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1.
Phys Rev Lett ; 121(2): 023601, 2018 Jul 13.
Article in English | MEDLINE | ID: mdl-30085738

ABSTRACT

Statistical mechanics underlies our understanding of macroscopic quantum systems. It is based on the assumption that out-of-equilibrium systems rapidly approach their equilibrium states, forgetting any information about their microscopic initial conditions. This fundamental paradigm is challenged by disordered systems, in which a slowdown or even absence of thermalization is expected. We report the observation of critical thermalization in a three dimensional ensemble of ∼10^{6} electronic spins coupled via dipolar interactions. By controlling the spin states of nitrogen vacancy color centers in diamond, we observe slow, subexponential relaxation dynamics and identify a regime of power-law decay with disorder-dependent exponents; this behavior is modified at late times owing to many-body interactions. These observations are quantitatively explained by a resonance counting theory that incorporates the effects of both disorder and interactions.

2.
Rev Sci Instrum ; 89(5): 056102, 2018 May.
Article in English | MEDLINE | ID: mdl-29864810

ABSTRACT

Ultra-hard and high-strength spherical indenters with high precision and sphericity were successfully prepared from nanopolycrystalline diamond (NPD) synthesized by direct conversion sintering from graphite under high pressure and high temperature. It was shown that highly accurate and stable microfracture strength tests can be performed on various super-hard diamond materials by using the NPD spherical indenters. It was also verified that this technique enables quantitative evaluation of the strength characteristics of single crystal diamonds and NPDs which have been quite difficult to evaluate.

3.
Nat Mater ; 17(4): 313-317, 2018 04.
Article in English | MEDLINE | ID: mdl-29434307

ABSTRACT

Longitudinal relaxation is the process by which an excited spin ensemble decays into its thermal equilibrium with the environment. In solid-state spin systems, relaxation into the phonon bath usually dominates over the coupling to the electromagnetic vacuum1-9. In the quantum limit, the spin lifetime is determined by phononic vacuum fluctuations 10 . However, this limit was not observed in previous studies due to thermal phonon contributions11-13 or phonon-bottleneck processes10, 14,15. Here we use a dispersive detection scheme16,17 based on cavity quantum electrodynamics18-21 to observe this quantum limit of spin relaxation of the negatively charged nitrogen vacancy (NV-) centre 22 in diamond. Diamond possesses high thermal conductivity even at low temperatures 23 , which eliminates phonon-bottleneck processes. We observe exceptionally long longitudinal relaxation times T1 of up to 8 h. To understand the fundamental mechanism of spin-phonon coupling in this system we develop a theoretical model and calculate the relaxation time ab initio. The calculations confirm that the low phononic density of states at the NV- transition frequency enables the spin polarization to survive over macroscopic timescales.

4.
Phys Rev Lett ; 107(22): 220501, 2011 Nov 25.
Article in English | MEDLINE | ID: mdl-22182018

ABSTRACT

We report the experimental realization of a hybrid quantum circuit combining a superconducting qubit and an ensemble of electronic spins. The qubit, of the transmon type, is coherently coupled to the spin ensemble consisting of nitrogen-vacancy centers in a diamond crystal via a frequency-tunable superconducting resonator acting as a quantum bus. Using this circuit, we prepare a superposition of the qubit states that we store into collective excitations of the spin ensemble and retrieve back into the qubit later on. These results constitute a proof of concept of spin-ensemble based quantum memory for superconducting qubits.

5.
Rev Sci Instrum ; 82(6): 066104, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21721739

ABSTRACT

Nano-polycrystalline diamonds (NPDs) consist of nanosized diamond grains oriented in random directions. They have high toughness and isotropic mechanical properties. A NPD has neither the cleavage feature nor the anisotropy of hardness peculiar to single-crystal diamonds. Therefore, it is thought to be useful as a diamond anvil. We previously reported the usefulness of a NPD as an anvil for high-pressure development. In this study, some additional high-pressure generating tests using diamond anvils of various shapes prepared from NPDs were conducted to investigate the advantage of using NPDs for anvil applications. The results revealed that the achievable pressure value of a NPD anvil with a culet size of more than 300 µm is about 1.5 to 2 times higher than that of single-crystal diamond anvils, indicating that NPD anvils have considerable potential for large-volume diamond anvils with large culet sizes.

6.
Rev Sci Instrum ; 79(5): 056102, 2008 May.
Article in English | MEDLINE | ID: mdl-18513095

ABSTRACT

Knoop indenters were prepared from nanopolycrystalline diamonds (NPDs) synthesized by direct conversion sintering from graphite under high pressure and high temperature. Owing to the fine structure (grain size: 10-100 nm) of NPD, high-accuracy sharp edges could be formed at the indenter tips. The indentation tests demonstrated that the NPD indenter can form normal (measurable) indentations on NPD samples without fracture or chipping even at high temperatures of up to 1000 degrees C, while conventional indenters made of single-crystal diamonds break easily above 600 degrees C. This suggests that the NPD indenter has greater potential in high-temperature hardness tests than the conventional single-crystal diamond indenters.

7.
Nucl Med Commun ; 23(6): 595-9, 2002 Jun.
Article in English | MEDLINE | ID: mdl-12029217

ABSTRACT

The aim of this study was to determine the characteristics and clinical usefulness of 201Tl scintigraphy in giant-cell tumour of bone (GCT). Twenty-one patients with histopathologically proven benign GCT (22 lesions; 18 primary and four recurrent) underwent 201Tl scintigraphy. We also studied conventional osteosarcoma (10 lesions), a very common primary malignant bone tumour; and chordoma in the sacrum (four lesions), an entity requiring differential diagnosis from GCT of the sacrum. Early and delayed planar imaging was performed at 15 min (early) and 3 h (delayed) after the intravenous injection of 201Tl chloride (111 MBq). The Tl uptake ratio was calculated by dividing the count density of the tumour region of interest (ROI) by that of the background ROI. All GCT lesions showed increased Tl uptake in both early and delayed images. The mean Tl uptake ratios of primary GCT were 4.7 (range, 2.0-11.1) in the early images and 2.2 (range, 1.4-3.6) in the delayed images, and those of recurrent lesions were 5.8 (range, 2.4-11.5) in the early images and 2.7 (range, 2.0-4.3) in the delayed images. There were no significant differences between the uptake ratios in GCT and osteosarcoma, but the values of GCT tended to be higher than those of osteosarcoma, 3.1 (range, 1.7-4.4) in the early images and 1.8 (range, 1.3-2.3) in the delayed images. Chordoma did not show appreciable Tl uptake: the uptake ratio was 1.19 (range, 0.98-1.5) in the early images and 1.1 (range, 1.0-1.3) in the delayed images. In GCT, a benign lesion, Tl scintigraphy demonstrated marked uptake in both primary and recurrent lesions with no exceptions, precluding the use of Tl scintigraphy for the differential diagnosis of GCT from malignant tumours. However, the Tl scintigraphy can be used for excluding GCT when no lesional Tl uptake is observed, and diagnosing recurrent lesions on post-operative follow-up.


Subject(s)
Bone Neoplasms/diagnostic imaging , Chordoma/diagnostic imaging , Giant Cell Tumor of Bone/diagnostic imaging , Leg Bones/diagnostic imaging , Sacrum/diagnostic imaging , Thallium , Adult , Bone Neoplasms/metabolism , Chordoma/metabolism , Diagnosis, Differential , Female , Giant Cell Tumor of Bone/metabolism , Humans , Leg Bones/metabolism , Male , Osteosarcoma , Predictive Value of Tests , Radionuclide Imaging , Radiopharmaceuticals/pharmacokinetics , Retrospective Studies , Sacrum/metabolism , Sensitivity and Specificity , Thallium/pharmacokinetics
8.
Nucl Med Commun ; 23(4): 355-66, 2002 Apr.
Article in English | MEDLINE | ID: mdl-11930189

ABSTRACT

The purpose of this retrospective study was to assess regional cerebral blood flow in patients after carbon monoxide intoxication by using brain single photon emission computed tomography and statistical parametric mapping. Eight patients with delayed neuropsychiatric sequelae and ten patients with no neuropsychiatric symptoms after carbon monoxide intoxication were studied with brain single photon emission tomography imaging with 99mTc-hexamethyl-propyleneamine oxime. Forty-four control subjects were also studied. We used the adjusted regional cerebral blood flow images in relative flow distribution (normalization of global cerebral blood flow for each subject to 50 ml x 100 g(-1) x min(-1) with proportional scaling) to compare these groups with statistical parametric mapping. Using this technique, significantly decreased regional cerebral blood flow was noted extensively in the bilateral frontal lobes as well as the bilateral insula and a part of the right temporal lobe in the patients with delayed neuropsychiatric sequelae as compared with normal volunteers (P< 0.005). In the patients with no neuropsychiatric symptoms, significantly decreased regional blood flow in the bilateral frontal lobes particularly on the left side was detected. There was a significantly decreased regional cerebral blood flow in the right frontal lobe and insula in the patients with delayed neuropsychiatric sequelae as compared to those with no neuropsychiatric sequelae. It is concluded that statistical parametric mapping is a useful technique for highlighting differences in regional cerebral blood flow in patients following carbon monoxide intoxication as compared with normal volunteers. The selectively reduced blood flow noted in this investigation supports the contention that the decrease following carbon monoxide intoxication may be prolonged and further worsen in the frontal lobe. In addition, the present study may help to clarify the characteristics of the pathophysiological alteration underlying delayed neuropsychiatric sequelae.


Subject(s)
Brain/diagnostic imaging , Carbon Monoxide Poisoning/diagnostic imaging , Technetium Tc 99m Exametazime , Tomography, Emission-Computed, Single-Photon/methods , Adult , Aged , Carbon Monoxide Poisoning/complications , Carbon Monoxide Poisoning/physiopathology , Carbon Monoxide Poisoning/psychology , Case-Control Studies , Cerebrovascular Circulation , Female , Humans , Image Processing, Computer-Assisted , Male , Mental Disorders/etiology , Middle Aged , Organotechnetium Compounds , Oximes , Radiopharmaceuticals , Retrospective Studies , Tomography, Emission-Computed, Single-Photon/statistics & numerical data
9.
Semin Musculoskelet Radiol ; 5(2): 177-82, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11500163

ABSTRACT

(201)Tl scintigraphy provides important information for the management of patients with bone tumors. Although the role for staging the disease of bone tumors and for differentiation of benign from malignant lesions is limited, (201)Tl scintigraphy reflects the disease activity after treatment and it should be used to determine the treatment response and for early diagnosis of recurrence. Baseline study is essential for future reference to evaluate the response to preoperative chemotherapy and to detect recurrence after surgery. Sequential (201)Tl scintigraphy before and after treatment is useful in assessing the grade of response of the tumor to chemotherapy. The early prediction of chemotherapeutic effect by (201)Tl scintigraphy during treatment will affect the management of patients who do not respond to the therapy. This is of special importance to determine whether the patient needs an amputation or a limb-salvage surgery.


Subject(s)
Bone Neoplasms/diagnostic imaging , Thallium Radioisotopes , Antineoplastic Agents/therapeutic use , Bone Neoplasms/drug therapy , Humans , Neoplasm Recurrence, Local/diagnostic imaging , Tomography, Emission-Computed, Single-Photon
10.
Cancer ; 91(12): 2447-53, 2001 Jun 15.
Article in English | MEDLINE | ID: mdl-11413537

ABSTRACT

BACKGROUND: This study examined the effect of myocutaneous inflammatory changes caused by intra-arterial chemotherapy on the outcome of patients who undergo limb-saving surgery. METHODS: One hundred seven patients with malignant bone and soft tissue tumors were administered intra-arterial cisplatin and caffeine preoperatively with or without doxorubicin. Nine patients (8.4%) who had had myocutaneous inflammatory reactions were reviewed to determine the effects of this complication on limb-saving surgery. RESULTS: The patients complained of unbearable and continuous pain while undergoing intra-arterial infusion. Gait disturbances and muscle weakness were caused by their severe regional pain, resulting in the use of crutches even before surgery. Extended areas of necrotic skin and muscle were resected simultaneously with limb-saving surgery on four patients. Myocutaneous necrosis in one patient, indurations in two patients, and flares in two patients were not treated surgically. Pain relief was provided to eight patients at some point. Four patients with extensive myocutaneous necrosis around the knee joint had restricted range of motion and poor functional results. Radionuclide angiography using 99m-Technetium-macroaggregated albumins was performed to evaluate the blood flow to the affected muscle and tumor. It showed marked increase of the radioisotope perfusion in the affected muscles but little uptake in the tumor. These results may suggest that the affected muscles diminish the effects of anticancer drugs on the tumors. CONCLUSIONS: Myocutaneous inflammatory reactions should be prevented if possible to obtain good limb function and chemotherapeutic effects in patients who undergo intra-arterial chemotherapy. Resection of necrotic tissue is mandatory to relieve pain.


Subject(s)
Antineoplastic Agents/administration & dosage , Bone Neoplasms/therapy , Dermatitis/etiology , Infusions, Intra-Arterial/adverse effects , Myositis/etiology , Salvage Therapy , Soft Tissue Neoplasms/therapy , Adolescent , Adult , Bone Neoplasms/diagnostic imaging , Caffeine/administration & dosage , Child , Combined Modality Therapy , Dermatitis/diagnostic imaging , Doxorubicin/administration & dosage , Female , Humans , Male , Myositis/diagnostic imaging , Necrosis , Osteosarcoma/therapy , Radionuclide Imaging , Sarcoma, Synovial/therapy , Soft Tissue Neoplasms/diagnostic imaging , Treatment Outcome
11.
Nucl Med Biol ; 28(3): 261-4, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11323235

ABSTRACT

We investigated changes in the brain distribution of (-)-[(125)I]-m-iodovesamicol [(-)-[(125)I]mIV] in cholinergic denervation rats produced by a unilateral lesion of the nucleus basalis magnocellularis (NBM). Dual-tracer ex vivo autoradiographic analysis using (-)-[(125)I]mIV and [(99m)Tc]HMPAO was conducted to the effect of regional cerebral perfusion on the brain distribution of (-)-[(125)I]mIV in a unilateral NBM-lesioned rat. (-)-[(125)I]mIV binding in the ipsilateral cortex to the lesion significantly reduced by 10.4 %, compared with that in the contralateral cortex, while (-)-[(125)I]mIV binding in the ipsilateral caudate putamen, hippocampus and thalamus did not change. The rate of reduction in the (-)-[(125)I]mIV binding (10.4 %) was significantly higher than that of [(99m)Tc]HMPAO accumulation (4.0%) in the ipsilateral cortex to the lesion (P < 0.01). These results suggested that radioiodinated (-)-mIV may be useful in the study of dementia characterized by degeneration of the cholinergic neurotransmitter system, such as Alzheimer's disease.


Subject(s)
Brain/diagnostic imaging , Dementia/diagnostic imaging , Piperidines , Technetium Tc 99m Exametazime , Acetylcholine/deficiency , Animals , Autoradiography , Brain/metabolism , Dementia/metabolism , Male , Piperidines/pharmacokinetics , Radionuclide Imaging , Rats , Rats, Sprague-Dawley , Tissue Distribution
12.
Neurosci Lett ; 300(1): 33-6, 2001 Mar 02.
Article in English | MEDLINE | ID: mdl-11172933

ABSTRACT

It is considered that nodosal ganglion grafting improves learning and memory disorder in nucleus basalis magnocellularis lesioned rats, and that [3H]-vesamicol is one of the mapping agents for presynaptic cholinergic neurons. Quantitative autoradiography was performed using high sensitive imaging plate system to evaluate the effect of neurotransplantation on [3H]-vesamicol binding. The affected-side to unaffected-side ratio of [3H]-vesamicol in the nucleus basalis magnocellularis lesioned group was significantly lower than that in the sham-operated group at 1, 2 and 4weeks (P<0.01). In the transplanted group, the ratio was significantly higher than that in the untreated group at 4weeks (P<0.05). [3H]-vesamicol binding is one of the most sensitive indicators of nucleus basalis magnocellularis lesions and the effect of the nodosal ganglion grafting.


Subject(s)
Basal Nucleus of Meynert/metabolism , Neuromuscular Depolarizing Agents/metabolism , Piperidines/metabolism , Transplantation, Autologous/physiology , Vagus Nerve/transplantation , Animals , Autoradiography , Basal Nucleus of Meynert/anatomy & histology , Image Processing, Computer-Assisted , Male , Rats , Rats, Sprague-Dawley
13.
Nucl Med Commun ; 21(10): 933-7, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11130334

ABSTRACT

The aim of this study was to investigate spatial memory and quantitative acetylcholine transporter autoradiography using a high-sensitivity imaging plate system in rats treated with beta-amyloid protein, a model of Alzheimer's disease. An eight-arm radial maze was used to evaluate spatial memory. The performance of the eight-arm radial maze task was impaired in beta-amyloid protein-treated rats. In the parietal cortex, [3H]-vesamicol binding to the vesicular acetylcholine transporter was significantly lower in beta-amyloid protein-treated rats than in vehicle-treated rats, and was significantly correlated with the mean number of correct selections in the maze task of the first 5 days in the post-operative state. These results indicate that the reduction in [3H]-vesamicol binding to vesicular acetylcholine transporter is related to memory impairment induced by beta-amyloid protein. Beta-amyloid protein-infused rats with spatial memory impairment may be useful for the development of new radiolabelled vesamicol analogues for the objective evaluation of Alzheimer's disease.


Subject(s)
Amyloid beta-Peptides/administration & dosage , Carrier Proteins/metabolism , Membrane Transport Proteins , Memory Disorders/diagnostic imaging , Memory Disorders/metabolism , Vesicular Transport Proteins , Alzheimer Disease/diagnostic imaging , Alzheimer Disease/metabolism , Animals , Autoradiography , Disease Models, Animal , Humans , Immunohistochemistry , Male , Memory Disorders/chemically induced , Piperidines/metabolism , Quinuclidinyl Benzilate/metabolism , Radionuclide Imaging , Radiopharmaceuticals , Rats , Rats, Sprague-Dawley , Receptors, Muscarinic/metabolism , Synaptic Vesicles/metabolism , Tissue Distribution , Tritium , Vesicular Acetylcholine Transport Proteins
14.
Schizophr Res ; 42(1): 29-39, 2000 Mar 16.
Article in English | MEDLINE | ID: mdl-10706983

ABSTRACT

Regional cerebral blood flow (rCBF) was measured in 11 schizophrenic patients amid 10 normal controls, both at rest and while performing an auditory discrimination task. Single photon emission computed tomography with technetium-99m hexamethylpropylene amine oxime was used for quantitative evaluation of rCBF. The schizophrenic patients showed greater rCBF in the temporal and parietal regions at rest than the controls, but no abnormalities were found in frontal perfusion. During task performance. on the other hand, the patients showed a reduced frontal rCBF. whereas there was no group difference in rCBF in the temporal and parietal regions. In addition, the left> right hemisphere asymmetries of rCBF observed in the controls during task performance were not present in the patients. although there was no group difference in hemisphere laterality in rCBF at rest. These findings suggest that the employment of a cognitive task for neuroimaging studies is useful for detecting abnormalities of brain activation. such as hypofrontality and altered hemisphere laterality. in patients with schizophrenia.


Subject(s)
Auditory Perception/physiology , Cerebrovascular Circulation , Frontal Lobe/blood supply , Parietal Lobe/blood supply , Schizophrenia/physiopathology , Temporal Lobe/blood supply , Adult , Cognition/physiology , Electroencephalography , Electrooculography/methods , Event-Related Potentials, P300/physiology , Functional Laterality/physiology , Humans , Male , Radiopharmaceuticals , Regional Blood Flow/physiology , Technetium Tc 99m Exametazime , Tomography, Emission-Computed, Single-Photon
15.
J Nucl Med ; 40(11): 1818-23, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10565776

ABSTRACT

UNLABELLED: Although cerebral blood flow in infants differs from that in older individuals, the distribution of 99mTc-ethyl cysteinate dimer (ECD) in infants has not been well studied. This study compared 99mTc-ECD distribution in infants and children with that in young adults. METHODS: 99mTc-ECD SPECT was performed on 37 patients suspected of having epilepsy, ranging in age from 3 mo to 26 y. The patients were divided into two age-matched groups, a drug-free group (n = 19) and a drug-taking group (n = 18), according to their anticonvulsant medication status at the time of examination. 99mTc-ECD (100-740 MBq) was injected interictally, and SPECT data were acquired using a triple-head gamma camera. Mean whole-brain counts were obtained from 10 sequential SPECT images. Regions of interest were set bilaterally on five areas of the cerebral cortex and on the basal ganglia, thalamus and cerebellum. The brain perfusion index (BPI) was obtained as a ratio of the mean counts in each region of interest to the mean whole-brain counts. The relationship between BPI and age in each region in the drug-free and drug-taking groups was analyzed separately and together using linear regression. The relationship between five patient age groups (<1 y, n = 4; 1-4 y, n = 9; 5-9 y, n = 8; 10-15 y, n = 7; >15 y, n = 9) and BPI in each region was also examined using multiple comparison analyses. RESULTS: Significant positive correlations between BPI and age in the frontal cortex and cerebellum were confirmed in the drug-free group. Anticonvulsant drugs did not affect the regression lines of BPI in the frontal cortex and cerebellum. Significant differences in BPI between age groups were seen in the parietal cortex, frontal cortex, occipital cortex, basal ganglia, thalamus and cerebellum in all patients. CONCLUSION: Age-related changes in cerebral 99mTc-ECD distribution were confirmed and found to be unaffected by the administration of anticonvulsant drugs. 99mTc-ECD uptake in children and infants is different from cerebral blood flow glucose metabolism as previously reported, especially in the cerebellum.


Subject(s)
Aging/metabolism , Brain/diagnostic imaging , Cysteine/analogs & derivatives , Organotechnetium Compounds , Adolescent , Adult , Anticonvulsants/therapeutic use , Brain/metabolism , Case-Control Studies , Cerebrovascular Circulation , Child , Child, Preschool , Cysteine/pharmacokinetics , Epilepsy/diagnostic imaging , Female , Gamma Cameras , Humans , Infant , Male , Organotechnetium Compounds/pharmacokinetics , Radiopharmaceuticals , Tomography, Emission-Computed, Single-Photon
16.
Ann Nucl Med ; 12(4): 185-90, 1998 Aug.
Article in English | MEDLINE | ID: mdl-9795703

ABSTRACT

We examined the relation between regional 123I-iomazenil (IMZ) parameters and cerebral blood flow (CBF) to evaluate the difference between the quantitative parameters of IMZ and the CBF in detecting epileptic abnormality. Seventeen patients with unilateral partial epilepsy were subjected to 99mTc-hexamethylpropylene amine oxime (HMPAO) SPECT, and early and delayed IMZ SPECT. Then we quantitatively obtained the blood-to-brain transfer constants (K1) and binding potentials (BP) for nine regions of interest, and the regional CBF was also by using the simple angiographic method. From our data, significant asymmetries of BP in the inferior medial temporal lobe and cerebellum were shown and may be related to a remote effect such as crossed cerebellar diaschisis. In conclusion, the asymmetry of BP with iomazenil SPECT was demonstrated in patients with unilateral epilepsy that was not detectable by HMPAO SPECT.


Subject(s)
Cerebellum/metabolism , Epilepsies, Partial/diagnostic imaging , Receptors, GABA-A/metabolism , Temporal Lobe/metabolism , Tomography, Emission-Computed, Single-Photon/methods , Adult , Cerebellum/blood supply , Cerebellum/diagnostic imaging , Female , Flumazenil/analogs & derivatives , Humans , Iodine Radioisotopes , Male , Middle Aged , Radiopharmaceuticals , Receptors, GABA-A/chemistry , Technetium Tc 99m Exametazime , Temporal Lobe/blood supply , Temporal Lobe/diagnostic imaging
17.
J Nucl Med ; 39(9): 1600-4, 1998 Sep.
Article in English | MEDLINE | ID: mdl-9744351

ABSTRACT

UNLABELLED: The purpose of this study was to assess the predictive power of 201TI scintigraphy in the midcourse of chemotherapy for the final tumor response to chemotherapy in malignant bone and soft-tissue tumors. METHODS: The 21 patients studied with 201TI scintigraphy were 14 males and 7 females (average age 39.8+/-22.1 yr; age range 8-74 yr). Planar scintigraphy was performed 15 min after injection of 111 MBq 201TI before chemotherapy, after the third chemotherapy cycle (midcourse) in all 21 patients and after the final chemotherapy cycle but before surgery in 11 patients. The 201TI uptake ratio was calculated by dividing the count density of the lesion by that of the contralateral normal area. The percent reduction of the 201TI uptake ratio calculated by 100 x [(prechemotherapy ratio - postchemotherapy ratio)/prechemotherapy ratio] in the midcourse was compared with that after the final course of chemotherapy, and it also was compared with the histologic response. RESULTS: In patients with histologically complete response [(CR), n=6] and with partial response [(PR), n=5], the percent reduction in 201TI uptake ratio after three cycles of chemotherapy was 64.1%+/-14.4% and 50.9% +/-10.5%, respectively. In patients with histologically no change [(NC), n=10], the percent reduction was 0.40%+/-18.2% after the third cycle; -5.3%+/-20.9% in four patients with full courses of chemotherapy (p < 0.0001 and p < 0.005 compared with the CR and PR groups, respectively). After the final cycle of chemotherapy, the percent reduction in 201TI uptake ratio was 68.6%+/-14.7%, 56.2%+/-6.1% and -0.3%+/-17.2% in the CR, PR and NC groups, respectively (NC versus CR, p < 0.0005; NC versus PR, p < 0.005). CONCLUSION: Thallium-201 scintigraphy performed in the midcourse of chemotherapy is predictive of the final response to chemotherapy that can be demonstrated histologically. Serial 201TI scintigraphy in the midcourse of chemotherapy is useful in assessing final chemotherapeutic response in the early stage of chemotherapy, and it helps clinicians when choosing the most appropriate treatment strategies in patients with bone and soft-tissue tumors.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/drug therapy , Soft Tissue Neoplasms/diagnostic imaging , Soft Tissue Neoplasms/drug therapy , Thallium Radioisotopes , Adolescent , Adult , Aged , Child , Female , Humans , Male , Middle Aged , Predictive Value of Tests , Radionuclide Imaging , Treatment Outcome
18.
J Nucl Med ; 39(7): 1179-84, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9669390

ABSTRACT

UNLABELLED: Overexpression of P-glycoprotein (Pgp) has been detected in many malignant tumors including bone and soft-tissue tumors. Technetium-99m-MIBI has proved to be a transport substrate for Pgp. The purpose of our study was to explore 99mTc-MIBI as a functional imaging agent reflecting Pgp expression in malignant bone and soft-tissue tumors. METHODS: Technetium-99m-MIBI scintigraphy was performed in 30 patients with malignant bone and soft-tissue tumors. Radionuclide angiography with 99mTc-MIBI was done and, at 15 min and 3 hr postinjection of the radiopharmaceutical, imaging was performed. The 99mTc-MIBI uptake ratio was calculated by dividing the lesion count by the background count. The washout rate (WR) for 99mTc-MIBI was calculated by the following formula: WR = 100 x [(Te-Be)-(Td-Bd)]/(Te-Be) (%), where Te and Td = decay-corrected count density of the tumor in the 15-min and 3-hr images, respectively. Be and Bd = decay-corrected count density of the background in the 15-min and 3-hr images, respectively. The lesions were resected by open biopsy to obtain a histopathological diagnosis, and immunohistochemical staining was performed to detect Pgp. RESULTS: Twenty-four of 30 patients showed significant uptake at the 15-min image. In these 24 patients, the lesions with a high Pgp expression showed a similar 99mTc-MIBI perfusion index (3.00 +/- 1.04) and uptake ratio (2.05 +/- 0.58) at the 15-min image to those of lesions without a high Pgp expression (2.65 +/- 0.85 and 2.28 +/- 0.64, respectively). On delayed images, the 99mTc-MIBI uptake ratio was lower in patients with a high Pgp expression than in patients without a high Pgp expression (1.37 +/- 0.41 versus 1.87 +/- 0.39, p < 0.01). The washout ratio of 99mTc-MIBI was higher in patients with a high Pgp expression than in patients without a high Pgp expression (66% +/- 25% versus 29% +/- 18%, p < 0.001). None of the 6 patients without 99mTc-MIBI uptake at the 15-min imaging showed 201TI uptake, and only 2 had a high Pgp expression. CONCLUSION: In malignant bone and soft-tissue tumors, perfusion and initial 99mTc-MIBI uptake were not related to the Pgp expression; however, washout of 99mTc-MIBI from the tumor was related to Pgp expression. Technetium-99m-MIBI scintigraphy with washout analysis may be a useful method for the evaluation of Pgp overexpression and its function.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/metabolism , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/metabolism , Radiopharmaceuticals , Soft Tissue Neoplasms/diagnostic imaging , Soft Tissue Neoplasms/metabolism , Technetium Tc 99m Sestamibi , ATP Binding Cassette Transporter, Subfamily B, Member 1/genetics , Female , Genes, MDR , Humans , Male , Middle Aged , RNA, Messenger/genetics , Radionuclide Imaging , Time Factors
19.
Clin Nucl Med ; 22(11): 752-5, 1997 Nov.
Article in English | MEDLINE | ID: mdl-9363382

ABSTRACT

The authors present a case of bone infarction in the proximal epiphysis of the right tibia, which was caused by preoperative intraarterial chemotherapy for osteosarcoma. MR imaging revealed that suspected metastases had inhomogeneous signal intensity similar to that of the primary tumor, which made a metastatic lesion difficult to exclude. On TI-201 SPECT, no accumulation was found in the lesions, confirming that they were not osseous metastases. Consequently, this enabled limb salvage surgery to be performed with joint preservation. Intraoperative biopsy revealed no viable tumor cells in the lesion, and bone infarction was suspected. TI-201 SPECT was very useful, not only in differentiating bone infarction from tumor progression, including metastatic lesions, but also in the determination of the operative technique.


Subject(s)
Bone Neoplasms/diagnostic imaging , Bone Neoplasms/secondary , Infarction/diagnostic imaging , Osteosarcoma/diagnostic imaging , Osteosarcoma/secondary , Thallium Radioisotopes , Tibia/blood supply , Tibia/diagnostic imaging , Tomography, Emission-Computed, Single-Photon , Adolescent , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Bone Neoplasms/drug therapy , Diagnosis, Differential , Humans , Infarction/chemically induced , Infusions, Intra-Arterial , Male , Osteosarcoma/drug therapy
20.
J Nucl Med ; 38(7): 1120-2, 1997 Jul.
Article in English | MEDLINE | ID: mdl-9225802

ABSTRACT

SPECT imaging brain perfusion using 99mTc-HMPAO was performed on a 38-yr-old women with Lyme neuroborreliosis confirmed by autopsy. The patient had been suspected of spinocerebellar degeneration. Cerebral blood flow was diffusely decreased throughout cerebral cortices but cerebellar blood flow was not impaired, which indicated that the diagnosis was unlikely spinocerebellar degeneration. These findings suggested that brain perfusion SPECT provides useful information in diagnosing the patients with Lyme neuroborreliosis, especially when spinocerebellar degeneration is included in the differential diagnosis.


Subject(s)
Brain/diagnostic imaging , Central Nervous System Diseases/diagnostic imaging , Lyme Disease/diagnostic imaging , Tomography, Emission-Computed, Single-Photon , Adult , Cerebrovascular Circulation , Diagnosis, Differential , Female , Humans , Organotechnetium Compounds , Oximes , Radiopharmaceuticals , Spinocerebellar Degenerations/diagnosis , Technetium Tc 99m Exametazime
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