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Comparative study of regional cerebral blood flow images by SPECT using xenon-133, iodine-123 IMP, and technetium-99m HM-PAO

Journal Article · · J. Nucl. Med.; (United States)
OSTI ID:5821260
Regional cerebral blood flow (rCBF) was measured by single photon emission computed tomography (SPECT) using /sup 133/Xe, N-isopropyl-p-(/sup 123/I)iodoamphetamine ((/sup 123/I)IMP) and (/sup 99m/Tc) hexamethylpropyleneamine oxime ((/sup 99m/Tc)HM-PAO) in 24 patients with cerebrovascular diseases. The greatest advantage of /sup 133/Xe SPECT was to be able to provide absolute rCBF values without arterial sampling. However, its image quality was very poor. Iodine-123 IMP SPECT provided rCBF images of higher quality and it had good correlation to /sup 133/Xe SPECT. Iodine-123 IMP SPECT provided the best images to detect mild ischemic lesions. It could detect obstructive or stenotic changes of large cerebral arteries very well except for a moderate stenosis of internal carotid artery. Technetium-99m HM-PAO SPECT also provided very good rCBF images and it had good correlation to /sup 133/Xe SPECT. However, the count-density ratios for the ischemic lesions to the contralateral presumed normal areas of (/sup 99m/Tc) HM-PAO SPECT were significantly higher than those of (/sup 123/I)IMP SPECT.
Research Organization:
Miyazaki Medical College (Japan)
OSTI ID:
5821260
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 30:2; ISSN JNMEA
Country of Publication:
United States
Language:
English

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