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The Journal of Nuclear Medicine Vol. 33 No. 9 1623-1627
© 1992 by Society of Nuclear Medicine
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Unilateral Voluntary Hand Movement and Regional Cerebral Uptake of Technetium-99m-Exametazime in Human Control Subjects

Klaus P. Ebmeier, Catherine L. Murray, Nadine J. Dougall, Ronan E. O'Carroll and Guy M. Goodwin

MRC Brain Metabolism Unit, Royal Edinburgh Hospital, Morningside Park, Edinburgh, Scotland

Correspondence: For reprints contact: Dr. K.P. Ebmeier, MRC Brain Metabolism Unit, Royal Edinburgh Hospital, Morningside Park, Edinburgh, Scotland EH10 5HF.

ABSTRACT

The study examines the sensitivity of a region of interest approach to detect functional changes in brain metabolism with SPECT and split-dose 99mTc-exametazime by replicating a simple hand movement experiment previously earned out with PET. Regional uptake of 99mTc-exametazime was determined in 12 healthy controls before and during a thumb-digit opposition task. Analysis of regional uptake was carried out blind to the hand used in the opposition task and showed a significant unilateral activation effect in a pericentral region of interest with opposite results in left- and right-handed activation. The maximum contralateral increase in tracer uptake was 16% before and 26% after correction for back diffusion. This is in good agreement with previous results employing absolute cerebral blood flow determination with PET and confirms the usefulness of 99mTc-exametazime SPECT for the examination of functional metabolic changes.




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Copyright © 1992 by the Society of Nuclear Medicine.