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The value of 99m-Tc-HMPAO Diamox SPECT in carotid artery stenosis

Journal Article · · Journal of Nuclear Medicine
OSTI ID:198052
; ;  [1]
  1. Univ. of Amsterdam (Netherlands); and others

In this prospective study, brain perfusion reserve was evaluated by Acetazolamide (Diamox) 99m-Tc-HMPAO SPECT in patients clinically suspected for carotid artery stenosis. Consecutive 99m-Tc-HMPAO brain-SPECT investigations were obtained within one hour before and after a dose of 1000 mg Acetazolamide i.v. Studies were performed with a SME 810 multidetector neuroSPECT system. After reconstruction mean counts in the parieto-temporal region were calculated on fixed regions of interest (ROI`s) in two slices. The calculated activity was corrected for injected dose 99m-Tc-HMPAO and decay. The corrected counts of the baseline study were subtracted from the post-Diamox study. The increase of perfusion was expressed as a percentage of the baseline results in the same ROI. Fifteen studies were performed in 14 patients, 3 women and 11 men, mean age 67 years, range 44-78 years. One patient was excluded because the quality of labelling was not assessed. The results of 14 studies (28 carotid arteries) were used for statistical analysis. A carotid stenosis was considered to be significant above 70% (Duplex sonography of angiography).

OSTI ID:
198052
Report Number(s):
CONF-940605--
Journal Information:
Journal of Nuclear Medicine, Journal Name: Journal of Nuclear Medicine Journal Issue: Suppl.5 Vol. 35; ISSN 0161-5505; ISSN JNMEAQ
Country of Publication:
United States
Language:
English

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