Japanese
Title閉塞性脳血管障害の133XeECTによる検討
Subtitle原著
Authors酒井康子*, 春日敏夫*, 中西文子*, 曽根脩輔*, 丸山篤敬*, 河合卓*, 谷崎義生**, 加藤茂樹**
Authors(kana)
Organization*信州大学医学部放射線科, **鹿教湯病院脳神経外科
Journal核医学
Volume24
Number1
Page47-54
Year/Month1987/1
Article原著
Publisher日本核医学会
Abstract「要旨」虚血性脳血管障害35例について, 133Xeガス吸入CBFとそのdelayed scan, X線CTスキャン, およびIVDSAなどを用いて, 壊死巣を含まない中大脳動脈領域虚血巣の血流量を検討した. 35例中の20例でacetazolamide静注によるactivation studyも施行した. CBF像で, 血流低下を示した症例のdelayed scanで, 患側と健側を比較すると, I型:患側の集積が健側に比べ多くなるもの, II型:患側が健側とほぼ等しくなるもの, III型:患側が低下したままであるものに区別できた. I型のIVDSA像で側副血行路の発達が良好であり, misery perfusionの状態であることが推定された. III型では側副血行路の発達が悪く, acetazolamideによる血管反応性も乏しく, perfusion reserveの低下が疑われた. したがって, I型では治療効果が期待できよう.
Practice臨床医学:一般
Keywords133Xe inhalation method, Cerebral blood flow, SPECT, Cerebrovascular disorders, Delayed scan.
English
TitleCerebral Blood Flow Study by 133Xe Inhalation and Single Photon Emission CT in Occlusive Cerebrovascular Disease
SubtitleOriginal Articles
AuthorsYasuko SAKAI*, Toshio KASUGA*, Fumiko NAKANISHI*, Shusuke SONE*, Atsunori MARUYAMA*, Takashi KAWAI*, Yoshio TANIZAKI**, Shigeki KATO**
Authors(kana)
Organization*Department of Radiology, Shinshu University School of Medicine, **Department of Neurosurgery, Kakeyu Hospital
JournalThe Japanese Journal of nuclear medicine
Volume24
Number1
Page47-54
Year/Month1987/1
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]The cerebral blood flow study to detect ischemic areas in the brain was performed in 35 patients with occlusive cerebro-vascular disease in an unilateral internal carotid artery and/or middle cerebral artery; utilizing Single Photon Emission CT (SPECT) with 133Xe inhalation technique, with the additional delayed scan. In 20 cases of them the activation study with intravenous injection of acetazolamide 20 mg/kg was done. X-ray CT and in a part of the cases intravenous digital subtraction angiography (IVDSA) were also performed. The delayed scan images were classified into the following 3 types according to the amount of the accumulated activity on the affected side in comparison with the non-affected side.; Type I: a greater amount of accumulation of 133Xe in the affected side, Type II: an approximately equal amount of accumulation on both sides, Type III: a lesser amount of accumulation on the affected side. The collateral circulation demonstrated on the IVDSA images was relatively rich in the Type I group. A poorer collateral circulation on DSA and an impaired response to the activation study were shown in the Type III group. The Type I might be explained by the penumbra effect and might be considered as a candidate for bypass surgery.
PracticeClinical medicine
Keywords133Xe inhalation method, Cerebral blood flow, SPECT, Cerebrovascular disorders, Delayed scan.

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