뇌혈관질환에서 $^{99m}Tc-HMPAO$ SPECT를 이용한 국소뇌혈류의 정량적 분석

Quantitative Analysis of Regional Cerebral Blood Flow Using $^{99m}Tc-HMPAO$ SPECT in Cerebrovascular Disease

  • 이명철 (서울대학교 의과대학 내과학교실) ;
  • 이명혜 (서울대학교 의과대학 내과학교실) ;
  • 고창순 (서울대학교 의과대학 내과학교실) ;
  • 노재규 (서울대학교 의과대학 신경과학교실) ;
  • 명호진 (서울대학교 의과대학 신경과학교실) ;
  • 이선호 (서울대학교 의과대학 신경외과학교실) ;
  • 한대희 (서울대학교 의과대학 신경외과학교실)
  • Lee, Myung-Chul (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Myung-Hae (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Koh, Chang-Soon (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Roh, Jae-Kyu (Department of Neurology, College of Medicine, Seoul National University) ;
  • Myung, Ho-Jin (Department of Neurology, College of Medicine, Seoul National University) ;
  • Lee, Sun-Ho (Department of Neurosurgery, College of Medicine, Seoul National University) ;
  • Han, Dae-Hee (Department of Neurosurgery, College of Medicine, Seoul National University)
  • 발행 : 1988.05.25

초록

SPECT of regional cerebral blood flow was performed using $^{99m}Tc-HMPAO$ in 28 patients with cerebrovascular disease and quantitative analysis was done. Cerebral asymmetry index and percent index of asymmetry of cerebellar hemisphere of patients with cerebral infarction or ischemia were $0.764{\pm}0.576$ and $-5.6{\pm}7.1%$ and those of intracranial hemorrhage was $0.416{\pm}0.251$ and $-2.5{\pm}4.1%$ respectively. According to PIA of cerebellar hemisphere, 12 patients showed crossed cerebellar diaschisis. $^{99m}Tc-HMPAO$ SPECT seemed to be a useful tool for the evaluation of regional cerebral blood flow.

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