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Cerebral perfusion imaging with albumin microspheres tagged with /sup 99m/Tc and /sup 111/In in cases with internal carotid occlusion

Journal Article · · J. Nucl. Med.; (United States)
OSTI ID:6705689

Cerebral perfusion imaging with dual-tracer (/sup 99m/Tc and /sup 111/In) human albumin microspheres (HAM scintigraphy) was performed in 15 cases with unilateral occlusion of the internal carotid artery, for the diagnosis and evaluation of collateral circulation patterns. After injection of /sup 99m/Tc microspheres into one common carotid artery and /sup 111/In HAMs into the other, two perfusion images, one for each carotid artery, were clearly differentiated by appropriate pulse-height discrimination. With this method, diagnosis of internal carotid artery occlusion was definitely made in eight patients, suspected in six, and missed in one. The collateral perfusion areas from the contralateral ICA and ipsilateal external carotid artery were well demonstrated by this method, and the scintigraphic results agreed well with the angiographic findings in all cases. Dual-tracer HAM scintigraphy is capable of adding information about collaterals at the capillary level to the anatomic information obtained by angiography.

Research Organization:
Osaka University Medical School, Fukushima-ku, Japan
OSTI ID:
6705689
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 23:9; ISSN JNMEA
Country of Publication:
United States
Language:
English

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