Tanaka R, Hayashida K, Hirose Y, Ishida Y, Miyashita K, Kaminaga T, Nishimura T
Department of Radiology, Osaka University Medical School.
Kaku Igaku. 1994 Sep;31(9):1113-6.
To standardize the regional cerebral count with 99mTc-HMPAO, equilibrium blood count of which trapping mechanism is the same as the brain was used in seven patients with cerebrovascular disease. We injected 99mTc-HMPAO 740 MBq in 10-15 sec and got sequential arterial sampling in patients who were undertaken with PET. Four hours later 99mTc-HMPAO brain SPECT was taken and a venous sampling was drawn for determining the equilibrium blood count. Correlation between the area of arterial time activity curve and equilibrium venous blood count was 0.93. After 44 regions (36 in cortical area, 8 in deep area) with 99mTc-HMPAO brain SPECT were placed, SPECT counts were corrected by standardization of equilibrium venous blood count. The correlation between rCBF determined from C15O2 PET and corrected SPECT counts was 0.80 and 0.67, cortical area and deep area, respectively. We concluded that 99mTc-HMPAO brain SPECT count can be corrected by equilibrium blood count to standardize the regional cerebral counts.
为了用99mTc-HMPAO对局部脑计数进行标准化,在7例脑血管疾病患者中使用了其捕获机制与脑相同的平衡血计数。我们在10 - 15秒内注射740MBq的99mTc-HMPAO,并对接受PET检查的患者进行连续动脉采样。4小时后进行99mTc-HMPAO脑SPECT检查,并采集静脉血样以测定平衡血计数。动脉时间-活性曲线面积与平衡静脉血计数之间的相关性为0.93。在放置了99mTc-HMPAO脑SPECT的44个区域(皮质区36个,深部区8个)后,通过平衡静脉血计数标准化对SPECT计数进行校正。由C15O2 PET测定的rCBF与校正后的SPECT计数之间的相关性,皮质区和深部区分别为0.80和0.67。我们得出结论,99mTc-HMPAO脑SPECT计数可以通过平衡血计数进行校正,以标准化局部脑计数。