicular to the septum and the counts of the left and right ventricular free wall (Cl and Cr) were analyzed to evaluate the pressure of right ventricle. The pressure of ventricles were obtained by cardiac catheterization performed at the same time with myocardial imaging. The ratio of Cl and Cr (Cr/Cl) had good correlation with the ratio of peak systolic pressure of left ventricle and right ventricle (regression equation Y=0.84X + 0.08, r=0.87). In each congenital heart disease group, very good correlation was also demonstrated (Y=1.46X - 0.30, r=0.96 in PS; Y=0.70X0.20, r=0.91 in VSD; Y=0.86X + 0.15, r=0.78 in ASD and Y=0.72X + 0.24, r=0.80 in PDA). Thus 201-TlCl myocardial imaging was useful method to evaluate right ventricular pressure noninvasively in congenital cardiac disease.

  14. Peak systolic blood pressure in exercise testing is associated with scintigraphic severity of myocardial ischemia in patients with exercise-induced ST-segment depression

    Some electrocardiographic variables, including the degree of maximal ST-segment depression (STD), may not necessarily indicate the severity of exercise-induced myocardial ischemia. The present study examined whether maximal STD correlates with the severity and extent of exercise-induced myocardial ischemia, as assessed by thallium-201 (201Tl) imaging, and which parameter of exercise testing reflects scintigraphic severity and extent in 270 patients who had a 1 mm or greater horizontal or down-sloping STD on exercise 201Tl imaging. The scintigraphic severity and extent of exercise-induced ischemia was assessed and correlated with maximal STD, number of positive leads, workload, peak heart rate, peak systolic blood pressure (SBP), rate-pressure product, chest pain and the Duke treadmill score. Most of the scintigraphic markers of the severity and extent of ischemia had significant but weak correlation with all of those parameters. Multivariate analysis demonstrated that peak SBP and the Duke treadmill score (chest pain in only simple variables model) correlated independently with scintigraphic severity and extent of ischemia. Furthermore, most of the patients with a peak SBP of 200 mmHg or more had milder and less extensive ischemia. In patients with exercise-induced STD, the scintigraphic severity and extent of ischemia may be estimated by peak SBP and the Duke treadmill score. (author)

  15. Advanced time-correlated single photon counting techniques

    Becker, Wolfgang

    2005-01-01

    Time-correlated single photon counting (TCSPC) is a remarkable technique for recording low-level light signals with extremely high precision and picosecond-time resolution. TCSPC has developed from an intrinsically time-consuming and one-dimensional technique into a fast, multi-dimensional technique to record light signals. So this reference and text describes how advanced TCSPC techniques work and demonstrates their application to time-resolved laser scanning microscopy, single molecule spectroscopy, photon correlation experiments, and diffuse optical tomography of biological tissue. It gives practical hints about constructing suitable optical systems, choosing and using detectors, detector safety, preamplifiers, and using the control features and optimising the operating conditions of TCSPC devices. Advanced TCSPC Techniques is an indispensable tool for everyone in research and development who is confronted with the task of recording low-intensity light signals in the picosecond and nanosecond range.

  16. SIMULTANEOUS TELEPORTATION OF MULTIPLE SINGLE-PHOTON DEGREES OF FREEDOM

    Humble, Travis S [ORNL; Bennink, Ryan S [ORNL; Grice, Warren P [ORNL

    2011-01-01

    We report how quantum information encoded into multiple photonic degrees of freedom may be simultaneously teleported using a single, common physical process. The application of teleportation to the complete quantum state of a photon, i.e., the spectral, spatial, and polarization component states, permits the full photonic Hilbert space to be used for encoding information while simultaneously enabling subspaces to be addressed individually, e.g., for quantum information processing. We analyze the feasibility of teleporting the full quantum state through numerical analysis of the fidelity under nominal experimental conditions and for different types of input states, e.g., single-photon states that are separable and entangled in the physical degrees of freedom.

  17. Non-blinking single-photon emitters in silica

    Rabouw, Freddy T.; Cogan, Nicole M. B.; Berends, Anne C.; Stam, Ward van der; Vanmaekelbergh, Daniel; Koenderink, A. Femius; Krauss, Todd D.; Donega, Celso de Mello

    2016-01-01

    Samples for single-emitter spectroscopy are usually prepared by spin-coating a dilute solution of emitters on a microscope cover slip of silicate based glass (such as quartz). Here, we show that both borosilicate glass and quartz contain intrinsic defect colour centres that fluoresce when excited at 532 nm. In a microscope image the defect emission is indistinguishable from spin-coated emitters. The emission spectrum is characterised by multiple peaks with the main peak between 2.05 and 2.20 eV, most likely due to coupling to a silica vibration with an energy that varies between 160 and 180 meV. The defects are single-photon emitters, do not blink, and have photoluminescence lifetimes of a few nanoseconds. Photoluminescence from such defects may previously have been misinterpreted as originating from single nanocrystal quantum dots. PMID:26892489

  18. QUPID, a single photon sensor for extremely low radioactivity

    We have successfully developed a new photon sensor, the Quartz Photon Intensifying Detector (QUPID), for experiments such as dark matter searches and observation of double beta decay. The QUPID is a type of hybrid-photo-detector (HPD), consisting of a special bialkali photocathode considering the operation under extremely low temperature such as the temperature of liquid xenon, -108 oC, and a special avalanche photodiode for electron bombardment. The QUPID is constructed solely from extremely low radioactive materials, such as quartz and Si-avalanche photodiodes (APDs), which allows it to reach radiation levels of less than 1 mBq while being able to detect single photons. In this paper, we report superior characteristics of the QUPID confirmed by the evaluation.

  19. Photon statistics measurement by use of single photon detection

    XIAO Liantuan; JIANG Yuqiang; ZHAO Yanting; YIN Wangbao; ZHAO Jianming; JIA Suotang

    2004-01-01

    The direct measurement of the Mandel para- meter of weak laser pulses, with 10 ns pulse duration time and the mean number of photon per pulsebeing approximately 0.1, is investigated by recording every photocount event. With the Hanbury Brown and Twiss detection scheme, and not more than one photon per pulse being detected during the sample time by single-photon counters, we have found that the single mode diode laser with driving current lower than the threshold yields a sub-Poissonian statistics. In addition, when the diode laser driving current is much higher than the threshold, it is validated that the Mandel parameter QC of the Poissonian coherent state is nearly The experimental results are in good agreement with theoretical prediction considering the measurement error.

  20. Single-Photon Superradiance from a Quantum Dot.

    Tighineanu, Petru; Daveau, Raphaël S; Lehmann, Tau B; Beere, Harvey E; Ritchie, David A; Lodahl, Peter; Stobbe, Søren

    2016-04-22

    We report on the observation of single-photon superradiance from an exciton in a semiconductor quantum dot. The confinement by the quantum dot is strong enough for it to mimic a two-level atom, yet sufficiently weak to ensure superradiance. The electrostatic interaction between the electron and the hole comprising the exciton gives rise to an anharmonic spectrum, which we exploit to prepare the superradiant quantum state deterministically with a laser pulse. We observe a fivefold enhancement of the oscillator strength compared to conventional quantum dots. The enhancement is limited by the base temperature of our cryostat and may lead to oscillator strengths above 1000 from a single quantum emitter at optical frequencies. PMID:27152804

  1. Efficient and robust fiber coupling of superconducting single photon detectors

    Dorenbos, S N; Driessen, E F C; Zwiller, V

    2011-01-01

    We applied a recently developed fiber coupling technique to superconducting single photon detectors (SSPDs). As the detector area of SSPDs has to be kept as small as possible, coupling to an optical fiber has been either inefficient or unreliable. Etching through the silicon substrate allows fabrication of a circularly shaped chip which self aligns to the core of a ferrule terminated fiber in a fiber sleeve. In situ alignment at cryogenic temperatures is unnecessary and no thermal stress during cooldown, causing misalignment, is induced. We measured the quantum efficiency of these devices with an attenuated tunable broadband source. The combination of a lithographically defined chip and high precision standard telecommunication components yields near unity coupling efficiency and a system detection efficiency of 34% at a wavelength of 1200 nm. This quantum efficiency measurement is confirmed by an absolute efficiency measurement using correlated photon pairs (with $\\lambda$ = 1064 nm) produced by spontaneous ...

  2. SPECT single photon emission computed tomography: A primer

    This book aims to assist nuclear medicine technologists in expanding their knowledge of nuclear medicine to include SPECT. The text of this primer is written with the assumption that the reader is proficient in most elements of nuclear medicine technology; therefore, the information is limited to data that will answer the basic questions of single-photon emission computed tomography .... The authors' goal is to bring the basics of this material together in a manner that would answer the technologist's fundamental questions. The authors have designed this primer in a generic manner to be used as an extension of the manufacturer's operating manual .... A glossary is included which contains some of the terminology relevant to the specialty, and reading lists are provided at the end of each chapter to direct the reader to more comprehensive text on specific subjects

  3. Single-Photon Superradiance from a Quantum Dot

    Tighineanu, Petru; Daveau, Raphaël S.; Lehmann, Tau B.; Beere, Harvey E.; Ritchie, David A.; Lodahl, Peter; Stobbe, Søren

    2016-04-01

    We report on the observation of single-photon superradiance from an exciton in a semiconductor quantum dot. The confinement by the quantum dot is strong enough for it to mimic a two-level atom, yet sufficiently weak to ensure superradiance. The electrostatic interaction between the electron and the hole comprising the exciton gives rise to an anharmonic spectrum, which we exploit to prepare the superradiant quantum state deterministically with a laser pulse. We observe a fivefold enhancement of the oscillator strength compared to conventional quantum dots. The enhancement is limited by the base temperature of our cryostat and may lead to oscillator strengths above 1000 from a single quantum emitter at optical frequencies.

  4. Single Photon studies in ATLAS with Run 2 dataset

    Aparisi Pozo, Javier Alberto; Solans Sanchez, Carlos; CERN. Geneva. EP Department

    2016-01-01

    We present a performance study of photon reconstruction within the Higgs working group of the ATLAS experiment. The analysis use a data sample of proton-proton collisions at center-of-mass energy of $\\sqrt{s} = 13~TeV$, recorded with the ATLAS detector at the LHC in 2015+2016, corresponding to a total integrated luminosity of 14.5 $fb^{-1}$ (at the moment). The performance of electron and photon reconstruction plays a critical role in the reach of many analysis, including $H\\rightarrow \\gamma \\gamma$ and $H\\rightarrow 4l$ concerning Higgs searches. This work is a study of single photon conversions with the ATLAS detector.

  5. Enhanced Single Photon Emission from a Diamond-Silver Aperture

    Choy, Jennifer T; Babinec, Thomas M; Bulu, Irfan; Khan, Mughees; Maletinsky, Patrick; Yacoby, Amir; Lončar, Marko

    2011-01-01

    We have developed a scalable method for coupling single color centers in diamond to plasmonic resonators and demonstrated Purcell enhancement of the single photon emission rate of nitrogen-vacancy (NV) centers. Our structures consist of single nitrogen-vacancy (NV) center-containing diamond nanoposts embedded in a thin silver film. We have utilized the strong plasmon resonances in the diamond-silver apertures to enhance the spontaneous emission of the enclosed dipole. The devices were realized by a combination of ion implantation and top-down nanofabrication techniques, which have enabled deterministic coupling between single NV centers and the plasmonic modes for multiple devices in parallel. The plasmon-enhanced NV centers exhibited over six-fold improvements in spontaneous emission rate in comparison to bare nanoposts and up to a factor of 3.6 in radiative lifetime reduction over bulk samples, with comparable increases in photon counts. The hybrid diamond-plasmon system presented here could provide a stabl...

  6. Electromagnetic fields, size, and copy of a single photon

    Liu, Shan-Liang

    2016-01-01

    We propose the expressions of electromagnetic fields of a single photon which properly describe the known characteristics of a photon, derive the relations between the photon size and wavelength on basis of the expressions, reveal the differences between a photon and its copy, and give the specific expressions of annihilation and creation operators of a photon. The results show that a photon has length of half the wavelength, and its radius is proportional to square root of the wavelength; a photon and its copy have the phase difference of {\\pi} and constitute a phase-entangled state; the N-photon phase-entangled state, which is formed by the sequential stimulated emission and corresponds to the wave train in optics, is not a coherent state, but it is the eigenstate of the number operator of photons.

  7. Modal coupling of single photons to a nanofibre

    Gaio, Michele; Castro-Lopez, Marta; Pisignano, Dario; Camposeo, Andrea; Sapienza, Riccardo

    2015-01-01

    Nanoscale quantum optics of individual light emitters placed in confined geometries is developing as an exciting new research field aiming at efficient manipulation of single-photons . This requires selective channelling of light into specific optical modes of nanophotonic structures. Hybrid photonic systems combining emitters with nanostructured media can yield this functionality albeit limited by the required nanometre-scale spatial and spectral coupling. Furthermore, assessing the coupling strength presents significant challenges and disentangling the different modal contribution is often impossible. Here, we show that momentum spectroscopy of individually addressed emitters, embedded in a nanofibre, can be used to quantify the modal coupling efficiency to the nanofibre modes. For free-standing polymer nanofibres doped with colloidal quantum dots, we report broadband coupling to the fundamental mode of up $\\beta_{01}=31\\pm2\\%$, in robust agreement with theoretical calculations. Electrospun soft-matter nano...

  8. Signs of cerebral atrophy on single-photon emission tomography.

    Wong, C O; Meyerrose, G E; Sostre, S

    1994-05-01

    Cerebral atrophy often coexists with other brain disorders and by itself may alter the pattern of cerebral perfusion. If unrecognized, it may confound diagnoses based on brain single-photon emission tomography (SPET). In this retrospective study, we describe and evaluate criteria for the diagnosis of cerebral atrophy on technetium-99m hexamethylpropylene amine oxime brain SPET studies. The SPET scans of 11 patients with cerebral atrophy and ten controls were evaluated for the presence of a prominent interhemispheric fissure, presence of prominent cerebral sulci, separation of thalamic nuclei, and pronounced separation of caudate nuclei. The SPET studies were interpreted by two independent observers blind to the findings of magnetic resonance imaging, which provided the final diagnosis of cerebral atrophy. The combination of the four scintigraphic signs was accurate in the diagnosis of cerebral atrophy in 95% of the cases and had a sensitivity of 91% and a specificity of 100%. PMID:8062851

  9. Gated single-photon emission computed tomography detects subendocardial ischemia in hypertrophic cardiomyopathy

    Patients with hypertrophic cardiomyopathy (HCM) sometimes develop subendocardial ischemia (SEI) in the left ventricle (LV). In the present study it was examined whether volumetric variables obtained by gated single-photon emission computed tomography (SPECT) are useful in detecting exercise-induced SEI in patients with HCM. Exercise 99mTc-tetrofosmin myocardial scintigraphy was performed in 26 HCM patients having non-obstruction and mild hypertrophy with a ventricular septal thickness ≤20 mm. SEI was quantified using software developed previously, and the results were correlated with volumetric variables obtained using Quantitative Gated SPECT software. Exercise-induced percentage change in LV end-systolic volume was higher in 9HCM patients with SEI (25.8±3.1%) than in 17 patients without (10.0±25% p=0.009), although the percentage change in LV end-diastolic volume was similar in the 2 groups. The receiver-operator characteristics curve of the percentage changes in LV end-systolic volume for the detection of SEI showed that the optimal cutoff was 17%. This cutoff point yielded a good diagnostic value for the presence of SEI with a sensitivity of 89%, specificity 82%, and likelihood ratio 5.04. Gated SPECT technique is useful in detecting SEI during exercise in a select population of HCM patients. (author)

  10. Computational Modeling of Photonic Crystal Microcavity Single-Photon Emitters

    Saulnier, Nicole A.

    Conventional cryptography is based on algorithms that are mathematically complex and difficult to solve, such as factoring large numbers. The advent of a quantum computer would render these schemes useless. As scientists work to develop a quantum computer, cryptographers are developing new schemes for unconditionally secure cryptography. Quantum key distribution has emerged as one of the potential replacements of classical cryptography. It relics on the fact that measurement of a quantum bit changes the state of the bit and undetected eavesdropping is impossible. Single polarized photons can be used as the quantum bits, such that a quantum system would in some ways mirror the classical communication scheme. The quantum key distribution system would include components that create, transmit and detect single polarized photons. The focus of this work is on the development of an efficient single-photon source. This source is comprised of a single quantum dot inside of a photonic crystal microcavity. To better understand the physics behind the device, a computational model is developed. The model uses Finite-Difference Time-Domain methods to analyze the electromagnetic field distribution in photonic crystal microcavities. It uses an 8-band k · p perturbation theory to compute the energy band structure of the epitaxially grown quantum dots. We discuss a method that combines the results of these two calculations for determining the spontaneous emission lifetime of a quantum dot in bulk material or in a microcavity. The computational models developed in this thesis are used to identify and characterize microcavities for potential use in a single-photon source. The computational tools developed are also used to investigate novel photonic crystal microcavities that incorporate 1D distributed Bragg reflectors for vertical confinement. It is found that the spontaneous emission enhancement in the quasi-3D cavities can be significantly greater than in traditional suspended slab

  11. Single photon time transfer link model for GNSS satellites

    Vacek, Michael; Michalek, Vojtech; Peca, Marek; Prochazka, Ivan; Blazej, Josef

    2015-05-01

    The importance of optical time transfer serving as a complement to traditional microwave links, has been attested for GNSSes and for scientific missions. Single photon time transfer (SPTT) is a process, allowing to compare (subtract) time readings of two distant clocks. Such a comparison may be then used to synchronize less accurate clock to a better reference, to perform clock characterization and calibration, to calculate mean time out of ensemble of several clocks, displaced in space. The single-photon time transfer is well established in field of space geodesy, being supported by passive retro-reflectors within space segment of five known GNSSes. A truly two-way, active terminals work aboard of Jason-2 (T2L2) - multiphoton operation, GNSS Beidou (Compass) - SPTT, and are going to be launched within recent ACES project (ELT) - SPTT, and GNSS GLONASS - multiphoton operation. However, there is still missing comprehensive theoretical model of two-way (using satellite receiver and retroreflector) SPTT link incorporating all crucial parameters of receiver (both ground and space segment receivers), transmitter, atmosphere effects on uplink and downlink path, influence of retroreflector. The input to calculation of SPTT link performance will be among others: link budget (distance, power, apertures, beam divergence, attenuation, scattering), propagating medium (atmosphere scintillation, beam wander, etc.), mutual Tx/Rx velocity, wavelength. The SPTT model will be evaluated without the properties of real components. These will be added in the further development. The ground-to-space SPTT link performance of typical scenarios are modeled. This work is a part of the ESA study "Comparison of optical time-transfer links."

  12. cGMP in Mouse Rods: the spatiotemporal dynamics underlying single photon responses

    Owen P. Gross

    2015-03-01

    Full Text Available Vertebrate vision begins when retinal photoreceptors transduce photons into membrane hyperpolarization, which reduces glutamate release onto second-order neurons. In rod photoreceptors, transduction of single photons is achieved by a well-understood G-protein cascade that modulates cGMP levels, and in turn, cGMP-sensitive inward current. The spatial extent and depth of the decline in cGMP during the single photon response have been major issues in phototransduction research since the discovery that single photons elicit substantial and reproducible changes in membrane current. The spatial profile of cGMP decline during the single photon response affects signal gain, and thus may contribute to reduction of trial-to-trial fluctuations in the single photon response. Here we summarize the general principles of rod phototransduction, emphasizing recent advances in resolving the spatiotemporal dynamics of cGMP during the single photon response.

  13. Limits on the deterministic creation of pure single-photon states using parametric down-conversion

    Christ, Andreas

    2011-01-01

    Parametric down-conversion (PDC) is one of the most widely used methods to create pure single-photon states for quantum information applications. However little attention has been paid to higher-order photon components in the PDC process, yet these ultimately limit the prospects of generating single-photons of high quality. In this paper we investigate the impacts of higher-order photon components and multiple frequency modes on the heralding rates and single-photon fidelities. This enables us to determine the limits of PDC sources for single-photon generation. Our results show that a perfectly single-mode PDC source in conjunction with a photon-number resolving detector is ultimately capable of creating single-photon Fock states with unit fidelity and a maximal state creation probability of 25%. Hence an array of 17 switched sources is required to build a deterministic (>99% emission probability) pure single-photon source.

  14. Measurement of Ultra-Short Single-Photon Pulse Duration with Two-Photon Interference

    LV Fan; SUN Fang-Wen; ZOU Chang-Ling; HAN Zheng-Fu; GUO Guang-Can

    2011-01-01

    We proposed a protocol of measuring the duration of ultra-short single-photon pulse with two-photon interference.The pulse duration can be obtained from the width of the visibility of two-photon Hong-Ou-Mandel interference or the indistinguishability of the two photons. Moreover, the shape of a single-photon pulse can be measured with ultra-short single-photon pulses through the two-photon interference.%@@ We proposed a protocol of measuring the duration of ultra-short single-photon pulse with two-photon interference.The pulse duration can be obtained from the width of the visibility of two-photon Hong-Ou-Mandel interference or the indistinguishability of the two photons.Moreover, the shape of a single-photon pulse can be measured with ultra-short single-photon pulses through the two-photon interference.

  15. Single-Photon Technologies Based on Quantum-Dots in Photonic Crystals

    Lehmann, Tau Bernstorff

    In this thesis, the application of semiconductor quantum-dots in photonic crystals is explored as aresource for single-photon technology.Two platforms based on photonic crystals, a cavity and a waveguide, are examined as platformssingle-photon sources. Both platforms demonstrate strong single-photon...... purity under quasi-resonantexcitation. Furthermore the waveguide based platform demonstrates indistinguishable single-photonsat timescales up to 13 ns.A setup for active demultiplexing of single-photons to a three-fold single-photon state is proposed.Using a fast electro-optical modulator, single-photons...... from a quantum-dot are routed on timescalesof the exciton lifetime. Using active demultiplexing a three-fold single-photon state is generated at anextracted rate of 2:03 ±0:49 Hz.An on-chip power divider integrated with a quantum-dot is investigated. Correlation measurementof the photon statistic...

  16. Sequential thallium-201 myocardial perfusion studies after successful percutaneous transluminal coronary artery angioplasty: delayed resolution of exercise-induced scintigraphic abnormalities

    To characterize the sequential changes of myocardial perfusion scintigraphy in patients with coronary artery disease (CAD) after complete revascularization, 43 patients underwent exercise thallium-201 (201Tl) myocardial perfusion scintigraphy before and at 9 +/- 5 days, 3.3 +/- 0.6, and 6.8 +/- 1.2 months after percutaneous transluminal coronary angioplasty (PTCA). Only patients with single-vessel CAD, without previous myocardial infarction, and without evidence of restenosis at 6 to 9 months after PTCA were included. Perfusion scans were analyzed blindly with the use of a new quantitative method to define regional myocardial perfusion in the topographic distribution of each coronary artery, which was shown to be reproducible (r = .94 or higher and SEE of 7% or less, between repeated measures by one and two operators). At 4 to 18 days after PTCA, the mean treadmill walking time increased by 123 +/- 42 sec, mean exercise-induced ST segment depression decreased by 0.6 +/- 0.3 mm, group maximal heart rate increased by 20 +/- 9 beats/min, and group systolic blood pressure at peak exercise increased by 24 +/- 10 mm Hg, compared with pre-PTCA values (p less than .001). However, no group differences were noted in these variables between the three post-PTCA stages. Myocardial perfusion in the distribution of the affected (dilated) coronary artery, on the other hand, improved progressively. In the 45 degree left anterior oblique view for instance, myocardial perfusion increased at 9 days after PTCA (from 68 +/- 24% before PTCA to 91 +/- 9%, p less than .001) and at 3.3 months after PTCA (101 +/- 8%, p less than .05 vs 9 days after PTCA), but no further significant changes were seen at 6.8 months after PTCA (102 +/- 8%). Similar changes were noted in the other two views. No relationship between minor complications during PTCA and delayed improvement on the 201Tl was observed

  17. All-optical tailoring of single-photon spectra in a quantum-dot microcavity system

    Breddermann, Dominik; Heinze, Dirk; Binder, Rolf; Zrenner, Artur; Schumacher, Stefan

    2016-01-01

    Semiconductor quantum-dot cavity systems are promising sources for solid-state based on-demand generation of single photons for quantum communication. Commonly, the spectral characteristics of the emitted single photon are fixed by system properties such as electronic transition energies and spectral properties of the cavity. In the present work we study single-photon generation from the quantum-dot biexciton through a partly stimulated non-degenerate two-photon emission. We show that frequen...

  18. Single-Photon Avalanche Diodes (SPAD) in CMOS 0.35 µm technology

    Pellion, D; Jradi, K; Brochard, Nicolas; Prêle, D.; Ginhac, Dominique

    2015-01-01

    Some decades ago single photon detection used to be the terrain of photomultiplier tube (PMT), thanks to its characteristics of sensitivity and speed. However, PMT has several disadvantages such as low quantum efficiency, overall dimensions, and cost, making them unsuitable for compact design of integrated systems. So, the past decade has seen a dramatic increase in interest in new integrated single-photon detectors called Single-Photon Avalanche Diodes (SPAD) or Geiger-mode APD. SPAD are wor...

  19. Single Photon Subradiance: Quantum control of spontaneous emission and ultrafast readout

    Scully, Marlan O.

    2015-01-01

    Recent work has shown that collective single photon emission from an ensemble of resonate two-level atoms, i.e. single photon superradiance, is a rich field of study. The present paper addresses the flip side of superradiance, i.e. subradiance. Single photon subradiant states are potentially stable against collective spontaneous emission and can have ultrafast readout. In particular it is shown how many atom collective effects provide a new way to control spontaneous emission by preparing and...

  20. Time-division phase modulated single-photon interference in a Sagnac interferometer

    WU Guang; ZHOU Chunyuan; ZENG Heping

    2003-01-01

    We introduce a stable, long-distance single- photon Sagnac interferometer, which has a balanced configuration to efficiently compensate phase drift caused by change of the fiber-optic path. By using time-division phase modulation, single-photon interference was realized at 1550 nm in a 5-km-long as well as 27-km-long Sagnac fiber loops, with a fringe visibility higher than 90% and long-term stability. The stable performance of the single-photon interference indicated that the time-division phase-modulated Sag- nac interferometer might readily lead to practical applications in single-photon routing and quantum cryptography.

  1. Assessment of myocardial washout of Tc-99m-sestamibi in patients with chronic heart failure. Comparison with normal control

    In contrast to 201TlCl, 99mTc-sestamibi shows very slow myocardial clearance after its initial myocardial uptake. In the present study, myocardial washout of 99mTc-sestamibi was calculated in patients with non-ischemic chronic heart failure (CHF) and compared with biventricular parameters obtained from first-pass and ECG-gated myocardial perfusion SPECT data. After administration of 99mTc-sestamibi, 25 patients with CHF and 8 normal controls (NC) were examined by ECG-gated myocardial perfusion SPECT and planar data acquisition in the early and delayed (interval of 3 hours) phase. Left ventricular ejection fraction (LVEF, %), peak filling rate (PFR, sec-1), end-diastolic volume (LVEDV, ml) and end-systolic volume (LVESV, ml) were automatically calculated from the ECG-gated SPECT data. Myocardial washout rates over 3 hours were calculated from the early and delayed planar images. Myocardial washout rates in the CHF group (39.6±5.2%) were significantly higher than those in the NC group (31.2±5.5%, p99mTc-sestamibi is considered to be a novel marker for the diagnosis of myocardial damage in patients with chronic heart failure. (author)

  2. Accuracy of ventricular volume and ejection fraction measured by gated Tl-201 perfusion single photon emission tomography

    Pai, Moon Sun; Moon, Dae Hyuk [University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    2005-02-15

    Electrocardiogram-gated single photon emission computed tomography (SPECT) provides valuable information in the assessment of both myocardial perfusion and ventricular function. Tl-201 is a suboptimal isotope for gating. Tl-201 images are more blurred compared with Tc-99m tracers due to the increased amount of scattered photons and use of a smooth filter. The average myocardial count densities are approximately one-half those of conventional technetium tracers. However, Tl-201 is still widely used because of its well-established utility for assessing myocardial perfusion, viability and risk stratification. Gated SPECT with Tl-201 enables us to assess both post-stress and rest left ventricular volume and function. Previous studies with gated Tl-201 SPECT measurements of ejection fraction (EF), end-diastolic volume (EDV), end-systolic volume (ESV) have shown high correlation with first-pass radionuclide angiography, gated blood pool scan, Tc-99m-MIBI gated SPECT, contrast ventriculography, echocardiography, and 3-dimensional magnetic resonance imaging. However, problems related to these studies include few agreement data of EDV and ESV, use of a reference method that is likely to have the same systemic errors (gated Tc-99 m-MIBI SPECT), and other technical factors related to the count density of gated SPECT. With optimization of gated imaging protocols and more validation studies, gated Tl-201 SPECT would be an accurate method to provide perfusion and function information in patients with coronary artery disease.

  3. Clinical characteristics in patients showing ischemic electrocardiographic changes during adenosine triphosphate loading single-photon emission computed tomography

    Although ischemic electrocardiographic (ECG) changes during dipyridamole or adenosine infusion have been reported as a marker for severe coronary artery disease (CAD), few studies have focused on ST-segment changes with adenosine triphosphate (ATP)-loading myocardial single-photon emission computed tomography (SPECT). Between January 2003 and August 2008, 4650 consecutive patients underwent ATP-loading SPECT. After 1412 patients with left bundle branch block, pacemaker rhythm, or previous coronary revascularization were excluded, 16 out of 3238 patients (0.5%) showed ischemic ST-segment depression during ATP-loading myocardial SPECT. They were aged 67±11 years; 10 were men and 6 women. Of these patients, 8 demonstrated perfusion abnormalities, whereas the remaining 8 showed normal myocardial perfusion imaging. In 6 of the 8 patients with abnormal SPECT, coronary angiography was performed, revealing left main trunk disease in 1 patient, 3-vessel disease in 4, 1-vessel disease with proximal left ascending artery occlusion in 1, and an insignificant lesion in 1. By contrast, no major cardiac event was observed in the 8 patients with normal SPECT during follow-up for an average of 2 years. The prevalence of ischemic ST-segment changes during ATP loading is very rare. However, this finding should be taken into account since almost half of the patients, particularly those with perfusion abnormalities, may have severe CAD which requires coronary revascularization. (author)

  4. Experimental studies of single-photon photodetachment of atomic anions

    Duvvuri, Srividya S.

    Laser photodetachment electron spectroscopy (LPES) has been used to study the structure of the terbium anion. The data was analyzed assuming that the terbium anion forms in dysprosium-like states. Using this assumption, the electron affinity of Tb([Xe]4f96s 2 6 Ho15/2 ) equals 1.98 +/- 0.10 eV, and the ground state of the terbium anion is assigned to the Dy-like Tb-([Xe]4f 106s2 5I 8) electronic configuration. At lust two bound excited states of Tb - are also evident in the photoelectron kinetic energy spectra, with binding energies of 0.449 +/- 0.01 and 1.67 +/- 0.07 eV relative to the Tb(6 Ho15/2 ) ground state. The energy scale of each Tb- photoelectron spectrum way calibrated using reference photoelectron peaks from 12 C-, 16O- and 23Na-, which have well known binding energies [1]. Photoelectron angular distribution measurements following the single-photon photodetachment of the lanthanide anions Tb- and Lu - are also presented. The asymmetry parameters were determined from the non-linear least-square fits of the photoelectron yields as a function of the angle between the photon polarization vector and the photoelectron momentum vector of the collected photoelectrons. The measurements indicated the single-photon photodetachment process hnu + Tb -([Xe]4f106s 2 5I8) → Tb([Xe]4 f96s2 6) Ho15/2 + e - has beta values of 1.51 +/- 0.08 and 1.35 +/- 0.08 at wavelengths of 514.5 and 488 nm, respectively. For Lu -, the fine-structure resolved photodetachment process hnu +Lu-([Xe]4f146s 26p5d 1D 2) → Lu([Xe]4f145 d6s2 2D 3/2) + e-, has been measured at wavelength of 532 nm yielding beta = 0.8 +/- 0.1, supporting the assertion that Lu - forms via the attachment of a 6p-electron to the neutral Lu atom [2]. Finally, photodetachment cross sections and the angular distributions of photo-electrons produced by the single-photon detachment of the Fe - and Cu- have also been measured at discrete visible photon wavelengths. From the measured photodetachment cross sections, the

  5. Myocardial uptake of thallium-201 in rat with cardiac hypertrophy

    The thallium-201 (TL) has been used in order to diagnose myocardial infarction and ischemia. Although it is well known that TL distributes in the myocardium in proportion to the distribution of coronary blood flow, the biological property of TL in the loaded myocardium remains unclear. We studied the myocardial uptake of TL in rat with cardiac hypertrophy. Experiments were performed in 30 anesthetized rats devided into 3 groups; control group (C,N=14), hypertrophy group (H,N=6) and diltiazem group (D, 0.3 mg/kg/min. IV. N=10). Cardiac hypertrophy was produced with the banding of the ascending aorta. Myocardial blood flow (MBF) was measured by microspheres labeled with Strontium-85. Cardiac weight was increased in H, and both MBF and TL uptake were proportionally increased. MBF was negatively correlated with the extraction fraction in C (r=-0.71), in H (r=-0.66) and in D (r=-0.85), and this relationship in H was significantly different from it in C (p<0.05), but not in D. From these results, we concluded that TL uptake in H is not always dependant on MBF and affected by the altered metabolism of hypertrophied myocardium. (author)

  6. Tracking hidden objects with a single-photon camera

    Gariepy, Genevieve; Henderson, Robert; Leach, Jonathan; Faccio, Daniele

    2015-01-01

    The ability to know what is hidden around a corner or behind a wall provides a crucial advantage when physically going around the obstacle is impossible or dangerous. Previous solutions to this challenge were constrained e.g. by their physical size, the requirement of reflective surfaces or long data acquisition times. These impede both the deployment of the technology outside the laboratory and the development of significant advances, such as tracking the movement of large-scale hidden objects. We demonstrate a non-line-of-sight laser ranging technology that relies upon the ability, using only a floor surface, to send and detect light that is scattered around an obstacle. A single-photon avalanche diode (SPAD) camera detects light back-scattered from a hidden object that can then be located with centimetre precision, simultaneously tracking its movement. This non-line-of-sight laser ranging system is also shown to work at human length scales, paving the way for a variety of real-life situations.

  7. Radiation dose to small infants from single-photon absorptiometry

    The radiation dose to the patient resulting from single-photon absorptiometry (SPA), now a widely used method for measuring bone mineral content (BMC) in vivo in infants and children, was evaluated. Lithium fluoride chips were placed on a phantom with a BMC in the small infant range (60 and 145 mg/cm). Measurement procedures mimicked the actual clinical sequence. The radiation exposure for a single BMC measurement is 46-70 mrad (460-700 microGy) to the forearm surface and 25-38 mrad (250-380 microGy) and 125-190 mrad (1,250-1,900 microGy) to the bone marrow and the bone, respectively. When eight repeated measurements are performed over a 1-year period, the radiation dose is about 368-560 mrad (3,680-5,600 microGy) to the forearm surface and 200-305 mrad (2,000-3,050 microGy) and 1,000-1,525 mrad (10.0-15.25 mGy) to the bone marrow and the bone, respectively. Even though the radiation dose is small, this method should be used only in well-designed clinical studies

  8. Single photon emission tomography imaging in parkinsonian disorders: a review.

    Acton, P D; Mozley, P D

    2000-01-01

    Parkinsonian symptoms are associated with a number of neurodegenerative disorders, such as Parkinson's disease, multiple system atrophy and progressive supranuclear palsy. Pathological evidence has shown clearly that these disorders are associated with a loss of neurons, particularly in the nigrostriatal dopaminergic pathway. Positron emission tomography (PET) and single photon emission tomography (SPECT) now are able to visualise and quantify changes in cerebral blood flow, glucose metabolism, and dopaminergic function produced by parkinsonian disorders. Both PET and SPECT have become important tools in the differential diagnosis of these diseases, and may have sufficient sensitivity to detect neuronal changes before the onset of clinical symptoms. Imaging is now being utilised to elucidate the genetic contribution to Parkinson's disease, and in longitudinal studies to assess the efficacy and mode of action of neuroprotective drug and surgical treatments. This review summarises recent applications of SPECT imaging in the study of parkinsonian disorders, with particular reference to the increasing role it is playing in the understanding, diagnosis and management of these diseases. PMID:11455039

  9. Superconducting nanowire single photon detectors for quantum information and communications

    Wang, Zhen; Fujiwara, Mikio

    2010-01-01

    Superconducting nanowire single photon detectors (SNSPD or SSPD) are highly promising devices in the growing field of quantum information and communications technology. We have developed a practical SSPD system with our superconducting thin films and devices fabrication, optical coupling packaging, and cryogenic technology. The SSPD system consists of six-channel SSPD devices and a compact Gifford-McMahon (GM) cryocooler, and can operate continuously on 100 V ac power without the need for any cryogens. The SSPD devices were fabricated from high-quality niobium nitride (NbN) ultra-thin films that were epitaxially grown on single-crystal MgO substrates. The packaged SSPD devices were temperature stabilized to 2.96 K +/- 10 mK. The system detection efficiency for an SSPD device with an area of 20x20 $\\mu m^2$ was found to be 2.6% and 4.5% at wavelengths of 1550 and 1310 nm, respectively, at a dark count rate of 100 c/s, and a jitter of 100 ps full width at half maximum (FWHM). We also performed ultra-fast BB84 q...

  10. Single photon emission computed tomography in periatric frontal epilepsy

    Neuroradiological examinations were made in 9 pediatric patients with frontal epilepsy by using single photon emission computed tomography (SPECT), cat scanning (CT) and magnetic resonance imaging (MRI). Two patients (22%) had abnormal findings on both CT and MRI; and 6 patients (67%) had them on SPECT, two of whom had findings corresponding to focal sites on EEG. Among the 6 patients, 5 were suspected of having decreased regional cerebral blood flow (rCBF), corresponding to 84%-94% of the contralateral blood flow. Two patients were evaluable before and after seizures; one had increased rCBF at the time of frequent seizures and returned to normal after seizures; and the other had no abnormality in the early stage of epilepsy, but had decreased rCBF after seizures. SPECT appears to provide a simple, useful tool in evaluating cerebral hemodynamics in infantile epilepsy, although serial hemodynamic changes with developmental process of central nerves and the time of examination must be considered according to individual patients. (N.K.)

  11. Single-Photon Emission Computed Tomography (SPECT) in childhood epilepsy

    The success of epilepsy surgery is determined strongly by the precise location of the epileptogenic focus. The information from clinical electrophysiological data needs to be strengthened by functional neuroimaging techniques. Single photon emission computed tomography (SPECT) available locally has proved useful as a localising investigation. It evaluates the regional cerebral blood flow and the comparison between ictal and interictal blood flow on SPECT has proved to be a sensitive nuclear marker for the site of seizure onset. Many studies justify the utility of SPECT in localising lesions to possess greater precision than interictal scalp EEG or anatomic neuroimaging. SPECT is of definitive value in temporal lobe epilepsy. Its role in extratemporal lobe epilepsy is less clearly defined. It is useful in various other generalized and partial seizure disorders including epileptic syndromes and helps in differentiating pseudoseizures from true seizures. The need for newer radiopharmaceutical agents with specific neurochemical properties and longer shelf life are under investigation. Subtraction ictal SPECT co-registered to MRI is a promising new modality. (author)

  12. Single photon emission computed tomography-guided Cerenkov luminescence tomography

    Hu, Zhenhua; Chen, Xueli; Liang, Jimin; Qu, Xiaochao; Chen, Duofang; Yang, Weidong; Wang, Jing; Cao, Feng; Tian, Jie

    2012-07-01

    Cerenkov luminescence tomography (CLT) has become a valuable tool for preclinical imaging because of its ability of reconstructing the three-dimensional distribution and activity of the radiopharmaceuticals. However, it is still far from a mature technology and suffers from relatively low spatial resolution due to the ill-posed inverse problem for the tomographic reconstruction. In this paper, we presented a single photon emission computed tomography (SPECT)-guided reconstruction method for CLT, in which a priori information of the permissible source region (PSR) from SPECT imaging results was incorporated to effectively reduce the ill-posedness of the inverse reconstruction problem. The performance of the method was first validated with the experimental reconstruction of an adult athymic nude mouse implanted with a Na131I radioactive source and an adult athymic nude mouse received an intravenous tail injection of Na131I. A tissue-mimic phantom based experiment was then conducted to illustrate the ability of the proposed method in resolving double sources. Compared with the traditional PSR strategy in which the PSR was determined by the surface flux distribution, the proposed method obtained much more accurate and encouraging localization and resolution results. Preliminary results showed that the proposed SPECT-guided reconstruction method was insensitive to the regularization methods and ignored the heterogeneity of tissues which can avoid the segmentation procedure of the organs.

  13. Monitoring cellular mechanosensing using time-correlated single photon counting

    Tabouillot, Tristan; Gullapalli, Ramachandra; Butler, Peter J.

    2006-10-01

    Endothelial cells (ECs) convert mechanical stimuli into chemical signaling pathways to regulate their functions and properties. It is hypothesized that perturbation of cellular structures by force is accompanied by changes in molecular dynamics. In order to address these fundamental issues in mechanosensation and transduction, we have developed a hybrid multimodal microscopy - time-correlated single photon counting (TCSPC) spectroscopy system intended to determine time- and position dependent mechanically-induced changes in the dynamics of molecules in live cells as determined from fluorescence lifetimes and autocorrelation analysis (fluorescence correlation spectroscopy). Colocalization of cell-structures and mechanically-induced changes in molecular dynamics can be done in post-processing by comparing TCSPC data with 3-D models generated from total internal reflection fluorescence (TIRF), differential interference contrast (DIC), epifluorescence, and deconvolution. We present control experiments in which the precise location of the apical cell membrane with respect to a confocal probe is assessed using information obtainable only from TCSPC. Such positional accuracy of TCSPC measurements is essential to understanding the role of the membrane in mechanotransduction. We predict that TCSPC will become a useful method to obtain high temporal and spatial resolution information on localized mechanical phenomena in living endothelial cells. Such insight into mechanotransduction phenomenon may uncover the origins of mechanically-related diseases such as atherosclerosis.

  14. Room temperature mid-IR single photon spectral imaging

    Dam, Jeppe Seidelin; Tidemand-Lichtenberg, Peter

    2012-01-01

    Spectral imaging and detection of mid-infrared (mid-IR) wavelengths are emerging as an enabling technology of great technical and scientific interest; primarily because important chemical compounds display unique and strong mid-IR spectral fingerprints revealing valuable chemical information. While modern Quantum cascade lasers have evolved as ideal coherent mid-IR excitation sources, simple, low noise, room temperature detectors and imaging systems still lag behind. We address this need presenting a novel, field-deployable, upconversion system for sensitive, 2-D, mid-IR spectral imaging. Measured room temperature dark noise is 0.2 photons/spatial element/second, which is a billion times below the dark noise level of cryogenically cooled InSb cameras. Single photon imaging and up to 200 x 100 spatial elements resolution is obtained reaching record high continuous wave quantum efficiency of about 20 % for polarized incoherent light at 3 \\mum. The proposed method is relevant for existing and new mid-IR applicat...

  15. Single Photon Emission Tomography Imaging in Parkinsonian Disorders: A Review

    Paul D. Acton

    2000-01-01

    Full Text Available Parkinsonian symptoms are associated with a number of neurodegenerative disorders, such as Parkinson’s disease, multiple system atrophy and progressive supranuclear palsy. Pathological evidence has shown clearly that these disorders are associated with a loss of neurons, particularly in the nigrostriatal dopaminergic pathway. Positron emission tomography (PET and single photon emission tomography (SPECT now are able to visualise and quantify changes in cerebral blood flow, glucose metabolism, and dopaminergic function produced by parkinsonian disorders. Both PET and SPECT have become important tools in the differential diagnosis of these diseases, and may have sufficient sensitivity to detect neuronal changes before the onset of clinical symptoms. Imaging is now being utilised to elucidate the genetic contribution to Parkinson’s disease, and in longitudinal studies to assess the efficacy and mode of action of neuroprotective drug and surgical treatments. This review summarises recent applications of SPECT imaging in the study of parkinsonian disorders, with particular reference to the increasing role it is playing in the understanding, diagnosis and management of these diseases.

  16. Collective magnetic splitting in single-photon superradiance

    Kong, Xiangjin

    2016-01-01

    In an ensemble of identical atoms, cooperative effects like sub- or superradiance may alter the decay rates and the energy of specific transitions may be shifted from the single-atom value by the so-called collective Lamb shift. So far, one has considered these effects in ensembles of two-level systems only. In this work we show that in a system with atoms or nuclei under the action of an external magnetic field, an additional, so far unaccounted for collective contribution to the level shifts appears that can amount to seizable deviations from the single-atom Zeeman or magnetic hyperfine splitting. We develop a formalism to describe single-photon superradiance in multi-level systems and quantify the parameter regime for which the collective Lamb shift leads to measurable deviations in the magnetic-field-induced splitting. In particular, we show that this effect should be observable in the nuclear magnetic hyperfine splitting in M\\"ossbauer nuclei embedded in thin-film x-ray cavities.

  17. SiPM time resolution: From single photon to saturation

    Gundacker, S., E-mail: stefan.gundacker@cern.ch [European Organization for Nuclear Research (CERN), 1211 Geneva 23 (Switzerland); Auffray, E.; Di Vara, N.; Frisch, B.; Hillemanns, H.; Jarron, P. [European Organization for Nuclear Research (CERN), 1211 Geneva 23 (Switzerland); Lang, B. [Physical Chemistry Department - Sciences II - University of Geneva 30, Quai Ernest Ansermet, 1211 Geneva 4 (Switzerland); Meyer, T. [European Organization for Nuclear Research (CERN), 1211 Geneva 23 (Switzerland); Mosquera-Vazquez, S.; Vauthey, E. [Physical Chemistry Department - Sciences II - University of Geneva 30, Quai Ernest Ansermet, 1211 Geneva 4 (Switzerland); Lecoq, P. [European Organization for Nuclear Research (CERN), 1211 Geneva 23 (Switzerland)

    2013-08-01

    The time resolution of photon detection systems is important for a wide range of applications in physics and chemistry. It impacts the quality of time-resolved spectroscopy of ultrafast processes and has a direct influence on the best achievable time resolution of time-of-flight detectors in high-energy and medical physics. For the characterization of photon detectors, it is important to measure their exact timing properties in dependence of the photon flux and the operational parameters of the photodetector and its accompanying electronics. We report on the timing of silicon photomultipliers (SiPM) as a function of their bias voltage, electronics threshold settings and the number of impinging photons. We used ultrashort laser pulses at 400 nm wavelength with pulse duration below 200 fs. We focus our studies on different types of SiPMs (Hamamatsu MPPC S10931-025P, S10931-050P and S10931-100P) with different SPAD sizes (25μm, 50μm and 100μm) coupled to the ultrafast discriminator amplifier NINO. For the SiPMs, an optimum in the time resolution regarding bias and threshold settings can be reached. For the 50μm type, we achieve a single photon time resolution of 80 ps sigma, and for saturating photon fluxes better than 10 ps sigma.

  18. Proceedings of clinical SPECT [single photon emission computed tomography] symposium

    It has been five years since the last in-depth American College of Nuclear Physicians/Society of Nuclear Medicine Symposium on the subject of single photon emission computed tomography (SPECT) was held. Because this subject was nominated as the single most desired topic we have selected SPECT imaging as the basis for this year's program. The objectives of this symposium are to survey the progress of SPECT clinical applications that have taken place over the last five years and to provide practical and timely guidelines to users of SPECT so that this exciting imaging modality can be fully integrated into the evaluation of pathologic processes. The first half was devoted to a consideration of technical factors important in SPECT acquisition and the second half was devoted to those organ systems about which sufficient clinical SPECT imaging data are available. With respect to the technical aspect of the program we have selected the key areas which demand awareness and attention in order to make SPECT operational in clinical practice. These include selection of equipment, details of uniformity correction, utilization of phantoms for equipment acceptance and quality assurance, the major aspect of algorithms, an understanding of filtered back projection and appropriate choice of filters and an awareness of the most commonly generated artifacts and how to recognize them. With respect to the acquisition and interpretation of organ images, the faculty will present information on the major aspects of hepatic, brain, cardiac, skeletal, and immunologic imaging techniques. Individual papers are processed separately for the data base

  19. Operational path-phase complementarity in single-photon interferometry

    We examine two set-ups that reveal different operational implications of path-phase complementarity for single photons in a Mach-Zehnder interferometer (MZI). In both set-ups, the which-way (WW) information is recorded in the polarization state of the photon serving as a 'flying which-way detector'. In the 'predictive' variant, using a fixed initial state, one obtains duality relation between the probability to correctly predict the outcome of either a which-way (WW) or which-phase (WP) measurement (equivalent to the conventional path-distinguishability-visibility). In this set-up, only one or the other (WW or WP) prediction has operational meaning in a single experiment. In the second, 'retrodictive' protocol, the initial state is secretly selected for each photon by one party, Alice, among a set of initial states which may differ in the amplitudes and phases of the photon in each arm of the MZI. The goal of the other party, Bob, is to retrodict the initial state by measurements on the photon. Here, a similar duality relation between WP and WW probabilities governs their simultaneous guesses in each experimental run.

  20. Brain single photon emission computed tomography in neonates

    Denays, R.; Van Pachterbeke, T.; Tondeur, M.; Spehl, M.; Toppet, V.; Ham, H.; Piepsz, A.; Rubinstein, M.; Nol, P.H.; Haumont, D. (Free Universities of Brussels (Belgium))

    1989-08-01

    This study was designed to rate the clinical value of ({sup 123}I)iodoamphetamine (IMP) or ({sup 99m}Tc) hexamethyl propylene amine oxyme (HM-PAO) brain single photon emission computed tomography (SPECT) in neonates, especially in those likely to develop cerebral palsy. The results showed that SPECT abnormalities were congruent in most cases with structural lesions demonstrated by ultrasonography. However, mild bilateral ventricular dilatation and bilateral subependymal porencephalic cysts diagnosed by ultrasound were not associated with an abnormal SPECT finding. In contrast, some cortical periventricular and sylvian lesions and all the parasagittal lesions well visualized in SPECT studies were not diagnosed by ultrasound scans. In neonates with subependymal and/or intraventricular hemorrhage the existence of a parenchymal abnormality was only diagnosed by SPECT. These results indicate that ({sup 123}I)IMP or ({sup 99m}Tc)HM-PAO brain SPECT shows a potential clinical value as the neurodevelopmental outcome is clearly related to the site, the extent, and the number of cerebral lesions. Long-term clinical follow-up is, however, mandatory in order to define which SPECT abnormality is associated with neurologic deficit.