News Release

Power of molecular imaging reveals secrets of the heart

Researchers relied on PET and SPECT imaging to monitor and verify the effectiveness of life-saving new therapy according to article in the Journal of Nuclear Medicine

Peer-Reviewed Publication

Society of Nuclear Medicine and Molecular Imaging

Reston, Va.—The extraordinary action of a new cellular therapy came to light as a result of powerful PET and SPECT imaging in a recent study reported in the April issue of the Journal of Nuclear Medicine. Researchers in Germany were able to observe the repair action of circulating progenitor cells (CPCs), immature blood-derived cells capable of developing into adult stem cells, as they successfully preserved healthy heart tissue and corrected blood flow imbalance within the heart.

Twenty-six patients took part in the randomized, placebo-controlled and double-blinded study. Following the recanalization of blocked coronary arteries (the surgical reopening or formation of new paths for blood flow), one group received an infusion of progenitor cells. FDG PET and 99mTc-tetrofosmine-SPECT were then used to image relative changes in myocardial perfusion (blood flow through the middle and thickest part of the heart) and glucose metabolism.

The results were compared with a control group that had undergone recanalization but did not receive CPCs. In the CPC group, normalization of glucose metabolism and coronary blood flow was seen in nearly 50 percent of the repaired artery segments.

“PET and SPECT are the only techniques capable of validating the metabolic changes we needed to observe in the heart once we had administered the progenitor cells,” said Kai Kendziorra, M.D., a specialist in Nuclear Medicine at the University of Leipzig in Leipzig, Germany. “The results shown by these imaging modalities provide the evidence needed to expand the use of CPC treatment.”

Earlier research has shown that when a patient’s progenitor cells are activated by growth factors, the result is increased cell division, which is vital to the tissue repair process. In this study, progenitor cells developed from circulating blood were also found to be capable of repairing dysfunctional—yet viable—myocardial tissue, a condition referred to as “hibernating myocardium.”

Kendziorra said he believes that in addition to assisting in monitoring and guiding treatment of heart patients, PET scans may also be helpful in selecting those who would profit the most from CPC administration.

“Early detection of hibernating myocardial tissue via noninvasive imaging modalities such as PET and SPECT will help us to assess a patient’s myocardial metabolism and blood flow,” he said. “Subsequent early coronary recanalization and CPC administration may lead to treatment-specific normalization and reduce the risk of cardiac events over longer periods.”

“For decades, nuclear medicine imaging has contributed functional assessment to the anatomical definition of the presence or absence of disease,” said Alexander J. McEwan, M.D., president of SNM. “Today molecular imaging is on the way to revolutionizing patient care—by integrating information about location, structure, function and biology—leading to a package of non-invasive imaging tools with enormous potential for improving patient care and outcomes.”

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Co-authors of “Effect of Progenitor Cells on Myocardial Perfusion and Metabolism in Patients After Recanalizatoin of a Chronically Occluded Coronary Artery” include Henryk Barthel, Osama Sabri and Regine Kluge, Department of Nuclear Medicine; Sandra Erbs and Gerhard Schuler, Heart Center Leipzig GmbH; and Frank Emmrich, Institute of Clinical Immunology and Transfusion Medicine, all with the University of Leipzig, Leipzig, Germany; and Rainer Hambrecht, Department of Nuclear Medicine, University of Leipzig, Leipzig, Germany and Heart Center Bremen, Bremen, Germany.

Credentialed media: To obtain a copy of this article—and online access to The Journal of Nuclear Medicine— please contact Kathryn Wiley by phone at (703) 326-1184 or send an e-mail to kwiley@snm.org. Current and past issues of The Journal of Nuclear Medicine can be found online at http://jnm.snmjournals.org. Print copies can be obtained by contacting the SNM Service Center, 1850 Samuel Morse Drive, Reston, VA 20190-5316; phone (800) 513-6853; e-mail servicecenter@snm.org; fax (703) 708-9015. A subscription to the journal is an SNM member benefit.

About SNM—Advancing Molecular Imaging and Therapy

SNM is an international scientific and professional organization of more than 16,000 members dedicated to promoting the science, technology and practical applications of molecular and nuclear imaging to diagnose, manage and treat diseases in women, men and children. Founded more than 50 years ago, SNM continues to provide essential resources for health care practitioners and patients; publish the most prominent peer-reviewed journal in the field (The Journal of Nuclear Medicine); host the premier annual meeting for medical imaging; sponsor research grants, fellowships and awards; and train physicians, technologists, scientists, physicists, chemists and radiopharmacists in state-of-the-art imaging procedures and advances. SNM members have introduced—and continue to explore—biological and technological innovations in medicine that noninvasively investigate the molecular basis of diseases, benefiting countless generations of patients. SNM is based in Reston, Va.; additional information can be found online at http://www.snm.org.


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