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Imaging diagnosis of insulin resistence by metabolic imaging of myocardium and skeletal muscle using F-18 fluorodeoxyglucose PET.

Research Project

Project/Area Number 11670871
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Radiation science
Research InstitutionInternational University of Health and Welfare

Principal Investigator

OHTAKE Tohru  Professor, Department of Radiological Science, International University of Health and Welfare, 保健学部, 教授 (80152164)

Co-Investigator(Kenkyū-buntansha) YOKOYAMA Ikuo  Assistant, Department of internal Medicine, University of Tokyo, 医学部, 助手 (10302720)
Project Period (FY) 1999 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 2000: ¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 1999: ¥2,200,000 (Direct Cost: ¥2,200,000)
Keywordsfluorine-18 / fluorodeoxyglucose / positron emission computed tomography / insulin resistence / myocrdium / skeletal muscle / diabetes mellitus / myocardial blood flow / fluorodeoxyglucose / position emission computed tomography / ^<18>F-Hluorodeozyglucose / ^<13>N-ammonia / positron emission CT(PET) / skeletol muscle / dioheres mellitus / hypertriglyceridemia
Research Abstract

Insulin resistence is one of the important cause of diabetes mellitus and it is important to evaluate the stage of diabetes mellitus. Whole body glucose dispoasal rate (GDR, whole body glucose utilization rate while insulin clamp) which express insulin resistence was low in patients with diabetes mellitus, hypertriglyceridemia, hypertention (in each disease, there is insulin resistence) and glucose metabolism of skeletal muscle was strongly related to GDR and insulin resistence.
And myocardial glucose metabolism was related to GDR, though not so strongly as skeletal muscle.
Troglitazone improved skeletal muscle glucose metabolism of patients with non-insulin dependent diabetes mellitus independent from serum FFA and improved whole body insulin resistence.
Like this, this study showed that skeletal muscle glucose metabolism was quatified by F-18 FDG PET and insulin resistence was able to be evaluated by FDG PET as GDR and F-18 FDG PET was useful for the evaluation of insulin resistence of diabetes mellitus or other disease and the evaluation of improvement of insulin resistence by oral medicine.
Atherosclerosis by diabetes mellitus is very important problem. Our study showed that hyperglycemia rather than insulin resistence is related to coronary flow reserve in patients with non-insulin dependent diabetes mellitus. This study showed that blood glucose lowering therapy improved coronary flow reserve in petients with non-insulin dependent diabetes mellitus.
And this study showed the improvement of impaired myocardial vasodilation due to diffuse coronary atherosclerosis in hypercholesterolemics after lipid-lowering therapy.

Report

(3 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • Research Products

    (20 results)

All Other

All Publications (20 results)

  • [Publications] Yokoyama I,Ohtake.T, et al: "Improvement of impaired myocardial vasodilation-due-to diffuse coronary atherosclerosis inhypercholesterolemics after lipid-lowering therophy"Circulation. 100. 117-122 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I,Ohtake T, et al: "Insulin action on heart and skeletal muscle FDG uptake in patients with hypertriglyceridemia"Journal of Nuclear Medicine. 40. 1116-1121 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I,Ohtake T, et al: "Role of insulin resistence in heart and skeletal muscle F-18 fluorodeoxy glucose uptake in patients with non-insulin-dependent diabetes mellitus"Journal of Nuclear Cardiology. 7. 242-248 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I,Ohtake T, et al: "Organ specific insulin resistence in patients with non-insulin dependent diabetes and hypertension"Journal of Nuclear Medicine. 39. 884-889 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I,Ohtake T, et al: "Hyperglycemia rather than insulin resistence is related to coronory flow reserve in patients with non-insulin dependent diabetes mellitus"Diabetes. 47. 119-124 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I,Ohtake T, et al: "Reduced myocardial flow reserve in patients with non-insulin dependent diabetes mellitus"Journal of American College of Cardiology. 30. 1472-1477 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I, Momomura S, Ohtake T, Yonekura K, Yang W, Kobayakawa N, Aoyagi T, Sugiura S, Yamada N, OhtamoK, Sasaki N, Omata N and Yazaki Y.: "Improvement of impaired myocardial vasodilation due to diffuse coronary atherosclerosis in hypercholesterolemics after lipid-lowering therapy."Circulation. 100. 117-122 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I, Ohtake T, Momomura S, Yonekura K, Kobayakawa N, Aoyagi T, Sugiura S, Yamada N, Ohtomo K, Sasaki Y, Omata N and Yazaki Y.: "Insulin action on heart and skeletal muscle FDG uptake in patients with hypertriglyceridemia."J Nucl Med. 40. 1116-1121 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I, Yonekura K, Ohtake T, Kawamura H, Matsumoto A, Inoue Y, Aoyagi T, Sugiura S, Omata M, Ohtomo K and Nagai R.: "Role of insulin resistence in heart and skeletal muscle F-18 fluorodeoxyglucose uptake in patients with non-insulin-dependent diabetes mellitus."J Nucl Cardiol. 7. 242-248 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I, Ohtake T, Momomura S, Yonekura K, Yamada N, Nishikawa J et al.: "Organ specific insulin resistence in patients with non-insulin dependent diabetes and hypertension."J Nucl Med. 39. 884-889 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I, Ohtake T, Momomura S, Yonekura K, Nishikawa J, Sasaki Y, Omata M.: "Hyperglycemia rather than insulin resistence is related to coronary flow reserve in patients with non-insulin dependent diabetes mellitus."Diabetes. 47. 119-124 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I, Ohtake T, Momomura S, Yonekura K, Nishikawa J, Sasaki Y, Omata M.: "Reduced myocardial flow reserve in patients with non-insulin dependent diabetes mellitus."J Am Coll Cardiol. 30. 1472-1477 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokoyama I,Ohtake T, et al: "Improvement of impaired myocardial Vasodilation due to diffuse coronary atherosclerosis in hypercholestordemics after lipid lowering theraphy"Circulation. 100. 117-122 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yokoyama I,Ohtake T, et al: "Insulin action on heart and skeletal muscle FDG uptake in patients with hypertriglyceridemia"Journal of Nuclear Medicine. 40. 1116-1121 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yokoyama I,Ohtake T, et al: "Role of insulin resistence in heart and skeletal muscle F-18 fluorodeoxyglucose uptake in patients with non-insulin dependent diabetes mellitus"Journal of Nuclear Cardiology. 7. 242-248 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yokoyama I,Ohtake T, et al: "Myocardial flow reserve in angiographically normal coronary arteriec in non-insulin dependent diabetics was related to glycemic control and was more prominently reduced in those with microvascul angina then in those with coronary artery disease"Journal of Nuclear Medicine. 41. 978-985 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Ikuo Yokoyama,Tohru Ohtake.et al: "Insulin action on heart and skeletol muscle FDG uprake in patients with hypertriglyceridemia"Journal of Nuclear Medicine. 40・7. 1116-1121 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Ikuo Yokoyama,Tohru Ohtake.et al: "Improvement of Impaired myocardiol vasodilation due to diffuse coronory atherosclerosis in hypercholes terolemics after lipid lowering theraphy"Circulation. 100. 117-122 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Ito H,Yokoyama I et al: "Effect intravenous dipyridamole on cerebral blood flow in humans"Stroke. 30. 1616-1620 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Heiko Schoder,Tohru Ohtake et al: "Blood flow-metabolism imaging with position emission tomogrophy in patients with diabetes mellitus for the assessment of reversible left ventricular contractile dysfunction"Journal of American College of Cardiology. 33・5. 1328-1337 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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