Measurement of Regional Cerebral Blood Flow With133Xenon and a Multiple‐Crystal Scintillation Camera
作者:
P. CANNON,
R. SCIACCA,
J. BRUST,
P. JOHNSON,
S. HILAL,
期刊:
Stroke
(OVID Available online 1974)
卷期:
Volume 5,
issue 3
页码: 371-383
ISSN:0039-2499
年代: 1974
出版商: OVID
关键词: nonlinear regression analysis;gray and white matter perfusion;arteriovenous malformation
数据来源: OVID
摘要:
A method was devised to measure gray and white matter cerebral blood flow simultaneously in multiple regions of the brain using133Xenon and a multiple-crystal scintillation camera. Following magnification cerebral arteriography,133Xe was injected into the internal carotid artery and the washout of tracer was monitored with a scintillation camera which consists of 294 individually collimated NaI (TI) crystals. These data, obtained from each crystal overlying the brain, were processed by a weighted least-squares nonlinear regression technique. The blood flow rates of the rapid and slow compartments were calculated by the Kety-Schmidt formula along with 95% confidence limits for each measurement.In four patients, local increases or decreases in regional cerebral flow were correlated with areas of pathology. In one patient with a cerebral arteriovenous malformation, regions of local shunting of tracer were identified. Application of a three-compartment analysis to these curves permitted estimation of the magnitude of shunting along with gray and white matter flow in the lesion. The increased discrimination provided by the multiple-crystal camera and the estimates of measurement accuracy obtained by this mathematical analysis may facilitate more precise localization of regional blood flow abnormalities in intracranial disease.
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