Research Topics
Species | Juhani KnuutiSummaryAffiliation: University of Turku Country: Finland Publications
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Publications
Liver uptake of free fatty acids in vivo in humans as determined with 14( R, S)-[18F]fluoro-6-thia-heptadecanoic acid and PETPatricia Iozzo
Turku PET Centre, Department of Nuclear Medicine and Medicine, University of Turku, Turku, Finland
Eur J Nucl Med Mol Imaging 30:1160-4. 2003..In conclusion, our data provide non-invasive quantification of hepatic FFA uptake in humans, showing the liver to handle a high FFA flux. [(18)F]FTHA-PET appears a valuable tool for the investigation of hepatic FFA turnover in humans...
Non-esterified fatty acids impair insulin-mediated glucose uptake and disposition in the liverP Iozzo
Turku PET Centre, University of Turku, Finland
Diabetologia 47:1149-56. 2004..We investigated the effect of elevated circulating NEFA on insulin-mediated hepatic glucose uptake (HGU) and whole-body glucose disposal (M) in eight healthy male subjects...
PET as a cardiovascular and metabolic research toolJ Knuuti
Turku PET Centre, Finland
Ann Med 31:450-6. 1999..In the detection of myocardial viability PET is regarded as the golden standard, and it is the only method available for the quantitative assessment of myocardial blood flow...
Imaging of the failing heartJ Knuuti
Turku PET Centre, University of Turku, University Hospital, Finland
Scand J Surg 96:96-101. 2007
Is it time for cardiac innervation imaging?J Knuuti
Turku PET Centre, PO Box 52, University of Turku, FI 20521 Turku, Finland
Q J Nucl Med Mol Imaging 49:97-105. 2005..Although innervation imaging holds great promise for clinical use, the method has not received wider clinical acceptance. Larger randomized studies are required to confirm the value of innervation imaging in various specific indications...
Highlights of the annual congress of the European Association of Nuclear Medicine, Copenhagen 2007Juhani Knuuti
Turku PET Centre, Turku University Central Hospital, 20521 Turku, Finland
Eur J Nucl Med Mol Imaging 35:655-72. 2008..OBJECTIVE: This paper emphasizes the major findings and trends at this important gathering. This review is, however, only a brief summary of the large amount of data discussed...
Effect of estradiol-drospirenone hormone treatment on myocardial perfusion reserve in postmenopausal women with angina pectorisJuhani Knuuti
Turku PET Centre, University of Turku, Finland
Am J Cardiol 99:1648-52. 2007..These data suggest that drospirenone has the desired progestin actions on the endometrium, but does not abolish the beneficial effects of estradiol on cardiac microcirculation...
Positron emission tomography and molecular imagingJ Knuuti
Turku PET Centre, University of Turku, Turku, Finland
Heart 94:360-7. 2008..Finally, there are also promising future applications that involve molecular imaging of cardiac targets, which may further enhance the clinical utility of PET and hybrid imaging...
Effects of metformin and rosiglitazone monotherapy on insulin-mediated hepatic glucose uptake and their relation to visceral fat in type 2 diabetesPatricia Iozzo
Turku PET Centre, Department of Nuclear Medicine, University of Turku, Turku, Finland
Diabetes Care 26:2069-74. 2003..We examined the effects of metformin (2 g/day) and rosiglitazone (8 mg/day) monotherapy on HGU and its relation to subcutaneous fat, visceral fat (VF), and whole-body insulin-mediated glucose metabolism in type 2 diabetic patients...
Fatty acid metabolism in the liver, measured by positron emission tomography, is increased in obese individualsPatricia Iozzo
Turku PET Centre, and Department of Medicine, University of Turku, Turku, Finland
Gastroenterology 139:846-56, 856.e1-6. 2010..We combined (11)C-palmitate imaging by positron emission tomography (PET) with compartmental modeling to determine rates of hepatic FA uptake, oxidation, and storage, as well as triglyceride release in pigs and human beings...
Differential effects of rosiglitazone and metformin on adipose tissue distribution and glucose uptake in type 2 diabetic subjectsKirsi A Virtanen
Turku PET Centre, University of Turku and Turku University Hospital, Finland
Diabetes 52:283-90. 2003....
Myocardial perfusion reserve and oxidative metabolism contribute to exercise capacity in patients with dilated cardiomyopathyKira Q Stolen
Turku PET Centre, Department of Clinical Physiology, University of Turku, Turku, Finland
J Card Fail 10:132-40. 2004..CONCLUSIONS: Impaired perfusion reserve and an exaggerated imbalance in right to left ventricular oxidative metabolism appear to significantly contribute to the impaired exercise capacity in these DCM patients...
Increased physical activity decreases hepatic free fatty acid uptake: a study in human monozygotic twinsJarna C Hannukainen
Turku PET Centre, University of Turku, Turku, Finland
J Physiol 578:347-58. 2007..Further, increased physical activity together with decreased intra-abdominal adiposity seems to decrease hepatic FFA uptake but has no effects on skeletal muscle or myocardial FFA uptake...
Blunted coronary vasoreactivity to insulin is an early alteration in hypertensionJan Sundell
Turku PET Centre, Turku University, Turku, Finland
J Vasc Res 40:58-67. 2003..While we do not know whether the same results can be extrapolated to female or older subjects, these results indicate a novel defect in the regulation of coronary arteries in the early phase of hypertension...
Insulin-mediated hepatic glucose uptake is impaired in type 2 diabetes: evidence for a relationship with glycemic controlPatricia Iozzo
Turku PET Centre, Department of Nuclear Medicine and Medicine, University of Turku, FIN 20520 Turku, Finland
J Clin Endocrinol Metab 88:2055-60. 2003..36, P = 0.029). We conclude that insulin-mediated HGU is impaired, in type 2 diabetes, in some proportion to the degree of glycemic control...
Comparison of exogenous adenosine and voluntary exercise on human skeletal muscle perfusion and perfusion heterogeneityIlkka Heinonen
Turku PET Centre, PO Box 52, Turku FIN 20521, Finland
J Appl Physiol 108:378-86. 2010....
Quantification of liver glucose metabolism by positron emission tomography: validation study in pigsPatricia Iozzo
Turku PET Centre, University of Turku, Turku, Finland
Gastroenterology 132:531-42. 2007....
The lowering of hepatic fatty acid uptake improves liver function and insulin sensitivity without affecting hepatic fat content in humansSara Rigazio
Turku Positron Emission Tomography Centre, University of Turku, Turku, Finland
Am J Physiol Endocrinol Metab 295:E413-9. 2008..Liver FFA uptake was decreased in proportion to FFA delivery. As a consequence, liver and systemic insulin sensitivity were improved, together with liver function, independently of changes in hepatic triglyceride accumulation...
Obesity affects myocardial vasoreactivity and coronary flow response to insulinJan Sundell
Turku PET Centre, Department of Medicine, Turku University, Turku, Finland
Obes Res 10:617-24. 2002..Obesity is associated with increased risk for cardiovascular diseases and peripheral endothelial dysfunction. We examined whether myocardial vasoreactivity and coronary-flow response to insulin stimulation are altered in obesity...
Regulation of human skeletal muscle perfusion and its heterogeneity during exercise in moderate hypoxiaIlkka H Heinonen
Turku PET Centre, Turku University Hospital, University of Turku, Turku, Finland
Am J Physiol Regul Integr Comp Physiol 299:R72-9. 2010....
Exercise training improves insulin stimulated skeletal muscle glucose uptake independent of changes in perfusion in patients with dilated cardiomyopathyJukka Kemppainen
Turku PET Centre, University of Turku, PO Box 52, 20521 Turku, Finland
J Card Fail 9:286-95. 2003..The improved insulin sensitivity is not explained by changes in muscle perfusion suggesting enhanced cellular glucose extraction...
Intrapericardial, but not extrapericardial, fat is an independent predictor of impaired hyperemic coronary perfusion in coronary artery diseaseMarco Bucci
University of Turku, Turku, Finland
Arterioscler Thromb Vasc Biol 31:211-8. 2011....
Free fatty acid depletion acutely decreases cardiac work and efficiency in cardiomyopathic heart failureHelena Tuunanen
Turku PET Centre, Turku, Finland
Circulation 114:2130-7. 2006..Thus, failing hearts are unexpectedly more dependent than healthy hearts on FFA availability. We propose that both glucose and fatty acid oxidation are required for optimal function of the failing heart...
Myocardial perfusion reserve and peripheral endothelial function in patients with idiopathic dilated cardiomyopathyKira Q Stolen
Turku PET Centre, Turku, Finland
Am J Cardiol 93:64-8. 2004..57; p = 0.04). Thus, abnormal myocardial perfusion characterizes patients with IDC. Myocardial perfusion reserve and peripheral endothelial function do not parallel each other in patients with IDC...
Insulin improves myocardial blood flow in patients with type 2 diabetes and coronary artery diseaseRiikka Lautamaki
Turku PET Centre, Turku University Hospital, Finland
Diabetes 55:511-6. 2006....
Insulin- and exercise-stimulated skeletal muscle blood flow and glucose uptake in obese menKirsti Hallsten
Turku PET Centre and Department of Medicine, University of Helsinki, Finland Department of Medicine, University of Turku, Finland
Obes Res 11:257-65. 2003..g., skeletal muscle. In the present study, we determined whether insulin resistance in obesity is associated with an impaired ability of exercise to stimulate muscle blood flow, oxygen delivery, or glucose uptake...
Clinical Value of Absolute Quantification of Myocardial Perfusion With 15O-Water in Coronary Artery DiseaseSami A Kajander
Turku PET Centre, Department of Medicine, and Department of Clinical Physiology and Nuclear Medicine, University of Turku, Turku, Finland
Circ Cardiovasc Imaging 4:678-84. 2011..As expected, multivessel disease is more accurately detected. Clinical Trial Registration- URL: http://www.clinicaltrials.gov. Unique identifier: NCT00627172...
Contribution of glucose tolerance and gender to cardiac adiposityPatricia Iozzo
Turku PET Centre, University of Turku, 20521 Turku, Finland
J Clin Endocrinol Metab 94:4472-82. 2009....
Exercise training improves insulin-stimulated myocardial glucose uptake in patients with dilated cardiomyopathyKira Q Stolen
Turku PET Centre, University of Turku, Turku, Finland
J Nucl Cardiol 10:447-55. 2003..This improvement in glucose uptake may be indicative of a switch in myocardial preference to a more energy-efficient substrate...
The effects of cardiac resynchronization therapy on left ventricular function, myocardial energetics, and metabolic reserve in patients with dilated cardiomyopathy and heart failureJan Sundell
Department of Medicine, University Central Hospital, University of Turku, FIN-20521 Turku, Finland
J Am Coll Cardiol 43:1027-33. 2004..These effects are not associated with changes in myocardial perfusion or oxygen consumption. During dobutamine-induced stress, CRT does not affect functional parameters, but myocardial efficiency and metabolic reserve may be increased...
Skeletal muscle blood flow and oxygen uptake at rest and during exercise in humans: a pet study with nitric oxide and cyclooxygenase inhibitionIlkka Heinonen
Turku PET Centre, Turku, Finland
Am J Physiol Heart Circ Physiol 300:H1510-7. 2011....
Effects of adenosine, exercise, and moderate acute hypoxia on energy substrate utilization of human skeletal muscleIlkka Heinonen
Turku PET Centre, Finland
Am J Physiol Regul Integr Comp Physiol 302:R385-90. 2012..In conclusion, exogenous adenosine at rest and acute moderate hypoxia during low-intensity knee-extension exercise increases skeletal muscle glucose uptake, but the increase in hypoxia appears not to be mediated by adenosine...
High intensity exercise decreases global brain glucose uptake in humansJukka Kemppainen
Turku PET Centre, University of Turku, PO Box 52, 20521 Turku, Finland
J Physiol 568:323-32. 2005..Moreover, it seems that exercise training could be related to adaptive metabolic changes locally in the frontal cortical regions...
Myocardial perfusion during exercise in endurance-trained and untrained humansMarko S Laaksonen
Turku PET Centre, University of Turku, Turku, Finland
Am J Physiol Regul Integr Comp Physiol 293:R837-43. 2007..Endurance training seems to affect myocardial blood flow pattern during submaximal exercise and leads to more efficient myocardial pump function...
Increased fat mass compensates for insulin resistance in abdominal obesity and type 2 diabetes: a positron-emitting tomography studyKirsi A Virtanen
Turku PET Centre, University of Turku, P O Box 52 20521, Turku, Finland
Diabetes 54:2720-6. 2005....
Simultaneous evaluation of myocardial blood flow, cardiac function and lung water content using [15O]H2O and positron emission tomographyAlexandru Naum
Turku PET Centre, Turku University Central Hospital, P O Box 52, 20521, Turku, Finland
Eur J Nucl Med Mol Imaging 34:563-72. 2007....
Motion detection and correction for dynamic ( 15)O-water myocardial perfusion PET studiesAlexandru Naum
Turku PET Centre, University of Turku, P.O. Box 52, 20521 Turku, Finland
Eur J Nucl Med Mol Imaging 32:1378-83. 2005..Applying motion correction for the data acquired during exercise clearly changed the MBF results, indicating that motion correction is required for these studies...
Myocardial perfusion after marathon runningKari K Kalliokoski
Turku PET Centre, University of Turku, Turku, Finland
Scand J Med Sci Sports 14:208-14. 2004..Strenuous exercise also seems to enhance coronary reactivity, which could thereby serve as a protective mechanism to vascular events after exercise...
Biodistribution of the fatty acid analogue 18F-FTHA: plasma and tissue partitioning between lipid pools during fasting and hyperinsulinemiaLetizia Guiducci
Turku PET Centre, University of Turku, Turku, Finland
J Nucl Med 48:455-62. 2007....
Detection of hypoxia by [18F]EF5 in atherosclerotic plaques in miceJohanna M U Silvola
Turku PET Centre, Department of Medicine, Turku University Hospital, and Institute of Forensic Medicine and Turku Center for Disease Modeling, University of Turku, Kiinamyllynkatu 4 8, PO Box 52, FI 20520 Turku, Finland
Arterioscler Thromb Vasc Biol 31:1011-5. 2011..We examined the uptake of 2-(2-nitro-1H-imidazol-1-yl)-N-(2,2,3,3,3-pentafluoropropyl) acetamide ([18F]EF5), a specific marker of hypoxia labeled for positron emission tomography, in mouse atherosclerotic plaques...
18F-FDG assessment of glucose disposal and production rates during fasting and insulin stimulation: a validation studyPatricia Iozzo
Turku PET Centre, University of Turku, Turku, Finland
J Nucl Med 47:1016-22. 2006....
Positive family history of coronary artery disease is associated with reduced myocardial vasoreactivity in healthy menJan Sundell
Turku PET Centre, Turku University, Central Hospital, Turku, Finland
Int J Cardiol 112:289-94. 2006..We examined the association between family history of coronary artery disease and myocardial vasoreactivity in healthy men...
Human obesity is characterized by defective fat storage and enhanced muscle fatty acid oxidation, and trimetazidine gradually counteracts these abnormalitiesMarco Bucci
Turku PET Centre, University of Turku, Turku, Finland
Am J Physiol Endocrinol Metab 301:E105-12. 2011....
Dose-dependent vasodilating effects of insulin on adenosine-stimulated myocardial blood flowJan Sundell
Turku PET Centre, Turku University, Turku, Finland. Department of Medicine, Turku University, Turku, Finland
Diabetes 51:1125-30. 2002..These effects might contribute to the known beneficial dose-dependent effects of insulin on myocardial ischemia...
Coronary flow reserve is reduced in young men with IDDMO P Pitkanen
Department of Medicine, University of Turku, Finland
Diabetes 47:248-54. 1998..The results imply early impairment of coronary vascular reactivity in IDDM patients, which may represent an early precursor of future coronary heart disease or may contribute to the pathogenesis of diabetic cardiomyopathy...
Increased lipoprotein(a) is associated with reduced myocardial vasoreactivity in young healthy menJan Sundell
Turku PET Centre, Turku University Central Hospital, P O Box 52, FIN 20521 Turku, Finland
Atherosclerosis 179:185-91. 2005..We examined the association between lipoprotein(a) and myocardial vasoreactivity in healthy men...
Effects of age, diet, and type 2 diabetes on the development and FDG uptake of atherosclerotic plaquesJohanna M U Silvola
Turku PET Centre, University of Turku and Turku University Hospital, Turku, Finland
JACC Cardiovasc Imaging 4:1294-301. 2011..This study investigated the effects of age, duration of a high-fat diet, and type 2 diabetes on atherosclerotic plaque development and uptake of (18)F-fluorodeoxyglucose ((18)F-FDG) in 2 mouse models...
Non-specific binding of [18F]FDG to calcifications in atherosclerotic plaques: experimental study of mouse and human arteriesIina Laitinen
Turku PET Centre, University of Turku, Turku, Finland
Eur J Nucl Med Mol Imaging 33:1461-7. 2006..18)F]FDG has been used as an inflammation marker and shown to accumulate in inflammatory atherosclerotic plaques. The aim of this study was to investigate the uptake and location of [(18)F]FDG in atherosclerotic plaque compartments...
Effect of caloric restriction on myocardial fatty acid uptake, left ventricular mass, and cardiac work in obese adultsAntti P M Viljanen
Turku PET Centre, University of Turku and Turku University Hospital, Turku, Finland
Am J Cardiol 103:1721-6. 2009..These results show that the increased fatty acid uptake found in the hearts of obese patients can be reversed by weight loss...
Defective liver disposal of free fatty acids in patients with impaired glucose tolerancePatricia Iozzo
Turku PET Centre, Department of Nuclear Medicine, University of Turku, FI 20521 Turku, Finland
J Clin Endocrinol Metab 89:3496-502. 2004..The reciprocal relationship between hepatic FFA extraction and glucose/lactate flux may derive from intrahepatic substrate competition...
Effect of pravastatin on low-density lipoprotein oxidation and myocardial perfusion in young adults with type 1 diabetesTuula Janatuinen
Turku PET Centre, Turku University Central Hospital, PO Box 52, FIN 20521 Turku, Finland
Arterioscler Thromb Vasc Biol 24:1303-8. 2004..We studied whether pravastatin decreases LDL oxidation and improves myocardial perfusion in normocholesterolemic subjects with type 1 diabetes...
Assessment of right ventricular oxidative metabolism by PET in patients with idiopathic dilated cardiomyopathy undergoing cardiac resynchronization therapyJuhani Knuuti
Turku PET Centre, University of Turku, Turku, Finland
Eur J Nucl Med Mol Imaging 31:1592-8. 2004..The purpose of the study was to investigate RV oxidative metabolism, metabolic reserve and the effects of CRT in patients with CHF and left bundle brach block. In addition, the role of the RV in the response to CRT was evaluated...
Efficacy of ciprofloxacin-releasing bioabsorbable osteoconductive bone defect filler for treatment of experimental osteomyelitis due to Staphylococcus aureusJyri K Koort
Orthopaedic Research Unit, Department of Orthopaedic Surgery and Traumatology, University of Turku, FIN-20520 Turku, Finland
Antimicrob Agents Chemother 49:1502-8. 2005..The collaborative results of bacteriologic and [18F-FDG] PET studies showed that use of the multifunctional composite was successful for eradication of the S. aureus pathogen from bone...
Myocardial blood flow and adenosine A2A receptor density in endurance athletes and untrained menIlkka Heinonen
Turku PET Centre, Departments of Clinical Physiology and Nuclear Medicine, University of Turku, Turku, Finland
J Physiol 586:5193-202. 2008..On the other hand hyperaemic perfusion is reduced, but is not explained by A2AR density...
High serum leptin is associated with attenuated coronary vasoreactivityJan Sundell
Department of Medicine, Turku University, Turku, Finland
Obes Res 11:776-82. 2003..We examined the association between circulating leptin concentration and coronary vasoreactivity in young obese and nonobese males...
Myocardial triglyceride content and epicardial fat mass in human obesity: relationship to left ventricular function and serum free fatty acid levelsMikko Kankaanpaa
Turku PET Centre, University of Turku, FIN 20521, Turku, Finland
J Clin Endocrinol Metab 91:4689-95. 2006..We evaluated myocardial and epicardial fat, left ventricular (LV) function, and metabolic risk factors in nine (five lean, four moderately obese) men...
[11C]palmitate kinetics across the splanchnic bed in arterial, portal and hepatic venous plasma during fasting and euglycemic hyperinsulinemiaLetizia Guiducci
SSSUP Medical Sciences Branch, Pisa 56100, Italy; Turku PET Centre, University of Turku, Turku 20520, Finland
Nucl Med Biol 33:521-8. 2006..Labeled TG constitute an additional [11C]palmitate source in the modeling of PET data...
Role of adenosine in regulating the heterogeneity of skeletal muscle blood flow during exercise in humansIlkka Heinonen
Turku PET Centre, FIN 20521, Turku, Finland
J Appl Physiol 103:2042-8. 2007..Adenosine seems to play a role in muscle BF heterogeneity even in the absence of changes in bulk BF at low and moderate one-leg intermittent isometric exercise intensities...
Rosiglitazone improves myocardial glucose uptake in patients with type 2 diabetes and coronary artery disease: a 16-week randomized, double-blind, placebo-controlled studyRiikka Lautamaki
Turku PET Centre, Turku University Central Hospital, Kiinamyllynkatu 4 8, P O Box 52, FIN 20521 Turku, Finland
Diabetes 54:2787-94. 2005..These results suggest that rosiglitazone therapy may facilitate myocardial glucose storage and utilization in these patients...
Fractal scaling properties of heart rate dynamics and myocardial efficiency in dilated cardiomyopathyTiina Marjatta Salo
Department of Medicine, University of Turku, 20520 Turku, Finland
Clin Res Cardiol 98:725-30. 2009..Since altered heart rate (HR) fluctuations provide prognostic information in heart failure, we examined the associations between HR dynamics, myocardial efficiency and perfusion, among patients with dilated cardiomyopathy...
Insulin stimulates liver glucose uptake in humans: an 18F-FDG PET StudyPatricia Iozzo
Turku PET Centre, Department of Nuclear Medicine, University of Turku, Turku, Finland
J Nucl Med 44:682-9. 2003..The liver is vital for the regulation of glucose metabolism, but inaccessibility of the organ for direct assessments has limited the study of its metabolic role in vivo...
Dual gated PET/CT imaging of small targets of the heart: method description and testing with a dynamic heart phantomTommi Kokki
Turku PET Centre, University of Turku, Kiinamyllynkatu 4 8, P O Box 52, 20521 Turku, Finland
J Nucl Cardiol 17:71-84. 2010..In PET imaging respiratory and cardiac contraction motions interfere the imaging of heart. The aim was to develop and evaluate dual gating method for improving the detection of small targets of the heart...
Integrated anatomy and viability assessment PET-CTAntti Saraste
Turku PET Centre, University of Turku, Turku, Finland
EuroIntervention 6:G132-7. 2010..This review will describe the principles of viability assessment by PET, and discuss the possibilities provided by hybrid PET-CT in this setting...
Low serum adiponectin is associated with high circulating oxidized low-density lipoprotein in patients with type 2 diabetes mellitus and coronary artery diseaseRiikka Lautamaki
Turku PET Centre, University of Turku, 20521 Turku, Finland
Metabolism 56:881-6. 2007..In conclusion, our results suggest that low adiponectin concentration indicates increased oxidative state in the arterial wall, which further supports previous data on the role of adipose tissue in atherogenesis...
Uptake of inflammatory cell marker [11C]PK11195 into mouse atherosclerotic plaquesIina Laitinen
Turku PET Centre, University of Turku, Kiinamyllynkatu 4 8, FI 20520, Turku, Finland
Eur J Nucl Med Mol Imaging 36:73-80. 2009..The purpose of this study was to explore the feasibility of [(11)C]PK11195 in imaging inflammation in the atherosclerotic plaques...
Effects of low and high plasma concentrations of dexmedetomidine on myocardial perfusion and cardiac function in healthy male subjectsAmir Snapir
Department of Pharmacology, Drug Development and Therapeutics, University of Turku, Itainen Pitkakatu 4B, FI 20520 Turku, Finland
Anesthesiology 105:902-10; quiz 1069-70. 2006..The goal of this study was to determine the effects of therapeutic and high concentrations of dexmedetomidine on myocardial perfusion and cardiac function in healthy subjects...
Rosiglitazone but not metformin enhances insulin- and exercise-stimulated skeletal muscle glucose uptake in patients with newly diagnosed type 2 diabetesKirsti Hallsten
Turku PET Centre, University of Turku, FIN 20521 Turku, Finland
Diabetes 51:3479-85. 2002..Our results suggest that rosiglitazone improves synergic action of insulin and exercise...
Trimetazidine, a metabolic modulator, has cardiac and extracardiac benefits in idiopathic dilated cardiomyopathyHelena Tuunanen
Turku PET Centre, PO Box 52, FI 20521 Turku, Finland
Circulation 118:1250-8. 2008..However, FFA oxidation remains unmeasured in humans. We investigated the effects of trimetazidine on cardiac perfusion, efficiency of work, and FFA oxidation in idiopathic dilated cardiomyopathy...
Myocardial perfusion quantitation with 15O-labelled water PET: high reproducibility of the new cardiac analysis software (Carimas)Sergey V Nesterov
Turku PET Centre, University of Turku, P O Box 52, Turku, 20521, Finland
Eur J Nucl Med Mol Imaging 36:1594-602. 2009..The goal of this study was to assess the reproducibility of results the package provides for myocardial perfusion (MP) quantitation using (15)O-labelled water...
Glucose uptake and perfusion in subcutaneous and visceral adipose tissue during insulin stimulation in nonobese and obese humansKirsi A Virtanen
Turku PET Centre, University of Turku, Turku University Central Hospital, Turku 20521, Finland
J Clin Endocrinol Metab 87:3902-10. 2002....
Myocardial oxygen consumption is unchanged but efficiency is reduced in patients with essential hypertension and left ventricular hypertrophyH Laine
Department of Medicine, and Clinical Physiology, University of Turku, Finland
Circulation 100:2425-30. 1999..We tested the hypothesis that compensatory LVH is associated with normalization of myocardial oxygen consumption and that this occurs at the expense of a decrease in the ratio between cardiac work and oxygen consumption (efficiency)...
Myocardial and skeletal muscle glucose uptake during exercise in humansJukka Kemppainen
Turku PET Centre, University of Turku, PO Box 52, 20521 Turku, Finland
J Physiol 542:403-12. 2002..This finding suggests that the increased myocardial energy that is needed during high-intensity exercise is supplied by substrates other than glucose...
Insulin resistance of glucose uptake in skeletal muscle cannot be ameliorated by enhancing endothelium-dependent blood flow in obesityH Laine
Department of Medicine, University of Turku, Turku, Finland
J Clin Invest 101:1156-62. 1998..Since a 75% increase in blood flow does not alter glucose uptake, insulin resistance in obesity cannot be overcome by normalizing muscle blood flow...
Impaired myocardial perfusion reserve but preserved peripheral endothelial function in patients with Fabry diseaseR J Kalliokoski
Turku PET Centre, University of Turku, Turku, Finland
J Inherit Metab Dis 28:563-73. 2005..6, p=0.02), while the brachial artery flow-mediated dilatation was similar (5.9%+/-3.9% vs 4.5%+/-3.6%, p=0.27). Thus, inFabry disease, myocardial perfusion reserve is reduced while the peripheral artery endothelial function is preserved...
Exercise restores skeletal muscle glucose delivery but not insulin-mediated glucose transport and phosphorylation in obese subjectsL Slimani
Turku PET Centre, University of Turku, P.O. Box 52, FIN-20521 Turku, Finland
J Clin Endocrinol Metab 91:3394-403. 2006..Our data support the use of 2-deoxy-2-[18F]fluoro-d-glucose-positron emission tomography in the dissection between substrate supply and intrinsic tissue metabolism...
Uncoupling of fatty acid and glucose metabolism in malignant lymphoma: a PET studyJ Nuutinen
Department of Oncology and Radiotherapy, Turku University Central Hospital, Finland
Br J Cancer 80:513-8. 1999..Although acipimox and other anti-lipolytic drugs have potential for treatment of catabolic state induced by cancer, they are not likely to interfere with tumour energy metabolism which is fuelled by glucose...
Myocardial fatty acid oxidation in patients with impaired glucose toleranceJ Knuuti
Turku PET Centre, University of Turku, Finland
Diabetologia 44:184-7. 2001..Thus, it is not likely that altered NEFA metabolism contributes to the deterioration of the cardiac function in patients with IGT or Type II diabetes...
Insulin induced increase in coronary flow reserve is abolished by dexamethasone in young men with uncomplicated type 1 diabetesH Laine
Turku PET Centre, Turku University Central Hospital, Turku, Finland
Heart 90:270-6. 2004....
Myocardial fatty acid metabolism and cardiac performance in heart failureHelena Tuunanen
Turku PET Centre, Turku University Central Hospital, PO Box 52, FIN 20521 Turku, Finland
Curr Cardiol Rep 10:142-8. 2008..However, it has been found that acute FFA deprivation is harmful to the cardiac performance. Optimizing myocardial energy metabolism may serve as an additional approach for managing HF, but further studies are warranted...
14(R,S)-[18F]Fluoro-6-thia-heptadecanoic acid as a tracer of free fatty acid uptake and oxidation in myocardium and skeletal muscleTeemu O Takala
Turku PET Centre, Turku University Central Hospital, PO Box 52, 20521 Turku, Finland
Eur J Nucl Med Mol Imaging 29:1617-22. 2002....
Insulin signalling and resistance in patients with chronic heart failureJukka Kemppainen
Turku PET Centre, University of Turku, Turku, Finland and Department of Surgical Sciences, Karolinska Hospital, Stockholm, Sweden
J Physiol 550:305-15. 2003..However, these changes in insulin action after exercise training appear to be independent of enhanced insulin signalling at the level of IRS-1, PI-3-kinase or Akt...
Use of [11C]acetate and [15O]O2 PET for the assessment of myocardial oxygen utilization in patients with chronic myocardial infarctionH Ukkonen
Department of Medicine, Turku University Hospital and Turku PET Centre, POB 52, 20521 Turku, Finland
Eur J Nucl Med 28:334-9. 2001..28 +/- 0.35, P = 0.037). It is concluded that kmono of [11C]acetate correlates linearly with rMMRO2 determined by [15O]O2 inhalation. However, kmono appears to yield higher rMMRO2 estimates than the [15O]O2 method in low-flow areas...
Human adipose tissue glucose uptake determined using [(18)F]-fluoro-deoxy-glucose ([(18)F]FDG) and PET in combination with microdialysisK A Virtanen
Turku PET Centre, University of Turku, P.O. Box 52, 20521 Turku, Finland
Diabetologia 44:2171-9. 2001..14 for [(18)F]FDG in human adipose tissue during insulin stimulation and the LC does not appear to be altered in insulin resistance. Furthermore, the obese patients show insulin resistance in both adipose tissue and skeletal muscle...
In vivo measurements of glucose uptake in human Achilles tendon during different exercise intensitiesJ Hannukainen
Turku PET Centre, University of Turku, Turku, Finland
Int J Sports Med 26:727-31. 2005..This may be partly explained by the cycle ergometry exercise used in the present study, which probably causes only a little increase in strain to the AT with increasing exercise intensity...
Plasma asymmetric dimethylarginine modifies the effect of pravastatin on myocardial blood flow in young adultsTuula Janatuinen
Turku PET Centre, University of Turku, Finland
Vasc Med 8:185-9. 2003..004), whereas high baseline ADMA (> or = median) was associated with no increase in adenosine-induced flow...
Exercise training improves biventricular oxidative metabolism and left ventricular efficiency in patients with dilated cardiomyopathyKira Q Stolen
Turku PET Centre, University of Turku and Turku University Central Hospital, FIN-20521 Turku, Finland
J Am Coll Cardiol 41:460-7. 2003..Therefore, exercise training elicits an energetically favorable improvement in myocardial function and exercise tolerance in patients with DCM...
Myocardial perfusion and perfusion reserve in endurance-trained menKari K Kalliokoski
Turku PET Centre, Turku, Finland
Med Sci Sports Exerc 34:948-53. 2002..This study was undertaken to determine whether endurance training is associated with changes in myocardial perfusion in humans...
Perfusion heterogeneity in human skeletal muscle: fractal analysis of PET dataK K Kalliokoski
Turku PET Centre, University of Turku, Kiinamyllynkatu 4 8, 20520 Turku, Finland
Eur J Nucl Med 28:450-6. 2001..Analysis of flow heterogeneity using PET and fractals could provide new insight into physiological conditions and diseases associated with changes in peripheral vascular function...
Enhanced oxygen extraction and reduced flow heterogeneity in exercising muscle in endurance-trained menK K Kalliokoski
Turku PET Centre, University of Turku, FIN 20521 Turku, Finland
Am J Physiol Endocrinol Metab 280:E1015-21. 2001..These changes may be associated with improved exercise efficiency in the endurance-trained subjects...
The effect of 12-month enzyme replacement therapy on myocardial perfusion in patients with Fabry diseaseR J Kalliokoski
Turku PET Centre, University of Turku, PO Box 52, FIN 20521 Turku, Finland
J Inherit Metab Dis 29:112-8. 2006..However, individual variation in the response to therapy was large and the results suggest that the success of the therapy may depend on the degree of cardiac hypertrophy...
Increased coronary vascular resistance cannot be reduced by inhibiting sympathetic overactivity in hypertensionJan Sundell
Turku PET Centre, Turku University, Turku, Finland
J Vasc Res 39:456-62. 2002....
Coronary artery flow velocity profile measured by transthoracic Doppler echocardiography predicts myocardial viability after acute myocardial infarctionAntti Saraste
Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Kiinamyllynkatu 6 8, 20520 Turku, Finland
Heart 93:456-7. 2007....
Cardiac MRI: accuracy of simultaneous measurement of left and right ventricular parameters using three different sequencesJuha W Koskenvuo
Department of Clinical Physiology, Nuclear Medicine and PET, Turku University Hospital, Turku, Finland
Clin Physiol Funct Imaging 27:385-93. 2007..Furthermore, we studied whether shortened acquisition time has an effect on the accuracy of left and right ventricular parameters both in healthy volunteers and in patients with cardiovascular disease...
Insulin and myocardial blood flowJan Sundell
Turku PET Centre, Turku University Central Hospital, P O Box 52, FIN 20521 Turku, Finland
Cardiovasc Res 57:312-9. 2003..The present article review the physiological and pathophysiological role of insulin in cardiac vasculature and its clinical importance during myocardial ischemia and development of coronary artery disease...
The need for standardisation of cardiac FDG PET imaging in the evaluation of myocardial viability in patients with chronic ischaemic left ventricular dysfunctionJuhani Knuuti
Turku PET Centre, Turku University Central Hospital, P O Box 52, 20521 Turku, Finland
Eur J Nucl Med Mol Imaging 29:1257-66. 2002..In addition, multi-centre trials seem warranted on prediction of long-term function, congestive heart failure symptoms, survival and quality of life...
An autoradiographic study of [(18)F]FDG uptake to islets of Langerhans in NOD mouseTeemu Kalliokoski
DIPP project, Department of Pediatrics, University of Turku, Turku, Finland
Diabetes Res Clin Pract 70:217-24. 2005....
Liver steatosis coexists with myocardial insulin resistance and coronary dysfunction in patients with type 2 diabetesRiikka Lautamaki
Turku PET Centre, University of Turku, Turku, Finland
Am J Physiol Endocrinol Metab 291:E282-90. 2006..Further studies will reveal the effect of hepatic fat reduction on myocardial metabolism and coronary function...
Comparison of MRI and positron emission tomography for measuring myocardial perfusion reserve in healthy humansJussi P Pärkkä
Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland
Magn Reson Med 55:772-9. 2006..04) between MRI and PET. However, we noticed that MRI provided lower MPR values compared to PET (2.5 +/- 1.0 vs. 4.3 +/- 1.8). We conclude that MRI supplemented with tracer kinetic modeling can be used to quantify myocardial perfusion...
Muscle oxygen extraction and perfusion heterogeneity during continuous and intermittent static exerciseKari K Kalliokoski
Turku Positron Emission Tomography Centre, and Department of Medicine, University of Turku, FIN 20521 Turku, Finland
J Appl Physiol 94:953-8. 2003....
Relationship between muscle blood flow and oxygen uptake during exercise in endurance-trained and untrained menKari K Kalliokoski
Turku PET Centre, PO Box 52, University of Turku, FIN 20521 Turku, Finland
J Appl Physiol 98:380-3. 2005..Furthermore, this matching seems to be better in the endurance-trained than in untrained men...
Anatomy and function: PET-CTSami Kajander
Turku PET Centre, University of Turku, Turku, Finland
EuroIntervention 6:G87-93. 2010....
