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The Journal of Nuclear Medicine Vol. 21 No. 12 1139-1145
© 1980 by Society of Nuclear Medicine
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Tomographic Assessment of Cerebral Perfusion Using a Single-Photon Emitter (Krypton-81m) and a Rotating Gamma Camera

F. Fazio, C. Fieschi, M. Collice, M. Nardini, F. Banfi, M. Possa and F. Spinelli

Ospedale Niguarda, Milan
Department of Neurology, Rome, Italy
Hammersmith Hospital, London, U.K.

Correspondence: For reprints contact: F. Fazio, MD, Servizio di Medicina Nucleare, Ospedale S. Raffaele, Via Olgettina 60, 20090 Milano-Segrate, Italy.

ABSTRACT

Continuous carotid infusion of short-lived krypton-81m (t1/2 13 sec) yields an assessment of regional cerebral perfusion. This assessment can be obtained in three dimensions if activity is recorded with a rotating gamma camera and a computer to reconstruct krypton-81m distribution in tomographic sections. These showed several advantages over conventional views: (a) visualization of blood-flow distribution within brain structures (gray and white matter, basal ganglia); (b) more accurate location and evaluation of areas of relatively reduced or increased perfusion; (c) better definition of patterns of collateral circulation; (d) greater sensitivity and specificity in detecting and defining blood-flow changes during physiological activation studies. A limitation of the krypton-81m technique is its invasiveness. However, this study shows that the combination of new advances in radiochemistry with single-photon emission computed tomography may result in accessible methods for assessing, noninvasively and in three dimensions, the behavior of cerebral function in man.







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