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Dynamic SPECT with technetium-99m HM-PAO in meningiomas--a comparison with iodine-123 IMP

Journal Article · · J. Nucl. Med.; (United States)
OSTI ID:5700868
Technetium-99m hexamethylpropyleneamine oxime ((/sup 99m/Tc)HM-PAO) has recently been introduced as an alternative to N-isopropyl-p-/sup 123/I-iodoamphetamine ((/sup 123/I)IMP) for measurement of regional cerebral blood flow. This study compares dynamic SPECT studies using the two tracers in seven patients with meningiomas. Regions of interest were placed over the lesion and contralateral homologous presumed normal area. The counting-rate ratio for the lesion to the contralateral homologous area (L/N ratio) was then calculated in the first image. L/N ratios of ((/sup 99m/Tc)HM-PAO) single photon emission computed tomography (SPECT) were lower than those of ((/sup 123/I)IMP) SPECT, particularly in hypervascular meningiomas. Furthermore, time-activity curves showed that the washout of ((/sup 99m/Tc)HM-PAO) in the tumors was very slow or incomplete, preventing an accurate assessment of vascularity of meningiomas with ((/sup 99m/Tc)HM-PAO), as is generally possible with ((/sup 123/I)IMP).
Research Organization:
Miyazaki Medical College (Japan)
OSTI ID:
5700868
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 30:6; ISSN JNMEA
Country of Publication:
United States
Language:
English