Adequate cutoff frequency of the prefilter in quantification of regional cerebral blood flow using 123I-IMP

The effect of cutoff frequency (CF) of the butterworth filter was studied in the quantification of regional cerebral blood flow (rCBF) by N-isopropyl-P-[123I]-iodoamphetamine (123I-IMP) auto-radiography (ARG) to determine the adequate cutoff value by comparison with XeCT/CBF. The single photon emission computed tomography (SPECT) machine was Toshiba 3-detector GCA-9300A/PI equipped with a low energy high resolution fanbeam collimator and data processor GMS-5500A/PI, on which the butterworth filter was loaded. SPECT data acquisition was performed 18-48 min after 123I-IMP injection, and the data and blood radioactivity at 10 min measured by Aloka auto-well counter ARC-300 were used for calculating rCBF (ARG/CBF) values. The CCP-II phantom for the cross calibration factor (CCF) was purchased from Sangyo Kagaku Co., Ltd. and was filled with 123I-IMP (10 kBq/mL). The CT machine was Toshiba X-vigor, and CT with Xenon gas (XeCT) was done with the products of Anzai Sogyo aspirator AZ-725 and data processor AZ-7000. XeCT data acquisition was performed by 4 min aspiration/4 min washout of the gas (Xe 30%, O2 70%) and XeCT/CBF values were calculated with the processor AZ-7000. Data were selected from 80 patients (M 46, average age 62.1 y) with chronic diseases of cerebral blood vessels, in whom ARG/CBF and XeCT/CBF tests had been conducted within a week. Examined were the relationships between CF (0.523-0.930 cycles/cm) vs CCF; CF vs ARG/CBF, where rCBF was defined to be at regions of the middle cerebral artery, thalamus and cerebral ventricle; ARG/CBF vs XeCT/CBF at CF of 0.581-0.930, where the correlation coefficient (r) and slope were evaluated for decision of the optimal CF value. Under conditions employed, CBF values varied with the CF and its optimal value was found to be 0.814 cycles/cm with a best fitted slope. (T.T.)