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Journal of Nuclear Medicine

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OtherClinical Investigations

Statistical Image Analysis of Cerebral Blood Flow in Vascular Dementia with Small-Vessel Disease

Takuya Yoshikawa, Kenya Murase, Naohiko Oku, Kazuo Kitagawa, Masao Imaizumi, Masashi Takasawa, Takashi Nishikawa, Masayasu Matsumoto, Jun Hatazawa and Masatsugu Hori
Journal of Nuclear Medicine April 2003, 44 (4) 505-511;
Takuya Yoshikawa
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Kenya Murase
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Naohiko Oku
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Kazuo Kitagawa
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Masao Imaizumi
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Masashi Takasawa
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Takashi Nishikawa
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Masayasu Matsumoto
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Jun Hatazawa
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Masatsugu Hori
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  • FIGURE 1.
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    FIGURE 1.

    Comparison of FD calculated for 99mTc-HMPAO CBF SPECT image and FD calculated for 18F-FDG PET image of 62-y-old woman who underwent examination for memory impairment. Horizontal axis shows natural logarithm of cutoff values, and vertical axis shows natural logarithm of number of voxels in area surrounded by contour obtained with radioactivity above cutoff value. Slope of regression line on this graph corresponds to FD. • = FD value for 18F-FDG PET image (y = −1.109x + 15.29; r = 0.988); ○ = FD value for 99mTc-HMPAO CBF SPECT image (y = −1.278x + 14.46; r = 0.995).

  • FIGURE 2.
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    FIGURE 2.

    Scatter plots of FD data between 99mTc-HMPAO CBF SPECT and 18F-FDG PET images in VaD group. Spearman rank correlation analysis showed significant correlation between FDs of the 2 images (y = 0.902x + 0.211; r = 0.619; P < 0.01).

  • FIGURE 3.
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    FIGURE 3.

    T2-weighted MR images (left), SPECT or PET images (center), and 3D-SSP images (right) of representative subjects from control and VaD groups. (A) Images of 70-y-old man from control group. His FD was 0.799, and his MMSE score was 29. (B) Images of 75-y-old man from VaD group. His FD was 1.151, and his MMSE score was 15. In VaD, T2-weighted MR images revealed multiple small, bilateral infarcts in basal ganglia (arrows), SPECT and PET images showed diffuse decrease in CBF, and 3D-SSP image showed reduction mainly confined to frontal region (arrowhead). T2WI = T2-weighted image.

  • FIGURE 4.
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    FIGURE 4.

    Comparison of FD between control group (n = 20) and VaD group (n = 17). Mann-Whitney test showed significant difference in FD between the 2 groups (P < 0.0001). ▵ = 7 patients with VaD at MMSE score of less than 20. *P < 0.0001.

  • FIGURE 5.
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    FIGURE 5.

    Representative 3D-SSP z score maps from patients with diffuse reduction of CBF and reduction mainly confined to frontal region of CBF. (A) Diffuse reduction of CBF (arrows) (patient 1). (B) Decrease in frontal region (arrowheads) (patient 8).

Tables

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    TABLE 1

    Clinical Characteristics of Control Group and VaD Group

    VariableControl groupVaD group
    Subjects (n)2017
    Sex (M:F)9:116:11
    Age (y)62.9 ± 11.369.5 ± 8.5
    MMSE26.5 ± 2.618.6 ± 4.5
    • Values are mean ± SD.

    • View popup
    TABLE 2

    Clinical Characteristics of Each VaD Patient

    Patient no.Age (y)SexFDMMSEDecreased CBF
    157M0.91223Diffuse
    282F1.19920Frontal
    367F1.02919Diffuse
    467F1.37310Frontal
    574F1.10821Diffuse
    669F0.96321Diffuse
    769F0.83522Diffuse
    875M1.15115Frontal
    987M1.30711Diffuse
    1055F0.91622Diffuse
    1164F0.99523Diffuse
    1275M0.99523Diffuse
    1362F1.14520Diffuse
    1479F1.10819Frontal
    1563F1.04221Diffuse
    1666M1.30710Diffuse
    1771M1.19917Frontal
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Journal of Nuclear Medicine
Vol. 44, Issue 4
April 1, 2003
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Statistical Image Analysis of Cerebral Blood Flow in Vascular Dementia with Small-Vessel Disease
Takuya Yoshikawa, Kenya Murase, Naohiko Oku, Kazuo Kitagawa, Masao Imaizumi, Masashi Takasawa, Takashi Nishikawa, Masayasu Matsumoto, Jun Hatazawa, Masatsugu Hori
Journal of Nuclear Medicine Apr 2003, 44 (4) 505-511;

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Statistical Image Analysis of Cerebral Blood Flow in Vascular Dementia with Small-Vessel Disease
Takuya Yoshikawa, Kenya Murase, Naohiko Oku, Kazuo Kitagawa, Masao Imaizumi, Masashi Takasawa, Takashi Nishikawa, Masayasu Matsumoto, Jun Hatazawa, Masatsugu Hori
Journal of Nuclear Medicine Apr 2003, 44 (4) 505-511;
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