Skeletal muscle blood flow is heterogeneous in muscle groups and in single muscle in rats [1] and in humans [2][3][4]. This heterogeneity may arise from regional differences in capillary density or muscle fiber type [1]. We have previously used positron emission tomography (PET) to visualize regional differences in blood flow in human resting skeletal muscle and have recently reported that blood flow decreases from proximal to distal potions within the quadriceps muscle [4]. We propose that this regional difference in blood flow may result from differences in skeletal muscle fiber type or distance from the heart within the thigh muscles. The purpose of this study was to clarify the reason for these regional differences in blood flow. To address this issue, we used PET to measure muscle blood volume (as an index of vascular distribution) and blood transit time (as an index of blood flow velocity) in human resting muscle.
MethodsSubjects. Five healthy male subjects participated in this study; their meanϮSD age was 23.6Ϯ1.8 year; mean height 173.6Ϯ4.0 cm; and mean weight 66.7Ϯ9.5 kg. Written informed consent was obtained after the purpose, nature, and potential risks of the experiments were explained to the subjects. The Ethics Committee of the Tokyo Metropolitan Institute of Gerontology approved the study protocol.Experimental protocol. The subjects were instructed to avoid heavy exercise before the study and had fasted overnight for at least 12 h. After each subject rested for 30 min in a supine position, a catheter was inserted into a radial artery to withdraw blood to measure the radioactivity of the plasma, blood oxygen saturation, and hemoglobin content. The subjects were then positioned supinely in a PET scanner with their legs fixed with a plastic cover to prevent any abrupt movement. The femoral regions of both legs were located in the 200 mm field of view, and the center of view was positioned at a point midway between the trochanter major and the knee joint. A transmission scan was performed for 8 min to correct for photon attenuation. Emission scans were then performed to measure regional muscle blood flow and blood volume after subjects inhaled [15 O]CO 2 and [ 15 O]CO, respectively. Before and after the PET scans, the systemic parameters of heart rate, blood pressure, and pulmonary oxygen uptake (VO 2 -pulmonary) were measured. The average of two measurements was recorded and analyzed.Measurements. Japanese Journal of Physiology, 53, 467-470, 2003 Key words: hemodynamics, resting skeletal muscle, positron emission tomography.Abstract: We examined regional differences in blood volume and transit time along the length of a resting skeletal muscle by positron emission tomography. In contrast, blood volume didn't change. The blood transit time increased significantly from proximal to distal portions, suggesting that blood flow velocity slows even though there are no changes in blood volume.