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Title: Remote effects and thresholds of CBF and CMRO/sub 2/ in MCA territory ischemic infarction with a high resolution positron CT (HEADTOME-III) and 0-15 labeled gases

Conference · · J. Nucl. Med.; (United States)
OSTI ID:6795429

Regional cerebral blood flow (rCBF) and oxygen metabolism (rCMRO/sub 2/) were measured with a high resolution positron CT (HEADTOME-III) and 0-15 labeled CO/sub 2/, O/sub 2/ and CO gases. Seven normal volunteers and 13 cases with MCA territory ischemic infarction were performed on positron CT measurement. Remote effects from MCA territory infarction were noted in the following areas without structural damages by X-ray CT and cerebral angiography: (1) contralateral MCA territory, (2) ipsilateral thalamus, (3) contralateral cerebellar hemisphere, and (4) brainstem. Areas shown as remote effects had normal regional oxygen extraction fraction (rOEF), slightly depressed rCBF and rCMRO/sub 2/. These remote effects were demonstrated typically between 1 and 4 weeks after onset. The morphological damages were assessed as low density are with X-ray CT, and threshold levels of rCBF and rCMRo/sub 2/ were determined. Threshold of rCBF was about 12 ml/100 ml/min, and rCMRO/sub 2/ threshold was about 1.4 ml/100 ml/min in acute stroke within 1 day after onset. The areas of remote effects were indicated above these threshold values. These results suggest that (1) remote effects were not ischemic changes, (2) almost cases with MCA territory infarct showed in this effect, (3) these effects very frequently appeared in 1-4 weeks after onsets, (4) these remote effects may have connection of neural tracts, and the areas shown in remote effects may be a ''resting state''.

Research Organization:
Research Institute for Brain and Blood Vessels-Akita, Akita
OSTI ID:
6795429
Report Number(s):
CONF-850611-; TRN: 87-010650
Journal Information:
J. Nucl. Med.; (United States), Vol. 26:5; Conference: 32. annual meeting of the Society of Nuclear Medicine, Houston, TX, USA, 2 Jun 1985
Country of Publication:
United States
Language:
English

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