Neuroradiologic Applications of Central Nervous System SPECT

John D. Berger, Robert J. Witte, Karen P. Holdeman, Ronald S. Tikofsky, Robert S. Hellman, James R. McConnell, Richard D. Torkelson, Arun Angelo Patil

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Single photon emission computed tomography (SPECT) of the central nervous system (CNS) has many potentially useful interventional neuroradiologic applications. CNS SPECT allows easy and safe evaluation of the collateral circulation during internal carotid balloon test occlusion. The cerebrovascular distribution of intracarotid amobarbital sodium, which is used in the Wada test, can be accurately determined with simultaneous injection of a radiopharmaceutical. Easy and safe evaluation of the extent and distribution of vasospasm associated with subarachnoid hemorrhage or cerebral angiography is also possible with CNS SPECT. Images obtained after administration of acetazolamide can be compared with baseline images to evaluate cerebrovascular reserve before carotid endarterectomy. Seizure foci can be identified if peripheral intravenous injection is performed during an ictus. Thallium-201 imaging can be used to direct stereotactic brain biopsy to check for tumor recurrence. Radiologists need to familiarize themselves and their clinical colleagues with the many uses of this imaging technique.

Original languageEnglish (US)
Pages (from-to)777-785
Number of pages9
JournalRadiographics
Volume16
Issue number4
DOIs
StatePublished - Jan 1 1996

Fingerprint

Single-Photon Emission-Computed Tomography
Central Nervous System
Amobarbital
Balloon Occlusion
Collateral Circulation
Cerebral Angiography
Acetazolamide
Radiopharmaceuticals
Carotid Endarterectomy
Thallium
Subarachnoid Hemorrhage
Intravenous Injections
Seizures
Biopsy
Recurrence
Injections
Brain
Neoplasms

Keywords

  • Brain neoplasms, secondary, 10.33
  • Brain, blood flow, 10.91, 10.92
  • Brain, emission ct (ect), 10.12162
  • Brain, radionuclide studies, 10.12162
  • Cerebral blood vessels, emission ct (ect), 17.12162

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Berger, J. D., Witte, R. J., Holdeman, K. P., Tikofsky, R. S., Hellman, R. S., McConnell, J. R., ... Patil, A. A. (1996). Neuroradiologic Applications of Central Nervous System SPECT. Radiographics, 16(4), 777-785. https://doi.org/10.1148/radiographics.16.4.8835971

Neuroradiologic Applications of Central Nervous System SPECT. / Berger, John D.; Witte, Robert J.; Holdeman, Karen P.; Tikofsky, Ronald S.; Hellman, Robert S.; McConnell, James R.; Torkelson, Richard D.; Patil, Arun Angelo.

In: Radiographics, Vol. 16, No. 4, 01.01.1996, p. 777-785.

Research output: Contribution to journalArticle

Berger, JD, Witte, RJ, Holdeman, KP, Tikofsky, RS, Hellman, RS, McConnell, JR, Torkelson, RD & Patil, AA 1996, 'Neuroradiologic Applications of Central Nervous System SPECT', Radiographics, vol. 16, no. 4, pp. 777-785. https://doi.org/10.1148/radiographics.16.4.8835971
Berger JD, Witte RJ, Holdeman KP, Tikofsky RS, Hellman RS, McConnell JR et al. Neuroradiologic Applications of Central Nervous System SPECT. Radiographics. 1996 Jan 1;16(4):777-785. https://doi.org/10.1148/radiographics.16.4.8835971
Berger, John D. ; Witte, Robert J. ; Holdeman, Karen P. ; Tikofsky, Ronald S. ; Hellman, Robert S. ; McConnell, James R. ; Torkelson, Richard D. ; Patil, Arun Angelo. / Neuroradiologic Applications of Central Nervous System SPECT. In: Radiographics. 1996 ; Vol. 16, No. 4. pp. 777-785.
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