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001-es BibID:BIBFORM102720
035-os BibID:(WOS)000817858700001 (Scopus)85133079103
Első szerző:Farkas Bence
Cím:Unusual perfusion patterns on perfusion-only SPECT/CT scans in COVID-19 patients / Farkas Bence, Képes Zita, Barna Sándor Kristóf, Szugyiczki Viktória, Bakos Magdolna, Forgács Attila, Garai Ildikó
Dátum:2022
ISSN:0914-7187 1864-6433
Megjegyzések:Purpose We aimed at examining both the incidence and extent of different lung perfusion abnormalities as well as the relationship between them on Tc-99m macroaggregated albumin (MAA) perfusion-only SPECT/CT scans in COVID-19 patients. Methods Ninety-one patients (71.4???13.9 years; range: 29?98 years, median age: 74 years; 45 female and 46 male) with confirmed SARS-CoV-2 virus infection were included in this retrospective study. After performing perfusion-only Tc-99m MAA SPECT/CT scans, visual, semi-quantitative assessment of the subsequent perfusion abnormalities was carried out: mismatch lesions (MM; activity defects on SPECT images identical to apparently healthy parenchyma on CT images), matched lesions (MA; activity defects with corresponding parenchymal lesions on CT scans), and reverse mismatch lesions (RM; parenchymal lesions with preserved or increased tracer uptake). Lesion-based and patient-based analysis were performed to evaluate the extent, severity, and incidence of each perfusion abnormality. Statistical tests were applied to investigate the association between the experienced perfusion impairments. Results Moderately severe parenchymal lesions were detected in 87 (95.6%) patients. Although, 50 (54.95%) patients were depicted to have MM lesions, the whole patient cohort was mildly affected by this abnormality. MA lesions of average moderate severity were seen in most of the patients (89.01%). In 65 (71.43%) patients RM lesions were found with mild severity on average. Positive association was detected between total CT score and total RM score and between total CT score and total MA score. Significantly higher total CT scores were experienced in the subgroup, where RM lesions were present. Conclusions Heterogeneous perfusion abnormalities were found in most of COVID-19 patients: parenchymal lesions with normal, decreased or increased perfusion and perfusion defects in healthy lung areas. These phenomena may be explained by the failure of the hypoxic pulmonary vasoconstriction mechanism and presence of pulmonary thrombosis and embolism.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Annals Of Nuclear Medicine. - 36 : 9 (2022), p. 804-811. -
További szerzők:Képes Zita (1991-) (orvos) Barna Sándor (1982-) (kutató orvos) Szugyiczki Viktória Bakos Magdolna Forgács Attila (1985-) (fizikus) Garai Ildikó (1966-) (radiológus)
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DOI
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2.

001-es BibID:BIBFORM102721
035-os BibID:(Scopus)85137125116
Első szerző:Képes Zita (orvos)
Cím:Initial clinical experience with dedicated multi-pinhole (MPH) collimator for 99mTc-HMPAO brain perfusion SPECT / Zita Képes, Kornél Kukuts, Attila Oszlánszki, Iván Mihovk, Áron Krizsán, Sándor Barna, Andrew Robinson, Daniel Deidda, János Mester, József Varga, Ildikó Garai, Attila Forgács
Dátum:2022
ISSN:1790-5427
Megjegyzések:Abstract Objective: Dedicated multi-pinhole (MPH) collimators have been successfully tested in selected clinical investigations. The aim of our work was to report initial experiences with an MPH collimator set designed for brain perfusion single photon emission tomography (SPECT). Methods: Ten patients underwent sequential technetium-99m-hexamethylpropyleneamineoxime (99mTc-HMPAO) SPECT with a dual-head SPECT camera equipped with conventional low-energy parallel hole collimators (LEHR), and with a triple-head system equipped with MPH collimators. Low-energy parallel hole collimators data were reconstructed by filtered back projection (FBP), ordered subset expectation maximization (OSEM), software for tomographic image reconstruction (STIR). In addition, both the parallel hole data and MPH data were reconstructed by Tera-TomoTM 3D iterative reconstruction denoted LEHR_TT3D and MPH_TT3D, respectively. Five medical experts visually compared the reconstructed images of the five data sets and defined a ranking sequence from the lowest (1) to the highest (5) image quality. Results were compared using the Friedman test. P values below 0.05 were considered significant. Results: Low-energy parallel hole collimators acquisition resulted in 5 million, while MPH acquisition in 13 million total counts with 30 and 34 minutes of acquisition time, respectively. Mean rank coefficients of the reconstruction methods were 1.96?0.52, 2.66?0.46, 2.86?0.60, 3.62?0.55, 3.9?0.68 for FBP, STIR, LEHR_TT3D, LEHR_OSEM, MPH_TT3D respectively. The differences between MPH_TT3D-FBP (P<0.01); MPH_TT3D-STIR (P<0.05); LEHR_OSEM-FBP (P<0.01) were significant. Conclusion: Image quality provided by MPH collimator is comparable to that provided by conventional LEHR imaging. Higher sensitivity has the potential to shorten acquisition time or to reduce the amount of administered activity.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Brain perfusion
SPECT
Multi-pinhole collimator
Reconstruction
Image quality
Megjelenés:Hellenic Journal of Nuclear Medicine. - 25 : 2 (2022), p. 143-147. -
További szerzők:Kukuts Kornél Oszlánszki Attila Mihovk Iván Krizsán Áron Krisztián (1986-) (fizikus) Barna Sándor (1982-) (kutató orvos) Robinson, Andrew Deidda, Daniel Mester János Varga József (1955-) (fizikus) Garai Ildikó (1966-) (radiológus) Forgács Attila (1985-) (fizikus)
Pályázati támogatás:National Grant No. GINOP-2.1.1-15-2015-00609
GINOP
UK National Physical Laboratory through the National Measurement System
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Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM098876
035-os BibID:(WoS)000730245900001 (Scopus)85121287053
Első szerző:Képes Zita (orvos)
Cím:Imaging with [99mTc]HMPAO - a novel perspective : investigation of [99mTc] HMPAO leg muscle uptake in metabolic diseases / Zita Képes, Márton Mikó, Kornél Kukuts, Regina Esze, Sándor Barna, Sándor Somodi, Miklós Káplár, József Varga, Ildikó Garai
Dátum:2023
ISSN:0284-1851
Megjegyzések:Background: Sensitive imaging modalities in the diagnosis of microcircular complications of the lower extremities induced by metabolic diseases are becoming a focus of interest. Purpose: To investigate the [99mTc]HMPAO uptake of the legs in type 2 diabetes mellitus (T2DM) and obesity, and to search for associations with clinical parameters and nerve conducting studies. Material and Methods: A total of 57 patients with controlled T2DM and 46 obese participants without DM were enrolled in the study. [99mTc]HMPAO SPECT/CT examinations were performed to evaluate the radiopharmaceutical accumulation of the legs. For the quantitative assessment of tracer uptake, standardized uptake value (SUVpeak) was measured in fixed spheric volumes of interest placed on both sural muscles on the attenuation-corrected images. Measurement of current perception threshold applying Neurometer (NM-01/CPT) was used to evaluate peripheral nerve dysfunction. Laboratory parameters assessing the glucose homeostasis of the study participants were also measured. Results: In the diabetic group, significantly lower leg SUV values were detected compared to the non-DM obese group (median: 0.517 vs. 0.607; P < 0.001). Body mass index (BMI) (P < 0.0001), age (P=0.0283), HbA1c (P =0.0068), and glucose level (P =0.0044) proved to be significant predictors of muscle tracer uptake. Neurometer studies showed positive correlation with HbA1c levels in the T2DM group (P=0.0002). Conclusion: We assume that [99mTc]HMPAO uptake of leg muscles is associated with microcirculation, so quantitative [99mTc]HMPAO SPECT/CT might be a sensitive method for evaluating lower limb microvascular alterations. BMI, age, HbA1c, and glucose level may be significant predictors of peripheral vascular abnormalities triggered by metabolic disturbances. Keywords: [99mTc]HMPAO, lower extremity, microcirculation, polyneuropathy, obesity, type 2 diabetes mellitus
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
[99mTc]HMPAO
lower extremity
microcirculation
polyneuropathy
obesity
type 2 diabetes mellitus
Megjelenés:Acta Radiologica. - 64 : 1 (2023), p. 187-194. -
További szerzők:Mikó Márton (1990-) Kukuts Kornél Esze Regina Barna Sándor (1982-) (kutató orvos) Somodi Sándor (1977-) (belgyógyász) Káplár Miklós (1965-) (belgyógyász, diabetológus) Varga József (1955-) (fizikus) Garai Ildikó (1966-) (radiológus)
Pályázati támogatás:2.1.1-15-2015-00609
GINOP
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Intézményi repozitóriumban (DEA) tárolt változat
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4.

001-es BibID:BIBFORM091295
035-os BibID:(WOS)000619709200003 (Scopus)85101478501
Első szerző:Képes Zita (orvos)
Cím:Age, BMI and diabetes as independent predictors of brain hypoperfusion / Zita Képes, Ferenc Nagy, Ádám Budai, Sándor Barna, Regina Esze, Sándor Somodi, Miklós Káplár, Ildikó Garai, József Varga
Dátum:2021
ISSN:1506-9680 1644-4345
Megjegyzések:Background: Cerebral blood flow abnormalities are supposed to be potential risk factors for developing cognitive dysfunction in general population. Aging, obesity and type 2 diabetes mellitus are associated with perfusion abnormalities leading to cognitive impairment, neurodegeration and future development of dementia. In our study we aimed at identifying independent factors that contribute to the appearance of brain perfusion changes besides those that are already known. Material and methods: Forty-three type 2 diabetic and twenty-six obese patients were enrolled. After the intravenous administration of 740 MBq Tc99m-hexamethylpropylene amine oxime (HMPAO), all subjects underwent brain perfusion SPECT imaging applying AnyScan S Flex dual-head gamma camera (Mediso, Hungary). Using Philips Achieva 3T scanner brain resting state functional MRI was also performed. The SPECT and MRI images were co-registered and transformed to the MNI152 atlas space so that data of the following standard volumes of interest (VOIs) could be obtained: frontal lobe, parietal lobe, temporal lobe, occipital lobe, limbic region, cingulate, insula, basal ganglia, cerebrum, limbic system and brain stem. Using the SPSS 25 statistical software package, general linear regression analysis, Student's t-test, and Mann-Whitney U test were applied for statistical analyses. Results: Multivariate linear analysis identified that BMI and age are significantly (p<0.0001) associated with perfusion, and patient group was slightly above threshold (p=0.0524). We also found that the presence of diabetes was an independent significant predictor of normalized regional brain perfusion only in the insula (p<0.001). Other independent predictors of normalized regional brain perfusion were: age in the insula (p < 0.001) and in the limbic region (p <0.01), and BMI in the brain stem (p < 0.01). Conclusions: Age and BMI proved to be general, and diabetes regional predictor of brain hypoperfusion. BMI appeared to be a novel factor affecting brain perfusion. In one specific region, the insula we detected difference between the obes and the diabetic group. These findings may be significant in the understanding of the development of cognitive impairment in metabolic diseases.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
brain perfusion
SPECT
type 2 diabetes mellitus
obesity
insula
limbic region
brain stem
Megjelenés:Nuclear Medicine Review. - 24 : 1 (2021), p. 11-15. -
További szerzők:Nagy Ferenc Budai Ádám Barna Sándor (1982-) (kutató orvos) Esze Regina Somodi Sándor (1977-) (belgyógyász) Káplár Miklós (1965-) (belgyógyász, diabetológus) Garai Ildikó (1966-) (radiológus) Varga József (1955-) (fizikus)
Pályázati támogatás:2.1.1-15-2015-00609
GINOP
Internet cím:DOI
Intézményi repozitóriumban (DEA) tárolt változat
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