Evaluation of cerebral hemodynamic changes by Tc-99m HMPAO SPECT after radiosurgery of small arteriovenous malformations (AVM)

Journal Article · Sun May 01 04:00:00 EDT 1994 · Journal of Nuclear Medicine

OSTI ID:198058

Liu, R S; Yeh, S H; Pan, H C ^[1]

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1. National Defense Medical Center, Taipei (Taiwan, Province of China); and others

Treatment of small AVMs (<3 cm) by stereotaxic radio-surgery using gamma unit has been a promising noninvasive method. However, cerebral hemodynamic changes after gamma unit treatment is obscure. This study assessed the effect of radiosurgery on the regional cerebral blood flow (rCBF) in treatment of small AVMs. Nine patients (pts) with small AVMs were imaged with SPECT using Tc-99m HMPAO prior to stereotactic radio-surgery. The pts were treated with a Leskell gamma unit with doses of radiation in the range of 36 Gy to 44 Gy at target center. All pts underwent HMPAO SPECT scans about 3 months after radiosurgery. Pts were also studied with CT/MR scans. Pre treatment HMPAO SPECT showed decreased rCBF in the regions of nidi of AVMs of all pts and in the adjacent zones in 2 pts. Increased rCBF surrounding the nidus was noted in 2 AVMs. After treatment, rCBF of 2 pts returned to normal, 6 pts showed much improvement of rCBF and 1 remained no change. No more perfusion abnormalities were seen in the adjacent zones of all AVMs after radiosurgery. Cross cerebellar diaschisis noted in one case also disappeared after radiosurgery. Post treatment CT/MR scans showed slightly decrease in size of AVMs in 6 pts. All pts had great improvement after treatment. Normalization of rCBF correlated well with improvements in the neurological symptoms. In conclusion, comparison of pre and post treatment Tc-99m HMPAO SPECT scans were useful in evaluating the effectiveness of gamma unit radiosurgery on small AVMs.

• OSTI ID: 198058
• Report Number(s): CONF-940605--
• Journal Information: Journal of Nuclear Medicine, Journal Name: Journal of Nuclear Medicine Journal Issue: Suppl.5 Vol. 35; ISSN JNMEAQ; ISSN 0161-5505
• Country of Publication: United States
• Language: English

Related Subjects

55 BIOLOGY AND MEDICINE
BASIC STUDIES
BLOOD FLOW
BLOOD VESSELS
CEREBRUM
IMAGES
SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY
TECHNETIUM 99