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Neuroradiologic applications of central nervous system SPECT. Radiographics 1996 Jul;16(4):777-85

Date

07/01/1996

Pubmed ID

8835971

DOI

10.1148/radiographics.16.4.8835971

Scopus ID

2-s2.0-0030185776 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

Single photon emission computed tomography (SPECT) of the central nervous system (CNS) has many potentially useful interventional neuroradiologic applications. CNS SPECT allows easy and safe evaluation of the collateral circulation during internal carotid balloon test occlusion. The cerebrovascular distribution of intracarotid amobarbital sodium, which is used in the Wada test, can be accurately determined with simultaneous injection of a radiopharmaceutical. Easy and safe evaluation of the extent and distribution of vasospasm associated with subarachnoid hemorrhage or cerebral angiography is also possible with CNS SPECT. Images obtained after administration of acetazolamide can be compared with baseline images to evaluate cerebrovascular reserve before carotid endarterectomy. Seizure foci can be identified if peripheral intravenous injection is performed during an ictus. Thallium-201 imaging can be used to direct stereotactic brain biopsy to check for tumor recurrence. Radiologists need to familiarize themselves and their clinical colleagues with the many uses of this imaging technique.

Author List

Berger JD, Witte RJ, Holdeman KP, Tikofsky RS, Hellman RS, McConnell JR, Torkelson RD, Patil AA



MESH terms used to index this publication - Major topics in bold

Aged
Brain
Brain Diseases
Brain Neoplasms
Cerebrovascular Circulation
Cerebrovascular Disorders
Female
Humans
Seizures
Tomography, Emission-Computed, Single-Photon